| Abd paracentesis w/imaging (49083) |
$335.25 |
$447 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$760.50 |
$1,014 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$2,415.75 |
$3,221 |
0.7× |
| Adding Walker Previously Applied Cast (29440) |
$197.25 |
$263 |
1.2× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,396.50 |
$1,862 |
0.7× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$2,060.25 |
$2,747 |
0.6× |
| Amputate Thigh,Re-Amputatn (27596) |
$2,853.75 |
$3,805 |
0.9× |
| Amputation Finger/Thumb (26951) |
$3,010.50 |
$4,014 |
0.9× |
| Amputation Foot Midtarsal (28800) |
$1,221 |
$1,628 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$886.50 |
$1,182 |
0.3× |
| Amputation of finger/thumb (26952) |
$2,342.25 |
$3,123 |
0.7× |
| Amputation thigh through femur any level (27590) |
$3,127.50 |
$4,170 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$2,066.25 |
$2,755 |
0.6× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,756.75 |
$5,009 |
1.1× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,697.25 |
$2,263 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,830.50 |
$3,774 |
0.8× |
| Ankle arthroscopy/surgery (29894) |
$410.02 |
$546.70 |
0.1× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$700.50 |
$934 |
0.2× |
| Ankle scope,part synovectomy (29895) |
$467.36 |
$623.15 |
0.1× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$90.75 |
$121 |
0.0× |
| Anoscopy diagnostic (46600) |
$120 |
$160 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$248.25 |
$331 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,281 |
$5,708 |
1.5× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (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× |
| Appendectomy (44950) |
$4,778.25 |
$6,371 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$140.62 |
$187.50 |
0.8× |
| Application cast elbow finger short arm (29075) |
$180 |
$240 |
0.6× |
| Application Cast Finger (29086) |
$197.25 |
$263 |
1.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$197.25 |
$263 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$199.50 |
$266 |
0.7× |
| Application finger splint static (29130) |
$87 |
$116 |
0.6× |
| Application Hip Spica Cast 1 Leg (29305) |
$632.25 |
$843 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$191.25 |
$255 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$147.75 |
$197 |
0.9× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) likely a partial charge, not the full procedure |
$1,559.25 |
$2,079 |
0.2× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$714.75 |
$953 |
2.5× |
| Application of long leg cast (29345) |
$211.12 |
$281.50 |
0.7× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$142.50 |
$190 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$191.25 |
$255 |
1.4× |
| Application short leg splint calf foot (29515) |
$144.75 |
$193 |
0.9× |
| Apply of clubfoot cast (29450) |
$439.50 |
$586 |
2.6× |
| Apply short leg cast (29405) |
$180.38 |
$240.50 |
0.6× |
| Apply short leg cast (29425) |
$294 |
$392 |
1.0× |
| Arterial puncture (36600) |
$194.25 |
$259 |
1.4× |
| 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× |
Arthrodesis ankle open (27870) unusually low: confirm this is the full procedure |
$4,046.25 |
$5,395 |
0.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$3,756.75 |
$5,009 |
0.5× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) likely a partial charge, not the full procedure |
$3,530.62 |
$4,707.50 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,053.75 |
$5,405 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (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 (29888) unusually low: confirm this is the full procedure |
$3,299.25 |
$4,399 |
0.4× |
| Arthroscopy ankle; ext debridem (29898) |
$1,065.75 |
$1,421 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,795.88 |
$2,394.50 |
0.5× |
| Arthroscopy of joint (29999) |
$666.19 |
$888.25 |
2.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$513.56 |
$684.75 |
0.2× |
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) unusually low: confirm this is the full procedure |
$2,913 |
$3,884 |
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 or multiple drilling or microfracture (29879) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (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 (29874) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,784 |
$3,712 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,061.75 |
$6,749 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,061.75 |
$6,749 |
1.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,784.38 |
$3,712.50 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,977 |
$2,636 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,983.38 |
$2,644.50 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,784 |
$3,712 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$5,062.50 |
$6,750 |
1.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,152.75 |
$1,537 |
0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$3,307.50 |
$4,410 |
1.0× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) unusually low: confirm this is the full procedure |
$2,846.25 |
$3,795 |
0.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,032.25 |
$4,043 |
0.9× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,784.38 |
$3,712.50 |
0.4× |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
$2,028.75 |
$2,705 |
0.6× |
| Arthrotomy with biopsy; carpometacarpal joint, each (26100) |
$1,143 |
$1,524 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$2,168.25 |
$2,891 |
0.6× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$450.38 |
$600.50 |
0.1× |
| 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× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$81 |
$108 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$900 |
$1,200 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$161.25 |
$215 |
0.8× |
| Axillary lymphadenectomy; complete (38745) |
$3,267 |
$4,356 |
0.5× |
| Biopsy Bone Open Deep (20245) |
$1,781.25 |
$2,375 |
0.6× |
| Biopsy bone open superficial (20240) |
$207 |
$276 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,511.25 |
$2,015 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$966 |
$1,288 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$177.75 |
$237 |
0.2× |
| Biopsy finger joint lining (26110) |
$1,155.75 |
$1,541 |
0.7× |
| Biopsy muscle deep (20205) |
$599.25 |
$799 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$262.50 |
$350 |
0.2× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$1,334.25 |
$1,779 |
0.4× |
| Biopsy of lip (40490) |
$138.75 |
$185 |
0.6× |
| Biopsy of mouth lesion (40808) |
$326.25 |
$435 |
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 Back/Flank Deep (21925) |
$1,196.25 |
$1,595 |
0.7× |
| 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 Thigh/Knee Area Deep (27324) |
$1,458.75 |
$1,945 |
0.5× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$791.25 |
$1,055 |
0.5× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$297 |
$396 |
0.2× |
| Bladder Irrigation Simple (51700) |
$60 |
$80 |
0.2× |
| Bladder Scan (51798) |
$70.50 |
$94 |
1.2× |
| Blood patch (62273) |
$670.50 |
$894 |
0.9× |
| Blood transfusion service (36430) |
$601.50 |
$802 |
1.3× |
Bone graft, any donor area; major or large (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) (20900) likely a partial charge, not the full procedure |
$729.38 |
$972.50 |
0.1× |
| Bone marrow aspiration only (38220) |
$134.25 |
$179 |
0.1× |
| Bone Marrow Biopsy (38221) |
$140.25 |
$187 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,833.75 |
$2,445 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$250.50 |
$334 |
0.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$930.38 |
$1,240.50 |
0.6× |
| Bx anorectal wall anal approach (45100) |
$966 |
$1,288 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$306 |
$408 |
0.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,018.88 |
$1,358.50 |
0.6× |
| Bx vulva/perineum 1 lesion (56605) |
$117 |
$156 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$168.75 |
$225 |
0.1× |
| Canthotomy Separate Procedure (67715) |
$1,083.38 |
$1,444.50 |
0.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,173.75 |
$1,565 |
0.4× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$296.25 |
$395 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$342.75 |
$457 |
1.3× |
| Chemical Cautery 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× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$83.62 |
$111.50 |
0.6× |
Chromotubation of oviduct, including materials (58350) likely a partial charge, not the full procedure |
$192.75 |
$257 |
0.0× |
| Circum 28 days or older (54161) |
$932.25 |
$1,243 |
0.4× |
| Circumcision (54150) |
$539.62 |
$719.50 |
0.3× |
| Claviculectomy; partial (23120) |
$1,236.75 |
$1,649 |
0.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,057.50 |
$1,410 |
0.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$528.75 |
$705 |
2.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,116 |
$1,488 |
4.4× |
| Closed Rx Med Malleolus Fx (27760) |
$903 |
$1,204 |
3.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,543.50 |
$2,058 |
0.9× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,323.75 |
$1,765 |
0.8× |
| Closed rx prox/neck femur fx,manip (27232) |
$2,549.25 |
$3,399 |
1.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,584 |
$2,112 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$742.50 |
$990 |
2.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,772.25 |
$2,363 |
1.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,255.50 |
$1,674 |
0.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$701.25 |
$935 |
2.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$394.50 |
$526 |
1.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$351 |
$468 |
1.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,226 |
$2,968 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$953.25 |
$1,271 |
3.8× |
| Closed Treat Vert Body Fract (22310) |
$594 |
$792 |
2.4× |
| Closed treat wrist dislocation (25660) |
$1,274.25 |
$1,699 |
5.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$319.50 |
$426 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$185.25 |
$247 |
0.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,252.50 |
$1,670 |
5.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$918.75 |
$1,225 |
3.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$920.25 |
$1,227 |
3.7× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$579 |
$772 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$272.25 |
$363 |
1.1× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$589.50 |
$786 |
2.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$2,223.75 |
$2,965 |
8.8× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,305.75 |
$1,741 |
0.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$840.75 |
$1,121 |
3.3× |
| Closed Treatment Sternum Fracture (21820) |
$540.75 |
$721 |
2.1× |
| Closed Treatment 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 Manip (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 calcaneal fracture w/o manipulation (28400) |
$810 |
$1,080 |
3.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,415.25 |
$1,887 |
5.6× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,854 |
$2,472 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,427.25 |
$1,903 |
5.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$600.75 |
$801 |
2.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,701 |
$2,268 |
1.0× |
| 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 patellar fracture w/o manipulation (27520) |
$976.50 |
$1,302 |
3.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,174.50 |
$1,566 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$749.25 |
$999 |
3.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,518 |
$2,024 |
0.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$675 |
$900 |
2.7× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$915.75 |
$1,221 |
0.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,064.25 |
$1,419 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$347.25 |
$463 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,227 |
$1,636 |
0.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$780.75 |
$1,041 |
3.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$755.25 |
$1,007 |
3.0× |
| 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× |
Closure of vagina (57120) likely a partial charge, not the full procedure |
$1,228.50 |
$1,638 |
0.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$659.25 |
$879 |
2.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,040.25 |
$1,387 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$460.50 |
$614 |
1.8× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$546 |
$728 |
1.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$1,534.50 |
$2,046 |
6.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,191 |
$1,588 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$855 |
$1,140 |
3.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,671 |
$2,228 |
6.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,611.75 |
$2,149 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$660.75 |
$881 |
2.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$933 |
$1,244 |
3.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$765.75 |
$1,021 |
3.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,414.50 |
$1,886 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,135.50 |
$1,514 |
4.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$846 |
$1,128 |
3.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$804.75 |
$1,073 |
3.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$549 |
$732 |
2.2× |
| 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/manj (27510) |
$2,004 |
$2,672 |
1.2× |
| 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/O Manj (27230) |
$1,596 |
$2,128 |
6.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,237.25 |
$2,983 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$436.50 |
$582 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$414.75 |
$553 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$419.25 |
$559 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$350.25 |
$467 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,455.75 |
$1,941 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$897 |
$1,196 |
3.6× |
| Cltx greater trochanteric fx w/o manj (27246) |
$777 |
$1,036 |
3.1× |
| 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 inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,572 |
$2,096 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$381.75 |
$509 |
1.3× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,218.25 |
$4,291 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$444.30 |
$592.40 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$882.75 |
$1,177 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$827.25 |
$1,103 |
3.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,128.75 |
$1,505 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$906 |
$1,208 |
3.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$390.75 |
$521 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$263.25 |
$351 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$894 |
$1,192 |
3.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$546 |
$728 |
2.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,716 |
$2,288 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,191 |
$1,588 |
4.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,173.75 |
$1,565 |
0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$828 |
$1,104 |
3.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,430.25 |
$1,907 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$270.38 |
$360.50 |
1.1× |
| 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/manj (27503) |
$2,359.50 |
$3,146 |
1.4× |
| 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 (27752) |
$1,999.50 |
$2,666 |
1.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,068.75 |
$1,425 |
4.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,281.75 |
$1,709 |
0.8× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,554.50 |
$3,406 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,337.25 |
$1,783 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,641 |
$2,188 |
1.7× |
| Colonoscopy w/ablation (45388) |
$1,641 |
$2,188 |
1.3× |
Colonoscopy w/stent plcmt (45389) likely a partial charge, not the full procedure |
$425.63 |
$567.50 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) likely a partial charge, not the full procedure |
$1,398 |
$1,864 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$264.75 |
$353 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$179.25 |
$239 |
0.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$362.25 |
$483 |
0.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$240 |
$320 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$492.75 |
$657 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,355.25 |
$1,807 |
1.1× |
| Complete replacement picc rs&i (36584) |
$1,184.25 |
$1,579 |
0.7× |
| Complex Drainage, Wound (10180) |
$680.25 |
$907 |
0.2× |
| Conization of cervix (57520) |
$1,550.25 |
$2,067 |
0.5× |
| Conization of cervix (57522) |
$344.25 |
$459 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$229.50 |
$306 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$231.75 |
$309 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (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 Oropharyngeal Hemorrhage Simple (42960) |
$540 |
$720 |
1.0× |
Coracoacromial ligament release, with or without acromioplasty (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 hammertoe (28285) |
$1,269.75 |
$1,693 |
0.4× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$1,265.25 |
$1,687 |
0.2× |
| Correction of bunion (28292) |
$1,418.25 |
$1,891 |
0.4× |
Correction of bunion (28299) likely a partial charge, not the full procedure |
$1,769.62 |
$2,359.50 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,568.62 |
$2,091.50 |
0.5× |
Cricopharyngeal myotomy (43030) unusually low: confirm this is the full procedure |
$2,955 |
$3,940 |
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 w/dil bladder general anesth (52260) |
$411.75 |
$549 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,909.50 |
$2,546 |
0.6× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,220.75 |
$2,961 |
0.7× |
| Dcmprn fasct leg post compartment only (27601) |
$1,469.25 |
$1,959 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$546 |
$728 |
0.8× |
| Debride nail 1-5 (11720) |
$43.50 |
$58 |
0.7× |
| Debride nail 6 or more (11721) |
$47.25 |
$63 |
0.8× |
| Debride skin musc at fx site (11011) |
$564 |
$752 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$179.25 |
$239 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$686.62 |
$915.50 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$669.75 |
$893 |
0.4× |
| Declot vascular device (36593) |
$208.88 |
$278.50 |
0.6× |
| Decompress fingers/hand (26037) |
$1,938.75 |
$2,585 |
0.6× |
Decompression of forearm (24495) unusually low: confirm this is the full procedure |
$2,229 |
$2,972 |
0.3× |
| Decompression of tibia nerve (28035) |
$1,908 |
$2,544 |
1.0× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$1,766.25 |
$2,355 |
0.9× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$1,457.25 |
$1,943 |
0.7× |
| Delivery placenta separate procedure (59414) |
$269.25 |
$359 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,378.12 |
$1,837.50 |
0.7× |
| Destroy internal hemorrhoids (46930) |
$966 |
$1,288 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,170 |
$1,560 |
0.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$189.75 |
$253 |
0.5× |
| Destruction anal lesion(s) (46924) |
$1,464.75 |
$1,953 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$150 |
$200 |
0.7× |
| 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 by neurolytic agent; other peripheral nerve or branch (64640) |
$624.75 |
$833 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$426.75 |
$569 |
0.2× |
| 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 premalignant lesion 1st (17000) |
$75.75 |
$101 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$913.88 |
$1,218.50 |
1.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,205.25 |
$1,607 |
0.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,231.50 |
$1,642 |
1.3× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) unusually low: confirm this is the full procedure |
$2,205 |
$2,940 |
0.4× |
| Division of fallopian tube (58600) |
$1,925.25 |
$2,567 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$249 |
$332 |
0.3× |
| Drain outer ear canal lesion (69020) |
$288.75 |
$385 |
0.4× |
| Drain shoulder bursa (23031) |
$795.75 |
$1,061 |
0.3× |
| Drain shoulder lesion (23030) |
$1,041 |
$1,388 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$268.50 |
$358 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$943.12 |
$1,257.50 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$955.50 |
$1,274 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$439.50 |
$586 |
2.1× |
| Drainage mouth roof lesion (42000) |
$250.50 |
$334 |
1.0× |
| Drainage of bone lesion (26992) |
$2,946 |
$3,928 |
0.9× |
| Drainage of bone lesion (27303) |
$1,315.88 |
$1,754.50 |
0.4× |
| Drainage of eyelid abscess (67700) |
$544.50 |
$726 |
1.7× |
| Drainage of gum lesion (41800) |
$249 |
$332 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$307.50 |
$410 |
0.2× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$1,701.75 |
$2,269 |
1.0× |
| 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× |
| Draw blood off venous device (36591) |
$80.62 |
$107.50 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$380.25 |
$507 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$332.25 |
$443 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$279 |
$372 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$206.25 |
$275 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$291 |
$388 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,231.50 |
$1,642 |
0.6× |
| Egd flexible foreign body removal (43247) |
$364.50 |
$486 |
0.4× |
| Egd guide wire insertion (43248) |
$1,137.75 |
$1,517 |
1.2× |
| Egd place gastrostomy tube (43246) |
$381 |
$508 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$348 |
$464 |
0.2× |
| Egd remove lesion snare (43251) |
$1,305.75 |
$1,741 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$516 |
$688 |
0.3× |
| Electrical stimulation bone healing noninvasive (20974) |
$807.75 |
$1,077 |
8.5× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$541.50 |
$722 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$3,395.25 |
$4,527 |
0.9× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,365.75 |
$1,821 |
0.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,406.25 |
$1,875 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$547.50 |
$730 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,098 |
$1,464 |
1.2× |
| 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× |
| Evacuation of 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 arm/elbow les sc < 3 cm (24075) |
$1,232.25 |
$1,643 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$231 |
$308 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$264.75 |
$353 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$545.25 |
$727 |
0.3× |
| Exc face les sbq 2 cm/> (21012) |
$508.50 |
$678 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$162.75 |
$217 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,143 |
$1,524 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$632.25 |
$843 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$1,473.75 |
$1,965 |
0.9× |
| Exc neck tum deep < 5 cm (21556) |
$1,557.75 |
$2,077 |
0.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$648 |
$864 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$180.75 |
$241 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$177 |
$236 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$195 |
$260 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$223.50 |
$298 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$253.50 |
$338 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$632.25 |
$843 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$374.25 |
$499 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$359.25 |
$479 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$447.75 |
$597 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$576.75 |
$769 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$626.25 |
$835 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$665.25 |
$887 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,297.75 |
$4,397 |
2.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$165.75 |
$221 |
0.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,916.25 |
$2,555 |
1.1× |
| 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 leg/ankle subq <3cm (27618) |
$1,408.50 |
$1,878 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,183.50 |
$1,578 |
0.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,711.50 |
$2,282 |
0.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$832.88 |
$1,110.50 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$571.50 |
$762 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,590 |
$2,120 |
1.0× |
| Excision Breast Lesion (19125) |
$1,530 |
$2,040 |
0.4× |
| Excision Distal Ulna Partial/Complete (25240) |
$1,813.50 |
$2,418 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$510 |
$680 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$241.50 |
$322 |
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 f/e/e/n/l 0.5 cm/< (11640) |
$249.75 |
$333 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$306 |
$408 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$358.50 |
$478 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$556.50 |
$742 |
0.3× |
| 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 benign lesion other than skin tag 0.6-1.0 cm (11441) |
$197.25 |
$263 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$218.25 |
$291 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,520.25 |
$2,027 |
0.9× |
| Excision of hydrocele; unilateral (55040) |
$628.50 |
$838 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$425.25 |
$567 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,496.25 |
$1,995 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$202.50 |
$270 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$144.75 |
$193 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,206.75 |
$1,609 |
0.7× |
| Excision of nail fold toe (11765) |
$235.50 |
$314 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$673.50 |
$898 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$288.75 |
$385 |
0.2× |
| Excision of Umbilicus (49250) |
$2,156.25 |
$2,875 |
0.6× |
| Excision olecranon bursa (24105) |
$1,277.25 |
$1,703 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,630.25 |
$3,507 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,163.25 |
$1,551 |
0.4× |
| Excision Prepatellar Bursa (27340) |
$1,533.75 |
$2,045 |
0.5× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,989 |
$2,652 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$427.12 |
$569.50 |
0.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,305.75 |
$1,741 |
0.8× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$513.75 |
$685 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$540.75 |
$721 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$824.25 |
$1,099 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$935.25 |
$1,247 |
0.3× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$912.75 |
$1,217 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,397.25 |
$1,863 |
0.7× |
Expl retroperitoneum w/wo bx spx (49010) unusually low: confirm this is the full procedure |
$2,889 |
$3,852 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,467 |
$1,956 |
0.9× |
| Exploration Of Foot Joint (28020) |
$1,329.75 |
$1,773 |
0.4× |
| Exploration of knee joint (27310) |
$1,557.75 |
$2,077 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$2,243.25 |
$2,991 |
1.3× |
| Exploratory shoulder surgery (23044) |
$2,034 |
$2,712 |
0.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,185 |
$1,580 |
0.4× |
Explore parathyroid glands (60500) unusually low: confirm this is the full procedure |
$2,268.75 |
$3,025 |
0.4× |
| Explore/treat ankle joint (27620) |
$1,891.50 |
$2,522 |
0.6× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,425.75 |
$1,901 |
0.9× |
| External Cephalic Version (59412) |
$201 |
$268 |
0.1× |
| Fasciotomy palmar open partial (26045) |
$1,808.25 |
$2,411 |
0.5× |
| Fasciotomy palmar percutaneous (26040) |
$1,209.75 |
$1,613 |
0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,081 |
$4,108 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$241.12 |
$321.50 |
1.2× |
| Fetal non-stress test (59025) |
$186.75 |
$249 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$586.88 |
$782.50 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$481.50 |
$642 |
1.2× |
| Fitting of diaphragm/cap (57170) |
$93.75 |
$125 |
0.5× |
| Fixation of knee joint (27570) |
$845.25 |
$1,127 |
0.5× |
| Fixation of shoulder (23700) |
$899.25 |
$1,199 |
0.5× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$2,356.50 |
$3,142 |
1.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,568.25 |
$2,091 |
0.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,203 |
$1,604 |
0.6× |
Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$894 |
$1,192 |
0.1× |
Fusion of thumb (26841) unusually low: confirm this is the full procedure |
$2,394.75 |
$3,193 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (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 opn w/o constj gstr tube spx (43830) |
$1,920 |
$2,560 |
1.0× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$903 |
$1,204 |
0.2× |
Hemiarthroplasty Hip Partial (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× |
Hip arthro w/labral repair (29916) unusually low: confirm this is the full procedure |
$3,018.75 |
$4,025 |
0.4× |
Hysteroscopy ablation (58563) unusually low: confirm this is the full procedure |
$2,382.75 |
$3,177 |
0.5× |
| Hysteroscopy biopsy (58558) |
$2,289.75 |
$3,053 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$1,250.25 |
$1,667 |
0.4× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,770 |
$2,360 |
0.5× |
Hysteroscopy, surgical; with removal of leiomyomata (58561) unusually low: confirm this is the full procedure |
$2,382.75 |
$3,177 |
0.5× |
| I&d abscess simple (10060) |
$223.50 |
$298 |
1.1× |
| I&d below fascia foot 1 bursal space (28002) |
$997.50 |
$1,330 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,962.75 |
$2,617 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,001.25 |
$1,335 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,512.75 |
$2,017 |
0.5× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,938.75 |
$2,585 |
0.6× |
| I&d perianal abscess superficial (46050) |
$291.75 |
$389 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$302.25 |
$403 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$733.50 |
$978 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$946.50 |
$1,262 |
0.3× |
| Image Cath Fluid Peri/Retro (49406) |
$2,688.75 |
$3,585 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,078.12 |
$1,437.50 |
0.7× |
| Incise wrist/forearm tendon (25290) |
$1,804.50 |
$2,406 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$534 |
$712 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,572 |
$2,096 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$339.75 |
$453 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$546 |
$728 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$302.25 |
$403 |
0.7× |
| Incision and drainage of abscess of pelvis (57010) |
$919.50 |
$1,226 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$303.75 |
$405 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$351 |
$468 |
1.1× |
| Incision bone cortex foot (28005) |
$1,680 |
$2,240 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$1,605.75 |
$2,141 |
1.0× |
| Incision of lingual frenum (41010) |
$425.85 |
$567.80 |
0.3× |
| Incision of rectal abscess (46040) |
$1,242 |
$1,656 |
1.0× |
Incision of tibia (27705) unusually low: confirm this is the full procedure |
$2,949.75 |
$3,933 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$240.75 |
$321 |
0.9× |
| Incision&drainage bursa foot (28001) |
$516.75 |
$689 |
0.3× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$210.75 |
$281 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$178.50 |
$238 |
0.2× |
| Induced abortion by d&c (59840) |
$443.25 |
$591 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$136.50 |
$182 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$312 |
$416 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$77.25 |
$103 |
0.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$774.75 |
$1,033 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$147 |
$196 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$100.50 |
$134 |
0.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$247.50 |
$330 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$64.50 |
$86 |
0.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$116.25 |
$155 |
0.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$371.25 |
$495 |
0.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$535.88 |
$714.50 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$443.62 |
$591.50 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$893.62 |
$1,191.50 |
1.0× |
| Inject Nerv Blck,Pudendal (64430) |
$107.25 |
$143 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$118.50 |
$158 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$680.62 |
$907.50 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$685.50 |
$914 |
1.0× |
| 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 other peripheral nerve/branch (64450) |
$157.50 |
$210 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$114 |
$152 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$217.88 |
$290.50 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$156 |
$208 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$364.12 |
$485.50 |
1.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (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 Bladder Cath Complex (51703) |
$209.62 |
$279.50 |
1.6× |
| 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 (36556) |
$659.25 |
$879 |
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× |
| Insert picc cath (36569) |
$1,251.38 |
$1,668.50 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$75.75 |
$101 |
0.6× |
| Insert tunneled cv cath (36561) |
$4,724.25 |
$6,299 |
1.5× |
Insert Tunneled Cv Cath With Pump (36563) unusually low: confirm this is the full procedure |
$2,600.25 |
$3,467 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$100.50 |
$134 |
0.7× |
| 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 tun vad req 2 cath 2 sits w/subq port (36566) likely a partial charge, not the full procedure |
$708 |
$944 |
0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,425.75 |
$5,901 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,659.25 |
$4,651 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$1,088.25 |
$1,451 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$422.25 |
$563 |
1.7× |
| Irrigate corpora cavernosa for priapism (54220) |
$376.50 |
$502 |
1.5× |
| Knee arthroscopy/surgery (29883) |
$5,061.75 |
$6,749 |
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× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (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 grams; with removal of tube(s) and/or… (58554) likely a partial charge, not the full procedure |
$3,258 |
$4,344 |
0.3× |
Laparoscopy appendectomy (44970) unusually low: confirm this is the full procedure |
$2,470.50 |
$3,294 |
0.4× |
Laparoscopy biopsy (49321) unusually low: confirm this is the full procedure |
$2,123.25 |
$2,831 |
0.3× |
| Laparoscopy Remove Adnexa (58661) |
$3,250.50 |
$4,334 |
0.5× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) unusually low: confirm this is the full procedure |
$3,910.50 |
$5,214 |
0.4× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$3,879 |
$5,172 |
0.4× |
Laparoscopy tubal block (58671) unusually low: confirm this is the full procedure |
$2,129.25 |
$2,839 |
0.3× |
Laparoscopy Tubal Cautery (58670) unusually low: confirm this is the full procedure |
$2,223.75 |
$2,965 |
0.4× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,105 |
$4,140 |
0.5× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,556.25 |
$6,075 |
0.7× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,829.25 |
$2,439 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) 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; (58572) likely a partial charge, not the full procedure |
$3,258 |
$4,344 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,397 |
$11,196 |
1.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,652.25 |
$2,203 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$840.75 |
$1,121 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,008.75 |
$1,345 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$1,071.75 |
$1,429 |
0.3× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) unusually low: confirm this is the full procedure |
$3,879 |
$5,172 |
0.4× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) unusually low: confirm this is the full procedure |
$2,329.50 |
$3,106 |
0.4× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$3,906.75 |
$5,209 |
0.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,727.50 |
$4,970 |
2.0× |
| Late closure of wound (13160) |
$1,582.50 |
$2,110 |
0.4× |
| Lateral retinacular release open (27425) |
$2,747.25 |
$3,663 |
0.8× |
Lengthen metacarpal/finger (26568) likely a partial charge, not the full procedure |
$1,650.75 |
$2,201 |
0.2× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,797 |
$2,396 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,005.75 |
$1,341 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$900 |
$1,200 |
0.5× |
| Liver Biopsy (47000) |
$712.50 |
$950 |
0.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$395.25 |
$527 |
0.2× |
| Manipulation Ankle Under General Anesthesia (27860) |
$693.75 |
$925 |
0.2× |
| Manipulation finger joint under anes each joint (26340) |
$868.50 |
$1,158 |
0.5× |
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,682.75 |
$3,577 |
0.4× |
| Metatarsectomy (28140) |
$1,758 |
$2,344 |
0.5× |
| Musculoskeletal surgery (20999) |
$750.75 |
$1,001 |
3.0× |
| Myelography Lumbar Injection (62305) |
$871.12 |
$1,161.50 |
1.1× |
| Myelography Lumbar Injection (62304) |
$1,125 |
$1,500 |
1.4× |
| 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× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$319.88 |
$426.50 |
0.7× |
| 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 Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$265.50 |
$354 |
0.3× |
| 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× |
| Obstructive material removal from gi tube (49460) |
$2,129.25 |
$2,839 |
2.3× |
| Occlude fallopian tube(s) (58615) |
$2,289.75 |
$3,053 |
0.7× |
Omntc Epiploectomy Rescj Omentum Spx (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 rx distal radius fx, intra-articular, 2 frag (25608) likely a partial charge, not the full procedure |
$908.62 |
$1,211.50 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,997 |
$3,996 |
0.4× |
Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$1,559.25 |
$2,079 |
0.1× |
Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$2,379.75 |
$3,173 |
0.3× |
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; (23550) likely a partial charge, not the full procedure |
$1,282.88 |
$1,710.50 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,177.50 |
$1,570 |
0.2× |
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 fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) unusually low: confirm this is the full procedure |
$2,612.25 |
$3,483 |
0.4× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$4,175.25 |
$5,567 |
0.6× |
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 shaft fracture with plate/screws, with or without cerclage (24515) likely a partial charge, not the full procedure |
$1,624.88 |
$2,166.50 |
0.1× |
| 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 patellar fracture, with internal fixation and/or patellectomy (27524) unusually low: confirm this is the full procedure |
$2,877.75 |
$3,837 |
0.4× |
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; unicondylar, includes internal fixation (27535) unusually low: confirm this is the full procedure |
$3,369 |
$4,492 |
0.5× |
Open treatment of tibial shaft 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; with fixation of posterior lip (27823) |
$3,939 |
$5,252 |
0.5× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) likely a partial charge, not the full procedure |
$1,223.25 |
$1,631 |
0.2× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$942.75 |
$1,257 |
0.1× |
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 Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,887.75 |
$2,517 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,410 |
$1,880 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) likely a partial charge, not the full procedure |
$1,636.50 |
$2,182 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,533 |
$2,044 |
0.5× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,365 |
$1,820 |
0.1× |
| Open tx interphalangeal joint dislocation (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 of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) unusually low: confirm this is the full procedure |
$2,265 |
$3,020 |
0.3× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) unusually low: confirm this is the full procedure |
$2,250 |
$3,000 |
0.3× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) likely a partial charge, not the full procedure |
$1,633.12 |
$2,177.50 |
0.1× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) likely a partial charge, not the full procedure |
$1,226.25 |
$1,635 |
0.2× |
Optx fem shft fx w/insj imed implt w/wo screw (27506) unusually low: confirm this is the full procedure |
$2,557.88 |
$3,410.50 |
0.3× |
Optx hum fx w/ntrcndylr xtn (24546) likely a partial charge, not the full procedure |
$2,164.50 |
$2,886 |
0.2× |
Optx hum fx wo ntrcndylr xtn (24545) likely a partial charge, not the full procedure |
$741.68 |
$988.90 |
0.1× |
Optx post ankle fx (27769) unusually low: confirm this is the full procedure |
$2,501.25 |
$3,335 |
0.3× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,491.75 |
$1,989 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,450.50 |
$1,934 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,254 |
$1,672 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,629 |
$2,172 |
0.5× |
Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services (27715) likely a partial charge, not the full procedure |
$1,196.25 |
$1,595 |
0.1× |
Osteotomy Clavicle W Bone Graft (23485) likely a partial charge, not the full procedure |
$1,810.12 |
$2,413.50 |
0.1× |
| Osteotomy Metacarpal Each (26565) |
$1,333.50 |
$1,778 |
0.4× |
| Osteotomy Phalanx Finger Each (26567) |
$2,442 |
$3,256 |
0.7× |
Osteotomy Radius Distal Third (25350) likely a partial charge, not the full procedure |
$1,484.62 |
$1,979.50 |
0.2× |
Osteotomy talus (28302) likely a partial charge, not the full procedure |
$1,362.75 |
$1,817 |
0.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,969.25 |
$3,959 |
0.9× |
| Partial excision bone metacarpal (26230) |
$2,923.50 |
$3,898 |
0.9× |
| Partial excision bone talus/calcaneus (28120) |
$1,284.75 |
$1,713 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,544.25 |
$2,059 |
0.9× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,011.75 |
$1,349 |
0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$767.25 |
$1,023 |
0.2× |
| Partial Removal Foot Fascia (28060) |
$1,336.50 |
$1,782 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$685.50 |
$914 |
0.2× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,219.50 |
$1,626 |
0.4× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,178.25 |
$5,571 |
0.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,746 |
$2,328 |
0.5× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$4,441.50 |
$5,922 |
1.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,483.50 |
$1,978 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$776.25 |
$1,035 |
0.2× |
| Peritoneal Lavage (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× |
| Phalangectomy toe each toe (28150) |
$1,184.25 |
$1,579 |
0.4× |
| Pin finger fracture each (26756) |
$1,218.75 |
$1,625 |
0.4× |
| Pin hand dislocation (26676) |
$1,457.25 |
$1,943 |
0.4× |
| Pin radioulnar dislocation (25671) |
$1,752.75 |
$2,337 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$177 |
$236 |
0.4× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$1,392.75 |
$1,857 |
0.4× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) unusually low: confirm this is the full procedure |
$1,967.25 |
$2,623 |
0.3× |
| Proctosigmoidoscopy w/bx (45305) |
$276.75 |
$369 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,089.75 |
$1,453 |
1.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, 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× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$1,252.50 |
$1,670 |
0.4× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) unusually low: confirm this is the full procedure |
$2,911.50 |
$3,882 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$144 |
$192 |
0.3× |
| Puncture Aspiration (10160) |
$365.25 |
$487 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$84 |
$112 |
0.1× |
| Pvb thoracic single inj site (64461) |
$826.88 |
$1,102.50 |
1.1× |
Quadricepsplasty (eg, Bennett or Thompson type) (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× |
| Radical resection of tumor; tibia Other Surgical Services (27645) |
$3,574.50 |
$4,766 |
1.1× |
| Realignment extensor tendon hand each tendon (26437) |
$2,089.50 |
$2,786 |
0.6× |
Reconstr disloc patella w mscl adv (27422) likely a partial charge, not the full procedure |
$1,866 |
$2,488 |
0.3× |
| Reforearm tend/musc,exten,second (25272) |
$2,273.25 |
$3,031 |
0.7× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) likely a partial charge, not the full procedure |
$1,728.75 |
$2,305 |
0.2× |
| Release elbow joint (24006) |
$2,544.75 |
$3,393 |
0.8× |
| Release wrist/forearm tendon (25295) |
$2,004.75 |
$2,673 |
0.6× |
| Removal fb intranasal (30300) |
$271.88 |
$362.50 |
2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,434.75 |
$1,913 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,062 |
$1,416 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,091.25 |
$1,455 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$561 |
$748 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$764.25 |
$1,019 |
0.5× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$997.88 |
$1,330.50 |
0.3× |
| Removal foreign body pharynx (42809) |
$364.50 |
$486 |
0.8× |
| 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 Separate Procedure (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 arm foreign body (24200) |
$493.50 |
$658 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,286.25 |
$1,715 |
0.8× |
Removal of external ear (69120) likely a partial charge, not the full procedure |
$790.50 |
$1,054 |
0.1× |
| Removal of Head of Radius (24130) |
$1,052.25 |
$1,403 |
0.3× |
| Removal of heel bone (28118) |
$920.25 |
$1,227 |
0.3× |
| Removal of heel spur (28119) |
$1,795.50 |
$2,394 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$131.25 |
$175 |
0.4× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) likely a partial charge, not the full procedure |
$1,476.38 |
$1,968.50 |
0.1× |
| Removal of nail bed (11750) |
$226.12 |
$301.50 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$101.25 |
$135 |
0.5× |
| Removal of testis (54520) |
$1,639.50 |
$2,186 |
0.5× |
Removal of tonsils (42825) likely a partial charge, not the full procedure |
$1,117.50 |
$1,490 |
0.2× |
| Removal of tonsils (42826) |
$1,223.25 |
$1,631 |
0.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,365.75 |
$1,821 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$197.25 |
$263 |
0.7× |
Remove & graft wrist lesion (25135) likely a partial charge, not the full procedure |
$1,219.50 |
$1,626 |
0.2× |
| Remove anal fist subq (46270) |
$1,594.50 |
$2,126 |
0.6× |
| Remove by ligat int hem grps (46946) |
$717 |
$956 |
0.3× |
Remove cervix/repair vagina (57555) unusually low: confirm this is the full procedure |
$1,544.25 |
$2,059 |
0.3× |
| Remove drug implant device (11982) |
$146.25 |
$195 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$339 |
$452 |
1.0× |
| Remove femur lesion (27355) |
$1,147.13 |
$1,529.50 |
0.3× |
| Remove foreign body from eye (65210) |
$107.25 |
$143 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$2,255.25 |
$3,007 |
0.8× |
| Remove knee cyst (27347) |
$2,206.50 |
$2,942 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$1,185 |
$1,580 |
0.4× |
| Remove shoulder foreign body (23330) |
$489 |
$652 |
0.3× |
Remove thyroid duct lesion (60280) likely a partial charge, not the full procedure |
$1,438.88 |
$1,918.50 |
0.2× |
| Remove wrist joint cartilage (25107) |
$1,389 |
$1,852 |
0.4× |
| Remove wrist tendon lesion (25111) |
$1,355.25 |
$1,807 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$138.75 |
$185 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$84.75 |
$113 |
0.6× |
Repair achilles tendon (27650) unusually low: confirm this is the full procedure |
$2,658 |
$3,544 |
0.4× |
Repair arm tendon/muscle (24341) likely a partial charge, not the full procedure |
$1,467.38 |
$1,956.50 |
0.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,456.25 |
$7,275 |
1.7× |
Repair collat ankle ligmnt,secondary (27698) likely a partial charge, not the full procedure |
$1,834.88 |
$2,446.50 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$421.50 |
$562 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$660.75 |
$881 |
0.9× |
| 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 (13132) |
$698.25 |
$931 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$685.50 |
$914 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$615 |
$820 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$596.25 |
$795 |
0.8× |
| 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 elbow perc (24357) |
$1,586.25 |
$2,115 |
0.5× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$1,377.38 |
$1,836.50 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,974.75 |
$2,633 |
1.2× |
| Repair finger/hand tendon (26350) |
$2,660.25 |
$3,547 |
0.8× |
| Repair finger/hand tendon (26370) |
$2,719.50 |
$3,626 |
0.8× |
| Repair forearm tendon/muscle (25270) |
$2,127 |
$2,836 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$2,482.50 |
$3,310 |
0.7× |
| Repair hallux rigidus (28289) |
$2,019.75 |
$2,693 |
0.6× |
| Repair hand joint with graft (26542) |
$2,738.25 |
$3,651 |
0.8× |
| Repair hand tendon (26410) |
$1,972.50 |
$2,630 |
1.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,009.75 |
$4,013 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,117.50 |
$1,490 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$884.25 |
$1,179 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$333.75 |
$445 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$588.75 |
$785 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,134.75 |
$1,513 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$635.25 |
$847 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$649.50 |
$866 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$889.50 |
$1,186 |
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 n/h/f/xtrnl gent >30.0 cm (12047) |
$1,029.75 |
$1,373 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$709.50 |
$946 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$423.75 |
$565 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$561 |
$748 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$831.75 |
$1,109 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$605.25 |
$807 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$971.25 |
$1,295 |
0.5× |
Repair kneecap tendon (27380) likely a partial charge, not the full procedure |
$1,262.25 |
$1,683 |
0.2× |
Repair nonunion hand (26546) likely a partial charge, not the full procedure |
$1,683.38 |
$2,244.50 |
0.2× |
Repair nonunion radius/ulna w autogrft (25405) likely a partial charge, not the full procedure |
$2,120.25 |
$2,827 |
0.3× |
Repair of ankle ligament (27695) likely a partial charge, not the full procedure |
$2,179.50 |
$2,906 |
0.3× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$3,984 |
$5,312 |
0.5× |
| Repair Of Foot Tendon (28208) |
$1,064.25 |
$1,419 |
0.3× |
| Repair of hammertoe (28286) |
$1,247.25 |
$1,663 |
0.4× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,521 |
$2,028 |
0.2× |
Repair of knee ligament (27407) likely a partial charge, not the full procedure |
$898.20 |
$1,197.60 |
0.1× |
Repair of knee ligaments (27409) unusually low: confirm this is the full procedure |
$2,292.75 |
$3,057 |
0.3× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$1,496.25 |
$1,995 |
0.2× |
| 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, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$4,977.75 |
$6,637 |
0.7× |
| Repair of rectocele (45560) |
$1,979.25 |
$2,639 |
0.7× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) likely a partial charge, not the full procedure |
$2,075.62 |
$2,767.50 |
0.3× |
Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,330.25 |
$3,107 |
0.3× |
Repair of thigh musc (27385) likely a partial charge, not the full procedure |
$1,459.88 |
$1,946.50 |
0.2× |
| Repair of tibia (27720) |
$3,855 |
$5,140 |
0.5× |
Repair of vagina (57260) unusually low: confirm this is the full procedure |
$1,557.75 |
$2,077 |
0.3× |
Repair rectum & vagina (57250) unusually low: confirm this is the full procedure |
$2,088.75 |
$2,785 |
0.4× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$1,980.75 |
$2,641 |
0.3× |
Repair shldr capsu,ant,coracoid xfer (23462) unusually low: confirm this is the full procedure |
$2,283 |
$3,044 |
0.3× |
| Repair Tongue Laceration (41250) |
$453 |
$604 |
1.0× |
| Repair vagina/perineum (57210) |
$793.50 |
$1,058 |
0.2× |
| Repair wrist joints (25447) |
$1,632 |
$2,176 |
0.5× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$1,860.75 |
$2,481 |
0.6× |
| Repair, fascial defect of leg (27656) |
$1,421.25 |
$1,895 |
0.4× |
| 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, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,518 |
$2,024 |
0.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,376.25 |
$1,835 |
0.4× |
Repair/graft achilles tendon (27652) unusually low: confirm this is the full procedure |
$3,093 |
$4,124 |
0.4× |
Repair/graft flex foot tendon (28202) likely a partial charge, not the full procedure |
$1,018.88 |
$1,358.50 |
0.1× |
Repair/graft wrist bone (25440) unusually low: confirm this is the full procedure |
$2,874.75 |
$3,833 |
0.4× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,488.38 |
$1,984.50 |
0.4× |
| Rerepair ing hernia blocked (49521) |
$3,519 |
$4,692 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$1,205.25 |
$1,607 |
0.3× |
| Resection of elbow joint (arthrectomy) (24155) |
$1,942.50 |
$2,590 |
0.6× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,029.75 |
$1,373 |
0.3× |
Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure |
$1,644.75 |
$2,193 |
0.1× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$2,838 |
$3,784 |
0.2× |
| Revise leg vein (37700) |
$771.75 |
$1,029 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,985.38 |
$3,980.50 |
1.5× |
| 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× |
Revise/implant finger joint (26536) unusually low: confirm this is the full procedure |
$2,429.25 |
$3,239 |
0.3× |
Revision of big toe (28310) unusually low: confirm this is the full procedure |
$2,442 |
$3,256 |
0.3× |
Revision of collar bone (23480) unusually low: confirm this is the full procedure |
$3,153.75 |
$4,205 |
0.4× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$1,900.50 |
$2,534 |
0.5× |
| Revision of toe (28312) |
$1,197.75 |
$1,597 |
0.4× |
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 knee arthroplasty, with or without allograft; one component (27486) unusually low: confirm this is the full procedure |
$6,321 |
$8,428 |
0.5× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$616.50 |
$822 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$348 |
$464 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$122.25 |
$163 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$150.75 |
$201 |
1.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,228.50 |
$1,638 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,023 |
$1,364 |
0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$492.75 |
$657 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$834.75 |
$1,113 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$699 |
$932 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$204 |
$272 |
0.4× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,550.25 |
$2,067 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$718.50 |
$958 |
0.4× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,004.88 |
$4,006.50 |
0.9× |
Rplcmt compl tun ctr vad w/subq pmp (36583) likely a partial charge, not the full procedure |
$612 |
$816 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$538.50 |
$718 |
0.2× |
| 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 Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,234 |
$4,312 |
1.0× |
| 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 Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$537.75 |
$717 |
2.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$615 |
$820 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$579 |
$772 |
1.1× |
Rpr non/malunion metarsal w/wo bone graft (28322) likely a partial charge, not the full procedure |
$1,221.38 |
$1,628.50 |
0.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$476.25 |
$635 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,426.75 |
$4,569 |
1.0× |
| 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× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$116.25 |
$155 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,740.38 |
$2,320.50 |
0.5× |
| Shoulder arthroscopy (29805) |
$5,061.75 |
$6,749 |
1.5× |
| Shoulder joint surgery (23101) |
$2,031 |
$2,708 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$156 |
$208 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$138.75 |
$185 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$153 |
$204 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$572.25 |
$763 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$178.50 |
$238 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$382.50 |
$510 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$165.75 |
$221 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$237.38 |
$316.50 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$300 |
$400 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$223.50 |
$298 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (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/< (12001) |
$201 |
$268 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$429.75 |
$573 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$219 |
$292 |
1.1× |
| Skin pinch graft (15050) |
$1,184.25 |
$1,579 |
1.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,419.75 |
$1,893 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$184.50 |
$246 |
0.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,459.88 |
$1,946.50 |
1.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$389.25 |
$519 |
0.2× |
| Skin tissue rearrangement (14040) |
$1,227.75 |
$1,637 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,365 |
$1,820 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$444 |
$592 |
0.2× |
| Slitting of prepuce (54001) |
$453 |
$604 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$233.25 |
$311 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$284.25 |
$379 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$348 |
$464 |
0.8× |
| Sphincterotomy (46080) |
$1,000.50 |
$1,334 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$698.25 |
$931 |
1.0× |
| Strapping ankle (29540) |
$52.50 |
$70 |
0.3× |
| Strapping elbow/wrist (29260) |
$197.25 |
$263 |
3.3× |
| Strapping hand/finger (29280) |
$61.50 |
$82 |
1.0× |
| Strapping knee (29530) |
$56.25 |
$75 |
0.4× |
| Strapping shoulder (29240) |
$146.25 |
$195 |
1.1× |
| Strapping thorax (29200) |
$56.25 |
$75 |
0.3× |
| Strapping toes (29550) |
$33.75 |
$45 |
0.6× |
| Strapping unna boot (29580) |
$176.06 |
$234.75 |
1.1× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$103.50 |
$138 |
0.2× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) likely a partial charge, not the full procedure |
$1,827.38 |
$2,436.50 |
0.2× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$6,143.25 |
$8,191 |
1.8× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$6,143.25 |
$8,191 |
3.1× |
| Suture of 1 nerve; median motor thenar (64835) |
$3,378.75 |
$4,505 |
1.0× |
| Synovectomy carpometacarpal joint (26130) |
$1,796.25 |
$2,395 |
0.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$582.75 |
$777 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$116.25 |
$155 |
0.3× |
Tendon graft, from a distance (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× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,862.25 |
$2,483 |
0.6× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$2,923.50 |
$3,898 |
0.9× |
| Tenotomy percutaneous single each digit (26060) |
$963 |
$1,284 |
0.6× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$1,332 |
$1,776 |
0.8× |
| Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) |
$1,737.75 |
$2,317 |
0.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$817.88 |
$1,090.50 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$265.50 |
$354 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$1,938 |
$2,584 |
5.7× |
Tibial arthroscopy/surgery (29855) unusually low: confirm this is the full procedure |
$3,028.50 |
$4,038 |
0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$606 |
$808 |
0.2× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$3,991.88 |
$5,322.50 |
0.3× |
Total knee arthroplasty (27447) unusually low: confirm this is the full procedure |
$4,053.75 |
$5,405 |
0.3× |
Total thyroid lobectomy unilateral (60225) unusually low: confirm this is the full procedure |
$2,062.88 |
$2,750.50 |
0.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$985.50 |
$1,314 |
4.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,308 |
$1,744 |
0.8× |
| Transplant hand tendon (26480) |
$1,360.50 |
$1,814 |
0.4× |
Treat clavicle dislocation (23552) likely a partial charge, not the full procedure |
$1,503.38 |
$2,004.50 |
0.2× |
Treat ectopic pregnancy (59151) unusually low: confirm this is the full procedure |
$2,329.50 |
$3,106 |
0.4× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$2,094.75 |
$2,793 |
0.2× |
Treat elbow fracture (24635) likely a partial charge, not the full procedure |
$1,695 |
$2,260 |
0.2× |
| Treat finger dislocation (26775) |
$966.75 |
$1,289 |
3.4× |
| Treat Finger Fracture Each (26727) |
$1,491.75 |
$1,989 |
0.4× |
Treat forearm bone lesion (25035) unusually low: confirm this is the full procedure |
$2,475.75 |
$3,301 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$776.25 |
$1,035 |
3.1× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,711.50 |
$2,282 |
0.2× |
| 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 hand dislocation (26685) |
$1,722 |
$2,296 |
0.5× |
Treat heel fracture (28415) likely a partial charge, not the full procedure |
$2,096.62 |
$2,795.50 |
0.3× |
Treat humerus fracture (23630) likely a partial charge, not the full procedure |
$1,231.50 |
$1,642 |
0.2× |
| Treat humerus fracture (24500) |
$969.75 |
$1,293 |
3.8× |
| Treat humerus fracture (24577) |
$1,508.25 |
$2,011 |
0.9× |
| Treat humerus fracture (24566) |
$2,248.50 |
$2,998 |
1.4× |
| Treat humerus fracture (23600) |
$915 |
$1,220 |
3.6× |
| Treat knee fracture (27532) |
$2,148.75 |
$2,865 |
0.6× |
| Treat knuckle dislocation (26715) |
$1,527.75 |
$2,037 |
0.5× |
Treat lower leg fracture (27828) unusually low: confirm this is the full procedure |
$4,973.25 |
$6,631 |
0.4× |
Treat Lower Leg Fracture (27827) unusually low: confirm this is the full procedure |
$4,366.50 |
$5,822 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$669.75 |
$893 |
2.7× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,189.50 |
$1,586 |
0.2× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,643.25 |
$2,191 |
0.2× |
| Treat thumb fracture (26650) |
$1,512 |
$2,016 |
0.5× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,065 |
$1,420 |
0.6× |
| Treat toe fracture (28525) |
$807 |
$1,076 |
0.2× |
Treat ulnar fracture (24685) likely a partial charge, not the full procedure |
$1,319.62 |
$1,759.50 |
0.2× |
| Treat wrist bone fracture (25622) |
$350.25 |
$467 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$564 |
$752 |
2.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,395.75 |
$1,861 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$991.50 |
$1,322 |
3.9× |
Treatment of ankle fracture (27822) unusually low: confirm this is the full procedure |
$3,467.25 |
$4,623 |
0.5× |
Treatment of ankle fracture (27792) unusually low: confirm this is the full procedure |
$2,316 |
$3,088 |
0.3× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$2,151.75 |
$2,869 |
0.3× |
Treatment of heel fracture (28406) likely a partial charge, not the full procedure |
$469.88 |
$626.50 |
0.1× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) unusually low: confirm this is the full procedure |
$2,911.50 |
$3,882 |
0.4× |
Treatment of intertrochanteric, pertrochanteric, 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 (59821) |
$1,593 |
$2,124 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$702 |
$936 |
2.8× |
Treatment of thigh fracture (27513) unusually low: confirm this is the full procedure |
$4,816.50 |
$6,422 |
0.4× |
Treatment of tibia fracture (27759) likely a partial charge, not the full procedure |
$1,985.25 |
$2,647 |
0.2× |
Treatment of tibia fracture (27756) unusually low: confirm this is the full procedure |
$2,400.75 |
$3,201 |
0.3× |
| Trim skin lesion (11055) |
$31.50 |
$42 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$129 |
$172 |
0.6× |
| Trim skin lesions over 4 (11057) |
$57 |
$76 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$15.75 |
$21 |
0.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,058.75 |
$2,745 |
0.7× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,687.50 |
$2,250 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,385.25 |
$1,847 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,065 |
$1,420 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$492.75 |
$657 |
0.7× |
| Unlisted procedure femur or knee (27599) |
$1,402.50 |
$1,870 |
5.6× |
| Unlisted procedure foot or toes (28899) |
$1,150.50 |
$1,534 |
4.6× |
| Unlisted procedure humerus/elbow (24999) |
$255.75 |
$341 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$806.62 |
$1,075.50 |
2.6× |
| Unlisted Procedure Rectum (45999) |
$689.25 |
$919 |
0.7× |
| Unlisted procedure shoulder (23929) |
$255.75 |
$341 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$274.80 |
$366.40 |
0.3× |
| Unlisted procedure, hands or fingers (26989) |
$247.12 |
$329.50 |
1.0× |
| Unlisted procedure, male genital system (55899) |
$1,042.50 |
$1,390 |
4.1× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$3,909.75 |
$5,213 |
0.8× |
| Vag hyst complex (58290) |
$3,823.50 |
$5,098 |
0.5× |
| Vaginal delivery only (59409) |
$2,382.75 |
$3,177 |
0.7× |
| Vaginal hysterectomy (58260) |
$3,562.50 |
$4,750 |
0.7× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$1,853.25 |
$2,471 |
0.4× |
Vaginal hysterectomy; 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× |
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× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$141 |
$188 |
1.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$118.50 |
$158 |
0.3× |
| Vulvectomy simple partial (56620) |
$767.25 |
$1,023 |
0.2× |
| Wedging of cast (29740) |
$197.25 |
$263 |
0.7× |
| Windowing of cast (29730) |
$197.25 |
$263 |
1.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$432.75 |
$577 |
0.6× |