| Abd paracentesis w/imaging (49083) |
$1,188.75 |
$1,674.30 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$766.87 |
$1,080.10 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,222.58 |
$3,130.40 |
0.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$3,591.04 |
$5,057.80 |
1.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,067.70 |
$2,912.25 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,110.94 |
$4,381.60 |
1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,291.38 |
$3,227.30 |
0.7× |
| Amputate metacarpal bone (26910) |
$2,547.84 |
$3,588.50 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,094.50 |
$2,950 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$1,701.48 |
$2,396.45 |
0.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,323.80 |
$3,272.95 |
0.7× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,883.98 |
$4,061.95 |
0.4× |
| Anoscopy diagnostic (46600) |
$169.76 |
$239.10 |
1.2× |
| Anterior tibial tubercleplasty (27418) |
$3,936.31 |
$5,544.10 |
0.5× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,582.13 |
$3,636.80 |
0.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$215.77 |
$303.90 |
1.3× |
| Appl Multlay Comprs Arm/Hand (29584) |
$197.74 |
$278.50 |
1.2× |
| Application cast elbow finger short arm (29075) |
$334.77 |
$471.50 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$274.77 |
$387 |
1.0× |
| Application finger splint static (29130) |
$166.99 |
$235.20 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$205.94 |
$290.05 |
1.2× |
| Application of long leg cast (29345) |
$286.34 |
$403.30 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$247.72 |
$348.90 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$178.14 |
$250.90 |
1.3× |
| Application, cast; figure-of-eight Facility (29049) |
$122.55 |
$172.60 |
0.4× |
| Apply Hand/Wrist Cast (29085) |
$265.26 |
$373.60 |
1.6× |
| Apply long leg splint (29505) |
$240.19 |
$338.30 |
1.4× |
| Apply short leg cast (29405) |
$355.14 |
$500.20 |
1.2× |
| Apply short leg cast (29425) |
$283.08 |
$398.70 |
1.0× |
| Apply short leg splint (29515) |
$184.24 |
$259.50 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$143.52 |
$202.15 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$627.36 |
$883.60 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$234.73 |
$330.60 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$439.52 |
$619.05 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$166.92 |
$235.10 |
0.5× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$3,025.60 |
$4,261.40 |
0.4× |
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$3,163.55 |
$4,455.70 |
0.4× |
Arthrodesis, knee, any technique Facility (27580)
unusually low: confirm this is the full procedure |
$4,568.57 |
$6,434.60 |
0.3× |
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure |
$11,942.06 |
$16,819.80 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$7,678.16 |
$10,814.30 |
0.4× |
Arthroplasty patella w/prosthesis (27438)
unusually low: confirm this is the full procedure |
$6,209.66 |
$8,746 |
0.5× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442)
unusually low: confirm this is the full procedure |
$6,245.87 |
$8,797 |
0.5× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,749.54 |
$5,281.05 |
1.1× |
Arthroplasty, knee, tibial plateau; Facility (27440)
unusually low: confirm this is the full procedure |
$5,943.41 |
$8,371 |
0.4× |
Arthroplasty, radial head; with implant Facility (24366)
unusually low: confirm this is the full procedure |
$5,804.08 |
$8,174.75 |
0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,321.62 |
$3,269.90 |
0.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,708.48 |
$3,814.75 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,871.48 |
$4,044.35 |
0.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,973.12 |
$4,187.50 |
0.9× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,060.38 |
$2,901.95 |
0.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$3,032.09 |
$4,270.55 |
0.9× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,182.04 |
$4,481.75 |
0.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,048 |
$2,884.50 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,637.08 |
$5,122.65 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,332.18 |
$4,693.20 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,164.04 |
$4,456.40 |
0.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$4,230.96 |
$5,959.10 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,748.20 |
$3,870.70 |
0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,283.29 |
$6,032.80 |
0.6× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$3,321.98 |
$4,678.85 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,951.15 |
$5,565 |
0.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$2,976.72 |
$4,192.55 |
0.9× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$3,673.04 |
$5,173.30 |
1.1× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107)
unusually low: confirm this is the full procedure |
$3,517.87 |
$4,954.75 |
0.5× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure |
$2,003.41 |
$2,821.70 |
0.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$1,770.46 |
$2,493.60 |
0.5× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335)
unusually low: confirm this is the full procedure |
$3,479.60 |
$4,900.85 |
0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$4,603.89 |
$6,484.35 |
0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,730.44 |
$3,845.70 |
0.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,108.38 |
$2,969.55 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$592.21 |
$834.10 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$124.39 |
$175.20 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$488.41 |
$687.90 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$204.05 |
$287.40 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,425.96 |
$2,008.40 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$1,097.31 |
$1,545.50 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$1,835.38 |
$2,585.05 |
0.5× |
| Biopsy of mouth lesion (40808) |
$276.90 |
$390 |
0.5× |
| Biopsy of tongue (41100) |
$315.95 |
$445 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,689.70 |
$2,379.85 |
0.4× |
| Biopsy soft tissue back/flank deep (21925) |
$2,950.90 |
$4,156.20 |
1.7× |
| Biopsy soft tissue neck/thorax (21550) |
$808.87 |
$1,139.25 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$2,998.40 |
$4,223.10 |
0.7× |
| Biopsy/removal lymph nodes (38510) |
$2,502.32 |
$3,524.40 |
0.6× |
| Bladder Irrigation Simple (51700) |
$187.94 |
$264.70 |
0.7× |
| Blood transfusion service (36430) |
$833.82 |
$1,174.40 |
1.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,097.31 |
$1,545.50 |
0.6× |
| Bx anorectal wall anal approach (45100) |
$2,272.64 |
$3,200.90 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,097.31 |
$1,545.50 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$663.60 |
$934.65 |
0.4× |
| Bx/exc lymph node needle superficial (38505) |
$1,097.31 |
$1,545.50 |
0.6× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,656.44 |
$2,333 |
0.5× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$5,555.11 |
$7,824.10 |
0.7× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450)
unusually low: confirm this is the full procedure |
$3,675.96 |
$5,177.40 |
0.5× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$5,279.67 |
$7,436.15 |
0.7× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$581.92 |
$819.60 |
0.4× |
| Carpectomy All Bones Proximal Row (25215) |
$3,762.47 |
$5,299.25 |
1.1× |
| Casting/strapping procedure (29799) |
$119.21 |
$167.90 |
0.7× |
| Change of cystostomy tube simple (51705) |
$292.17 |
$411.50 |
1.1× |
| Chemical cautery tissue (17250) |
$237.42 |
$334.40 |
1.1× |
| Chemodenerv musc migraine (64615) |
$350.92 |
$494.25 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$370.27 |
$521.50 |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$414.04 |
$583.15 |
0.6× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$414.39 |
$583.65 |
0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$467.04 |
$657.80 |
1.5× |
| Chromotubation oviduct (58350) |
$3,413.96 |
$4,808.40 |
0.7× |
| Circum 28 days or older (54161) |
$1,798.04 |
$2,532.45 |
0.8× |
| Claviculectomy partial (23120) |
$2,036.24 |
$2,867.95 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$370.98 |
$522.50 |
1.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$531.86 |
$749.10 |
2.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$834.18 |
$1,174.90 |
3.3× |
| Closed Rx Radial Shaft Fx (25500) |
$411.66 |
$579.80 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$762.47 |
$1,073.90 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,020.77 |
$1,437.70 |
4.0× |
| Closed treat wrist dislocation (25660) |
$1,282.80 |
$1,806.75 |
5.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$392.70 |
$553.10 |
1.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,682.42 |
$2,369.60 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$851.29 |
$1,199 |
3.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$749.55 |
$1,055.70 |
2.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$724.48 |
$1,020.40 |
2.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$654.55 |
$921.90 |
2.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,418.66 |
$1,998.10 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,095.81 |
$1,543.40 |
4.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,101.06 |
$1,550.80 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$691.19 |
$973.50 |
2.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,016.51 |
$1,431.70 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$972.63 |
$1,369.90 |
3.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$537.75 |
$757.40 |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$434.80 |
$612.40 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,512.69 |
$3,539 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$489.12 |
$688.90 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,034 |
$1,456.35 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$680.11 |
$957.90 |
2.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,154.67 |
$1,626.30 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$742.23 |
$1,045.40 |
2.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,382.72 |
$1,947.50 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$673.54 |
$948.65 |
2.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,002.06 |
$1,411.35 |
3.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$579.43 |
$816.10 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$516.03 |
$726.80 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$370.98 |
$522.50 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$552.45 |
$778.10 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,448.26 |
$2,039.80 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$277.40 |
$390.70 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$476.13 |
$670.60 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$760.27 |
$1,070.80 |
3.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,384.57 |
$1,950.10 |
0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$996.77 |
$1,403.90 |
3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$428.34 |
$603.30 |
1.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,175.58 |
$1,655.75 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$384.89 |
$542.10 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$494.94 |
$697.10 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,225.46 |
$1,726 |
0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$889.92 |
$1,253.40 |
0.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$397.32 |
$559.60 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$620.08 |
$873.35 |
2.4× |
| Cltx post ankle fx w/mnpj (27768) |
$1,083.67 |
$1,526.30 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,606.73 |
$2,263 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$791.90 |
$1,115.35 |
3.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,140.54 |
$1,606.40 |
0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$581.28 |
$818.70 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,133.80 |
$1,596.90 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$624.73 |
$879.90 |
2.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,591.32 |
$2,241.30 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$87.97 |
$123.90 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$798.04 |
$1,124 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$1,528.02 |
$2,152.15 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,678.69 |
$2,364.35 |
1.4× |
| Colonoscopy thru stoma (44388) |
$1,591.39 |
$2,241.40 |
1.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,664.92 |
$2,344.95 |
1.3× |
| Colonoscopy w/ablation (45388) |
$1,127.55 |
$1,588.10 |
0.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,384.96 |
$3,359.10 |
0.7× |
| Complex Cystometrogram (51726) |
$522.92 |
$736.50 |
2.0× |
| Complex Uroflowmetry (51741) |
$111.19 |
$156.60 |
0.5× |
| Conization of cervix (57522) |
$4,281.23 |
$6,029.90 |
1.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$537.12 |
$756.50 |
2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$329.16 |
$463.60 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$308.71 |
$434.80 |
2.2× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$7,828.89 |
$11,026.60 |
0.6× |
| Correction hammertoe (28285) |
$1,603.75 |
$2,258.80 |
0.5× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,936.14 |
$4,135.40 |
0.4× |
| Correction of bunion (28292) |
$2,431.72 |
$3,424.95 |
0.7× |
| Correction of bunion (28299) |
$3,906.38 |
$5,501.95 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,934.11 |
$4,132.55 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$395.83 |
$557.50 |
2.9× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$561.75 |
$791.20 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,992.05 |
$2,805.70 |
0.9× |
| Cystourethroscopy (52000) |
$891.55 |
$1,255.70 |
1.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,416.10 |
$1,994.50 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$398.10 |
$560.70 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,710 |
$3,816.90 |
0.9× |
| Debride nail 6 or more (11721) |
$76.82 |
$108.20 |
1.3× |
| Debride skin musc at fx site (11011) |
$2,042.52 |
$2,876.80 |
2.8× |
| Debride tissue/muscle (11043) |
$1,120.38 |
$1,578 |
1.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$178.92 |
$252 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$428.34 |
$603.30 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,826.40 |
$2,572.40 |
1.1× |
| Declot vascular device (36593) |
$270.79 |
$381.40 |
0.8× |
| Decompression Of Tibia Nerve (28035) |
$2,609.68 |
$3,675.60 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,411.09 |
$1,987.45 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,801.34 |
$2,537.10 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$203.84 |
$287.10 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$168.34 |
$237.10 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$963.15 |
$1,356.55 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$958.22 |
$1,349.60 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$907.52 |
$1,278.20 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$160.32 |
$225.80 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,034.19 |
$1,456.60 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$471.44 |
$664 |
0.5× |
| Dilation and curettage (58120) |
$2,486.85 |
$3,502.60 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$602.90 |
$849.15 |
0.6× |
| Drain shoulder bursa (23031) |
$1,562.14 |
$2,200.20 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$526.11 |
$741 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$587.53 |
$827.50 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$1,923.78 |
$2,709.55 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$556.07 |
$783.20 |
2.7× |
| Drainage of gum lesion (41800) |
$325.54 |
$458.50 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$1,514.86 |
$2,133.60 |
0.9× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,982.89 |
$2,792.80 |
0.6× |
| Draw blood off venous device (36591) |
$108.77 |
$153.20 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$458.02 |
$645.10 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$418.26 |
$589.10 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$232.81 |
$327.90 |
1.1× |
| Dstrj lesion anus simple surg excision (46922) |
$1,874.05 |
$2,639.50 |
0.7× |
| Egd control bleeding any (43255) |
$1,524.86 |
$2,147.70 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,596.08 |
$2,248 |
1.7× |
| Egd place gastrostomy tube (43246) |
$1,611.10 |
$2,269.15 |
0.8× |
| Egd remove lesion snare (43251) |
$1,542.48 |
$2,172.50 |
0.8× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$310.70 |
$437.60 |
2.3× |
| Endocervical Curettage (57505) |
$77.60 |
$109.30 |
0.1× |
| Enterorrhaphy single perforation (44602) |
$3,549.32 |
$4,999.05 |
0.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,595.19 |
$2,246.75 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$129.01 |
$181.70 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,322.48 |
$3,271.10 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$488.41 |
$687.90 |
0.7× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$587.46 |
$827.40 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$511.13 |
$719.90 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,202.67 |
$1,693.90 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$402.82 |
$567.35 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$1,265.32 |
$1,782.15 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$255.67 |
$360.10 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$821.22 |
$1,156.65 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$3,325.40 |
$4,683.65 |
2.0× |
| Exc ganglion wrist recurrent (25112) |
$2,573.82 |
$3,625.10 |
1.6× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,919.34 |
$2,703.30 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,450.82 |
$2,043.40 |
0.9× |
| Exc neck tum deep < 5 cm (21556) |
$3,105.40 |
$4,373.80 |
1.0× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$2,036.60 |
$2,868.45 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,234.30 |
$3,146.90 |
1.1× |
| Exc rect tum transanal part (45171) |
$2,952.75 |
$4,158.80 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$459.48 |
$647.15 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$380.06 |
$535.30 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$488.41 |
$687.90 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,875.90 |
$4,050.55 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,585.75 |
$2,233.45 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,091.16 |
$2,945.30 |
1.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,595.66 |
$2,247.40 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,119.74 |
$2,985.55 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,428.88 |
$2,012.50 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,684.94 |
$2,373.15 |
0.6× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,801.52 |
$3,945.80 |
0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,014.59 |
$1,429 |
0.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,952.78 |
$2,750.40 |
1.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,595.09 |
$2,246.60 |
0.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,934.58 |
$2,724.75 |
0.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,097.77 |
$2,954.60 |
0.7× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$2,816.89 |
$3,967.45 |
0.9× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,686.04 |
$2,374.70 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,242.18 |
$4,566.45 |
1.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,223.12 |
$3,131.15 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,151.48 |
$3,030.25 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,871.81 |
$4,044.80 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,309.98 |
$3,253.50 |
0.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,551.88 |
$2,185.75 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,593.84 |
$2,244.85 |
0.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,635.70 |
$3,712.25 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,224.18 |
$3,132.65 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,204.20 |
$3,104.50 |
1.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,402.86 |
$3,384.30 |
0.8× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,912.50 |
$2,693.65 |
0.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,750.90 |
$3,874.50 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,067.52 |
$4,320.45 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,756.61 |
$3,882.55 |
0.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,696.54 |
$2,389.50 |
1.0× |
| Excise cutaneous neurofibroma (64788) |
$2,370.37 |
$3,338.55 |
1.2× |
| Excise Wrist Tendon Sheath (25118) |
$3,734.60 |
$5,260 |
2.3× |
| Excise/repair mouth lesion (40812) |
$351.45 |
$495 |
0.2× |
| Excision Breast Lesion (19125) |
$1,798.08 |
$2,532.50 |
0.4× |
| Excision external ear partial simple repair (69110) |
$2,516.60 |
$3,544.50 |
0.8× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,915.33 |
$2,697.65 |
0.6× |
| Excision hydrocele bilateral (55041) |
$2,843.87 |
$4,005.45 |
0.8× |
| Excision interdigital morton neuroma single each (28080) |
$1,919.34 |
$2,703.30 |
1.2× |
| Excision lesion meniscus/capsule knee (27347) |
$1,989.81 |
$2,802.55 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$494.52 |
$696.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$538.61 |
$758.60 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$737.98 |
$1,039.40 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$991.16 |
$1,396 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$635.02 |
$894.40 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$654.90 |
$922.40 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$824.35 |
$1,161.05 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,358.87 |
$1,913.90 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,141.40 |
$1,607.60 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$562.22 |
$791.85 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$632.29 |
$890.55 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,104.08 |
$1,555.05 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$77.60 |
$109.30 |
0.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$590.97 |
$832.35 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,320.28 |
$3,268 |
1.4× |
| Excision of hydrocele unilateral (55040) |
$2,679.54 |
$3,774 |
0.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,608.50 |
$2,265.50 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$1,355.46 |
$1,909.10 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$717.32 |
$1,010.30 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,857.15 |
$2,615.70 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$1,681.78 |
$2,368.70 |
1.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$545.84 |
$768.80 |
0.4× |
| Excision olecranon bursa (24105) |
$2,102.77 |
$2,961.65 |
0.6× |
Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356)
likely a partial charge, not the full procedure |
$2,308.71 |
$3,251.70 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$2,428.88 |
$3,420.95 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,199.19 |
$3,097.45 |
0.7× |
| Excision prepatellar bursa (27340) |
$2,621.11 |
$3,691.70 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,156.20 |
$3,036.90 |
1.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,704.86 |
$2,401.20 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,435.84 |
$3,430.75 |
1.4× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$876.36 |
$1,234.30 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,588.06 |
$2,236.70 |
0.9× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$2,461.22 |
$3,466.50 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,893.57 |
$2,667 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,483.62 |
$2,089.60 |
0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,133.26 |
$1,596.15 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$2,571.12 |
$3,621.30 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,767.04 |
$2,488.80 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,158.40 |
$3,040 |
0.7× |
| Excision; trochanteric bursa or calcification (27062) |
$2,365.30 |
$3,331.40 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,593.42 |
$2,244.25 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$2,055.02 |
$2,894.40 |
1.2× |
| Exploration of knee joint (27310) |
$3,331.82 |
$4,692.70 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,337.07 |
$1,883.20 |
0.8× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,441.41 |
$3,438.60 |
0.7× |
| Explore/Treat Knee Joint (27331) |
$2,412.94 |
$3,398.50 |
0.7× |
| Fasciectomy Palm Only (26121) |
$2,967.88 |
$4,180.10 |
0.9× |
| Fasciotomy palmar open partial (26045) |
$1,749.08 |
$2,463.50 |
0.5× |
| Fasciotomy palmar percutaneous (26040) |
$1,611.52 |
$2,269.75 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,845.64 |
$4,007.95 |
0.8× |
| Fetal non-stress test (59025) |
$399.66 |
$562.90 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$431.96 |
$608.40 |
1.0× |
| Fitting of diaphragm/cap (57170) |
$77.60 |
$109.30 |
0.4× |
| Fixation of shoulder (23700) |
$1,319.42 |
$1,858.35 |
0.8× |
| Fusion of finger tendons (26474) |
$2,166.74 |
$3,051.75 |
1.3× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$3,725.66 |
$5,247.40 |
0.5× |
| Gastrocnemius recession (27687) |
$2,647.38 |
$3,728.70 |
0.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$2,275.23 |
$3,204.55 |
0.7× |
Hemiarthroplasty hip partial (27125)
unusually low: confirm this is the full procedure |
$6,418.82 |
$9,040.60 |
0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,213.78 |
$3,118 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$3,101.82 |
$4,368.75 |
1.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,279.96 |
$4,619.65 |
1.1× |
| Hysteroscopy biopsy (58558) |
$2,985.98 |
$4,205.60 |
0.9× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$2,690.69 |
$3,789.70 |
0.8× |
| I&d abscess simple (10060) |
$228.19 |
$321.40 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,922.40 |
$2,707.60 |
0.6× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,927.08 |
$5,531.10 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$487.56 |
$686.70 |
0.7× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,538.68 |
$3,575.60 |
0.8× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,900.17 |
$2,676.30 |
1.1× |
| Incise external hemorrhoid (46083) |
$336.61 |
$474.10 |
1.3× |
| Incise finger tendon sheath (26055) |
$1,564.42 |
$2,203.40 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$713.69 |
$1,005.20 |
1.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,732.08 |
$2,439.55 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,477.12 |
$2,080.45 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$309.84 |
$436.40 |
0.7× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$2,396.32 |
$3,375.10 |
0.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,749.86 |
$2,464.60 |
0.6× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$2,363.59 |
$3,329 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$2,018.14 |
$2,842.45 |
1.2× |
| Incision of labial frenum (frenotomy) (40806) |
$319.50 |
$450 |
0.6× |
| Incision of rectal abscess (46040) |
$2,451.56 |
$3,452.90 |
2.0× |
| Incision of urethra (53020) |
$3,148.14 |
$4,434 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$570.80 |
$803.95 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$170.83 |
$240.60 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$850.69 |
$1,198.15 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$77.60 |
$109.30 |
0.2× |
| Inj therapeutic carpal tunnel (20526) |
$207.78 |
$292.65 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$469.06 |
$660.65 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$946.29 |
$1,332.80 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$618.52 |
$871.15 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,041.64 |
$1,467.10 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$711.06 |
$1,001.50 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,140.30 |
$1,606.05 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$163.34 |
$230.05 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$980.55 |
$1,381.05 |
1.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$500.41 |
$704.80 |
0.7× |
| Injection aa&/strd pudendal nerve (64430) |
$722.32 |
$1,017.35 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$520.93 |
$733.70 |
1.6× |
| Injection anesthetic agent femoral nerve single (64447) |
$376.09 |
$529.70 |
0.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$872.59 |
$1,229 |
1.2× |
| Injection for identification of sentinel node (38792) |
$487.77 |
$687 |
1.2× |
| Injection into skin lesions (11900) |
$118.14 |
$166.40 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$294.93 |
$415.40 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$176.01 |
$247.90 |
0.6× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$734.85 |
$1,035 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$364.37 |
$513.20 |
2.7× |
| Insert Drug Implant Device (11981) |
$388.40 |
$547.05 |
2.8× |
| Insert non-tunnel cv cath (36556) |
$1,543.68 |
$2,174.20 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$223.58 |
$314.90 |
1.6× |
| Insert tunneled cv cath (36561) |
$2,843.30 |
$4,004.65 |
0.9× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,233.27 |
$4,553.90 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$146.69 |
$206.60 |
1.1× |
| Insj picc rs&i 5 yr+ (36573) |
$1,569.32 |
$2,210.30 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,792.57 |
$3,933.20 |
0.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$1,962.90 |
$2,764.65 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$648.80 |
$913.80 |
2.7× |
| Knee Arthroscopy/Surgery (29874) |
$2,200.18 |
$3,098.85 |
0.7× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,644.28 |
$3,724.35 |
0.4× |
| Laparoscopy biopsy (49321) |
$3,883.56 |
$5,469.80 |
0.6× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$3,863.04 |
$5,440.90 |
0.6× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,485.99 |
$6,318.30 |
0.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,949.02 |
$5,562 |
0.6× |
| Laryngoscopy diagnostic (31505) |
$166.85 |
$235 |
0.8× |
| Laryngoscopy flexible diagnostic (31575) |
$284 |
$400 |
1.4× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$539.60 |
$760 |
1.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,419.32 |
$3,407.50 |
1.3× |
| Late closure of wound (13160) |
$3,174.76 |
$4,471.50 |
0.9× |
| Lateral retinacular release open (27425) |
$2,102.66 |
$2,961.50 |
0.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$2,472.50 |
$3,482.40 |
0.8× |
| Ligate leg veins radical (37760) |
$2,445.99 |
$3,445.05 |
0.8× |
| Ligate/strip long leg vein (37722) |
$3,184.42 |
$4,485.10 |
1.0× |
| Ligate/strip short leg vein (37718) |
$2,058.36 |
$2,899.10 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$566.83 |
$798.35 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$2,722.14 |
$3,834 |
1.6× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$2,155 |
$3,035.20 |
0.7× |
| Liver Biopsy (47000) |
$1,302 |
$1,833.80 |
0.8× |
| Manipulation knee joint under general anesthesia (27570) |
$1,144.77 |
$1,612.35 |
0.7× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$1,407.76 |
$1,982.75 |
0.4× |
| Mast mod rad (19307) |
$5,951.50 |
$8,382.40 |
0.9× |
| Mastectomy partial (19301) |
$2,438.56 |
$3,434.60 |
0.6× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$3,289.08 |
$4,632.50 |
0.5× |
| Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Facility (24301) |
$4,108.77 |
$5,787 |
0.5× |
| Myelography Lumbar Injection (62305) |
$853.49 |
$1,202.10 |
1.1× |
| Myelography Lumbar Injection (62304) |
$2,289.54 |
$3,224.70 |
2.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$341.08 |
$480.40 |
0.5× |
| N Block Inj, Plantar Digit (64455) |
$209.45 |
$295 |
0.7× |
| Nasal endoscopy dx (31231) |
$333.70 |
$470 |
1.6× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$610.60 |
$860 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$687.28 |
$968 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$660.30 |
$930 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$342.15 |
$481.90 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,913.20 |
$4,103.10 |
1.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,872.52 |
$4,045.80 |
1.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,623.95 |
$3,695.70 |
1.3× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$4,244.31 |
$5,977.90 |
2.1× |
| Njx aa&/strd sciatic nerve (64445) |
$390.54 |
$550.05 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,061.59 |
$1,495.20 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$671.88 |
$946.30 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,554.55 |
$2,189.50 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,559.09 |
$2,195.90 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,554.55 |
$2,189.50 |
2.1× |
| Occipital Nerve Block (64405) |
$451.31 |
$635.65 |
1.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$3,860.38 |
$5,437.15 |
0.5× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$6,472.22 |
$9,115.80 |
0.5× |
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure |
$3,380.78 |
$4,761.65 |
0.5× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$3,253.50 |
$4,582.40 |
0.4× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$3,005.46 |
$4,233.05 |
0.4× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)
unusually low: confirm this is the full procedure |
$3,449.60 |
$4,858.60 |
0.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$4,906.42 |
$6,910.45 |
0.7× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
unusually low: confirm this is the full procedure |
$3,479.60 |
$4,900.85 |
0.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$3,912.99 |
$5,511.25 |
0.5× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$4,068.94 |
$5,730.90 |
0.5× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555)
unusually low: confirm this is the full procedure |
$2,347.65 |
$3,306.55 |
0.3× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$5,313.72 |
$7,484.10 |
0.7× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
unusually low: confirm this is the full procedure |
$3,566.94 |
$5,023.85 |
0.5× |
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure |
$6,315.77 |
$8,895.45 |
0.5× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$3,626.78 |
$5,108.15 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,794.81 |
$5,344.80 |
1.1× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$3,224.68 |
$4,541.80 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,647.84 |
$2,320.90 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,253.96 |
$4,583.05 |
1.0× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,791.82 |
$2,523.70 |
0.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,667.72 |
$5,165.80 |
1.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$4,106.71 |
$5,784.10 |
0.5× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$3,616.28 |
$5,093.35 |
0.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$3,921.47 |
$5,523.20 |
0.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$5,010.04 |
$7,056.40 |
0.7× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$3,616.56 |
$5,093.75 |
0.5× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$3,589.16 |
$5,055.15 |
0.5× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure |
$6,175.54 |
$8,697.95 |
0.5× |
| Ostectomy calcaneus (28118) |
$2,045.68 |
$2,881.25 |
0.6× |
| Ostectomy complete 5th metatarsal head (28113) |
$2,320.92 |
$3,268.90 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,996.13 |
$2,811.45 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,675.50 |
$2,359.85 |
0.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,204.58 |
$3,105.05 |
0.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,263.48 |
$3,188 |
0.7× |
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure |
$3,154.99 |
$4,443.65 |
0.4× |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
$4,128.19 |
$5,814.35 |
0.6× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,482.94 |
$3,497.10 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,884.88 |
$2,654.75 |
0.6× |
| Partial excision bone tibia (27640) |
$3,287.84 |
$4,630.75 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,710.89 |
$2,409.70 |
1.0× |
| Partial excision of lip (40520) |
$2,545.99 |
$3,585.90 |
0.7× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$4,261.88 |
$6,002.65 |
1.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,750.76 |
$2,465.85 |
0.5× |
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure |
$3,517.56 |
$4,954.30 |
0.5× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$1,893.78 |
$2,667.30 |
0.6× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$3,971.67 |
$5,593.90 |
0.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$2,435.30 |
$3,430 |
0.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$2,307.64 |
$3,250.20 |
0.7× |
| Peritoneal Lavage (49084) |
$726.26 |
$1,022.90 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$1,010.12 |
$1,422.70 |
1.4× |
| Perq device breast 1st imag (19281) |
$488.41 |
$687.90 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$251.70 |
$354.50 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,429.52 |
$3,421.85 |
0.7× |
| Phleb veins - extrem 20+ (37766) |
$2,220.32 |
$3,127.20 |
0.7× |
| Picc line placement (36569) |
$1,536.23 |
$2,163.70 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$330.08 |
$464.90 |
0.7× |
| Placement of seton (46020) |
$2,215.20 |
$3,120 |
0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$722.85 |
$1,018.10 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,034.36 |
$2,865.30 |
0.6× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$1,836.20 |
$2,586.20 |
0.5× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$2,160.10 |
$3,042.40 |
0.6× |
| Prq skel fixj metar fx w/manj (28476) |
$1,709.64 |
$2,407.95 |
0.5× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$2,396.64 |
$3,375.55 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$261.56 |
$368.40 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$488.41 |
$687.90 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$271.72 |
$382.70 |
0.6× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure |
$3,620.26 |
$5,098.95 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$4,746.78 |
$6,685.60 |
1.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,504.17 |
$2,118.55 |
0.4× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure |
$3,131.32 |
$4,410.30 |
0.4× |
| Realignment extensor tendon hand each tendon (26437) |
$2,133.16 |
$3,004.45 |
0.6× |
| Reconstruct Shoulder Joint (23470) |
$7,156.20 |
$10,079.15 |
0.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$5,237.35 |
$7,376.55 |
0.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$3,819.76 |
$5,379.95 |
0.5× |
| Release of big toe (28240) |
$2,201 |
$3,100 |
0.7× |
| Removal Anal Seton Other Marker (46030) |
$1,566.26 |
$2,206 |
1.3× |
| Removal biliary drg cath (47537) |
$1,487.45 |
$2,095 |
1.6× |
| Removal foreign body foot deep (28192) |
$1,174.20 |
$1,653.80 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$721.04 |
$1,015.55 |
1.0× |
| Removal foreign body intranasal (30300) |
$258.94 |
$364.70 |
1.9× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$730.24 |
$1,028.50 |
0.4× |
| Removal foreign body pharynx (42809) |
$351.45 |
$495 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$172.25 |
$242.60 |
2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$115.38 |
$162.50 |
1.9× |
| Removal implant deep (20680) |
$849.37 |
$1,196.30 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$761.26 |
$1,072.20 |
0.4× |
| Removal of anal fissure (46200) |
$2,244.10 |
$3,160.70 |
0.8× |
| Removal of finger lesion (26210) |
$2,302.78 |
$3,243.35 |
1.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$291.03 |
$409.90 |
0.6× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$7,423.44 |
$10,455.55 |
0.6× |
| Removal of iud (58301) |
$175.19 |
$246.75 |
0.6× |
Removal Of Knee Prosthesis (27488)
likely a partial charge, not the full procedure |
$3,298.23 |
$4,645.40 |
0.2× |
| Removal of nail bed (11750) |
$442.05 |
$622.60 |
1.1× |
| Removal of sesamoid bone (28315) |
$2,285.31 |
$3,218.75 |
0.7× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$2,166.28 |
$3,051.10 |
0.7× |
| Removal Of Tendon Lesion (27630) |
$1,729.49 |
$2,435.90 |
0.5× |
| Removal of tonsils (42826) |
$2,830.49 |
$3,986.60 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$150.45 |
$211.90 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$91.31 |
$128.60 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$79.45 |
$111.90 |
0.3× |
| Remove drug implant device (11982) |
$268.80 |
$378.60 |
0.6× |
| Remove elbow lesion (24120) |
$2,393.52 |
$3,371.15 |
0.7× |
| Remove ext hem groups 2+ (46250) |
$3,109.12 |
$4,379.05 |
1.1× |
| Remove Lower Leg Bone Lesion (27635) |
$2,192.16 |
$3,087.55 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$2,677.98 |
$3,771.80 |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$2,326.53 |
$3,276.80 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$172.53 |
$243 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$225.99 |
$318.30 |
1.6× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$3,444.28 |
$4,851.10 |
0.5× |
| Repair anorectal fistula w/plug (46707) |
$1,369.91 |
$1,929.45 |
0.5× |
| Repair blood vessel lesion (35190) |
$5,396.68 |
$7,600.95 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,015.19 |
$1,429.85 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,602.97 |
$2,257.70 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$792.50 |
$1,116.20 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$654.34 |
$921.60 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$738.62 |
$1,040.30 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$684.01 |
$963.40 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$463.49 |
$652.80 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,281.41 |
$3,213.25 |
1.4× |
| Repair forearm tendon/muscle (25260) |
$2,151.02 |
$3,029.60 |
0.6× |
| Repair hand tendon (26410) |
$2,038.41 |
$2,871 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,031.42 |
$4,269.60 |
0.8× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,706.16 |
$3,811.50 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,943.16 |
$4,145.30 |
0.8× |
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 |
$2,420.04 |
$3,408.50 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$578.44 |
$814.70 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$544.22 |
$766.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$536.69 |
$755.90 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$643.94 |
$906.95 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$389.82 |
$549.05 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$408.89 |
$575.90 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$800.81 |
$1,127.90 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$855.55 |
$1,205 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$368.99 |
$519.70 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$386.60 |
$544.50 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$565.37 |
$796.30 |
1.3× |
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure |
$3,548.40 |
$4,997.75 |
0.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$6,051.68 |
$8,523.50 |
0.9× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$3,590.97 |
$5,057.70 |
0.5× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
unusually low: confirm this is the full procedure |
$2,230.60 |
$3,141.70 |
0.4× |
| Repair of knee cartilage (27403) |
$3,842.94 |
$5,412.60 |
0.5× |
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure |
$3,582.30 |
$5,045.50 |
0.5× |
| Repair of leg tendon each (27658) |
$2,795.62 |
$3,937.50 |
0.8× |
| Repair of nail bed (11760) |
$578.50 |
$814.80 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$3,809.47 |
$5,365.45 |
0.5× |
| Repair of rectocele (45560) |
$2,937.52 |
$4,137.35 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$4,843.90 |
$6,822.40 |
0.6× |
| Repair of shoulder (23420) |
$5,820.30 |
$8,197.60 |
0.8× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,782.03 |
$3,918.35 |
0.8× |
| Repair rotator cuff acute (23410) |
$4,534.84 |
$6,387.10 |
0.6× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$3,664.10 |
$5,160.70 |
0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,864.68 |
$2,626.30 |
0.6× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure |
$3,556.85 |
$5,009.65 |
0.5× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
unusually low: confirm this is the full procedure |
$3,504.20 |
$4,935.50 |
0.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$4,287.55 |
$6,038.80 |
0.6× |
| Repair/graft achilles tendon (27652) |
$3,987.26 |
$5,615.85 |
0.5× |
| Replace tunneled cv cath (36578) |
$2,275.66 |
$3,205.15 |
0.7× |
| Reposition cv cath w/fluoro (36597) |
$1,015.20 |
$1,429.85 |
0.6× |
Resection or transplantation of long tendon of biceps (23440)
unusually low: confirm this is the full procedure |
$3,739.36 |
$5,266.70 |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,577.30 |
$2,221.55 |
0.5× |
| Revise Lower Leg Tendons (27686) |
$2,474.10 |
$3,484.65 |
0.7× |
| Revise ulnar nerve at elbow (64718) |
$3,883.77 |
$5,470.10 |
1.9× |
| Revision of lower leg tendon (27685) |
$2,835.63 |
$3,993.85 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$6,975.78 |
$9,825.05 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
unusually low: confirm this is the full procedure |
$6,064.12 |
$8,541 |
0.3× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$5,848.48 |
$8,237.30 |
0.4× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$8,450.06 |
$11,901.50 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,323.33 |
$1,863.85 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,234.02 |
$3,146.50 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$863.47 |
$1,216.15 |
1.3× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$3,256.13 |
$4,586.10 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,084.42 |
$2,935.80 |
0.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,856.79 |
$8,249 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,372.46 |
$3,341.50 |
0.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$5,437.18 |
$7,658 |
0.8× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,837.88 |
$3,997 |
0.8× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$2,845.50 |
$4,007.75 |
0.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,815.51 |
$3,965.50 |
1.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,437.68 |
$3,433.35 |
0.7× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,951.97 |
$2,749.25 |
0.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$813.27 |
$1,145.45 |
1.3× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,421.03 |
$3,409.90 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,538.92 |
$4,984.40 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$996.63 |
$1,403.70 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,033.34 |
$1,455.40 |
0.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$202.46 |
$285.15 |
0.5× |
Shoulder arthroscopy (29820)
unusually low: confirm this is the full procedure |
$3,172.24 |
$4,467.95 |
0.4× |
| Shoulder arthroscopy (29805) |
$2,007.60 |
$2,827.60 |
0.6× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,330.54 |
$3,282.45 |
0.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,807.59 |
$2,545.90 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$213.96 |
$301.35 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$180.24 |
$253.85 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$264.72 |
$372.85 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$170.61 |
$240.30 |
0.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,217.94 |
$1,715.40 |
1.3× |
| Sigmoidoscopy w/biopsy (45331) |
$1,072.63 |
$1,510.75 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$294.93 |
$415.40 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$527.39 |
$742.80 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$329.16 |
$463.60 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$294.15 |
$414.30 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$267.95 |
$377.40 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$560.76 |
$789.80 |
2.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,854.45 |
$4,020.35 |
1.3× |
| Skin sub graft trnk/arm/leg (15271) |
$351.66 |
$495.30 |
0.5× |
| Skin tissue rearrangement (14040) |
$2,032.06 |
$2,862.05 |
1.0× |
| Small Bowel Endoscopy (44373) |
$1,672.12 |
$2,355.10 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$413.43 |
$582.30 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$436.65 |
$615 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$528.38 |
$744.20 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$524.87 |
$739.25 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$495.44 |
$697.80 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,916.04 |
$2,698.65 |
0.6× |
| Strapping thorax (29200) |
$21.30 |
$30 |
0.1× |
| Strapping unna boot (29580) |
$152.30 |
$214.50 |
0.9× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,370.06 |
$3,338.10 |
0.7× |
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure |
$3,301.50 |
$4,650 |
0.4× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$6,769.36 |
$9,534.30 |
0.9× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$3,532.46 |
$4,975.30 |
0.5× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$1,958.08 |
$2,757.85 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$269.52 |
$379.60 |
0.6× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,848.06 |
$4,011.35 |
0.8× |
| Tenodesis long tendon biceps (23430) |
$4,022.76 |
$5,665.85 |
0.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,846 |
$2,600 |
1.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,691.44 |
$2,382.30 |
0.5× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,398.91 |
$1,970.30 |
0.8× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$3,590.97 |
$5,057.70 |
0.5× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$2,576.38 |
$3,628.70 |
0.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,280.45 |
$1,803.45 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$592.21 |
$834.10 |
0.9× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$2,989.85 |
$4,211.05 |
4.6× |
| Thyroid biopsy (60100) |
$733.40 |
$1,032.95 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$2,049.06 |
$2,886 |
0.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,100.96 |
$2,959.10 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,464.94 |
$4,880.20 |
1.0× |
| Total hip arthroplasty (27130) |
$8,155.31 |
$11,486.35 |
0.6× |
| Total Knee Arthroplasty (27447) |
$7,759.62 |
$10,929.05 |
0.6× |
| Transplant hand tendon (26480) |
$2,141.22 |
$3,015.80 |
0.6× |
| Treat Big Toe Fracture (28505) |
$1,776.56 |
$2,502.20 |
0.5× |
| Treat clavicle fracture (23505) |
$989.60 |
$1,393.80 |
0.6× |
| Treat humerus fracture (24500) |
$890.70 |
$1,254.50 |
3.5× |
| Treat humerus fracture (23600) |
$791.79 |
$1,115.20 |
3.1× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$2,571.73 |
$3,622.15 |
0.3× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$3,345.45 |
$4,711.90 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$597.54 |
$841.60 |
2.3× |
Treat radius fracture (24665)
unusually low: confirm this is the full procedure |
$3,602.76 |
$5,074.30 |
0.5× |
| Treat wrist bone fracture (25622) |
$989.60 |
$1,393.80 |
3.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,562 |
$2,200 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$672.30 |
$946.90 |
2.6× |
| Treatment of anal fissure (46940) |
$1,466.79 |
$2,065.90 |
0.5× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$3,314.42 |
$4,668.20 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,673.47 |
$3,765.45 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$487.42 |
$686.50 |
1.9× |
| Trim skin lesion (11055) |
$149.10 |
$210 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$77.60 |
$109.30 |
0.4× |
| Trim skin lesions over 4 (11057) |
$93.22 |
$131.30 |
0.5× |
| Tubal ligation (58600) |
$1,621.60 |
$2,283.95 |
0.5× |
| Tube thoracostomy includes water seal (32551) |
$1,304.34 |
$1,837.10 |
0.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,051.86 |
$4,298.40 |
1.1× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,272 |
$3,200 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$516.64 |
$727.65 |
0.7× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure |
$6,301.32 |
$8,875.10 |
0.5× |
| Tympanostomy (69433) |
$351.45 |
$495 |
0.6× |
| Unlisted laparoscopic procedure liver (47379) |
$3,985.26 |
$5,613.05 |
0.6× |
| Unlisted procedure femur or knee (27599) |
$3,428.84 |
$4,829.35 |
13.5× |
| Unlisted procedure nervous system (64999) |
$643.54 |
$906.40 |
2.0× |
| Unlisted procedure shoulder (23929) |
$1,913.45 |
$2,695 |
7.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,922.68 |
$2,708 |
3.0× |
| Unlisted procedure, stomach (43999) |
$278.68 |
$392.50 |
0.3× |
| Urine flow measurement (51736) |
$187.94 |
$264.70 |
1.4× |
| Us urine capacity measure (51798) |
$106 |
$149.30 |
1.7× |
| Vaginal delivery only (59409) |
$2,469.95 |
$3,478.80 |
0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,425.96 |
$2,008.40 |
0.7× |
| Venipuncture (36415) |
$32.73 |
$46.10 |
3.5× |
| Wedging of cast (29740) |
$268.95 |
$378.80 |
0.9× |