| Abd paracentesis w/imaging (49083) |
$935.20 |
$1,169 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$130.40 |
$163 |
0.1× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,521.10 |
$3,151.38 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,652.67 |
$2,065.84 |
0.5× |
| Amputation foot transmetarsal (28805) |
$3,985.20 |
$4,981.50 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$2,673.60 |
$3,342 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$501.60 |
$627 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,518 |
$3,147.50 |
0.8× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$912 |
$1,140 |
1.0× |
| Anoscopy diagnostic (46600) |
$74.40 |
$93 |
0.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,713.60 |
$2,142 |
1.4× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$2,742.40 |
$3,428 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,742.40 |
$3,428 |
1.0× |
| Application cast elbow finger short arm (29075) |
$110.40 |
$138 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$120.40 |
$150.50 |
0.4× |
| Application finger splint static (29130) |
$51.60 |
$64.50 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$106.40 |
$133 |
0.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$180 |
$225 |
0.7× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$9,043.98 |
$11,304.98 |
0.7× |
| Application of long leg cast (29345) |
$177.60 |
$222 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$73.60 |
$92 |
0.6× |
| Application uniplane external fixation system (20690) |
$4,016 |
$5,020 |
0.6× |
| Apply Hand/Wrist Cast (29085) |
$122.40 |
$153 |
0.8× |
| Apply long leg splint (29505) |
$100 |
$125 |
0.6× |
| Apply short leg cast (29405) |
$106.40 |
$133 |
0.4× |
| Apply short leg cast (29425) |
$102.40 |
$128 |
0.4× |
| Apply short leg splint (29515) |
$90 |
$112.50 |
0.6× |
| Arterial puncture (36600) |
$43.20 |
$54 |
0.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$8,574.75 |
$10,718.44 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$390.80 |
$488.50 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$178.40 |
$223 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$128.80 |
$161 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$186.80 |
$233.50 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$332 |
$415 |
1.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$3,823.60 |
$4,779.50 |
0.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$4,010.80 |
$5,013.50 |
0.6× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,116.80 |
$3,896 |
1.0× |
| Arthrodesis pantalar (28705) |
$10,121.60 |
$12,652 |
0.6× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
unusually low: confirm this is the full procedure |
$5,448.63 |
$6,810.79 |
0.3× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$4,487.85 |
$5,609.82 |
0.6× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$7,883.72 |
$9,854.64 |
0.5× |
| Arthroplasty patella w/prosthesis (27438) |
$6,929.20 |
$8,661.50 |
0.5× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,226 |
$4,032.50 |
1.0× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$7,780.45 |
$9,725.56 |
0.6× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,340.80 |
$1,676 |
0.8× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$7,130.80 |
$8,913.50 |
0.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,993.60 |
$2,492 |
0.6× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,329.20 |
$2,911.50 |
0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$979.20 |
$1,224 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$2,442 |
$3,052.50 |
0.8× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$2,608.80 |
$3,261 |
0.8× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$3,579.20 |
$4,474 |
1.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,319.94 |
$1,649.93 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,085.60 |
$3,857 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$825.60 |
$1,032 |
0.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,640.07 |
$5,800.08 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,749.10 |
$1,738.75 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,547.60 |
$2,439 |
0.6× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$3,308.40 |
$4,135.50 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,458.06 |
$1,822.57 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,541.60 |
$1,927 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$940.80 |
$1,176 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$136 |
$170 |
0.7× |
| Biopsy Nail Unit Separate Procedure (11755) |
$517.20 |
$646.50 |
0.7× |
| Biopsy/removal lymph nodes (38510) |
$5,624 |
$7,030 |
1.5× |
| Bladder Irrigation Simple (51700) |
$53.60 |
$67 |
0.2× |
| Blood transfusion service (36430) |
$1,223.20 |
$1,529 |
2.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
unusually low: confirm this is the full procedure |
$2,287.60 |
$2,859.50 |
0.3× |
| Bone marrow aspiration only (38220) |
$958.80 |
$1,198.50 |
0.6× |
| Bone Marrow Biopsy (38221) |
$964.80 |
$1,206 |
0.6× |
| Bone marrow harvest allogen (38230) |
$2,923.20 |
$3,654 |
1.9× |
| Bone Marrow Harvest Autolog (38232) |
$8,818.40 |
$11,023 |
2.0× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$279.20 |
$349 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$920 |
$1,150 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$1,135.20 |
$1,419 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$943.20 |
$1,179 |
0.6× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$4,871.99 |
$6,089.98 |
0.7× |
| Casting/strapping procedure (29799) |
$280.80 |
$351 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$108 |
$135 |
0.5× |
| Change of cystostomy tube simple (51705) |
$155.20 |
$194 |
0.6× |
| Chemical cautery tissue (17250) |
$108 |
$135 |
0.5× |
| Chemodenerv musc migraine (64615) |
$1,628 |
$2,035 |
5.4× |
| Claviculectomy partial (23120) |
$1,385.62 |
$1,732.02 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$599.20 |
$749 |
2.5× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$152.80 |
$191 |
0.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,339.20 |
$1,674 |
0.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$808 |
$1,010 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$710.40 |
$888 |
2.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$785.60 |
$982 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$569.60 |
$712 |
2.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,186.40 |
$1,483 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$628.80 |
$786 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$847.20 |
$1,059 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$703.20 |
$879 |
0.4× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$439.60 |
$549.50 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$56 |
$70 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$767.20 |
$959 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$745.60 |
$932 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$559.20 |
$699 |
2.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$621.60 |
$777 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$708.80 |
$886 |
2.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$513.60 |
$642 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$608 |
$760 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,076.54 |
$1,345.68 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$268 |
$335 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$901.60 |
$1,127 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$316 |
$395 |
1.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,064 |
$1,330 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$170.40 |
$213 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$659.20 |
$824 |
2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$492 |
$615 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$553.60 |
$692 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$580.80 |
$726 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$502.80 |
$628.50 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$492.80 |
$616 |
2.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,050.40 |
$1,313 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$764 |
$955 |
3.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$784.80 |
$981 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$145.60 |
$182 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$738.40 |
$923 |
0.5× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,440 |
$1,800 |
0.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$893.60 |
$1,117 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$547.20 |
$684 |
2.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$84.80 |
$106 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,179.20 |
$1,474 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,301.60 |
$1,627 |
1.1× |
| Colonoscopy stoma w/biopsy (44389) |
$2,192 |
$2,740 |
1.9× |
| Colonoscopy thru stoma (44388) |
$1,272 |
$1,590 |
1.4× |
| Colonoscopy w/band ligation (45398) |
$1,949.60 |
$2,437 |
1.6× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$2,540.80 |
$3,176 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$192 |
$240 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$202.80 |
$253.50 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$292 |
$365 |
0.5× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$10,174.18 |
$12,717.72 |
0.8× |
| Coracoacromial ligament release, with or without acromioplasty Facility (23415) |
$4,083.20 |
$5,104 |
0.6× |
| Correction hammertoe (28285) |
$786.86 |
$983.58 |
0.2× |
| Correction of bunion (28298) |
$3,949.20 |
$4,936.50 |
0.6× |
| Correction of bunion (28299) |
$4,015.20 |
$5,019 |
0.6× |
| Correction of bunion (28297) |
$6,890.40 |
$8,613 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$188.80 |
$236 |
1.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,207.20 |
$1,509 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,460.36 |
$1,825.45 |
2.1× |
| Debride nail 1-5 (11720) |
$72.80 |
$91 |
1.2× |
| Debride nail 6 or more (11721) |
$58.56 |
$73.20 |
1.0× |
| Debride tissue/muscle (11043) |
$436.40 |
$545.50 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$162 |
$202.50 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$521.58 |
$651.98 |
0.3× |
| Declot vascular device (36593) |
$404.80 |
$506 |
1.2× |
| Destroy internal hemorrhoids (46930) |
$1,925.60 |
$2,407 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$4,515.60 |
$5,644.50 |
2.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$184 |
$230 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$3,225.60 |
$4,032 |
3.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$174.40 |
$218 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$232 |
$290 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$162.40 |
$203 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$973.60 |
$1,217 |
1.1× |
| Dilate Urethra Stricture (53620) |
$156.80 |
$196 |
0.2× |
| Dilation esophagus over guide wire (43453) |
$1,896.80 |
$2,371 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$291.20 |
$364 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$93.60 |
$117 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$225.60 |
$282 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$254.40 |
$318 |
1.3× |
| Drainage of gum lesion (41800) |
$284 |
$355 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$216.80 |
$271 |
0.1× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$491.20 |
$614 |
0.2× |
| Draw blood off venous device (36591) |
$84.80 |
$106 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$163.20 |
$204 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$198.40 |
$248 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$100 |
$125 |
0.5× |
| Dx bone marrow bx & aspir (38222) |
$1,244 |
$1,555 |
0.4× |
| Egd control bleeding any (43255) |
$2,414.40 |
$3,018 |
1.3× |
| Egd endo mucosal resection (43254) |
$2,352 |
$2,940 |
1.2× |
| Egd flexible foreign body removal (43247) |
$1,662.40 |
$2,078 |
1.9× |
| Egd guide wire insertion (43248) |
$1,394.40 |
$1,743 |
1.6× |
| Egd remove lesion snare (43251) |
$2,352 |
$2,940 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$59.20 |
$74 |
0.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$642.40 |
$803 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,796 |
$2,245 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,036 |
$2,545 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$592 |
$740 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$5,520 |
$6,900 |
1.9× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,181.60 |
$2,727 |
1.1× |
| Exc rect tum transanal part (45171) |
$6,068.80 |
$7,586 |
2.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$232 |
$290 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,880 |
$4,850 |
1.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,904 |
$4,880 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,237.60 |
$1,547 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,800 |
$3,500 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,904.80 |
$4,881 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,256.80 |
$1,571 |
0.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$772 |
$965 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,980 |
$3,725 |
1.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,360 |
$4,200 |
2.1× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,600 |
$4,500 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,560 |
$4,450 |
1.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,871.06 |
$4,838.82 |
1.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,226 |
$5,282.50 |
1.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,862.40 |
$3,578 |
1.0× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$2,485.20 |
$3,106.50 |
0.8× |
| Excision interdigital morton neuroma single each (28080) |
$911.14 |
$1,138.93 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,620 |
$2,025 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,963.20 |
$3,704 |
1.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,003.20 |
$1,254 |
1.4× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$5,140.26 |
$6,425.32 |
1.6× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$3,748.80 |
$4,686 |
1.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$204 |
$255 |
0.2× |
| Excision olecranon bursa (24105) |
$3,216 |
$4,020 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,952.40 |
$2,440.50 |
0.6× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$2,164.80 |
$2,706 |
0.7× |
| Excision tendon palm flexor/extensor single each (26170) |
$1,086.40 |
$1,358 |
0.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,432.40 |
$3,040.50 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$2,410.40 |
$3,013 |
1.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$4,640 |
$5,800 |
1.6× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,926.80 |
$2,408.50 |
0.6× |
| Excision; trochanteric bursa or calcification (27062) |
$3,367.60 |
$4,209.50 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$615.20 |
$769 |
0.4× |
| Explore/Treat Elbow Joint (24101) |
$2,414 |
$3,017.50 |
0.7× |
| Explore/Treat Knee Joint (27331) |
$2,636.40 |
$3,295.50 |
0.8× |
| Fasciotomy palmar open partial (26045) |
$748.56 |
$935.70 |
0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,170 |
$3,962.50 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$745.60 |
$932 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$100.80 |
$126 |
0.3× |
| Fusion of foot bones (28740) |
$4,039.60 |
$5,049.50 |
0.6× |
| Fusion of thumb (26841) |
$4,046 |
$5,057.50 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$38.40 |
$48 |
0.2× |
| Gastrocnemius recession (27687) |
$2,162 |
$2,702.50 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$242.40 |
$303 |
0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$3,034 |
$3,792.50 |
0.9× |
| I&d abscess simple (10060) |
$193.60 |
$242 |
1.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$389.60 |
$487 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$188.80 |
$236 |
0.3× |
| I&d vulva/perineal abscess (56405) |
$227.20 |
$284 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$348 |
$435 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$2,403.73 |
$3,004.66 |
1.5× |
| Incise external hemorrhoid (46083) |
$197.60 |
$247 |
0.8× |
| Incise finger tendon sheath (26055) |
$644.80 |
$806 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$432.25 |
$540.31 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$331.20 |
$414 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$191.20 |
$239 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$196.80 |
$246 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$1,011.20 |
$1,264 |
1.1× |
| Incision extensor tendon sheath wrist (25000) |
$470.40 |
$588 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$81.60 |
$102 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$4,144.40 |
$5,180.50 |
4.7× |
| Inj tendon sheath/ligament (20550) |
$116 |
$145 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$98.40 |
$123 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$492.80 |
$616 |
0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,004 |
$2,505 |
2.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$845.20 |
$1,056.50 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$44.80 |
$56 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$106.40 |
$133 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$3,657.20 |
$4,571.50 |
4.2× |
| Inject Tendon Origin/Insert (20551) |
$76.80 |
$96 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,625.20 |
$3,281.50 |
3.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$696 |
$870 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$113.20 |
$141.50 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$950.40 |
$1,188 |
1.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$770 |
$962.50 |
1.1× |
| Injection into skin lesions (11900) |
$9,520 |
$11,900 |
48.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$83.20 |
$104 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$556.80 |
$696 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$188.40 |
$235.50 |
1.5× |
| Insert cath pleura w/ image (32557) |
$267.20 |
$334 |
0.2× |
| Insert cath pleura w/o image (32556) |
$220.80 |
$276 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$150.40 |
$188 |
0.0× |
| Insert Temp Bladder Cath (51702) |
$44.80 |
$56 |
0.3× |
| Insert tun ip cath perc (49418) |
$1,627.60 |
$2,034.50 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$87.20 |
$109 |
0.7× |
| Insj picc rs&i 5 yr+ (36573) |
$163.30 |
$204.12 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$252.80 |
$316 |
1.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$240 |
$300 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,475.20 |
$4,344 |
1.1× |
| Knee Arthroscopy/Surgery (29879) |
$2,152.80 |
$2,691 |
0.7× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267)
likely a partial charge, not the full procedure |
$1,900.80 |
$2,376 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268)
likely a partial charge, not the full procedure |
$1,960 |
$2,450 |
0.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$5,164.40 |
$6,455.50 |
0.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$6,531.20 |
$1,795 |
0.9× |
| Late closure of wound (13160) |
$2,012 |
$2,515 |
0.6× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$7,086 |
$8,857.50 |
0.6× |
| Ligamentous reconstruction knee intra-articular (27428) |
$7,268.80 |
$9,086 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$1,094.40 |
$1,368 |
1.2× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$560 |
$700 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$1,685.60 |
$2,107 |
1.1× |
| Mastectomy partial (19301) |
$4,382.40 |
$5,478 |
1.1× |
| N Block Inj, Plantar Digit (64455) |
$60 |
$75 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$62.40 |
$78 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$36 |
$45 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$48 |
$60 |
1.7× |
| Neuro alz ds bamyl&tau prtn (0503U) |
$600 |
$750 |
0.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$737.60 |
$922 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$716.80 |
$896 |
0.4× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,551.20 |
$3,189 |
1.3× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$312 |
$390 |
0.7× |
| Njx aa&/strd sciatic nerve (64445) |
$889.60 |
$1,112 |
1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,225.20 |
$4,031.50 |
3.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$134.40 |
$168 |
0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,413.20 |
$4,266.50 |
3.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,437.60 |
$4,297 |
4.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,750.40 |
$3,438 |
3.9× |
| Occipital Nerve Block (64405) |
$2,000 |
$2,500 |
6.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,609.87 |
$7,012.34 |
0.8× |
| Open treatment calcaneal fracture (28415) |
$6,106 |
$7,632.50 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$7,257.60 |
$9,072 |
0.6× |
| Open Treatment Medial Malleolus Fracture (27766) |
$3,979.20 |
$4,974 |
0.6× |
| Open treatment metatarsal fracture each (28485) |
$3,872.80 |
$4,841 |
0.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$4,254 |
$5,317.50 |
0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,402.40 |
$8,003 |
0.9× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$4,491.60 |
$5,614.50 |
0.4× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$5,420.80 |
$6,776 |
0.8× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$6,000 |
$7,500 |
0.8× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$4,041.20 |
$5,051.50 |
0.6× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$5,532 |
$6,915 |
0.8× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$4,147.20 |
$5,184 |
0.6× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$882.40 |
$1,103 |
0.3× |
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure |
$3,254 |
$4,067.50 |
0.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$4,497.60 |
$5,622 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,358.21 |
$2,947.76 |
0.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,111.10 |
$6,388.87 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,174.40 |
$1,175 |
0.4× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$4,333.03 |
$5,416.29 |
0.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,960.86 |
$7,451.08 |
0.8× |
| Open tx ulnar fx proximal end (24685) |
$5,620.40 |
$7,025.50 |
0.8× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$5,395.09 |
$6,743.86 |
0.8× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$5,766.66 |
$3,090.65 |
0.8× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$5,032 |
$6,290 |
0.7× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$5,636 |
$7,045 |
0.8× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$4,900.80 |
$6,126 |
0.7× |
| Ostectomy calcaneus (28118) |
$2,330.80 |
$2,913.50 |
0.7× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,876 |
$2,345 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,774.40 |
$2,218 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,061.60 |
$2,577 |
0.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,844.80 |
$2,306 |
0.6× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$4,122 |
$5,152.50 |
0.6× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$3,844.80 |
$4,806 |
0.5× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,953.20 |
$2,441.50 |
0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,961.20 |
$2,451.50 |
0.6× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$3,962.40 |
$4,953 |
0.6× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure |
$1,963.20 |
$2,454 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,334.80 |
$2,918.50 |
0.7× |
| Partial excision bone tibia (27640) |
$2,386 |
$2,982.50 |
0.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$852.80 |
$1,066 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,029.20 |
$2,536.50 |
0.6× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,179.20 |
$3,974 |
1.0× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$5,046.40 |
$6,308 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$2,288 |
$2,860 |
3.3× |
| Phalangectomy toe each toe (28150) |
$1,872.40 |
$2,340.50 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$105.60 |
$132 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$86.40 |
$108 |
0.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$4,577.60 |
$5,722 |
0.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,408 |
$3,010 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$84 |
$105 |
0.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$175.20 |
$219 |
0.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,608.40 |
$3,260.50 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$3,536.80 |
$4,421 |
1.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$3,867.60 |
$4,834.50 |
0.5× |
| Realignment extensor tendon hand each tendon (26437) |
$2,073.60 |
$2,592 |
0.6× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
likely a partial charge, not the full procedure |
$955.44 |
$1,194.30 |
0.1× |
| Reinforce ulna (25491) |
$6,868 |
$8,585 |
0.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$5,068 |
$6,335 |
0.7× |
| Release or recession, hamstring, proximal Facility (27097) |
$4,644 |
$5,805 |
1.4× |
| Removal foreign body foot deep (28192) |
$2,128 |
$2,660 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$360 |
$450 |
0.5× |
| Removal foreign body intranasal (30300) |
$216.80 |
$271 |
1.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$281.60 |
$352 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$27.20 |
$34 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$67.20 |
$84 |
1.2× |
| Removal implant deep (20680) |
$846.83 |
$1,058.54 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$412 |
$515 |
0.3× |
| Removal of bone for graft (20902) |
$4,602.94 |
$5,753.67 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$73.60 |
$92 |
0.2× |
| Removal of implant from finger or hand (26320) |
$804.80 |
$1,006 |
0.5× |
| Removal of iud (58301) |
$117.60 |
$147 |
0.4× |
Removal Of Knee Prosthesis (27488)
unusually low: confirm this is the full procedure |
$3,940 |
$4,925 |
0.3× |
| Removal of nail bed (11750) |
$242.40 |
$303 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$139.20 |
$174 |
0.7× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,598.80 |
$3,248.50 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$88 |
$110 |
0.3× |
| Remove anal fist subq (46270) |
$4,340 |
$5,425 |
1.6× |
| Remove elbow lesion (24120) |
$2,360 |
$2,950 |
0.7× |
| Remove foreign body from eye (65235) |
$1,301.60 |
$1,627 |
0.6× |
| Remove Tendon Sheath Lesion (26160) |
$1,880.80 |
$2,351 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$97.60 |
$122 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$52.80 |
$66 |
0.4× |
| Repair achilles tendon (27650) |
$4,053.20 |
$5,066.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$500.80 |
$626 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$602.40 |
$753 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$436 |
$545 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$862 |
$1,077.50 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$414.40 |
$518 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$464.80 |
$581 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$361.60 |
$452 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$443.20 |
$554 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,174.40 |
$1,468 |
0.7× |
| Repair Fibula Nonunion (27726) |
$4,560 |
$5,700 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$2,029.60 |
$2,537 |
0.6× |
| Repair hand tendon (26410) |
$927.20 |
$1,159 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$8,360 |
$10,450 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$536.80 |
$671 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$304.80 |
$381 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$360.80 |
$451 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$388.80 |
$486 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$395.20 |
$494 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$486.40 |
$608 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$263.20 |
$329 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$354.40 |
$443 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$386.40 |
$483 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,306.80 |
$1,633.50 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$431.20 |
$539 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$318.40 |
$398 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$344 |
$430 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$501.60 |
$627 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$370.40 |
$463 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$580.80 |
$726 |
0.3× |
| Repair of knee cartilage (27403) |
$3,948 |
$4,935 |
0.6× |
| Repair of leg tendon each (27658) |
$2,768.80 |
$3,461 |
0.9× |
| Repair of nail bed (11760) |
$257.84 |
$322.30 |
0.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$5,676.40 |
$7,095.50 |
0.8× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$4,568.05 |
$5,710.06 |
0.6× |
Repair radius & ulna (25415)
likely a partial charge, not the full procedure |
$1,736 |
$2,170 |
0.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$6,240 |
$7,800 |
1.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$9,674 |
$12,092.50 |
2.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,107.60 |
$5,134.50 |
0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,878.80 |
$2,348.50 |
0.6× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$3,873.20 |
$4,841.50 |
0.5× |
| Repair tongue laceration (41252) |
$375.20 |
$469 |
1.6× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$3,955.20 |
$4,944 |
0.6× |
| Repeat control of nosebleed (30906) |
$260 |
$325 |
1.1× |
| Respir iadna 18 viral&2 bact (0115U) |
$264 |
$330 |
1.0× |
| Revise Lower Leg Tendon (27691) |
$4,128 |
$5,160 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$2,290.80 |
$2,863.50 |
1.2× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$6,400.80 |
$8,001 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$2,732 |
$3,415 |
0.2× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$8,866.76 |
$11,083.46 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$90.40 |
$113 |
0.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$65.60 |
$82 |
0.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$556 |
$695 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,493.60 |
$1,867 |
2.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,340 |
$10,425 |
1.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,668 |
$7,085 |
1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$3,516 |
$4,395 |
0.5× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,836 |
$8,545 |
1.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,696 |
$7,120 |
1.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,250.40 |
$1,563 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$560 |
$700 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$572.80 |
$716 |
1.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,985.60 |
$2,482 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,733.60 |
$2,167 |
1.5× |
| Sigmoidoscopy w/biopsy (45331) |
$1,532.80 |
$1,916 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$224 |
$280 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$98.40 |
$123 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$101.60 |
$127 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$131.20 |
$164 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$165.60 |
$207 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$80 |
$100 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$254.40 |
$318 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$128.80 |
$161 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,279.60 |
$1,599.50 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,144 |
$1,430 |
1.6× |
| Skin tissue rearrangement (14040) |
$2,386.80 |
$2,983.50 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$104 |
$130 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$166.40 |
$208 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$204.80 |
$256 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$112.80 |
$141 |
0.2× |
| Spinal Puncture Therapeutic (62272) |
$388 |
$485 |
0.6× |
| Strapping knee (29530) |
$33.60 |
$42 |
0.3× |
| Strapping unna boot (29580) |
$72 |
$90 |
0.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,763.60 |
$3,454.50 |
0.9× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$1,152 |
$1,440 |
0.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,146 |
$2,682.50 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$277.60 |
$347 |
0.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,190.40 |
$2,738 |
0.7× |
| Tenodesis long tendon biceps (23430) |
$4,400.80 |
$2,072 |
0.6× |
| Tenolysis extensor foot single tendon (28225) |
$1,782 |
$2,227.50 |
0.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$901.60 |
$1,127 |
0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,758 |
$2,197.50 |
0.5× |
| Tenotomy Hip Flexor Open (27005) |
$1,573.60 |
$1,967 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$343.20 |
$429 |
0.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,732.40 |
$2,165.50 |
1.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,161.60 |
$1,452 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$158.40 |
$198 |
0.3× |
| Tibial Arthroscopy/Surgery (29855) |
$4,119.60 |
$5,149.50 |
0.6× |
| Tnot elbow lateral/medial debride open (24358) |
$2,002.40 |
$2,503 |
0.6× |
| Total hip arthroplasty (27130) |
$8,608.04 |
$10,760.05 |
0.7× |
| Total Knee Arthroplasty (27447) |
$8,327.52 |
$10,409.40 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$581.60 |
$727 |
2.5× |
| Treat Big Toe Fracture (28505) |
$2,850.80 |
$3,563.50 |
0.9× |
| Treat clavicle fracture (23505) |
$620 |
$775 |
0.4× |
| Treat humerus fracture (23600) |
$590.40 |
$738 |
2.4× |
| Treat Knee Fracture (27535) |
$5,129.20 |
$6,411.50 |
0.7× |
| Treat Kneecap Fracture (27524) |
$5,586.40 |
$6,983 |
0.8× |
Treat Lower Leg Fracture (27828)
likely a partial charge, not the full procedure |
$3,076.66 |
$3,845.82 |
0.2× |
| Treat radius fracture (24665) |
$4,736 |
$5,920 |
0.7× |
| Treat scapula fracture (23585) |
$7,618.74 |
$9,523.43 |
1.1× |
| Treat Thigh Fracture (27245) |
$5,704 |
$7,130 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$870.40 |
$1,088 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$732 |
$915 |
3.0× |
| Treatment of fibula fracture (27784) |
$4,179.09 |
$5,223.86 |
0.6× |
| Trim skin lesion (11055) |
$58.40 |
$73 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$72.80 |
$91 |
0.4× |
| Trim skin lesions over 4 (11057) |
$84 |
$105 |
0.4× |
| Tube thoracostomy includes water seal (32551) |
$273.60 |
$342 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,960 |
$6,200 |
1.8× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$7,153.60 |
$8,942 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$536 |
$670 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$339.20 |
$424 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$252 |
$315 |
0.6× |
| Unlisted procedure femur or knee (27599) |
$1,600 |
$2,000 |
6.6× |
| Unlisted procedure nervous system (64999) |
$2,250.40 |
$2,813 |
7.4× |
| Us urine capacity measure (51798) |
$172 |
$215 |
3.0× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$1,551.20 |
$1,939 |
0.5× |
| Venipuncture (36415) |
$21.60 |
$27 |
2.3× |
| Venipuncture cutdown under age 1 yr (36420) |
$82.40 |
$103 |
0.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$69.60 |
$87 |
0.2× |
| Wedge excision skin nail fold (11765) |
$170.40 |
$213 |
0.4× |
| Wedging of cast (29740) |
$120 |
$150 |
0.4× |