| Abd paracentesis w/imaging (49083) |
$885.75 |
$1,181 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,721.62 |
$2,295.50 |
1.9× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$14,848.50 |
$19,798 |
1.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,431.75 |
$1,909 |
0.4× |
| Amputate metacarpal bone (26910) |
$2,804.25 |
$3,739 |
0.9× |
| Amputation Finger/Thumb (26951) |
$2,271.75 |
$3,029 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$1,917.38 |
$2,556.50 |
0.6× |
| Amputation of finger/thumb (26952) |
$1,348.50 |
$1,798 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,350.38 |
$1,800.50 |
0.4× |
| Anoscopy diagnostic (46600) |
$1,915.50 |
$2,554 |
14.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,510.25 |
$3,347 |
2.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,651.13 |
$2,201.50 |
0.6× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure |
$1,431.75 |
$1,909 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$549.38 |
$732.50 |
3.4× |
| Application cast elbow finger short arm (29075) |
$348.75 |
$465 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$466.88 |
$622.50 |
1.7× |
| Application Finger Splint Dynamic (29131) |
$899 |
$1,198.66 |
15.2× |
| Application finger splint static (29130) |
$83.25 |
$111 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$616.12 |
$821.50 |
3.8× |
| Application long leg splint thigh ankle/toes (29505) |
$657.75 |
$877 |
4.0× |
| Application of long leg cast (29345) |
$348.75 |
$465 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$984.75 |
$1,313 |
3.5× |
| Application short arm splint forearm-hand static (29125) |
$480 |
$640 |
3.6× |
| Application short leg splint calf foot (29515) |
$628.50 |
$838 |
3.9× |
| Apply short leg cast (29405) |
$348.75 |
$465 |
1.2× |
| Apply short leg cast (29425) |
$349.50 |
$466 |
1.2× |
| Arterial puncture (36600) |
$215.25 |
$287 |
1.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$5,292 |
$7,056 |
1.7× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$2,891.25 |
$3,855 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$495 |
$660 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$495 |
$660 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$350.62 |
$467.50 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$899 |
$1,198.66 |
2.9× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,431.75 |
$1,909 |
0.2× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$3,026.25 |
$4,035 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$2,058 |
$2,744 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$2,044 |
$2,725.34 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,748.75 |
$3,665 |
0.8× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,104.12 |
$2,805.50 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,697 |
$3,596 |
0.8× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,722.88 |
$3,630.50 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,130 |
$2,840 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,804.25 |
$3,739 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,064.38 |
$2,752.50 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,080.62 |
$1,440.83 |
0.1× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$2,026.50 |
$2,702 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$967.09 |
$1,289.45 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,119.75 |
$1,493 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,350.38 |
$1,800.50 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$2,131.88 |
$2,842.50 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,230.88 |
$2,974.50 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$330 |
$440 |
1.1× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,697 |
$3,596 |
1.3× |
| Av fistula revision (36833) |
$2,915.25 |
$3,887 |
0.5× |
| Av Fuse Uppr Arm Basilic (36819) |
$2,808 |
$3,744 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$681.75 |
$909 |
3.4× |
| Biopsy bone open superficial (20240) |
$9,314.25 |
$12,419 |
3.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,315 |
$4,420 |
2.0× |
| Biopsy of penis (54100) |
$2,752.50 |
$3,670 |
1.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,457.63 |
$1,943.50 |
0.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$370.50 |
$494 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,551.75 |
$2,069 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$2,856 |
$3,808 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$938.62 |
$1,251.50 |
1.3× |
| Bladder Irrigation Simple (51700) |
$678.75 |
$905 |
2.7× |
| Bladder Scan (51798) |
$154.50 |
$206 |
2.6× |
| Blood patch (62273) |
$837.75 |
$1,117 |
1.2× |
| Blood transfusion service (36430) |
$735 |
$980 |
1.7× |
| Bone marrow aspiration only (38220) |
$2,280 |
$3,040 |
1.4× |
| Bone Marrow Biopsy (38221) |
$2,683.50 |
$3,578 |
1.6× |
| Brnchsc Brushing/Protected Brushings (31623) |
$715.88 |
$954.50 |
0.4× |
| Bronch ebus samplng 1/2 node (31652) |
$715.88 |
$954.50 |
0.2× |
| Bronch ebus samplng 3/> node (31653) |
$715.88 |
$954.50 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,197 |
$1,596 |
0.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$973 |
$1,297.33 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$399 |
$532 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$550.50 |
$734 |
0.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$715.88 |
$954.50 |
0.2× |
| Bronchoscopy w/tumor excise (31640) |
$550.50 |
$734 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$715.88 |
$954.50 |
0.4× |
| Bx breast 1st lesion mr imag (19085) |
$813 |
$1,084 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$1,169.25 |
$1,559 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$813 |
$1,084 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$849.38 |
$1,132.50 |
0.5× |
| Bx prst8 trct us guided (55707) |
$377.25 |
$503 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$715.88 |
$954.50 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$478.12 |
$637.50 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$621 |
$828 |
2.5× |
| Chemical Cautery Tissue (17250) |
$534.75 |
$713 |
2.7× |
| Chemodenerv Musc Migraine (64615) |
$623.25 |
$831 |
2.0× |
| Chest tube placement (32551) |
$948.19 |
$1,264.25 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$283.50 |
$378 |
2.1× |
| Circum 28 days or older (54161) |
$2,748.75 |
$3,665 |
1.3× |
| Circumcision (54150) |
$463.50 |
$618 |
0.2× |
| Claviculectomy; partial (23120) |
$1,925 |
$2,566.66 |
0.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$837.75 |
$1,117 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,827 |
$2,436 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,343.50 |
$4,458 |
2.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,453.50 |
$1,938 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$837.75 |
$1,117 |
3.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,899 |
$2,532 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,641.50 |
$3,522 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,453.50 |
$1,938 |
5.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,958 |
$3,944 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,453.50 |
$1,938 |
5.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$5,764.50 |
$7,686 |
3.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,145.62 |
$1,527.50 |
4.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,212 |
$1,616 |
4.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$402.75 |
$537 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$2,047.50 |
$2,730 |
8.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,453.50 |
$1,938 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$837.75 |
$1,117 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,009.12 |
$1,345.50 |
4.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$370.50 |
$494 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$5,764.50 |
$7,686 |
3.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$312 |
$416 |
1.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,158.12 |
$2,877.50 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,453.50 |
$1,938 |
5.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,748.75 |
$3,665 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,051.12 |
$1,401.50 |
4.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,453.50 |
$1,938 |
0.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,453.50 |
$1,938 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$2,303.25 |
$3,071 |
1.9× |
| Colonoscopy w/ablation (45388) |
$1,166.75 |
$1,555.66 |
1.0× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$1,352.25 |
$1,803 |
0.2× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge, not the full procedure |
$717.75 |
$957 |
0.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,589.16 |
$2,118.88 |
1.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$959.69 |
$1,279.58 |
0.8× |
| Complex Drainage, Wound (10180) |
$2,641.50 |
$3,522 |
0.9× |
| Complex Uroflowmetry (51741) |
$730.50 |
$974 |
3.4× |
| Conization of cervix (57520) |
$2,752.50 |
$3,670 |
0.8× |
| Conization of cervix (57522) |
$2,641.50 |
$3,522 |
0.8× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$250.12 |
$333.50 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$489.75 |
$653 |
3.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,745.25 |
$2,327 |
1.1× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$3,418.50 |
$4,558 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$777 |
$1,036 |
5.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,697 |
$3,596 |
1.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,773 |
$2,364 |
0.5× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$3,556.50 |
$4,742 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$2,800.50 |
$3,734 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,235 |
$2,980 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,262.75 |
$3,017 |
0.6× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure |
$2,316.38 |
$3,088.50 |
0.4× |
| Cysto/uretero w/lithotripsy (52356) |
$2,863.50 |
$3,818 |
0.5× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,490.50 |
$4,654 |
0.6× |
| Cystometrogram w/vp (51728) |
$1,193.62 |
$1,591.50 |
1.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,425.50 |
$3,234 |
1.2× |
| Cystoscopy,insert ureteral stent (52332) |
$3,940.88 |
$5,254.50 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,748.75 |
$3,665 |
1.3× |
| Cystourethroscopy (52000) |
$837.75 |
$1,117 |
1.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$5,452.50 |
$7,270 |
2.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,485.38 |
$1,980.50 |
0.7× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$2,103.75 |
$2,805 |
0.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$2,752.50 |
$3,670 |
0.8× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$2,752.50 |
$3,670 |
0.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,610.25 |
$2,147 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,215.38 |
$1,620.50 |
1.7× |
| Debride nail 1-5 (11720) |
$163.88 |
$218.50 |
2.8× |
| Debride nail 6 or more (11721) |
$245.25 |
$327 |
4.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,578.38 |
$2,104.50 |
3.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$2,327.62 |
$3,103.50 |
3.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$5,277.75 |
$4,383 |
3.2× |
| Declot vascular device (36593) |
$837 |
$1,116 |
2.5× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$3,078 |
$4,104 |
1.6× |
| Destroy cerv/thor facet jnt (64633) |
$5,125.50 |
$6,834 |
2.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,320.75 |
$1,761 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$414 |
$552 |
2.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,320.75 |
$1,761 |
1.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,745 |
$3,660 |
3.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,589.75 |
$3,453 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,139.25 |
$1,519 |
1.2× |
| Dilate Urethra Stricture (53600) |
$79.13 |
$105.50 |
0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,995 |
$2,660 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,509.32 |
$2,012.42 |
1.7× |
| Drainage Finger Abscess Complicated (26011) |
$3,796.50 |
$5,062 |
2.3× |
| Drainage Finger Abscess Simple (26010) |
$2,053.12 |
$2,737.50 |
10.2× |
| Drainage of gum lesion (41800) |
$537.38 |
$716.50 |
4.0× |
| Drainage of hematoma/fluid (10140) |
$2,879.25 |
$3,839 |
1.7× |
| Drainage of hydrocele (55000) |
$79.13 |
$105.50 |
0.1× |
| Draw blood off venous device (36591) |
$283.50 |
$378 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,302 |
$1,736 |
3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$681.75 |
$909 |
3.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$641.62 |
$855.50 |
3.2× |
| Dry Needling 3+ Muscles (20561) |
$60 |
$80 |
2.1× |
| Dx bone marrow bx & aspir (38222) |
$5,518.12 |
$7,357.50 |
1.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$270 |
$360 |
0.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$999.75 |
$1,333 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,151.63 |
$1,535.50 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,303.25 |
$3,071 |
1.2× |
| Egd flexible foreign body removal (43247) |
$1,151.63 |
$1,535.50 |
1.3× |
| Egd place gastrostomy tube (43246) |
$1,151.63 |
$1,535.50 |
0.6× |
| Egd remove lesion snare (43251) |
$1,750.13 |
$2,333.50 |
0.9× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$486.28 |
$648.38 |
0.3× |
| Egd Varices Ligation (43244) |
$1,151.63 |
$1,535.50 |
0.6× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$14,205.75 |
$18,941 |
2.5× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$360.38 |
$480.50 |
2.8× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$2,697 |
$3,596 |
0.5× |
| Endoscopic Injection/Implant (51715) |
$1,431.75 |
$1,909 |
0.4× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,140.50 |
$2,854 |
1.0× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$9,996 |
$13,328 |
2.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$959.69 |
$1,279.58 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$296.25 |
$395 |
2.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$936 |
$1,248 |
0.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,022.75 |
$2,697 |
1.2× |
| Exc abd les sc 3 cm/> (22903) |
$2,748.75 |
$3,665 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,697 |
$3,596 |
1.6× |
| Exc back les sc < 3 cm (21930) |
$1,026 |
$1,368 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$1,376.25 |
$1,835 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$2,752.50 |
$3,670 |
1.7× |
| Exc hand les sc < 1.5 cm (26115) |
$2,641.50 |
$3,522 |
1.6× |
| Exc neck tum deep < 5 cm (21556) |
$2,752.50 |
$3,670 |
0.9× |
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415)
likely a partial charge, not the full procedure |
$406.50 |
$542 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,047 |
$1,396 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$991.32 |
$1,321.75 |
2.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$950.76 |
$1,267.68 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,428 |
$1,904 |
2.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$950.75 |
$1,267.66 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$971.75 |
$1,295.66 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,429.88 |
$1,906.50 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,752.50 |
$3,670 |
1.7× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$2,697 |
$3,596 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,697 |
$3,596 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,752.50 |
$3,670 |
2.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,863.50 |
$3,818 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,697 |
$3,596 |
0.9× |
| Exchange nephrostomy cath (50435) |
$1,908.75 |
$2,545 |
0.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,268 |
$3,024 |
1.4× |
| Excision Breast Lesion (19125) |
$1,459.50 |
$1,946 |
0.4× |
| Excision Distal Ulna Partial/Complete (25240) |
$2,911.50 |
$3,882 |
0.9× |
| Excision Lactiferous Duct Fistula (19112) |
$2,745 |
$3,660 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$971.75 |
$1,295.66 |
1.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,804.25 |
$3,739 |
4.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,376.25 |
$1,835 |
0.8× |
| Excision of hydrocele; unilateral (55040) |
$2,808 |
$3,744 |
0.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,376.25 |
$1,835 |
0.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,070.50 |
$1,427.33 |
0.6× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,697 |
$3,596 |
1.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,752.50 |
$3,670 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$1,402.13 |
$1,869.50 |
1.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,700.75 |
$3,601 |
1.3× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,128.38 |
$1,504.50 |
0.7× |
| Excision olecranon bursa (24105) |
$2,778.38 |
$3,704.50 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,429.88 |
$1,906.50 |
0.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,457.63 |
$1,943.50 |
0.5× |
| Excision Prepatellar Bursa (27340) |
$1,429.88 |
$1,906.50 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,748.75 |
$3,665 |
1.7× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,405.75 |
$4,541 |
1.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$936 |
$1,248 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,641.50 |
$3,522 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,404 |
$1,872 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$5,589.75 |
$7,453 |
3.4× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,008.88 |
$2,678.50 |
1.2× |
| Fasciotomy Iliotibial Open (27305) |
$2,077.32 |
$2,769.75 |
0.6× |
| Fasciotomy palmar open partial (26045) |
$2,808 |
$3,744 |
0.9× |
| Fasciotomy palmar percutaneous (26040) |
$2,697 |
$3,596 |
1.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,804.25 |
$3,739 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$479.25 |
$639 |
2.4× |
| Fetal non-stress test (59025) |
$368.25 |
$491 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$813 |
$1,084 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$813 |
$1,084 |
2.0× |
| Fixation of knee joint (27570) |
$103.50 |
$138 |
0.1× |
| Fixation of shoulder (23700) |
$477 |
$636 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$728.25 |
$971 |
3.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$757.50 |
$1,010 |
3.5× |
Hysteroscopy ablation (58563)
likely a partial charge, not the full procedure |
$1,404 |
$1,872 |
0.3× |
| Hysteroscopy biopsy (58558) |
$2,808 |
$3,744 |
0.9× |
| Hysteroscopy dx sep proc (58555) |
$1,429.88 |
$1,906.50 |
0.4× |
| I&d abscess simple (10060) |
$655.50 |
$874 |
3.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,745 |
$3,660 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,453.50 |
$1,938 |
0.7× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,780.25 |
$3,707 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$1,721.25 |
$2,295 |
2.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,376.25 |
$1,835 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,296.75 |
$1,729 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$1,697.25 |
$2,263 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,697.25 |
$2,263 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,697.25 |
$2,263 |
1.0× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$2,641.50 |
$3,522 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,334.62 |
$1,779.50 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,252.50 |
$1,670 |
3.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,530.50 |
$3,374 |
3.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,322.63 |
$1,763.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,139.25 |
$1,519 |
2.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,105.69 |
$1,474.25 |
0.7× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure |
$1,485.38 |
$1,980.50 |
0.2× |
| Incision of lingual frenum (41010) |
$1,281.75 |
$1,709 |
0.8× |
| Incision of rectal abscess (46040) |
$2,862.75 |
$3,817 |
2.4× |
| Incisional biopsy skin single lesion (11106) |
$1,563.75 |
$2,085 |
2.1× |
| Inj tendon sheath/ligament (20550) |
$880.50 |
$1,174 |
2.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,168.50 |
$1,558 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,338.38 |
$1,784.50 |
1.9× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$594 |
$792 |
1.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,541.50 |
$2,055.33 |
1.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,089.75 |
$1,453 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$330 |
$440 |
1.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,055.75 |
$2,741 |
2.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,455.75 |
$1,941 |
2.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,739.62 |
$2,319.50 |
5.7× |
| Injection anes other peripheral nerve/branch (64450) |
$1,158.38 |
$1,544.50 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$593.62 |
$791.50 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$1,320.75 |
$1,761 |
4.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$844.50 |
$1,126 |
4.2× |
| Ins cath ren art 1st bilat (36252) |
$9,612.75 |
$12,817 |
3.0× |
| Ins cath ren art 1st unilat (36251) |
$9,612.75 |
$12,817 |
3.0× |
| Ins endovas vena cava filtr (37191) |
$10,534.50 |
$14,046 |
1.9× |
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207)
likely a partial charge, not the full procedure |
$3,071.25 |
$4,095 |
0.3× |
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206)
likely a partial charge, not the full procedure |
$2,193 |
$2,924 |
0.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$24,517.50 |
$32,690 |
2.3× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$27,282.75 |
$36,377 |
2.6× |
Ins Pm Pls Gen W/Exist Single Lead (33212)
likely a partial charge, not the full procedure |
$1,532.25 |
$2,043 |
0.2× |
| Insert 1 electrode pm-defib (33216) |
$22,842.75 |
$30,457 |
2.8× |
| Insert non-tunnel cv cath (36556) |
$515.44 |
$687.25 |
0.2× |
| Insert pacing lead & connect (33224) |
$31,539.75 |
$42,053 |
3.0× |
| Insert picc cath (36569) |
$876.75 |
$1,169 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$206.25 |
$275 |
1.5× |
| Insert tunneled cv cath (36561) |
$2,697 |
$3,596 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$455.25 |
$607 |
3.4× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$1,485.38 |
$1,980.50 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,408.75 |
$4,545 |
2.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$22,232.62 |
$29,643.50 |
2.7× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$6,668.25 |
$8,891 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,453.50 |
$1,938 |
0.5× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$6,450.75 |
$8,601 |
0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$19,703.25 |
$26,271 |
2.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$1,483.50 |
$1,978 |
0.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$2,777.25 |
$3,703 |
1.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$14,571 |
$19,428 |
2.6× |
| Intubation endotracheal emergency procedure (31500) |
$671.25 |
$895 |
2.8× |
| Knee arthroscopy/surgery (29876) |
$2,117.06 |
$2,822.75 |
0.6× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,915.25 |
$3,887 |
0.5× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,351.88 |
$1,802.50 |
0.2× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,430.82 |
$1,907.75 |
0.2× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,926.50 |
$3,902 |
0.3× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,429.88 |
$1,906.50 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,752.50 |
$3,670 |
0.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,518.75 |
$2,025 |
0.1× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$2,926.50 |
$3,902 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,649 |
$3,532 |
0.4× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,485.38 |
$1,980.50 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$811.50 |
$1,082 |
4.1× |
| Laser vaporization surgery prostate, complete (52648) |
$2,752.50 |
$3,670 |
0.5× |
| Late closure of wound (13160) |
$899.01 |
$1,198.68 |
0.3× |
| Ligation of a-v fistula (37607) |
$1,540.88 |
$2,054.50 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,023.38 |
$1,364.50 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$2,697 |
$3,596 |
1.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,728.75 |
$2,305 |
0.5× |
| Liver Biopsy (47000) |
$1,547.82 |
$2,063.75 |
0.9× |
| Lysis of labial adhesions (56441) |
$2,697 |
$3,596 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$4,542 |
$6,056 |
2.2× |
| Manipulation finger joint under anes each joint (26340) |
$2,577 |
$3,436 |
1.6× |
| Marsup Bartholin Gland Cyst (56440) |
$2,752.50 |
$3,670 |
0.8× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,914 |
$2,552 |
0.3× |
| Mastectomy partial (19301) |
$1,402.13 |
$1,869.50 |
0.4× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,380 |
$1,840 |
0.2× |
| Myelography Lumbar Injection (62305) |
$2,202 |
$2,936 |
2.8× |
| Myelography Lumbar Injection (62304) |
$2,202 |
$2,936 |
2.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,484.75 |
$3,313 |
3.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,181 |
$2,908 |
2.8× |
| Neuroeltrd stim post tibial (64566) |
$174.75 |
$233 |
0.6× |
| Neuroplasty digital 1/both same digit (64702) |
$2,641.50 |
$3,522 |
1.4× |
| Nipple exploration (19110) |
$2,697 |
$3,596 |
0.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$552.75 |
$737 |
2.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$417 |
$556 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$272.62 |
$363.50 |
0.1× |
| Oncology (solid organ), DNA, comprehensive genomic profiling, 257 genes, interrogation for single-nucleotide variants,… (0244U) |
$10,414.50 |
$13,886 |
3.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,800.50 |
$3,734 |
0.7× |
| Open rx carpal bone fx,each bone (25645) |
$1,485.38 |
$1,980.50 |
0.5× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,835.75 |
$3,781 |
0.4× |
| Open thrombect av fistula (36831) |
$3,030 |
$4,040 |
0.5× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,732.25 |
$3,643 |
0.4× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,984.88 |
$2,646.50 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$1,457.63 |
$1,943.50 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure |
$2,863.50 |
$3,818 |
0.4× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,431.75 |
$1,909 |
0.2× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
unusually low: confirm this is the full procedure |
$3,089.25 |
$4,119 |
0.4× |
| Open Treatment Radial Shaft Fracture (25515) |
$12,688.50 |
$16,918 |
1.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,697 |
$3,596 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,270.25 |
$3,027 |
0.7× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$989 |
$1,318.66 |
0.1× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,748.75 |
$3,665 |
0.8× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$2,859.75 |
$3,813 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$2,697 |
$3,596 |
0.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,697 |
$3,596 |
0.8× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$2,064.38 |
$2,752.50 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,402.13 |
$1,869.50 |
0.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$31,966.50 |
$42,622 |
2.8× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$3,141 |
$4,188 |
0.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$2,760 |
$3,680 |
0.8× |
Osteochondral knee autograft (27416)
likely a partial charge, not the full procedure |
$1,324.50 |
$1,766 |
0.2× |
Paravaginal defect repair vaginal approach (57285)
likely a partial charge, not the full procedure |
$1,407.75 |
$1,877 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$750.02 |
$1,000.03 |
0.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$938.50 |
$1,251.33 |
0.3× |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$2,804.25 |
$3,739 |
0.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,148.50 |
$4,198 |
0.5× |
| Pelvic exam under anesthesia (57410) |
$1,380 |
$1,840 |
0.4× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$2,697 |
$3,596 |
0.8× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,088.38 |
$2,784.50 |
0.6× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$989 |
$1,318.66 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,982.25 |
$2,643 |
1.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$87.75 |
$117 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$4,527.75 |
$6,037 |
2.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$994.69 |
$1,326.25 |
4.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$17,018.25 |
$22,691 |
3.0× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
unusually low: confirm this is the full procedure |
$2,669.25 |
$3,559 |
0.4× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure |
$2,693.25 |
$3,591 |
0.4× |
| Pin finger fracture each (26756) |
$2,697 |
$3,596 |
0.8× |
| Pin knuckle dislocation (26706) |
$1,376.25 |
$1,835 |
0.4× |
| Place Cath Thoracic Aorta (36221) |
$14,352 |
$19,136 |
4.5× |
| Place Cath Vertebral Art (36226) |
$9,273.75 |
$12,365 |
1.7× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$3,768 |
$5,024 |
2.7× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,052.25 |
$1,403 |
0.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,080.25 |
$4,107 |
1.5× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure |
$2,748.75 |
$3,665 |
0.4× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
unusually low: confirm this is the full procedure |
$2,698.88 |
$3,598.50 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$577.88 |
$770.50 |
1.4× |
| Puncture Aspiration (10160) |
$545.25 |
$727 |
1.3× |
| Realignment extensor tendon hand each tendon (26437) |
$2,062.50 |
$2,750 |
0.6× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420)
unusually low: confirm this is the full procedure |
$2,915.25 |
$3,887 |
0.4× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
unusually low: confirm this is the full procedure |
$2,863.50 |
$3,818 |
0.4× |
| Release palm contracture (26121) |
$2,859.75 |
$3,813 |
0.9× |
| Relocation of skin pocket for pacemaker (33222) |
$2,140.50 |
$2,854 |
1.0× |
| Removal fb intranasal (30300) |
$459 |
$612 |
3.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,322.63 |
$1,763.50 |
0.5× |
| Removal foreign body foot deep (28192) |
$6,411.75 |
$8,549 |
3.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$837.75 |
$1,117 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$296.25 |
$395 |
5.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$245.25 |
$327 |
4.2× |
| Removal Implant Deep (20680) |
$1,376.25 |
$1,835 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$887.82 |
$1,183.75 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$954.50 |
$1,272.66 |
1.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$6,694.50 |
$8,926 |
1.8× |
| Removal of heel bone (28118) |
$1,431.75 |
$1,909 |
0.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$885.75 |
$1,181 |
1.4× |
| Removal of intrauterine device (iud) (58301) |
$1,376.25 |
$1,835 |
4.5× |
| Removal of nail bed (11750) |
$1,455.75 |
$1,941 |
3.6× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,320.75 |
$1,761 |
0.7× |
| Removal of testis (54520) |
$2,859.75 |
$3,813 |
0.8× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$2,904 |
$3,872 |
0.9× |
| Removal ppm generator only (33233) |
$19,703.25 |
$26,271 |
2.4× |
| Removal subq cardiac rhythm monitor (33286) |
$2,742.75 |
$3,657 |
3.9× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,881.88 |
$3,842.50 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$324.75 |
$433 |
1.2× |
| Remove anal fist subq (46270) |
$2,697 |
$3,596 |
1.0× |
| Remove drug implant device (11982) |
$1,348.50 |
$1,798 |
3.0× |
| Remove femur lesion (27355) |
$2,856 |
$3,808 |
0.9× |
| Remove femur lesion/bursa (27062) |
$1,390.13 |
$1,853.50 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$1,404 |
$1,872 |
0.5× |
| Remove intrvas foreign body (37197) |
$2,325 |
$3,100 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$2,863.50 |
$3,818 |
1.0× |
| Remove wrist tendon lesion (25111) |
$2,643.38 |
$3,524.50 |
1.6× |
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure |
$2,745 |
$3,660 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$480 |
$640 |
3.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$837.75 |
$1,117 |
6.3× |
| Remv&replc cvd gen dual lead (33263) |
$13,614 |
$18,152 |
0.6× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$13,677.75 |
$18,237 |
0.4× |
| Remv&replc cvd gen sing lead (33262) |
$13,881 |
$18,508 |
0.6× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$2,745 |
$3,660 |
0.3× |
| Remv&replc pm gen mult leads (33229) |
$13,946.25 |
$18,595 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$466.50 |
$622 |
1.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,656.75 |
$2,209 |
4.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$720 |
$960 |
1.8× |
| Repair elbow deb/attch open (24359) |
$2,089.32 |
$2,785.75 |
0.6× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$2,915.25 |
$3,887 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,600.88 |
$2,134.50 |
1.0× |
| Repair finger/hand tendon (26350) |
$2,919 |
$3,892 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,967 |
$3,956 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,162.12 |
$1,549.50 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,185 |
$1,580 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,185 |
$1,580 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$627.75 |
$837 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,185 |
$1,580 |
2.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,609.50 |
$2,146 |
4.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,139.25 |
$1,519 |
2.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,162.12 |
$1,549.50 |
2.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$2,257.50 |
$3,010 |
3.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,578.38 |
$2,104.50 |
3.9× |
| Repair lead pace-defib dual (33220) |
$1,953 |
$2,604 |
0.5× |
| Repair lead pace-defib one (33218) |
$7,697.25 |
$10,263 |
2.1× |
Repair nonunion hand (26546)
unusually low: confirm this is the full procedure |
$2,752.50 |
$3,670 |
0.4× |
Repair nonunion radius/ulna w autogrft (25405)
unusually low: confirm this is the full procedure |
$2,919 |
$3,892 |
0.4× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$1,459.50 |
$1,946 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,871 |
$3,828 |
0.4× |
| Repair Of Foot Tendon (28208) |
$2,967 |
$3,956 |
0.9× |
| Repair of leg tendon each (27658) |
$2,183.62 |
$2,911.50 |
0.7× |
| Repair of nail bed (11760) |
$1,374.38 |
$1,832.50 |
1.9× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,152.13 |
$1,536.17 |
0.2× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,428 |
$1,904 |
0.2× |
Repair rectum & vagina (57250)
likely a partial charge, not the full procedure |
$1,324.50 |
$1,766 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,431.75 |
$1,909 |
0.2× |
| Repair Tongue Laceration (41250) |
$489.75 |
$653 |
1.1× |
| Repair wrist joints (25447) |
$1,824.38 |
$2,432.50 |
0.6× |
| Replace duod/jej tube perc (49451) |
$817.50 |
$1,090 |
0.9× |
| Reposition pacing-defib lead (33215) |
$8,226.75 |
$10,969 |
2.6× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$3,117 |
$4,156 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$1,352.25 |
$1,803 |
0.4× |
| Revise arm/leg nerve (64708) |
$1,296.75 |
$1,729 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$2,415 |
$3,220 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$1,788.75 |
$2,385 |
0.9× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$1,320.75 |
$1,761 |
0.4× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$2,695.12 |
$3,593.50 |
0.8× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$2,944.88 |
$3,926.50 |
0.5× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$4,025.25 |
$5,367 |
0.7× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$34,976.25 |
$46,635 |
1.9× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$39,024.75 |
$52,033 |
2.1× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$8,077.50 |
$10,770 |
0.7× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$2,901.75 |
$3,869 |
0.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$6,951.75 |
$9,269 |
0.6× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$29,133 |
$38,844 |
2.5× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$60,084 |
$80,112 |
3.3× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$64,131 |
$85,508 |
3.5× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$33,182.25 |
$44,243 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$927 |
$1,236 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$880.50 |
$1,174 |
0.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$8,226.75 |
$10,969 |
2.2× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$8,226.75 |
$10,969 |
2.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,926 |
$2,568 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,697 |
$3,596 |
4.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,752.50 |
$3,670 |
0.9× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,970.75 |
$3,961 |
0.5× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure |
$2,062.50 |
$2,750 |
0.3× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure |
$2,859.75 |
$3,813 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,403.06 |
$1,870.75 |
0.4× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$2,697 |
$3,596 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$970.50 |
$1,294 |
0.3× |
| Rpr blood vessel direct lower extremity (35226) |
$6,535.88 |
$8,714.50 |
9.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$987.75 |
$1,317 |
4.2× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure |
$2,589.75 |
$3,453 |
0.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,856 |
$3,808 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,166.75 |
$1,555.66 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,151.63 |
$1,535.50 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$456.75 |
$609 |
2.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$2,752.50 |
$3,670 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,959.62 |
$2,612.83 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$272.06 |
$362.75 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$615.38 |
$820.50 |
3.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$615.38 |
$820.50 |
3.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$306 |
$408 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$837.75 |
$1,117 |
4.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$615.38 |
$820.50 |
3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$879 |
$1,172 |
4.4× |
| Skin splt grft trnk/arm/leg (15100) |
$1,376.25 |
$1,835 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$3,987.38 |
$5,316.50 |
5.4× |
| Skin sub graft trnk/arm/leg (15271) |
$3,993.75 |
$5,325 |
5.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$11,685 |
$15,580 |
5.7× |
| Skin tissue rearrangement (14040) |
$1,711.88 |
$2,282.50 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$4,986 |
$6,648 |
2.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,273.75 |
$12,365 |
1.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$14,352 |
$19,136 |
2.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$2,752.50 |
$3,670 |
0.5× |
| Slitting of prepuce (54001) |
$4,542 |
$6,056 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$505.50 |
$674 |
2.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$351 |
$468 |
0.9× |
| Sphincterotomy (46080) |
$2,697 |
$3,596 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$3,079.50 |
$4,106 |
4.4× |
| Strapping ankle (29540) |
$260.62 |
$347.50 |
1.6× |
| Strapping elbow/wrist (29260) |
$701.62 |
$935.50 |
11.9× |
| Strapping Hip (29520) |
$46.50 |
$62 |
0.3× |
| Strapping knee (29530) |
$93.75 |
$125 |
0.7× |
| Strapping shoulder (29240) |
$270.75 |
$361 |
2.0× |
| Strapping unna boot (29580) |
$682.50 |
$910 |
4.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$1,067.25 |
$1,423 |
2.4× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386)
unusually low: confirm this is the full procedure |
$3,081.75 |
$4,109 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$1,276.88 |
$1,702.50 |
3.1× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,151.82 |
$1,535.75 |
0.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,348.50 |
$1,798 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$753.75 |
$1,005 |
1.2× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$12,630.75 |
$16,841 |
2.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,860.50 |
$3,814 |
0.9× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,220.75 |
$2,961 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$1,393.50 |
$1,858 |
4.2× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,457.63 |
$1,943.50 |
0.7× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,708.25 |
$3,611 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,680.50 |
$3,574 |
0.2× |
| Trach Tube Change (31502) |
$837.75 |
$1,117 |
3.5× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
likely a partial charge, not the full procedure |
$1,320.75 |
$1,761 |
0.2× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$1,350.38 |
$1,800.50 |
0.2× |
| Treat ectopic pregnancy (59151) |
$3,168.75 |
$4,225 |
0.5× |
| Treat finger dislocation (26775) |
$584.62 |
$779.50 |
2.1× |
| Treat Finger Fracture Each (26727) |
$1,600.88 |
$2,134.50 |
0.5× |
| Treat fx distal radial (25606) |
$2,722.88 |
$3,630.50 |
0.8× |
Treat fx rad extra-articul (25607)
unusually low: confirm this is the full procedure |
$2,859.75 |
$3,813 |
0.4× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$2,697 |
$3,596 |
0.2× |
| Treat thumb fracture (26650) |
$2,697 |
$3,596 |
0.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$370.50 |
$494 |
0.2× |
| Treat toe fracture (28525) |
$2,748.75 |
$3,665 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,453.50 |
$1,938 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$837.75 |
$1,117 |
3.4× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$2,515.88 |
$3,354.50 |
0.3× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$2,808 |
$3,744 |
0.4× |
| Trim skin lesion (11055) |
$668.62 |
$891.50 |
3.3× |
| Trim skin lesions 2 to 4 (11056) |
$681.75 |
$909 |
3.4× |
| Trim skin lesions over 4 (11057) |
$681.75 |
$909 |
3.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$245.25 |
$327 |
4.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$16,535.25 |
$22,047 |
2.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$8,104.50 |
$10,806 |
1.4× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,879.50 |
$2,506 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,478.75 |
$3,305 |
0.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,457.63 |
$1,943.50 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$681 |
$908 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$837.75 |
$1,117 |
2.1× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$1,485.38 |
$1,980.50 |
0.2× |
Vag hyst complex (58290)
unusually low: confirm this is the full procedure |
$2,760 |
$3,680 |
0.4× |
Vaginal hysterectomy (58260)
unusually low: confirm this is the full procedure |
$1,546.50 |
$2,062 |
0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$2,704.50 |
$3,606 |
0.5× |
| Vasectomy (55250) |
$840.75 |
$1,121 |
0.4× |
| Venipuncture (36415) |
$19.88 |
$26.50 |
2.1× |
| Vulvectomy simple partial (56620) |
$2,700.75 |
$3,601 |
0.8× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$2,863.50 |
$3,818 |
0.4× |