| Abd paracentesis (49082) |
$760.50 |
$1,014 |
0.8× |
| Abd paracentesis w/imaging (49083) |
$335.25 |
$447 |
0.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$2,415.75 |
$3,221 |
0.7× |
| Adding walker to previously applied cast (29440) |
$197.25 |
$263 |
1.2× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,227.75 |
$1,637 |
0.6× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$1,396.50 |
$1,862 |
0.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,010.50 |
$4,014 |
0.9× |
| Amputation of finger/thumb (26952) |
$2,342.25 |
$3,123 |
0.7× |
| Amputation of toe (28820) |
$3,756.75 |
$5,009 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$2,066.25 |
$2,755 |
0.6× |
| Amputation, foot; midtarsal (eg, Chopart type procedure) (28800) |
$1,221 |
$1,628 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,830.50 |
$3,774 |
0.8× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Age Under 21 (27884) |
$2,060.25 |
$2,747 |
0.6× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$886.50 |
$1,182 |
0.3× |
| Amputation, thigh, through femur, any level; (27590) |
$3,127.50 |
$4,170 |
0.9× |
| Amputation, thigh, through femur, any level; re-amputation (27596) |
$2,853.75 |
$3,805 |
0.9× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$64.50 |
$86 |
0.2× |
| Anoplasty, plastic operation for stricture; adult Age Under 21 (46700) |
$90.75 |
$121 |
0.0× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$4,281 |
$5,708 |
1.5× |
| Anoscopy diagnostic (46600) |
$120 |
$160 |
0.9× |
| Anoscopy remove for body (46608) |
$248.25 |
$331 |
0.3× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$1,227 |
$1,636 |
0.2× |
Anterior tibial tubercleplasty (27418)
likely a partial charge — not the full procedure |
$1,886.62 |
$2,515.50 |
0.3× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,459.88 |
$1,946.50 |
1.9× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$389.25 |
$519 |
0.2× |
| Appendectomy (44950) |
$4,778.25 |
$6,371 |
0.7× |
| Application cast finger (29086) |
$197.25 |
$263 |
1.2× |
| Application finger splint static (29130) |
$87 |
$116 |
0.6× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$439.50 |
$586 |
2.6× |
| Application of hip spica cast; 1 and one-half spica or both legs Age Under 21 (29325) |
$714.75 |
$953 |
2.5× |
| Application of hip spica cast; 1 leg Age Under 21 (29305) |
$632.25 |
$843 |
2.2× |
| Application of long leg cast (thigh to toes); (29345) |
$211.12 |
$281.50 |
0.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$147.75 |
$197 |
0.9× |
| Application of short arm splint (forearm to hand); static (29125) |
$191.25 |
$255 |
1.4× |
| Application of short leg cast (below knee to toes); (29405) |
$180.38 |
$240.50 |
0.6× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$294 |
$392 |
1.0× |
| Application of short leg splint (calf to foot) (29515) |
$144.75 |
$193 |
0.9× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$444 |
$592 |
0.2× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$140.62 |
$187.50 |
0.8× |
| Application rigid total contact leg cast (29445) |
$142.50 |
$190 |
0.5× |
Application uniplane external fixation system (20690)
likely a partial charge — not the full procedure |
$1,559.25 |
$2,079 |
0.2× |
| Application, cast; shoulder to hand (long arm) (29065) |
$199.50 |
$266 |
0.7× |
| Apply hand/wrist cast (29085) |
$197.25 |
$263 |
1.2× |
| Apply long arm splint (29105) |
$191.25 |
$255 |
1.2× |
Arthrd ant interbody min dsc crv below c2 (22554)
likely a partial charge — not the full procedure |
$3,530.62 |
$4,707.50 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$365.25 |
$487 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$350.25 |
$467 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$517.50 |
$690 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$438.75 |
$585 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$323.62 |
$431.50 |
1.0× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$268.50 |
$358 |
0.9× |
Arthrodesis, ankle, open Age Under 21 (27870)
unusually low — confirm this is the full procedure |
$4,046.25 |
$5,395 |
0.3× |
| Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755) |
$3,756.75 |
$5,009 |
0.5× |
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740)
likely a partial charge — not the full procedure |
$894 |
$1,192 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$4,053.75 |
$5,405 |
0.2× |
Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536)
unusually low — confirm this is the full procedure |
$2,429.25 |
$3,239 |
0.3× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446)
unusually low — confirm this is the full procedure |
$4,053.75 |
$5,405 |
0.3× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888)
unusually low — confirm this is the full procedure |
$3,299.25 |
$4,399 |
0.4× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855)
unusually low — confirm this is the full procedure |
$3,028.50 |
$4,038 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$1,065.75 |
$1,421 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$513.56 |
$684.75 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$467.36 |
$623.15 |
0.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$410.02 |
$546.70 |
0.1× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$700.50 |
$934 |
0.2× |
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914)
unusually low — confirm this is the full procedure |
$2,913 |
$3,884 |
0.4× |
Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916)
unusually low — confirm this is the full procedure |
$3,018.75 |
$4,025 |
0.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$666.19 |
$888.25 |
2.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$2,784 |
$3,712 |
0.8× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$1,795.88 |
$2,394.50 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$5,061.75 |
$6,749 |
1.5× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
likely a partial charge — not the full procedure |
$1,977 |
$2,636 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$1,983.38 |
$2,644.50 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$2,784 |
$3,712 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$5,062.50 |
$6,750 |
1.5× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
likely a partial charge — not the full procedure |
$1,152.75 |
$1,537 |
0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21 (29821) |
$3,307.50 |
$4,410 |
1.0× |
Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820)
unusually low — confirm this is the full procedure |
$2,846.25 |
$3,795 |
0.4× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$1,740.38 |
$2,320.50 |
0.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$3,032.25 |
$4,043 |
0.9× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
unusually low — confirm this is the full procedure |
$2,784.38 |
$3,712.50 |
0.4× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) |
$2,544.75 |
$3,393 |
0.8× |
| Arthrotomy with biopsy; carpometacarpal joint, each Age Under 21 (26100) |
$1,143 |
$1,524 |
0.3× |
| Arthrotomy with biopsy; interphalangeal joint, each Age Under 21 (26110) |
$1,155.75 |
$1,541 |
0.7× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
likely a partial charge — not the full procedure |
$1,521 |
$2,028 |
0.2× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Age… (23101) |
$2,031 |
$2,708 |
0.6× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Age… (23044) |
$2,034 |
$2,712 |
0.6× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$1,891.50 |
$2,522 |
0.6× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$1,389 |
$1,852 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$2,168.25 |
$2,891 |
0.6× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$1,329.75 |
$1,773 |
0.4× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$450.38 |
$600.50 |
0.1× |
| Arthrotomy, knee; with synovial biopsy only Age Under 21 (27330) |
$2,028.75 |
$2,705 |
0.6× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$1,185 |
$1,580 |
0.4× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
unusually low — confirm this is the full procedure |
$3,991.88 |
$5,322.50 |
0.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,425.75 |
$1,901 |
0.9× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$1,557.75 |
$2,077 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$603.75 |
$805 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,218 |
$1,624 |
0.4× |
| Aspirate pleura w/o imaging (32554) |
$265.50 |
$354 |
0.4× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$81 |
$108 |
0.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$900 |
$1,200 |
0.4× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$161.25 |
$215 |
0.8× |
| Axillary lymphadenectomy; complete Age Under 21 (38745) |
$3,267 |
$4,356 |
0.5× |
| Biopsy bone open superficial (20240) |
$207 |
$276 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,511.25 |
$2,015 |
0.9× |
| Biopsy lip (40490) |
$138.75 |
$185 |
0.6× |
| Biopsy liver needle percutaneous (47000) |
$712.50 |
$950 |
0.4× |
| Biopsy lymph node (38505) |
$168.75 |
$225 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$262.50 |
$350 |
0.2× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$966 |
$1,288 |
0.3× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$1,018.88 |
$1,358.50 |
0.6× |
| Biopsy of cervix (57500) |
$177.75 |
$237 |
0.2× |
| Biopsy of eyelid (67810) |
$210.75 |
$281 |
0.6× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$572.25 |
$763 |
0.6× |
| Biopsy of uterus lining (58100) |
$126 |
$168 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$659.25 |
$879 |
0.2× |
| Biopsy oropharynx (42800) |
$425.25 |
$567 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$624.75 |
$833 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$310.50 |
$414 |
0.2× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$297 |
$396 |
0.2× |
| Biopsy vestibule mouth (40808) |
$326.25 |
$435 |
0.6× |
| Biopsy vulva/perineum 1 lesion (56605) |
$117 |
$156 |
0.1× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$930.38 |
$1,240.50 |
0.6× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$1,781.25 |
$2,375 |
0.6× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$1,196.25 |
$1,595 |
0.7× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) |
$1,458.75 |
$1,945 |
0.5× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$791.25 |
$1,055 |
0.5× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) |
$1,334.25 |
$1,779 |
0.4× |
| Bladder irrigation (51700) |
$60 |
$80 |
0.2× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$544.50 |
$726 |
1.7× |
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure |
$975.75 |
$1,301 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$729.38 |
$972.50 |
0.1× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$966 |
$1,288 |
0.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,833.75 |
$2,445 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$306 |
$408 |
0.2× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$1,042.50 |
$1,390 |
4.1× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$1,150.50 |
$1,534 |
4.6× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
unusually low — confirm this is the full procedure |
$2,283 |
$3,044 |
0.3× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$1,173.75 |
$1,565 |
0.4× |
| Care of miscarriage (59820) |
$1,385.25 |
$1,847 |
0.4× |
| Cast short arm (29075) |
$180 |
$240 |
0.6× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$296.25 |
$395 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$342.75 |
$457 |
1.3× |
| Chemical cauterization of granulation tissue (17250) |
$127.12 |
$169.50 |
0.6× |
| Chemodenervation Internal Anal Sphincter (46505) |
$363.90 |
$485.20 |
0.3× |
| Chest tube placement (32551) |
$913.50 |
$1,218 |
0.6× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$192.75 |
$257 |
0.0× |
| Circumcision, Newborn (54150) |
$539.62 |
$719.50 |
0.3× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$932.25 |
$1,243 |
0.4× |
| Claviculectomy; partial Age Under 21 (23120) |
$1,236.75 |
$1,649 |
0.4× |
| Closed rx acetabular fx (27220) |
$1,671 |
$2,228 |
6.6× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,772.25 |
$2,363 |
1.1× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$2,223.75 |
$2,965 |
8.8× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$659.25 |
$879 |
2.6× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,611.75 |
$2,149 |
1.0× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$660.75 |
$881 |
2.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$810 |
$1,080 |
3.2× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$564 |
$752 |
2.2× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$350.25 |
$467 |
1.4× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$1,414.50 |
$1,886 |
0.9× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$765.75 |
$1,021 |
3.0× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,040.25 |
$1,387 |
0.6× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$460.50 |
$614 |
1.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,135.50 |
$1,514 |
4.5× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$846 |
$1,128 |
3.4× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$549 |
$732 |
2.2× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,004 |
$2,672 |
1.2× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,596 |
$2,128 |
6.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,237.25 |
$2,983 |
1.4× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$414.75 |
$553 |
1.6× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$546 |
$728 |
1.0× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$350.25 |
$467 |
1.4× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$777 |
$1,036 |
3.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,226 |
$2,968 |
1.4× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$969.75 |
$1,293 |
3.8× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$3,218.25 |
$4,291 |
2.0× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$1,572 |
$2,096 |
1.0× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,854 |
$2,472 |
1.1× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,427.25 |
$1,903 |
5.7× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,543.50 |
$2,058 |
0.9× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$903 |
$1,204 |
3.6× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$882.75 |
$1,177 |
3.5× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$827.25 |
$1,103 |
3.3× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$579 |
$772 |
0.2× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,128.75 |
$1,505 |
0.7× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,701 |
$2,268 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$976.50 |
$1,302 |
3.9× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$894 |
$1,192 |
3.5× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$546 |
$728 |
2.2× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,716 |
$2,288 |
1.0× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,173.75 |
$1,565 |
0.7× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$828 |
$1,104 |
3.3× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,430.25 |
$1,907 |
0.9× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$915 |
$1,220 |
3.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$776.25 |
$1,035 |
3.1× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$749.25 |
$999 |
3.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$270.38 |
$360.50 |
1.1× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$742.50 |
$990 |
2.9× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,274.25 |
$1,699 |
5.1× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,255.50 |
$1,674 |
0.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$855 |
$1,140 |
3.4× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$540.75 |
$721 |
2.1× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$2,359.50 |
$3,146 |
1.4× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$915.75 |
$1,221 |
0.3× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,064.25 |
$1,419 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$272.25 |
$363 |
1.1× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$351 |
$468 |
1.4× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$1,068.75 |
$1,425 |
4.2× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$780.75 |
$1,041 |
3.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$755.25 |
$1,007 |
3.0× |
| Closed treatment of ulnar styloid fracture (25650) |
$352.50 |
$470 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,107.75 |
$1,477 |
4.4× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,247.25 |
$1,663 |
0.8× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$892.50 |
$1,190 |
3.5× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$1,415.25 |
$1,887 |
5.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$600.75 |
$801 |
2.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,432.50 |
$1,910 |
5.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,010.25 |
$1,347 |
4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,518 |
$2,024 |
0.9× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,584 |
$2,112 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$675 |
$900 |
2.7× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$1,116 |
$1,488 |
4.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$589.50 |
$786 |
2.3× |
| Closed tx vert fx w/manj (22315) |
$2,554.50 |
$3,406 |
0.8× |
| Closed tx vert fx w/o manj (22310) |
$594 |
$792 |
2.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$546.75 |
$729 |
2.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,308 |
$1,744 |
2.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$185.25 |
$247 |
0.1× |
| Clsd tx pelvic ring fx (27197) |
$1,534.50 |
$2,046 |
6.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,191 |
$1,588 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,057.50 |
$1,410 |
0.6× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$933 |
$1,244 |
3.7× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$804.75 |
$1,073 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$301.50 |
$402 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,686 |
$2,248 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,461.75 |
$1,949 |
5.8× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$2,549.25 |
$3,399 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$419.25 |
$559 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$897 |
$1,196 |
3.6× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$528.75 |
$705 |
2.1× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,077.75 |
$1,437 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$540 |
$720 |
2.1× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$918.75 |
$1,225 |
3.6× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$920.25 |
$1,227 |
3.7× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,323.75 |
$1,765 |
0.8× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$381.75 |
$509 |
1.3× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$906 |
$1,208 |
3.6× |
| Cltx metar fx w/manj (28475) |
$669.75 |
$893 |
2.7× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$390.75 |
$521 |
0.2× |
| Cltx post ankle fx (27767) |
$840.75 |
$1,121 |
3.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$868.50 |
$1,158 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,671 |
$2,228 |
1.0× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$1,465.50 |
$1,954 |
5.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$526.50 |
$702 |
2.1× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,999.50 |
$2,666 |
1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$394.50 |
$526 |
1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,281.75 |
$1,709 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$953.25 |
$1,271 |
3.8× |
| Collect blood from catheter venous nos (36592) |
$83.62 |
$111.50 |
0.6× |
| Collect blood from implant venous access device (36591) |
$80.62 |
$107.50 |
0.6× |
| Colonoscopy thru stoma spx (44388) |
$1,641 |
$2,188 |
1.7× |
| Colonoscopy w/ablation (45388) |
$1,641 |
$2,188 |
1.3× |
| Colonoscopy w/control bleed (45382) |
$492.75 |
$657 |
0.4× |
Colonoscopy w/stent plcmt (45389)
likely a partial charge — not the full procedure |
$425.63 |
$567.50 |
0.1× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,337.25 |
$1,783 |
1.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge — not the full procedure |
$1,398 |
$1,864 |
0.2× |
| Colposcopy cervix (57452) |
$179.25 |
$239 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$264.75 |
$353 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$362.25 |
$483 |
0.1× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$240 |
$320 |
0.3× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$919.50 |
$1,226 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,355.25 |
$1,807 |
1.1× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
unusually low — confirm this is the full procedure |
$1,557.75 |
$2,077 |
0.3× |
| Complete replacement picc rs&i (36584) |
$1,184.25 |
$1,579 |
0.7× |
| Conization of cervix (57520) |
$1,550.25 |
$2,067 |
0.5× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$344.25 |
$459 |
0.1× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$229.50 |
$306 |
1.1× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$231.75 |
$309 |
1.7× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$180.75 |
$241 |
1.3× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) |
$822.75 |
$1,097 |
3.4× |
| Control throat bleeding (42960) |
$540 |
$720 |
1.0× |
Coracoacromial ligament release, with or without acromioplasty Age Under 21 (23415)
unusually low — confirm this is the full procedure |
$2,367 |
$3,156 |
0.3× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,824 |
$2,432 |
1.1× |
| Correction of bunion (28292) |
$1,418.25 |
$1,891 |
0.4× |
| Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Age Under 21 (28286) |
$1,247.25 |
$1,663 |
0.4× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299)
likely a partial charge — not the full procedure |
$1,769.62 |
$2,359.50 |
0.2× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure |
$1,265.25 |
$1,687 |
0.2× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$1,269.75 |
$1,693 |
0.4× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$1,568.62 |
$2,091.50 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$312.75 |
$417 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$332.25 |
$443 |
1.4× |
| Curette/treat cornea (65435) |
$204 |
$272 |
0.2× |
| Cystourethroscopy (52000) |
$264 |
$352 |
0.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$411.75 |
$549 |
0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$564 |
$752 |
0.8× |
| Deb skin bone at fx site (11012) |
$1,909.50 |
$2,546 |
0.6× |
| Debride skin at fx site (11010) |
$546 |
$728 |
0.8× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$43.50 |
$58 |
0.7× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$47.25 |
$63 |
0.8× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$179.25 |
$239 |
0.4× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$669.75 |
$893 |
0.4× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$686.62 |
$915.50 |
0.9× |
| Declot vascular device (36593) |
$208.88 |
$278.50 |
0.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$2,220.75 |
$2,961 |
0.7× |
Decompression fasciotomy, forearm, with brachial artery exploration Age Under 21 (24495)
unusually low — confirm this is the full procedure |
$2,229 |
$2,972 |
0.3× |
| Decompression fasciotomy, leg; posterior compartment(s) only Age Under 21 (27601) |
$1,469.25 |
$1,959 |
0.4× |
| Decompressive fasciotomy, hand (excludes 26035) Age Under 21 (26037) |
$1,938.75 |
$2,585 |
0.6× |
| Deep incis foot bone infectn (28005) |
$1,680 |
$2,240 |
0.5× |
| Deep muscle biopsy (20205) |
$599.25 |
$799 |
0.2× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$1,457.25 |
$1,943 |
0.7× |
| Delivery of placenta (59414) |
$269.25 |
$359 |
0.1× |
| Destroy vulva lesion/s compl (56515) |
$426.75 |
$569 |
0.2× |
| Destruct lesion 15 or more (17111) |
$150 |
$200 |
0.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$75.75 |
$101 |
0.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$189.75 |
$253 |
0.5× |
| Destruction benign lesions up to 14 (17110) |
$154.50 |
$206 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$882.75 |
$1,177 |
1.0× |
| Destruction internal hemorrhoid thermal energy (46930) |
$966 |
$1,288 |
0.8× |
| Destruction lesions vulva simple (56501) |
$331.50 |
$442 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,359.38 |
$1,812.50 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$1,464.75 |
$1,953 |
0.5× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$206.25 |
$275 |
0.1× |
| Diagnostic bone marrow aspirations (38220) |
$134.25 |
$179 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$140.25 |
$187 |
0.1× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$1,250.25 |
$1,667 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$913.88 |
$1,218.50 |
1.3× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$93.75 |
$125 |
0.5× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$1,205.25 |
$1,607 |
0.4× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$1,231.50 |
$1,642 |
1.3× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Age Under 21 (43130)
unusually low — confirm this is the full procedure |
$2,205 |
$2,940 |
0.4× |
| Drain lower leg lesion (27603) |
$1,572 |
$2,096 |
0.5× |
| Drain neck/chest lesion (21501) |
$1,001.25 |
$1,335 |
0.3× |
| Drain shoulder lesion (23030) |
$1,041 |
$1,388 |
0.4× |
| Drainage external auditory canal, abscess (69020) |
$288.75 |
$385 |
0.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$943.12 |
$1,257.50 |
1.3× |
| Drainage finger abscess simple (26010) |
$439.50 |
$586 |
2.1× |
| Drainage of abscess of palate, uvula (42000) |
$250.50 |
$334 |
1.0× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$249 |
$332 |
0.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$955.50 |
$1,274 |
0.6× |
| Drainage of palmar bursa single bursa (26025) |
$1,510.50 |
$2,014 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$491.25 |
$655 |
0.3× |
| Dry needling (20999) |
$750.75 |
$1,001 |
3.0× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,378.12 |
$1,837.50 |
0.7× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,170 |
$1,560 |
0.6× |
| Dx bronchoscope/lavage (31624) |
$250.50 |
$334 |
0.1× |
| Ed proc insert intraosseous IV (36680) |
$177 |
$236 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$209.62 |
$279.50 |
1.6× |
| Ed proc remve fb nasal- hospital (30300) |
$271.88 |
$362.50 |
2.0× |
| Ed prof arthrocentesis sm - hospital (20551) |
$118.50 |
$158 |
0.4× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$194.25 |
$259 |
1.4× |
| Ed prof burn - large - hospital (16030) |
$380.25 |
$507 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$332.25 |
$443 |
1.6× |
| Ed prof burn small - hospital (16020) |
$279 |
$372 |
1.4× |
| Ed prof catheterization/straight (51701) |
$100.50 |
$134 |
0.7× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,191 |
$1,588 |
4.7× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,305.75 |
$1,741 |
0.8× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,174.50 |
$1,566 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$249 |
$332 |
1.8× |
| Ed prof insert foley cath simple (51702) |
$75.75 |
$101 |
0.6× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$659.25 |
$879 |
0.2× |
Ed prof insertion of heart electr (33210)
unusually low — confirm this is the full procedure |
$3,488.25 |
$4,651 |
0.4× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$709.50 |
$946 |
1.7× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$605.25 |
$807 |
1.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$444.30 |
$592.40 |
1.8× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$319.88 |
$426.50 |
0.7× |
| Egd percutaneous placement gastrostomy tube (43246) |
$381 |
$508 |
0.2× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,305.75 |
$1,741 |
0.7× |
| Egd transoral control bleeding any method (43255) |
$516 |
$688 |
0.3× |
| Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Outpatient (20974) |
$807.75 |
$1,077 |
— |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$541.50 |
$722 |
0.2× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,365.75 |
$1,821 |
0.6× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$1,406.25 |
$1,875 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$547.50 |
$730 |
0.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$157.50 |
$210 |
0.2× |
| Esoph egd dilation <30 mm (43249) |
$291 |
$388 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,098 |
$1,464 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,231.50 |
$1,642 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,137.75 |
$1,517 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$364.50 |
$486 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$348 |
$464 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$166.50 |
$222 |
0.2× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$632.25 |
$843 |
0.3× |
| Evac subungual hematoma (11740) |
$103.50 |
$138 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,126.25 |
$2,835 |
1.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$947.62 |
$1,263.50 |
0.6× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$358.50 |
$478 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$508.50 |
$678 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$144.75 |
$193 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$180.75 |
$241 |
0.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$202.50 |
$270 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,206.75 |
$1,609 |
0.7× |
| Exc neck tum deep < 5 cm (21556) |
$1,557.75 |
$2,077 |
0.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$165.75 |
$221 |
0.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$195 |
$260 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,473.75 |
$1,965 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$741.38 |
$988.50 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,411.50 |
$1,882 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$632.25 |
$843 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,408.50 |
$1,878 |
0.8× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$1,813.50 |
$2,418 |
0.5× |
Excision external ear; complete amputation Age Under 21 (69120)
likely a partial charge — not the full procedure |
$790.50 |
$1,054 |
0.1× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,355.25 |
$1,807 |
0.8× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$513.75 |
$685 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$258 |
$344 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$275.25 |
$367 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$380.25 |
$507 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$468 |
$624 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$333 |
$444 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$411.75 |
$549 |
0.2× |
| Excision multiple external papillae/tags anus (46230) |
$343.50 |
$458 |
0.1× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$1,530 |
$2,040 |
0.4× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair (57555)
unusually low — confirm this is the full procedure |
$1,544.25 |
$2,059 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$1,520.25 |
$2,027 |
0.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$425.25 |
$567 |
0.4× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$2,206.50 |
$2,942 |
0.7× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$1,496.25 |
$1,995 |
0.4× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,590 |
$2,120 |
1.0× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$673.50 |
$898 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$288.75 |
$385 |
0.2× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$1,989 |
$2,652 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,297.75 |
$4,397 |
2.7× |
| Excision of tongue fold (41115) |
$510 |
$680 |
0.3× |
| Excision olecranon bursa (24105) |
$1,277.25 |
$1,703 |
0.4× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Age Under… (25135)
likely a partial charge — not the full procedure |
$1,219.50 |
$1,626 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$1,147.13 |
$1,529.50 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$571.50 |
$762 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$912.75 |
$1,217 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$832.88 |
$1,110.50 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$2,630.25 |
$3,507 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,163.25 |
$1,551 |
0.4× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,185 |
$1,580 |
0.4× |
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge — not the full procedure |
$1,438.88 |
$1,918.50 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$427.12 |
$569.50 |
0.3× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$545.25 |
$727 |
0.3× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$824.25 |
$1,099 |
0.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,143 |
$1,524 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$648 |
$864 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$231 |
$308 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$374.25 |
$499 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$264.75 |
$353 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$177 |
$236 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$253.50 |
$338 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$223.50 |
$298 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$359.25 |
$479 |
0.2× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$1,305.75 |
$1,741 |
0.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$249.75 |
$333 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$306 |
$408 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$447.75 |
$597 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$556.50 |
$742 |
0.3× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$576.75 |
$769 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$241.50 |
$322 |
0.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$626.25 |
$835 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$218.25 |
$291 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$197.25 |
$263 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$162.75 |
$217 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$632.25 |
$843 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$540.75 |
$721 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$1,916.25 |
$2,555 |
1.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,183.50 |
$1,578 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$935.25 |
$1,247 |
0.3× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$1,711.50 |
$2,282 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,232.25 |
$1,643 |
0.7× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$665.25 |
$887 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,243.25 |
$2,991 |
1.3× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$1,467 |
$1,956 |
0.9× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low — confirm this is the full procedure |
$2,889 |
$3,852 |
0.4× |
| Explore wound abdomen (20102) |
$1,397.25 |
$1,863 |
0.7× |
| Extensive removal of growth of shin bone (27645) |
$3,574.50 |
$4,766 |
1.1× |
| Fasciectomy plantar fascia partial spx (28060) |
$1,336.50 |
$1,782 |
0.4× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$1,808.25 |
$2,411 |
0.5× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$3,081 |
$4,108 |
0.9× |
| Fetal contraction stress test (59020) |
$241.12 |
$321.50 |
1.2× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$481.50 |
$642 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$586.88 |
$782.50 |
0.8× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$3,234 |
$4,312 |
1.0× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,356.50 |
$3,142 |
1.1× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$1,568.25 |
$2,091 |
0.7× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$1,203 |
$1,604 |
0.6× |
Fusion of thumb (26841)
unusually low — confirm this is the full procedure |
$2,394.75 |
$3,193 |
0.3× |
| Ganglion impar nerve block (64999) |
$806.62 |
$1,075.50 |
2.6× |
| Gastric lavage (43753) |
$297 |
$396 |
1.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,709.50 |
$4,946 |
0.9× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$1,920 |
$2,560 |
1.0× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$903 |
$1,204 |
0.2× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$2,019.75 |
$2,693 |
0.6× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$2,717.62 |
$3,623.50 |
0.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,107 |
$1,476 |
0.3× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,005.75 |
$1,341 |
1.1× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$717 |
$956 |
0.3× |
| Hysteroscopy biopsy (58558) |
$2,289.75 |
$3,053 |
0.7× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
unusually low — confirm this is the full procedure |
$2,382.75 |
$3,177 |
0.5× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$1,770 |
$2,360 |
0.5× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
unusually low — confirm this is the full procedure |
$2,382.75 |
$3,177 |
0.5× |
| I&d abscess simple/single (10060) |
$223.50 |
$298 |
1.1× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,962.75 |
$2,617 |
0.7× |
| I&d hematoma/seroma/fluid (10140) |
$307.50 |
$410 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$302.25 |
$403 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$946.50 |
$1,262 |
0.3× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$1,402.50 |
$1,870 |
5.6× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,688.75 |
$3,585 |
1.6× |
| Implant subq hormone pellet (11980) |
$103.50 |
$138 |
0.2× |
| Incise external hemorrhoid (46083) |
$240.75 |
$321 |
0.9× |
| Incise finger tendon sheath (26055) |
$1,078.12 |
$1,437.50 |
0.7× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$534 |
$712 |
1.3× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$997.50 |
$1,330 |
0.6× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$303.75 |
$405 |
1.5× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$339.75 |
$453 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$351 |
$468 |
1.1× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$680.25 |
$907 |
0.2× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$1,512.75 |
$2,017 |
0.5× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$1,938.75 |
$2,585 |
0.6× |
| Incision and drainage, pelvis or hip joint area; infected bursa Age Under 21 (26991) |
$1,701.75 |
$2,269 |
1.0× |
| Incision and drainage, perianal abscess, superficial (46050) |
$291.75 |
$389 |
0.3× |
| Incision and drainage, shoulder area; infected bursa Age Under 21 (23031) |
$795.75 |
$1,061 |
0.3× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$733.50 |
$978 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$546 |
$728 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$302.25 |
$403 |
0.7× |
| Incision extensor tendon sheath wrist (25000) |
$1,605.75 |
$2,141 |
1.0× |
| Incision of eyelid fold (67715) |
$1,083.38 |
$1,444.50 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$425.85 |
$567.80 |
0.3× |
Incision of muscle at upper esophagus (43030)
unusually low — confirm this is the full procedure |
$2,955 |
$3,940 |
0.5× |
| Incision of rectal abscess (46040) |
$1,242 |
$1,656 |
1.0× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$118.50 |
$158 |
0.3× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$141 |
$188 |
1.0× |
| Incision of windpipe (31603) |
$1,308 |
$1,744 |
0.8× |
Incision or partial removal of forearm bone on thumb side near hand (25350)
likely a partial charge — not the full procedure |
$1,484.62 |
$1,979.50 |
0.2× |
| Incision&drainage bursa foot (28001) |
$516.75 |
$689 |
0.3× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) (26992) |
$2,946 |
$3,928 |
0.9× |
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21 (25035)
unusually low — confirm this is the full procedure |
$2,475.75 |
$3,301 |
0.3× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) (27303) |
$1,315.88 |
$1,754.50 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$178.50 |
$238 |
0.2× |
| Induced abortion by d&c (59840) |
$443.25 |
$591 |
0.1× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,938 |
$2,584 |
5.7× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$136.50 |
$182 |
0.7× |
| Inj epidural blood or clot patch (62273) |
$670.50 |
$894 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$312 |
$416 |
0.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$265.50 |
$354 |
0.3× |
| Inj tx nerve (64640) |
$624.75 |
$833 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$100.50 |
$134 |
0.1× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$274.80 |
$366.40 |
0.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$116.25 |
$155 |
0.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$774.75 |
$1,033 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$680.62 |
$907.50 |
0.9× |
| Injection aa&/strd greater occipital nerve (64405) |
$364.12 |
$485.50 |
1.2× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$371.25 |
$495 |
0.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$535.88 |
$714.50 |
0.6× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$443.62 |
$591.50 |
0.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$685.50 |
$914 |
1.0× |
| Injection aa&/strd pudendal nerve (64430) |
$107.25 |
$143 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$510 |
$680 |
0.7× |
| Injection aa&/strd suprascapular nerve (64418) |
$346.12 |
$461.50 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$146.25 |
$195 |
0.5× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$893.62 |
$1,191.50 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$156 |
$208 |
0.5× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$147 |
$196 |
0.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$114 |
$152 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$217.88 |
$290.50 |
0.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$77.25 |
$103 |
0.2× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$475.12 |
$633.50 |
1.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$90.75 |
$121 |
0.4× |
| Insert and remove bone pin (20650) |
$465.75 |
$621 |
0.1× |
| Insert drug implant device (11981) |
$125.25 |
$167 |
0.9× |
| Insert gastrostomy tube percutaneous (49440) |
$397.50 |
$530 |
0.2× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$250.50 |
$334 |
0.1× |
| Insert pessary/other device (57160) |
$90 |
$120 |
0.4× |
Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566)
likely a partial charge — not the full procedure |
$708 |
$944 |
0.1× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$4,724.25 |
$6,299 |
1.5× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$4,425.75 |
$5,901 |
1.4× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,251.38 |
$1,668.50 |
0.8× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,376.25 |
$1,835 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,611.62 |
$4,815.50 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$662.25 |
$883 |
0.2× |
Insj Tunneled Ctr Vad W/Subq Pump (36563)
unusually low — confirm this is the full procedure |
$2,600.25 |
$3,467 |
0.5× |
| Intubation endotracheal (31500) |
$422.25 |
$563 |
1.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$376.50 |
$502 |
1.5× |
| Knee arthroscopy/surgery (29876) |
$5,061.75 |
$6,749 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$4,744.50 |
$6,326 |
0.6× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
unusually low — confirm this is the full procedure |
$2,329.50 |
$3,106 |
0.4× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
unusually low — confirm this is the full procedure |
$2,329.50 |
$3,106 |
0.4× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge — not the full procedure |
$1,829.25 |
$2,439 |
0.3× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$4,556.25 |
$6,075 |
0.7× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$1,071.75 |
$1,429 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
likely a partial charge — not the full procedure |
$3,258 |
$4,344 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
unusually low — confirm this is the full procedure |
$3,879 |
$5,172 |
0.4× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge — not the full procedure |
$3,258 |
$4,344 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
unusually low — confirm this is the full procedure |
$3,879 |
$5,172 |
0.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550) |
$3,906.75 |
$5,209 |
0.6× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
unusually low — confirm this is the full procedure |
$3,910.50 |
$5,214 |
0.4× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
likely a partial charge — not the full procedure |
$3,258 |
$4,344 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge — not the full procedure |
$3,258 |
$4,344 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$8,397 |
$11,196 |
1.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure |
$1,652.25 |
$2,203 |
0.2× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
unusually low — confirm this is the full procedure |
$2,123.25 |
$2,831 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
unusually low — confirm this is the full procedure |
$2,223.75 |
$2,965 |
0.4× |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
likely a partial charge — not the full procedure |
$1,008.75 |
$1,345 |
0.2× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660) |
$3,105 |
$4,140 |
0.5× |
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671)
unusually low — confirm this is the full procedure |
$2,129.25 |
$2,839 |
0.3× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$3,250.50 |
$4,334 |
0.5× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$840.75 |
$1,121 |
0.1× |
| Laryngoscopy w/foreign body removal (31530) |
$3,727.50 |
$4,970 |
2.0× |
| Lateral retinacular release open (27425) |
$2,747.25 |
$3,663 |
0.8× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge — not the full procedure |
$1,797 |
$2,396 |
0.2× |
| Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Age Under 21 (37700) |
$771.75 |
$1,029 |
0.2× |
| Ligation or biopsy, temporal artery (37609) |
$900 |
$1,200 |
0.5× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$1,925.25 |
$2,567 |
0.6× |
| Long gi tube placement (44500) |
$1,088.25 |
$1,451 |
1.2× |
| Lumbar puncture (62270) |
$698.25 |
$931 |
1.0× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$395.25 |
$527 |
0.2× |
| Manipulation finger joint under anes each joint (26340) |
$868.50 |
$1,158 |
0.5× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Age Under… (27860) |
$693.75 |
$925 |
0.2× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$845.25 |
$1,127 |
0.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$899.25 |
$1,199 |
0.5× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$70.50 |
$94 |
1.2× |
| Metatarsectomy Age Under 21 (28140) |
$1,758 |
$2,344 |
0.5× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,125 |
$1,500 |
1.4× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$871.12 |
$1,161.50 |
1.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$235.50 |
$314 |
0.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$240 |
$320 |
0.3× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$2,985.38 |
$3,980.50 |
1.5× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$247.50 |
$330 |
0.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$284.25 |
$379 |
0.3× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$137.25 |
$183 |
0.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$749.25 |
$999 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$511.50 |
$682 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$742.88 |
$990.50 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$726.38 |
$968.50 |
1.0× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,754.75 |
$3,673 |
1.3× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,754.75 |
$3,673 |
1.3× |
| Non stress test (59025) |
$186.75 |
$249 |
0.9× |
| Obstructive material removal from gi tube (49460) |
$2,129.25 |
$2,839 |
2.3× |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21 (58615) |
$2,289.75 |
$3,053 |
0.7× |
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
likely a partial charge — not the full procedure |
$1,413 |
$1,884 |
0.2× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$830.25 |
$1,107 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge — not the full procedure |
$1,583.25 |
$2,111 |
0.2× |
Open treatment bimalleolar ankle fracture (27814)
unusually low — confirm this is the full procedure |
$2,997 |
$3,996 |
0.4× |
Open treatment calcaneal fracture (28415)
likely a partial charge — not the full procedure |
$2,096.62 |
$2,795.50 |
0.3× |
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure |
$908.62 |
$1,211.50 |
0.1× |
Open treatment fracture distal tibia only (27827)
unusually low — confirm this is the full procedure |
$4,366.50 |
$5,822 |
0.3× |
Open treatment medial malleolus fracture (27766)
unusually low — confirm this is the full procedure |
$2,379.75 |
$3,173 |
0.3× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$1,527.75 |
$2,037 |
0.5× |
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure |
$1,911.75 |
$2,549 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550)
likely a partial charge — not the full procedure |
$1,282.88 |
$1,710.50 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
likely a partial charge — not the full procedure |
$1,503.38 |
$2,004.50 |
0.2× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$1,887.75 |
$2,517 |
0.6× |
| Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) |
$1,722 |
$2,296 |
0.5× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure |
$1,177.50 |
$1,570 |
0.2× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
unusually low — confirm this is the full procedure |
$2,265 |
$3,020 |
0.3× |
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 |
$4,437 |
$5,916 |
0.3× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$4,175.25 |
$5,567 |
0.6× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low — confirm this is the full procedure |
$2,557.88 |
$3,410.50 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low — confirm this is the full procedure |
$4,816.50 |
$6,422 |
0.4× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828)
unusually low — confirm this is the full procedure |
$4,973.25 |
$6,631 |
0.4× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$1,533 |
$2,044 |
0.5× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
likely a partial charge — not the full procedure |
$1,231.50 |
$1,642 |
0.2× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
likely a partial charge — not the full procedure |
$1,501.88 |
$2,002.50 |
0.2× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579)
likely a partial charge — not the full procedure |
$1,559.25 |
$2,079 |
0.1× |
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575)
likely a partial charge — not the full procedure |
$1,365 |
$1,820 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure |
$741.68 |
$988.90 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge — not the full procedure |
$2,164.50 |
$2,886 |
0.2× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair (27557) |
$4,289.25 |
$5,719 |
0.6× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure |
$1,695 |
$2,260 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
unusually low — confirm this is the full procedure |
$2,877.75 |
$3,837 |
0.4× |
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure |
$2,151.75 |
$2,869 |
0.3× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
likely a partial charge — not the full procedure |
$1,711.50 |
$2,282 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
likely a partial charge — not the full procedure |
$1,226.25 |
$1,635 |
0.2× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
likely a partial charge — not the full procedure |
$1,643.25 |
$2,191 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
unusually low — confirm this is the full procedure |
$2,293.88 |
$3,058.50 |
0.3× |
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
unusually low — confirm this is the full procedure |
$3,369 |
$4,492 |
0.5× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge — not the full procedure |
$3,509.25 |
$4,679 |
0.3× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$3,939 |
$5,252 |
0.5× |
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
likely a partial charge — not the full procedure |
$1,319.62 |
$1,759.50 |
0.2× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$1,223.25 |
$1,631 |
0.2× |
Open treatment posterior malleolus fracture (27769)
unusually low — confirm this is the full procedure |
$2,501.25 |
$3,335 |
0.3× |
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure |
$1,267.50 |
$1,690 |
0.2× |
Open treatment talus fracture (28445)
likely a partial charge — not the full procedure |
$1,914.75 |
$2,553 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615)
unusually low — confirm this is the full procedure |
$2,250 |
$3,000 |
0.3× |
Open tx distal fibular fracture lat malleolus (27792)
unusually low — confirm this is the full procedure |
$2,316 |
$3,088 |
0.3× |
| Open tx distal phalangeal fracture each (26765) |
$1,410 |
$1,880 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$807 |
$1,076 |
0.2× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$1,518.75 |
$2,025 |
0.5× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,668.75 |
$2,225 |
0.5× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$1,633.12 |
$2,177.50 |
0.1× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$1,639.50 |
$2,186 |
0.5× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$920.25 |
$1,227 |
0.3× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$1,491.75 |
$1,989 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$1,450.50 |
$1,934 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$1,254 |
$1,672 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$1,629 |
$2,172 |
0.5× |
Osteoplasty, lengthening, metacarpal or phalanx Age Under 21 (26568)
likely a partial charge — not the full procedure |
$1,650.75 |
$2,201 |
0.2× |
Osteoplasty, tibia and fibula, lengthening or shortening (27715)
likely a partial charge — not the full procedure |
$1,196.25 |
$1,595 |
0.1× |
Osteotomy talus (28302)
likely a partial charge — not the full procedure |
$1,362.75 |
$1,817 |
0.2× |
Osteotomy tibia (27705)
unusually low — confirm this is the full procedure |
$2,949.75 |
$3,933 |
0.4× |
Osteotomy, clavicle, with or without internal fixation; Age Under 21 (23480)
unusually low — confirm this is the full procedure |
$3,153.75 |
$4,205 |
0.4× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure |
$1,810.12 |
$2,413.50 |
0.1× |
| Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age Under 21 (28312) |
$1,197.75 |
$1,597 |
0.4× |
Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310)
unusually low — confirm this is the full procedure |
$2,442 |
$3,256 |
0.3× |
| Osteotomy; metacarpal, each Age Under 21 (26565) |
$1,333.50 |
$1,778 |
0.4× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$2,442 |
$3,256 |
0.7× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
unusually low — confirm this is the full procedure |
$2,268.75 |
$3,025 |
0.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$129 |
$172 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$57 |
$76 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$31.50 |
$42 |
0.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$2,969.25 |
$3,959 |
0.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,284.75 |
$1,713 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,011.75 |
$1,349 |
0.3× |
| Partial excision bone metacarpal (26230) |
$2,923.50 |
$3,898 |
0.9× |
| Partial excision distal phalanx finger (26236) |
$1,544.25 |
$2,059 |
0.9× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$767.25 |
$1,023 |
0.2× |
| Partical excision bone phalanx toe (28124) |
$685.50 |
$914 |
0.2× |
Percutaneous skeletal fixation of calcaneal fracture, with manipulation Age Under 21 (28406)
likely a partial charge — not the full procedure |
$469.88 |
$626.50 |
0.1× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$1,457.25 |
$1,943 |
0.4× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$1,512 |
$2,016 |
0.5× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Age Under 21 (25671) |
$1,752.75 |
$2,337 |
0.5× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,178.25 |
$5,571 |
0.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$1,252.50 |
$1,670 |
0.4× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Age Under 21 (24566) |
$2,248.50 |
$2,998 |
1.4× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,746 |
$2,328 |
0.5× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$1,219.50 |
$1,626 |
0.4× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
unusually low — confirm this is the full procedure |
$2,911.50 |
$3,882 |
0.4× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21 (28606) |
$4,441.50 |
$5,922 |
1.3× |
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
unusually low — confirm this is the full procedure |
$2,400.75 |
$3,201 |
0.3× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$1,491.75 |
$1,989 |
0.4× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$321 |
$428 |
0.3× |
| Perq dev breast 1st strtctc (19283) |
$223.50 |
$298 |
0.3× |
| Perq device breast 1st imag (19281) |
$195.75 |
$261 |
0.1× |
| Perq drainage pleura insert cath w/imaging (32557) |
$270 |
$360 |
0.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,114.88 |
$1,486.50 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$111.75 |
$149 |
0.4× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$1,697.25 |
$2,263 |
0.2× |
| Phalangectomy, toe, each toe Age Under 21 (28150) |
$1,184.25 |
$1,579 |
0.4× |
| Pin finger fracture each (26756) |
$1,218.75 |
$1,625 |
0.4× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$1,184.25 |
$1,579 |
1.6× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$1,483.50 |
$1,978 |
0.4× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
unusually low — confirm this is the full procedure |
$2,088.75 |
$2,785 |
0.4× |
| Pr resection partial/complete phalangeal base each (28126) |
$1,029.75 |
$1,373 |
0.3× |
| Prineoplasty rpr pr nonobal spx (56810) |
$776.25 |
$1,035 |
0.2× |
| Proctosigmoidoscopy dx (45300) |
$1,089.75 |
$1,453 |
1.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$276.75 |
$369 |
0.2× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur (27495) |
$4,465.50 |
$5,954 |
0.6× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$516.75 |
$689 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$144 |
$192 |
0.3× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$365.25 |
$487 |
0.9× |
| Puncture aspiration of cyst of breast (19000) |
$84 |
$112 |
0.1× |
| Pvb thoracic single injection site w/img gid (64461) |
$826.88 |
$1,102.50 |
1.1× |
Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430)
likely a partial charge — not the full procedure |
$1,738.50 |
$2,318 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,967 |
$3,956 |
1.8× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$2,089.50 |
$2,786 |
0.6× |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420)
unusually low — confirm this is the full procedure |
$2,330.25 |
$3,107 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge — not the full procedure |
$1,866 |
$2,488 |
0.3× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)… (26542) |
$2,738.25 |
$3,651 |
0.8× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
likely a partial charge — not the full procedure |
$1,728.75 |
$2,305 |
0.2× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$5,061.75 |
$6,749 |
1.5× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
unusually low — confirm this is the full procedure |
$2,784.38 |
$3,712.50 |
0.4× |
| Release palm contracture (26040) |
$1,209.75 |
$1,613 |
0.7× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$1,908 |
$2,544 |
1.0× |
| Relieve pressure on nerve(s) (64722) |
$1,766.25 |
$2,355 |
0.9× |
| Removal foreign body foot complicated (28193) |
$1,062 |
$1,416 |
0.6× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$561 |
$748 |
0.8× |
| Removal foreign body mouth (40804) |
$348 |
$464 |
0.4× |
| Removal foreign body shoulder subcutaneous (23330) |
$489 |
$652 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,066.50 |
$1,422 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.75 |
$149 |
1.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$87 |
$116 |
1.4× |
| Removal implant deep (20680) |
$772.88 |
$1,030.50 |
0.3× |
| Removal implant superficial (20670) |
$878.25 |
$1,171 |
0.5× |
| Removal implantable contraceptive capsules (11976) |
$183.75 |
$245 |
0.3× |
| Removal of ankle implant (27704) |
$1,971.75 |
$2,629 |
0.6× |
Removal of appendix using an endoscope (44970)
unusually low — confirm this is the full procedure |
$2,470.50 |
$3,294 |
0.4× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$1,286.25 |
$1,715 |
0.8× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,228.50 |
$1,638 |
1.0× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$628.50 |
$838 |
0.2× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$1,533.75 |
$2,045 |
0.5× |
| Removal of forearm bone at elbow joint (24130) |
$1,052.25 |
$1,403 |
0.3× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$764.25 |
$1,019 |
0.5× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$493.50 |
$658 |
0.3× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,434.75 |
$1,913 |
0.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$84.75 |
$113 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$122.25 |
$163 |
0.3× |
| Removal of foreign body, foot; deep (28192) |
$1,091.25 |
$1,455 |
0.6× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$997.88 |
$1,330.50 |
0.3× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$1,365.75 |
$1,821 |
0.5× |
| Removal of heel spur (28119) |
$1,795.50 |
$2,394 |
0.5× |
| Removal of iud (58301) |
$131.25 |
$175 |
0.4× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$2,255.25 |
$3,007 |
0.8× |
| Removal of nail bed (11750) |
$226.12 |
$301.50 |
0.5× |
Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee (27488)
likely a partial charge — not the full procedure |
$1,476.38 |
$1,968.50 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$101.25 |
$135 |
0.5× |
Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225)
unusually low — confirm this is the full procedure |
$2,062.88 |
$2,750.50 |
0.3× |
| Removal tunneled cv cath (36590) |
$834.75 |
$1,113 |
0.5× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$204 |
$272 |
0.4× |
| Removal, non-biodegradable drug delivery implant (11982) |
$146.25 |
$195 |
0.3× |
| Removal/revision of cast (29700) |
$197.25 |
$263 |
0.7× |
| Remove eyelid foreign body (67938) |
$339 |
$452 |
1.0× |
| Remove foreign body from eye (65210) |
$107.25 |
$143 |
0.2× |
| Remove hip foreign body (27086) |
$492.75 |
$657 |
0.2× |
| Remove pharynx foreign body (42809) |
$364.50 |
$486 |
0.8× |
Repair achilles tendon (27650)
unusually low — confirm this is the full procedure |
$2,658 |
$3,544 |
0.4× |
| Repair blood vessel upper ext (35206) |
$5,456.25 |
$7,275 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$722.25 |
$963 |
1.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$698.25 |
$931 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$615 |
$820 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$850.50 |
$1,134 |
1.1× |
| Repair elbow deb/attch open (24359) |
$1,290 |
$1,720 |
0.4× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,972.50 |
$2,630 |
1.2× |
| Repair fibula nonunion/malunion w int fixation (27726) |
$3,984 |
$5,312 |
0.5× |
| Repair finger tendon (26418) |
$1,974.75 |
$2,633 |
1.2× |
| Repair finger/hand tendon (26350) |
$2,660.25 |
$3,547 |
0.8× |
| Repair forearm tendon/muscle (25260) |
$2,482.50 |
$3,310 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$3,009.75 |
$4,013 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$1,117.50 |
$1,490 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$333.75 |
$445 |
0.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$588.75 |
$785 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$649.50 |
$866 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$884.25 |
$1,179 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$793.50 |
$1,058 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$432 |
$576 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$579 |
$772 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$630.75 |
$841 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$423.75 |
$565 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$561 |
$748 |
1.4× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$831.75 |
$1,109 |
1.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$635.25 |
$847 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,134.75 |
$1,513 |
2.7× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$889.50 |
$1,186 |
2.1× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$971.25 |
$1,295 |
0.5× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$579 |
$772 |
1.1× |
| Repair of digit nerve (64831) |
$6,143.25 |
$8,191 |
3.1× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$1,860.75 |
$2,481 |
0.6× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$453 |
$604 |
1.0× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$615 |
$820 |
2.5× |
| Repair of leg tendon each (27658) |
$1,610.25 |
$2,147 |
0.5× |
| Repair of nail bed (11760) |
$220.50 |
$294 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405)
likely a partial charge — not the full procedure |
$2,120.25 |
$2,827 |
0.3× |
| Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) (27724) |
$4,977.75 |
$6,637 |
0.7× |
| Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21 (27720) |
$3,855 |
$5,140 |
0.5× |
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440)
unusually low — confirm this is the full procedure |
$2,874.75 |
$3,833 |
0.4× |
| Repair of rectocele (separate procedure) Age Under 21 (45560) |
$1,979.25 |
$2,639 |
0.7× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410)
likely a partial charge — not the full procedure |
$1,980.75 |
$2,641 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
likely a partial charge — not the full procedure |
$2,075.62 |
$2,767.50 |
0.3× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$476.25 |
$635 |
0.7× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$2,719.50 |
$3,626 |
0.8× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$3,426.75 |
$4,569 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521) |
$3,519 |
$4,692 |
0.5× |
| Repair tongue lacer,post 1/3 (41251) |
$537.75 |
$717 |
2.2× |
| Repair vagina/perineum (57210) |
$793.50 |
$1,058 |
0.2× |
| Repair wrist joints (25447) |
$1,632 |
$2,176 |
0.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$421.50 |
$562 |
0.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$660.75 |
$881 |
0.9× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$685.50 |
$914 |
1.7× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$596.25 |
$795 |
0.8× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$1,377.38 |
$1,836.50 |
0.4× |
Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664)
likely a partial charge — not the full procedure |
$1,496.25 |
$1,995 |
0.2× |
| Repair, fascial defect of leg Age Under 21 (27656) |
$1,421.25 |
$1,895 |
0.4× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,029.75 |
$1,373 |
0.5× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$5,112 |
$6,816 |
0.7× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322)
likely a partial charge — not the full procedure |
$1,221.38 |
$1,628.50 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure |
$2,179.50 |
$2,906 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405)
likely a partial charge — not the full procedure |
$1,518 |
$2,024 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Age Under 21 (27409)
unusually low — confirm this is the full procedure |
$2,292.75 |
$3,057 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407)
likely a partial charge — not the full procedure |
$898.20 |
$1,197.60 |
0.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698)
likely a partial charge — not the full procedure |
$1,834.88 |
$2,446.50 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25272) |
$2,273.25 |
$3,031 |
0.7× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
likely a partial charge — not the full procedure |
$1,467.38 |
$1,956.50 |
0.2× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$1,064.25 |
$1,419 |
0.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$1,376.25 |
$1,835 |
0.4× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28202)
likely a partial charge — not the full procedure |
$1,018.88 |
$1,358.50 |
0.1× |
Repair/graft achilles tendon (27652)
unusually low — confirm this is the full procedure |
$3,093 |
$4,124 |
0.4× |
| Replace picvad cath (36585) |
$3,004.88 |
$4,006.50 |
0.9× |
| Replace tunneled cv cath (36582) |
$538.50 |
$718 |
0.2× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$1,550.25 |
$2,067 |
0.5× |
Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through… (36583)
likely a partial charge — not the full procedure |
$612 |
$816 |
0.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,488.38 |
$1,984.50 |
0.4× |
| Resection of elbow joint (arthrectomy) Age Under 21 (24155) |
$1,942.50 |
$2,590 |
0.6× |
| Reset dislocated jaw (21480) |
$347.25 |
$463 |
1.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge — not the full procedure |
$2,838 |
$3,784 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$1,766.25 |
$2,355 |
0.9× |
| Revise ulnar nerve at wrist (64719) |
$3,211.50 |
$4,282 |
1.6× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) (44314) |
$1,900.50 |
$2,534 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
unusually low — confirm this is the full procedure |
$6,321 |
$8,428 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
likely a partial charge — not the full procedure |
$1,787.25 |
$2,383 |
0.1× |
Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473)
likely a partial charge — not the full procedure |
$1,644.75 |
$2,193 |
0.1× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$616.50 |
$822 |
1.1× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$138.75 |
$185 |
1.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$150.75 |
$201 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,023 |
$1,364 |
0.3× |
| Rmvl of access device (36589) |
$699 |
$932 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$718.50 |
$958 |
0.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,947.38 |
$2,596.50 |
0.6× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge — not the full procedure |
$1,095.75 |
$1,461 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$842.25 |
$1,123 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge — not the full procedure |
$672 |
$896 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$628.50 |
$838 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$903 |
$1,204 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$805.50 |
$1,074 |
1.1× |
Rpr non-union mtcrpl/phalanx (26546)
likely a partial charge — not the full procedure |
$1,683.38 |
$2,244.50 |
0.2× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$1,205.25 |
$1,607 |
0.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$2,127 |
$2,836 |
0.6× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,582.50 |
$2,110 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$116.25 |
$155 |
0.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$138.75 |
$185 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$132.75 |
$177 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$192 |
$256 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$156 |
$208 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$153 |
$204 |
0.7× |
| Sigmoidoscopy & polypectomy (45333) |
$178.50 |
$238 |
0.2× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
unusually low — confirm this is the full procedure |
$2,682.75 |
$3,577 |
0.4× |
| Simple partial removal of external female genitals (56620) |
$767.25 |
$1,023 |
0.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$165.75 |
$221 |
0.8× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$237.38 |
$316.50 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$223.50 |
$298 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$282 |
$376 |
1.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$515.25 |
$687 |
2.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$201 |
$268 |
1.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$429.75 |
$573 |
2.1× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$300 |
$400 |
0.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$382.50 |
$510 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$219 |
$292 |
1.1× |
| Slitting of prepuce (54001) |
$453 |
$604 |
0.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$233.25 |
$311 |
1.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$284.25 |
$379 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$348 |
$464 |
0.8× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$1,000.50 |
$1,334 |
0.4× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$1,365 |
$1,820 |
0.4× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,419.75 |
$1,893 |
0.7× |
| Strapping ankle (29540) |
$52.50 |
$70 |
0.3× |
| Strapping elbow or wrist (29260) |
$197.25 |
$263 |
3.3× |
| Strapping hand/finger (29280) |
$61.50 |
$82 |
1.0× |
| Strapping of chest (29200) |
$56.25 |
$75 |
0.3× |
| Strapping of knee (29530) |
$56.25 |
$75 |
0.4× |
| Strapping of shoulder (29240) |
$146.25 |
$195 |
1.1× |
| Strapping of toes (29550) |
$33.75 |
$45 |
0.6× |
| Strapping unna boot (29580) |
$176.06 |
$234.75 |
1.1× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$184.50 |
$246 |
0.2× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$432.75 |
$577 |
0.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$1,594.50 |
$2,126 |
0.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$2,058.75 |
$2,745 |
0.7× |
Suture closure of vagina and vaginal opening (57120)
likely a partial charge — not the full procedure |
$1,228.50 |
$1,638 |
0.2× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$6,143.25 |
$8,191 |
1.8× |
| Suture of 1 nerve; median motor thenar Age Under 21 (64835) |
$3,378.75 |
$4,505 |
1.0× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure |
$1,262.25 |
$1,683 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385)
likely a partial charge — not the full procedure |
$1,459.88 |
$1,946.50 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386)
likely a partial charge — not the full procedure |
$1,827.38 |
$2,436.50 |
0.2× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$3,395.25 |
$4,527 |
0.9× |
| Synovectomy, carpometacarpal joint Age Under 21 (26130) |
$1,796.25 |
$2,395 |
0.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$582.75 |
$777 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$116.25 |
$155 |
0.3× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924)
likely a partial charge — not the full procedure |
$948.75 |
$1,265 |
0.1× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$1,576.50 |
$2,102 |
0.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,010.50 |
$4,014 |
1.8× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$2,004.75 |
$2,673 |
0.6× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$1,586.25 |
$2,115 |
0.5× |
| Tenotomy percutaneous single each digit (26060) |
$963 |
$1,284 |
0.6× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$1,862.25 |
$2,483 |
0.6× |
| Tenotomy, flexor, finger, open, each tendon Age Under 21 (26455) |
$1,332 |
$1,776 |
0.8× |
| Tenotomy, flexor, palm, open, each tendon Age Under 21 (26450) |
$2,923.50 |
$3,898 |
0.9× |
| Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25290) |
$1,804.50 |
$2,406 |
0.5× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Age Under 21 (27391) |
$1,737.75 |
$2,317 |
0.5× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Age Under 21 (27606) |
$1,392.75 |
$1,857 |
0.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$817.88 |
$1,090.50 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$606 |
$808 |
0.2× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$1,223.25 |
$1,631 |
0.4× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
likely a partial charge — not the full procedure |
$1,117.50 |
$1,490 |
0.2× |
Total knee arthroplasty (27447)
unusually low — confirm this is the full procedure |
$4,053.75 |
$5,405 |
0.3× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$985.50 |
$1,314 |
4.1× |
| Transfusion, blood or blood components (36430) |
$601.50 |
$802 |
1.3× |
| Transplant hand tendon (26480) |
$1,360.50 |
$1,814 |
0.4× |
| Treat big toe fracture (28495) |
$436.50 |
$582 |
1.7× |
Treat elbow fracture (24586)
likely a partial charge — not the full procedure |
$2,094.75 |
$2,793 |
0.2× |
| Treat finger dislocation (26775) |
$966.75 |
$1,289 |
3.4× |
| Treat fx distal radial (25606) |
$2,121 |
$2,828 |
0.6× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$1,349.25 |
$1,799 |
0.2× |
| Treat humerus fracture (24577) |
$1,508.25 |
$2,011 |
0.9× |
| Treat knee fracture (27532) |
$2,148.75 |
$2,865 |
0.6× |
| Treat lower leg fracture (27825) |
$1,455.75 |
$1,941 |
0.9× |
Treat radius fracture (24665)
likely a partial charge — not the full procedure |
$1,189.50 |
$1,586 |
0.2× |
| Treat tail bone fracture (27200) |
$319.50 |
$426 |
1.3× |
| Treat thumb fracture (26645) |
$1,065 |
$1,420 |
0.6× |
| Treat toe dislocation (28630) |
$263.25 |
$351 |
1.0× |
| Treat ulnar fracture (24675) |
$1,227 |
$1,636 |
0.7× |
| Treat wrist dislocation (25675) |
$1,252.50 |
$1,670 |
5.0× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,395.75 |
$1,861 |
0.8× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
likely a partial charge — not the full procedure |
$1,636.50 |
$2,182 |
0.2× |
Treatment of ankle fracture (27822)
unusually low — confirm this is the full procedure |
$3,467.25 |
$4,623 |
0.5× |
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure |
$942.75 |
$1,257 |
0.1× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$1,624.88 |
$2,166.50 |
0.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$991.50 |
$1,322 |
3.9× |
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516)
likely a partial charge — not the full procedure |
$1,687.50 |
$2,250 |
0.1× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
unusually low — confirm this is the full procedure |
$2,911.50 |
$3,882 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low — confirm this is the full procedure |
$2,524.50 |
$3,366 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$1,593 |
$2,124 |
0.5× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$701.25 |
$935 |
2.8× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,065 |
$1,420 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$702 |
$936 |
2.8× |
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
likely a partial charge — not the full procedure |
$1,985.25 |
$2,647 |
0.2× |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236)
unusually low — confirm this is the full procedure |
$2,612.25 |
$3,483 |
0.4× |
| Trimming of nondystrophic nails, any number (11719) |
$15.75 |
$21 |
0.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$492.75 |
$657 |
0.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) |
$2,156.25 |
$2,875 |
0.6× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low — confirm this is the full procedure |
$1,967.25 |
$2,623 |
0.3× |
| Unlisted procedure rectum (45999) |
$689.25 |
$919 |
0.7× |
| Unlisted procedure shoulder (23929) |
$255.75 |
$341 |
1.0× |
| Unlisted procedure, hands or fingers (26989) |
$247.12 |
$329.50 |
1.0× |
| Upper arm/elbow surgery unlisted (24999) |
$255.75 |
$341 |
1.0× |
| Vaginal delivery (59409) |
$2,382.75 |
$3,177 |
0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260) |
$3,562.50 |
$4,750 |
0.7× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262)
unusually low — confirm this is the full procedure |
$1,853.25 |
$2,471 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263)
unusually low — confirm this is the full procedure |
$1,986 |
$2,648 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; (58290) |
$3,823.50 |
$5,098 |
0.5× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291) |
$3,909.75 |
$5,213 |
0.8× |
Vasc embolize/occlude bleed (37244)
likely a partial charge — not the full procedure |
$1,979.25 |
$2,639 |
0.2× |
| Vasectomy (55250) |
$452.25 |
$603 |
0.2× |
| Vbac delivery only (59612) |
$2,758.50 |
$3,678 |
0.8× |
| Venipuncture (36415) |
$22.50 |
$30 |
2.4× |
| Version cephalic external (59412) |
$201 |
$268 |
0.1× |
| Wedge excision skin nail fold (11765) |
$235.50 |
$314 |
0.6× |
| Wedging of cast (29740) |
$197.25 |
$263 |
0.7× |
| Windowing of cast (29730) |
$197.25 |
$263 |
1.2× |