| Abd paracentesis w/imaging (49083) |
$240 |
$325 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$140.62 |
$210 |
0.2× |
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845)
likely a partial charge, not the full procedure |
$1,128.75 |
$5,492.50 |
0.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$292.50 |
$1,750 |
0.2× |
| Acne Surgery (10040) |
$120 |
$352.50 |
0.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,353.75 |
$5,132.50 |
0.4× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$5,000 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$9,195 |
— |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
— |
$5,000 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,515 |
$4,790 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$5,000 |
— |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
— |
$5,000 |
— |
| Amputation Finger/Thumb (26951) |
$1,410 |
$4,995 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$975 |
$3,972.50 |
0.3× |
| Amputation of finger/thumb (26952) |
$1,488.75 |
$5,592.50 |
0.5× |
| Amputation of penis; partial (54120) |
$1,398.75 |
$5,687.50 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$828.75 |
$4,782.50 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$761.25 |
$3,497.50 |
0.2× |
| Amputation, foot; transmetatarsal (28805) |
$1,638.75 |
$5,187.50 |
0.5× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$2,010 |
$26,060 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,451.25 |
$10,752.50 |
0.4× |
| Analyze infusn pump+reprogram (62368) |
$75 |
$410 |
0.2× |
| Ankle arthroscopy/surgery (29894) |
$1,102.50 |
$5,112.50 |
0.3× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,477.50 |
$5,362.50 |
0.5× |
| Anoscopy diagnostic (46600) |
— |
$120 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$7,250 |
— |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure |
$1,237.50 |
$5,332.50 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,245 |
$4,390 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$48.75 |
$440 |
0.3× |
| Application cast elbow finger short arm (29075) |
$138.75 |
$185 |
0.5× |
| Application Cast Finger (29086) |
— |
$145 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$195 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$185 |
— |
| Application finger splint static (29130) |
$69.38 |
$92.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$97.50 |
$122.50 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$315 |
— |
| Application long leg splint thigh ankle/toes (29505) |
$112.50 |
$145 |
0.7× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$1,083.75 |
$7,110 |
0.1× |
| Application of long leg cast (29345) |
— |
$295 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
$232.50 |
$522.50 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
— |
$145 |
— |
| Application short arm splint forearm-hand static (29125) |
$86.25 |
$112.50 |
0.6× |
| Application short leg splint calf foot (29515) |
$108.75 |
$135 |
0.7× |
| Apply multlay comprs arm/hand (29584) |
— |
$440 |
— |
| Apply short leg cast (29405) |
— |
$155 |
— |
| Arterial puncture (36600) |
$37.50 |
$50 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$78.75 |
$457.50 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$116.25 |
$1,082.50 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$97.50 |
$470 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$142.50 |
$415 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$78.75 |
$457.50 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$735 |
$10,715 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,260 |
$11,065 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,322.50 |
$4,430 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure |
$2,216.25 |
$11,157.50 |
0.3× |
| Arthroscopy ankle; ext debridem (29898) |
$1,275 |
$5,087.50 |
0.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$915 |
$4,840 |
0.3× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,485 |
$5,222.50 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,402.50 |
$3,890 |
0.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,192.50 |
$5,025 |
0.4× |
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866)
unusually low: confirm this is the full procedure |
$2,298.75 |
$11,757.50 |
0.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,110 |
$4,970 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,237.50 |
$5,055 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,556.25 |
$5,267.50 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$2,070 |
$10,625 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,396.25 |
$9,220 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,391.25 |
$5,157.50 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,293.75 |
$5,092.50 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,511.25 |
$5,237.50 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,302.50 |
$10,777.50 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,297.50 |
$5,347.50 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,415 |
$10,855 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$93.75 |
$125 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$333.75 |
$2,467.50 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$123.75 |
$180 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$195 |
$1,857.50 |
0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$3,090 |
— |
| Biopsy Breast Open Incisional (19101) |
$502.50 |
$9,760 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$1,815 |
— |
| Biopsy external auditory canal (69105) |
$123.75 |
$1,362.50 |
0.1× |
| Biopsy external ear (69100) |
$93.75 |
$1,095 |
0.4× |
| Biopsy intranasal (30100) |
$135 |
$2,560 |
0.1× |
| Biopsy Muscle Superficial (20200) |
— |
$2,315 |
— |
| Biopsy Nerve (64795) |
$367.50 |
$2,027.50 |
0.2× |
| Biopsy of floor of mouth (41108) |
$213.75 |
$2,460 |
0.1× |
| Biopsy of lip (40490) |
$165 |
$447.50 |
0.7× |
| Biopsy of mouth lesion (40808) |
$213.75 |
$1,095 |
0.4× |
| Biopsy of ovary(s) (58900) |
— |
$6,445 |
— |
| Biopsy of penis (54100) |
$277.50 |
$4,240 |
0.2× |
| Biopsy of uterus lining (58100) |
— |
$155 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$933.75 |
$3,732.50 |
0.2× |
| Biopsy Oropharynx (42800) |
$247.50 |
$3,565 |
0.2× |
| Biopsy Salivary Gland Incisional (42405) |
$483.75 |
$2,460 |
0.3× |
| Biopsy soft tissue shoulder superficial (23065) |
$348.75 |
$2,550 |
0.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$1,755 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$490 |
— |
| Biopsy/removal lymph nodes (38510) |
$930 |
$5,500 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$775 |
— |
| Bladder Irrigation Simple (51700) |
$71.25 |
$95 |
0.3× |
| Bladder Scan (51798) |
— |
$185 |
— |
| Blood patch (62273) |
$255 |
$340 |
0.4× |
| Blood transfusion service (36430) |
— |
$1,215 |
— |
| Bone Marrow Biopsy (38221) |
$165 |
$497.50 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$495 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,375 |
— |
| Bx breast 1st lesion us imag (19083) |
$348.75 |
$2,550 |
0.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$1,545 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$365 |
— |
| Bx/exc lymph node needle superficial (38505) |
$191.25 |
$2,255 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,835 |
$2,355 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$101.25 |
$155 |
0.4× |
| Chemical Cautery Tissue (17250) |
$71.25 |
$215 |
0.4× |
| Chemical peel facial epidermal (15788) |
$528.75 |
$447.50 |
1.3× |
| Chemical peel nonfacial epidermal (15792) |
— |
$230 |
— |
| Chemodenerv Musc Migraine (64615) |
$273.75 |
$605 |
0.9× |
| Chemodenervation eccrine glands oth area per day (64653) |
$120 |
$362.50 |
0.4× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$90 |
$345 |
0.3× |
| Chest tube placement (32551) |
$348.75 |
$490 |
0.2× |
| Circum 28 days or older (54161) |
$382.50 |
$2,302.50 |
0.2× |
| Circumcision (54150) |
$232.50 |
$2,845 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$735 |
$980 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$965 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$948.75 |
$1,265 |
0.6× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$990 |
$1,305 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,020 |
$1,355 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$558.75 |
$720 |
2.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$870 |
$1,160 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$895 |
— |
| Closed treat wrist dislocation (25660) |
$975 |
$1,300 |
3.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$296.25 |
$395 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,001.25 |
$1,335 |
4.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$975 |
$1,300 |
0.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$82.50 |
$197.50 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$832.50 |
$1,110 |
3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$948.75 |
$1,265 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$663.75 |
$862.50 |
2.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$195 |
$450 |
0.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,387.50 |
$1,850 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,065 |
$1,367.50 |
4.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,072.50 |
$1,430 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$157.50 |
$540 |
0.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,237.50 |
$1,650 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$333.75 |
$445 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,445 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$753.75 |
$1,005 |
3.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$825 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$665 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,001.25 |
$1,322.50 |
0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$641.25 |
$855 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$78.75 |
$105 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$911.25 |
$1,215 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$655 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$620 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$888.75 |
$1,185 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$641.25 |
$830 |
2.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$828.75 |
$1,025 |
3.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$690 |
$920 |
2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$967.50 |
$1,197.50 |
3.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$626.25 |
$820 |
2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$603.75 |
$805 |
2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$697.50 |
$927.50 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,123.12 |
$1,500 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,507.50 |
$2,010 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$1,345 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,672.50 |
$2,230 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$322.50 |
$430 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$101.25 |
$242.50 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$303.75 |
$405 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$255 |
$340 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,083.75 |
$1,445 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$412.50 |
$567.50 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$206.25 |
$275 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$570 |
$760 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$645 |
$842.50 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$765 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$690 |
$920 |
2.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$243.75 |
$325 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$667.50 |
$890 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$408.75 |
$527.50 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$888.75 |
$1,185 |
3.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$780 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$937.50 |
$1,232.50 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$202.50 |
$270 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,083.75 |
$1,435 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$967.50 |
$1,300 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$588.75 |
$1,475 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$356.25 |
$1,295 |
0.3× |
| Colonoscopy thru stoma (44388) |
$348.75 |
$1,247.50 |
0.4× |
| Colonoscopy w/ablation (45388) |
$600 |
$2,002.50 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$260 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$210 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$50 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$260 |
— |
| Colposcopy vulva (56820) |
— |
$155 |
— |
| Colposcopy vulva w/biopsy (56821) |
— |
$210 |
— |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
— |
$260 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$965 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$510 |
$1,267.50 |
0.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$420 |
$1,372.50 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$532.50 |
$1,802.50 |
0.4× |
| Complex Drainage, Wound (10180) |
$386.25 |
$4,442.50 |
0.1× |
| Complex Uroflowmetry (51741) |
$15.75 |
$133 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$153.75 |
$240 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$127.50 |
$215 |
1.0× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$1,170 |
$4,230 |
0.4× |
| Correction hammertoe (28285) |
$751.88 |
$2,060 |
0.2× |
| Correction of bunion (28292) |
$933.75 |
$3,655 |
0.3× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$1,293.75 |
$4,950 |
0.2× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$1,950 |
$7,795 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$993.75 |
$3,695 |
0.3× |
| Create eardrum opening (69436) |
$348.75 |
$1,625 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$206.25 |
$275 |
1.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$303.75 |
$405 |
1.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$292.50 |
$2,977.50 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$386.25 |
$2,112.50 |
0.1× |
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure |
$772.50 |
$4,850 |
0.1× |
| Cysto w/destruction of lesions (52214) |
$416.25 |
$2,967.50 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$480 |
$3,487.50 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$292.50 |
$2,062.50 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$828.75 |
$5,607.50 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$716.25 |
$3,640 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$930 |
$7,445 |
0.2× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$960 |
$7,180 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$907.50 |
$7,147.50 |
0.2× |
| Cystometrogram w/vp (51728) |
$202.50 |
$785 |
0.3× |
| Cystometrogram W/Vp&Up (51729) |
$240 |
$810 |
0.3× |
| Cystoscopy w/biopsy (52204) |
$275.62 |
$2,195 |
0.1× |
| Cystoscopy w/complex removal stone & stent (52315) |
$637.50 |
$3,167.50 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$311.25 |
$2,252.50 |
0.1× |
| Cystoscopy,insert ureteral stent (52332) |
$311.25 |
$3,370 |
0.1× |
| Cystourethroscopy (52000) |
$219.38 |
$845 |
0.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$397.50 |
$2,507.50 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$491.25 |
$2,640 |
0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$615 |
$3,100 |
0.3× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$588.75 |
$2,452.50 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$562.50 |
$3,542.50 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$63.75 |
$85 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$915 |
$4,602.50 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$603.75 |
$805 |
0.9× |
| Debride nail 1-5 (11720) |
$39.38 |
$55 |
0.7× |
| Debride nail 6 or more (11721) |
$60 |
$80 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$112.50 |
$580 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$243.75 |
$465 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$255 |
$1,522.50 |
0.2× |
| Declot vascular device (36593) |
— |
$1,005 |
— |
| Destr penis lesn,simpl,laser surg (54057) |
$210 |
$2,845 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$435 |
$2,007.50 |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$502.50 |
$2,987.50 |
0.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$288.75 |
$600 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$176.25 |
$545 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$146.25 |
$570 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$273.75 |
$1,525 |
0.3× |
| Destruction Lesions Vulva Extensive (56515) |
— |
$4,690 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$4,690 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$273.75 |
$600 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$318.75 |
$600 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$397.50 |
$600 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$461.25 |
$600 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$633.75 |
$600 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$202.50 |
$325 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$255 |
$325 |
1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$285 |
$325 |
1.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$303.75 |
$325 |
0.7× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$352.50 |
$600 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$198.75 |
$325 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$221.25 |
$325 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$243.75 |
$325 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$281.25 |
$325 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$318.75 |
$600 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$390 |
$600 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$150 |
$325 |
0.7× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
— |
$600 |
— |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$226.88 |
$260 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$213.75 |
$325 |
0.5× |
| Destruction of skin lesions (17106) |
— |
$600 |
— |
| Destruction premalignant lesion 1st (17000) |
$116.25 |
$570 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$2,575 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$2,575 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$195 |
$1,057.50 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$123.75 |
$1,270 |
0.1× |
| Dilate urethra stricture (53620) |
$195 |
$260 |
0.3× |
| Dilate Urethra Stricture (53600) |
$121.88 |
$410 |
0.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$172.50 |
$1,042.50 |
0.2× |
| Dilation of cervical canal (57800) |
— |
$4,470 |
— |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$78.75 |
$175 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$262.50 |
$350 |
0.4× |
| Drain outer ear canal lesion (69020) |
$307.50 |
$410 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$93.75 |
$467.50 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$262.50 |
$350 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$262.50 |
$350 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$247.50 |
$355 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$408.75 |
$545 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$303.75 |
$397.50 |
1.5× |
| Drainage mouth roof lesion (42000) |
$228.75 |
$305 |
1.0× |
| Drainage of eyelid abscess (67700) |
$277.50 |
$370 |
0.9× |
| Drainage of gum lesion (41800) |
$333.75 |
$445 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$268.12 |
$2,840 |
0.2× |
| Drainage of hydrocele (55000) |
$195 |
$1,072.50 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$367.50 |
$490 |
0.2× |
| Draw blood off venous device (36591) |
$78.75 |
$105 |
0.6× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$438.75 |
$585 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$301.88 |
$402.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$247.50 |
$330 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$118.12 |
$157.50 |
0.6× |
| Dstrj lesion anus simple chemical (46900) |
$300 |
$500 |
0.7× |
| Dstrj lesion anus simple cryosurgery (46916) |
$315 |
$325 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
— |
$2,060 |
— |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$311.25 |
$2,060 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$292.50 |
$2,847.50 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$468.75 |
$600 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$386.25 |
$2,462.50 |
0.2× |
| Egd flexible foreign body removal (43247) |
$397.50 |
$530 |
0.4× |
| Egd guide wire insertion (43248) |
$386.25 |
$1,442.50 |
0.4× |
| Egd place gastrostomy tube (43246) |
$408.75 |
$2,740 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$397.50 |
$2,675 |
0.2× |
| Egd remove lesion snare (43251) |
$405 |
$1,557.50 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$386.25 |
$1,597.50 |
0.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$116.25 |
$502.50 |
0.4× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$150 |
$222.50 |
1.2× |
| Endocervical Curettage (57505) |
— |
$1,465 |
— |
| Endoscopic Injection/Implant (51715) |
$465 |
$4,832.50 |
0.1× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$337.50 |
$2,047.50 |
0.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$637.50 |
$4,707.50 |
0.2× |
| Escharotomy initial incision (16035) |
$465 |
$825 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$318.75 |
$1,362.50 |
0.4× |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$2,710 |
— |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$367.50 |
$2,807.50 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$71.25 |
$95 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$971.25 |
$4,310 |
0.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$596.25 |
$2,840 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$341.25 |
$3,680 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$390 |
$3,680 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$813.75 |
$4,355 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
— |
$1,135 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$225 |
$815 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$330 |
$3,050 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$592.50 |
$2,082.50 |
0.4× |
| Exc forearm les sc < 3 cm (25075) |
— |
$925 |
— |
| Exc frenum labial/buccal (40819) |
$431.25 |
$2,425 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$592.50 |
$2,482.50 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$956.25 |
$2,722.50 |
0.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,575 |
$4,635 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$240 |
$1,790 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$225 |
$960 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$249.38 |
$647.50 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$315 |
$1,790 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$495 |
$3,050 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$348.75 |
$3,680 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$708.75 |
$5,030 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$596.25 |
$5,030 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$532.50 |
$3,680 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$502.50 |
$1,790 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$877.50 |
$5,030 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$877.50 |
$5,030 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$699.38 |
$3,680 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$930 |
$4,282.50 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$251.25 |
$330 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$174.38 |
$600 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,158.75 |
$3,090 |
0.7× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,158.75 |
$2,897.50 |
0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$735 |
$2,550 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,038.75 |
$4,367.50 |
0.4× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,057.50 |
$4,297.50 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,623.75 |
$2,825 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$986.25 |
$4,430 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$4,635 |
— |
| Exc varicocele/ligation spermatic veins spx (55530) |
$810 |
$4,217.50 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$697.50 |
$2,560 |
0.4× |
| Excise Inferior Turbinate (30130) |
$930 |
$4,947.50 |
0.3× |
| Excise pharynx lesion (42808) |
$363.75 |
$4,570 |
0.1× |
| Excise/repair mouth lesion (40812) |
$393.75 |
$2,512.50 |
0.3× |
| Excision hidradenitis axillary complex repair (11451) |
— |
$6,340 |
— |
| Excision lesion mouth roof (42104) |
$292.50 |
$4,425 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$318.75 |
$2,300 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$258.75 |
$1,790 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$326.25 |
$1,790 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$352.50 |
$1,132.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$427.50 |
$1,790 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$468.75 |
$1,790 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$273.75 |
$960 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$322.50 |
$960 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$405 |
$880 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$588.75 |
$3,050 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$262.50 |
$1,790 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$326.25 |
$1,790 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$465 |
$2,737.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$465 |
$3,680 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$528.75 |
$3,680 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$386.25 |
$4,225 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
— |
$4,120 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$285 |
$1,330 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$315 |
$1,790 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$753.75 |
$5,422.50 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$296.25 |
$3,597.50 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$292.50 |
$1,790 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$178.12 |
$1,015 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$697.50 |
$2,560 |
0.4× |
| Excision of mouth lesion (41116) |
$465 |
$4,715 |
0.1× |
| Excision of nail fold toe (11765) |
$150 |
$225 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$412.50 |
$3,937.50 |
0.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$735 |
$4,250 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$3,485 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
$723.75 |
$3,522.50 |
0.3× |
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure |
$798.75 |
$5,670 |
0.1× |
Excision of thyroglossal duct cyst or sinus; recurrent (60281)
likely a partial charge, not the full procedure |
$1,316.25 |
$8,937.50 |
0.2× |
| Excision of tongue lesion (41112) |
$562.50 |
$3,825 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
— |
$4,120 |
— |
| Excision olecranon bursa (24105) |
$671.25 |
$3,480 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,275 |
$4,592.50 |
0.4× |
| Excision Prepatellar Bursa (27340) |
$813.75 |
$5,177.50 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$165 |
$590 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,046.25 |
$4,430 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$4,475 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$825 |
$2,645 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,477.50 |
$4,647.50 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$772.50 |
$4,177.50 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,181.25 |
$4,530 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$911.25 |
$4,270 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$7,170 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$738.75 |
$2,577.50 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,526.25 |
$5,010 |
0.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$720 |
$4,525 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$566.25 |
$755 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$690 |
$930 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$776.25 |
$1,055 |
0.5× |
| Fasciotomy foot and/or toe (28008) |
$660 |
$2,242.50 |
0.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$176.25 |
$2,010 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$123.75 |
$165 |
0.3× |
| Fitting of diaphragm/cap (57170) |
— |
$30 |
— |
| Fixation of knee joint (27570) |
$341.25 |
$2,257.50 |
0.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$5,000 |
— |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,923.75 |
$3,895 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$5,000 |
— |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
— |
$5,000 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$52.50 |
$70 |
0.2× |
| Gastrocnemius Recession (27687) |
— |
$9,845 |
— |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$2,493.75 |
$3,325 |
0.2× |
| Hemorrhoidectomy (46255) |
$686.25 |
$4,120 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$279.38 |
$395 |
1.2× |
| I&d abscess simple (10060) |
$228.75 |
$440 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,113.75 |
$1,485 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$716.25 |
$4,140 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$472.50 |
$630 |
0.2× |
| I&d perianal abscess superficial (46050) |
$221.25 |
$295 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$230.62 |
$1,097.50 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$348.75 |
$465 |
0.2× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$157.50 |
$1,007.50 |
0.2× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$772.50 |
$7,597.50 |
0.1× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure |
$772.50 |
$5,692.50 |
0.1× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$772.50 |
$20,085 |
0.0× |
| Incise finger tendon sheath (26055) |
$637.50 |
$2,520 |
0.4× |
| Incise inner ear (69801) |
$288.75 |
$1,747.50 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$371.25 |
$460 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$873.75 |
$4,167.50 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$378.75 |
$505 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$408.75 |
$545 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$120.38 |
$300 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$240 |
$320 |
1.2× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
— |
$2,840 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
$277.50 |
$375 |
0.9× |
| Incision bone cortex foot (28005) |
$1,316.25 |
$5,110 |
0.4× |
| Incision bone cortex hand/finger (26034) |
$1,218.75 |
$3,015 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$746.25 |
$2,592.50 |
0.5× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure |
$1,526.25 |
$10,577.50 |
0.2× |
| Incision labial frenum frenotomy (40806) |
$67.50 |
$597.50 |
0.1× |
| Incision of eardrum (69420) |
$232.50 |
$375 |
1.0× |
| Incision of lingual frenum (41010) |
$232.50 |
$310 |
0.1× |
| Incision of metatarsal (28308) |
$858.75 |
$4,810 |
0.3× |
| Incision of rectal abscess (46040) |
$930 |
$1,210 |
0.8× |
| Incision of urethra (53025) |
$157.50 |
$2,795 |
0.1× |
| Incision of urethra (53020) |
$232.50 |
$2,897.50 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$240 |
$392.50 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$202.50 |
$675 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$142.50 |
$990 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$105 |
$140 |
0.5× |
| Inj dupuytren cord w/enzyme (20527) |
$146.25 |
$502.50 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$206.25 |
$1,600 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$82.50 |
$332.50 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$150 |
$1,247.50 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$151.50 |
$999 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$255 |
$892.50 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$60 |
$95 |
0.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$210 |
$1,415 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$165 |
$1,120 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$157.50 |
$1,085 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$2,600 |
— |
| Inject Tendon Origin/Insert (20551) |
$82.50 |
$332.50 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$142.50 |
$727.50 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$112.50 |
$480 |
0.4× |
| Injection anes other peripheral nerve/branch (64450) |
$97.50 |
$130 |
0.1× |
| Injection for identification of sentinel node (38792) |
$78.75 |
$825 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$75 |
$530 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$97.50 |
$477.50 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$127.50 |
$810 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$120 |
$160 |
0.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$86.25 |
$145 |
0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$73.12 |
$195 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$165 |
$230 |
1.3× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$543.75 |
$2,937.50 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$195 |
$260 |
0.1× |
| Insert pessary/other device (57160) |
— |
$155 |
— |
| Insert picc cath (36569) |
$213.75 |
$1,832.50 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$60 |
$80 |
0.5× |
| Insert tun ip cath perc (49418) |
$465 |
$3,195 |
0.1× |
| Insert tunneled cv cath (36561) |
$742.50 |
$4,917.50 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$58.12 |
$77.50 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$463.12 |
$620 |
0.1× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement (53855) |
$161.25 |
$942.50 |
0.1× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$311.25 |
$44,290 |
0.0× |
Insj stablj dev w/o dcmprn lumbar single level (22869)
likely a partial charge, not the full procedure |
$1,207.50 |
$21,765 |
0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$5,465 |
— |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$759.38 |
$78,322.50 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$322.50 |
$530 |
1.4× |
| Irrigate corpora cavernosa for priapism (54220) |
$300 |
$400 |
1.2× |
| Irrigate vagina w meds (57150) |
— |
$120 |
— |
| Knee arthroscopy/surgery (29876) |
$1,316.25 |
$5,255 |
0.4× |
| Knee arthroscopy/surgery (29851) |
$2,088.75 |
$3,595 |
1.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,376.25 |
$8,385 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$772.50 |
$6,180 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$630 |
$5,642.50 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,777.50 |
$6,407.50 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$836.25 |
$8,380 |
0.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$483.75 |
$3,347.50 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$146.25 |
$282.50 |
0.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$105 |
$140 |
0.5× |
| Laryngoscopy w/bx op scope (31536) |
$412.50 |
$3,300 |
0.1× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$303.75 |
$1,770 |
0.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$330 |
$465 |
0.2× |
| Laser surgery, anal lesion(s) (46917) |
— |
$2,060 |
— |
| Late closure of wound (13160) |
$1,353.75 |
$2,705 |
0.4× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,567.50 |
$10,725 |
0.2× |
| Ligation or biopsy temporal artery (37609) |
$401.25 |
$1,807.50 |
0.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$697.50 |
$3,632.50 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$378.75 |
$2,312.50 |
0.2× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$172.50 |
$435 |
0.7× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,621.25 |
$10,297.50 |
0.4× |
| Mastectomy partial (19301) |
$1,470 |
$5,860 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,736.25 |
$6,655 |
0.3× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,193.75 |
$9,555 |
0.3× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
— |
$1,545 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$1,545 |
— |
| Myelography Lumbar Injection (62305) |
$277.50 |
$1,987.50 |
0.4× |
| Myelography Lumbar Injection (62304) |
$266.25 |
$1,722.50 |
0.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$270 |
$1,725 |
0.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$270 |
$1,725 |
0.3× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$123.75 |
$265 |
0.6× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$1,147.50 |
$6,715 |
0.2× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$611.25 |
$5,842.50 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288)
likely a partial charge, not the full procedure |
$521.25 |
$5,782.50 |
0.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$386.25 |
$3,282.50 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$626.25 |
$6,367.50 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$759.38 |
$5,922.50 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$271.88 |
$1,750 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$93.75 |
$125 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$3,585 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$435 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
$176.25 |
$1,457.50 |
0.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$153.75 |
$220 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$176.25 |
$1,132.50 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$232.50 |
$1,960 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$221.25 |
$1,127.50 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$232.50 |
$1,960 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$986.25 |
$5,537.50 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,725 |
$10,395 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,388.75 |
$11,272.50 |
0.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum (21335) |
$1,567.50 |
$5,275 |
0.5× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,683.75 |
$11,012.50 |
0.2× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$1,931.25 |
$20,317.50 |
0.2× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$2,163.75 |
$11,667.50 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,095 |
$1,460 |
0.3× |
| Open tx nose fx uncomplicatd (21325) |
$1,020 |
$4,130 |
0.3× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,545 |
$10,920 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,316.25 |
$5,255 |
0.4× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$716.25 |
$15,420 |
0.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,136.25 |
$5,257.50 |
0.3× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$1,631.25 |
$5,892.50 |
0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$930 |
$5,230 |
0.3× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$3,285 |
$6,825 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$656.25 |
$4,667.50 |
0.2× |
| Partial excision bone talus/calcaneus (28120) |
$930 |
$3,607.50 |
0.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$772.50 |
$3,502.50 |
0.2× |
| Partial Removal Foot Fascia (28060) |
$806.25 |
$3,525 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,567.50 |
$8,865 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$645 |
$2,877.50 |
0.2× |
| Peritoneal Lavage (49084) |
$243.75 |
$1,415 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$281.25 |
$2,700 |
0.1× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge, not the full procedure |
$1,029.38 |
$7,187.50 |
0.1× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$967.50 |
$7,135 |
0.1× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$405 |
$540 |
0.1× |
| Phleb Veins - Extrem 20+ (37766) |
$757.50 |
$4,787.50 |
0.2× |
| Pin knuckle dislocation (26706) |
$986.25 |
$4,887.50 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$138.75 |
$175 |
0.3× |
| Placement of seton (46020) |
$532.50 |
$3,960 |
0.2× |
| Preputial Stretching (54450) |
$138.75 |
$457.50 |
0.6× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$160 |
— |
Prostatectomy (turp) (52601)
unusually low: confirm this is the full procedure |
$1,638.75 |
$5,425 |
0.3× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$697.50 |
$8,302.50 |
0.1× |
Prq impltj neurostimulator eltrd peripheral nrv (64555)
likely a partial charge, not the full procedure |
$296.25 |
$7,357.50 |
0.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$562.50 |
$5,375 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$112.50 |
$545 |
0.3× |
| Puncture Aspiration (10160) |
$210 |
$682.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
— |
$560 |
— |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,743.75 |
$10,405 |
0.2× |
| Removal Anal Seton Other Marker (46030) |
$228.75 |
$1,667.50 |
0.2× |
| Removal fb intranasal (30300) |
$210 |
$260 |
1.6× |
| Removal Foreign Body Foot Complicated (28193) |
$836.25 |
$2,680 |
0.5× |
| Removal foreign body foot deep (28192) |
$708.75 |
$2,597.50 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$292.50 |
$390 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$420 |
— |
| Removal foreign body pharynx (42809) |
$277.50 |
$380 |
0.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$465 |
$4,715 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$78.75 |
$105 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$63.75 |
$100 |
1.1× |
| Removal Implant Deep (20680) |
$960 |
$3,810 |
0.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$210 |
$620 |
0.3× |
| Removal of adenoids (42831) |
$498.75 |
$3,300 |
0.2× |
| Removal of adenoids (42830) |
$465 |
$4,355 |
0.1× |
| Removal of anal fissure (46200) |
$618.75 |
$2,457.50 |
0.2× |
| Removal of arm foreign body (24200) |
$311.25 |
$415 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$3,505 |
— |
| Removal of foreign body in scrotum (55120) |
$783.75 |
$1,045 |
0.4× |
| Removal of growth of chest wall and rib (21601) |
$2,647.50 |
$5,347.50 |
0.9× |
| Removal of heel bone (28118) |
$930 |
$4,997.50 |
0.3× |
| Removal of intranasal lesion (30118) |
$1,695 |
$4,130 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$153.75 |
$670 |
0.5× |
| Removal of nail bed (11750) |
$232.50 |
$670 |
0.6× |
| Removal of sesamoid bone (28315) |
$738.75 |
$4,547.50 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$161.25 |
$202.50 |
0.8× |
| Removal of sperm cord lesion (55520) |
$1,042.50 |
$3,385 |
0.3× |
| Removal of testis (54520) |
$716.25 |
$5,435 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$506.25 |
$5,475 |
0.1× |
| Removal of tonsils (42826) |
$562.50 |
$4,420 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$101.25 |
$135 |
0.4× |
| Remove anal fist subq (46270) |
$757.50 |
$3,202.50 |
0.3× |
| Remove bladder stone (52318) |
$922.50 |
$4,942.50 |
0.3× |
| Remove drug implant device (11982) |
$195 |
$722.50 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$251.25 |
$335 |
0.8× |
| Remove foreign body from eye (65210) |
— |
$160 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$6,315 |
— |
| Remove Pilonidal Cyst Exten (11771) |
$986.25 |
$4,320 |
0.3× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,571.25 |
$6,270 |
0.3× |
| Remove wrist tendon lesion (25111) |
$712.50 |
$2,317.50 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$221.25 |
$2,267.50 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$93.75 |
$155 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$67.50 |
$110 |
0.5× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,451.25 |
$10,647.50 |
0.2× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,661.25 |
$10,350 |
0.2× |
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure |
$1,451.25 |
$9,775 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$611.25 |
$870 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$738.75 |
$1,112.50 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$536.25 |
$757.50 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$667.50 |
$890 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$510 |
$695 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$566.25 |
$852.50 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$442.50 |
$590 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$543.75 |
$725 |
0.7× |
| Repair elbow deb/attch open (24359) |
$1,485 |
$5,227.50 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,353.75 |
$3,105 |
0.8× |
| Repair finger tendon (26433) |
$1,001.25 |
$3,700 |
0.3× |
| Repair hallux rigidus (28289) |
$896.25 |
$3,630 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,297.50 |
$5,785 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,132.50 |
$4,310 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$656.25 |
$865 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$367.50 |
$597.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$442.50 |
$652.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$840 |
$1,095 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$474.38 |
$705 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$493.12 |
$670 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$922.50 |
$1,200 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$583.12 |
$770 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$335.62 |
$260 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$431.25 |
$705 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$466.88 |
$705 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$772.50 |
$1,010 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$528.75 |
$705 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$330 |
$572.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$418.12 |
$705 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$618.75 |
$825 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$450 |
$705 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$720 |
$960 |
0.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,721.25 |
$6,620 |
0.3× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$1,376.25 |
$10,160 |
0.2× |
| Repair Of Foot Tendon (28208) |
$712.50 |
$4,530 |
0.2× |
| Repair of hydrocele (55060) |
$738.75 |
$2,540 |
0.2× |
| Repair of leg tendon each (27658) |
$813.75 |
$5,025 |
0.2× |
| Repair of nail bed (11760) |
$245.62 |
$335 |
0.3× |
| Repair of nasal septum (30520) |
$1,185 |
$3,495 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,897.50 |
$10,507.50 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,353.75 |
$7,392.50 |
0.2× |
| Repair Tongue Laceration (41250) |
$337.50 |
$450 |
0.8× |
| Repair tympanic membrane (69610) |
$660 |
$2,592.50 |
0.4× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,316.25 |
$4,072.50 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,410 |
$5,860 |
0.4× |
| Resect Inferior Turbinate (30140) |
$941.25 |
$3,595 |
0.3× |
Resection or transplantation of long tendon of biceps (23440)
likely a partial charge, not the full procedure |
$1,702.50 |
$10,380 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$821.25 |
$3,455 |
0.4× |
Revise middle ear & mastoid (69642)
unusually low: confirm this is the full procedure |
$2,861.25 |
$10,162.50 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$1,140 |
$3,890 |
0.6× |
| Revision of lower leg tendon (27685) |
$1,027.50 |
$4,770 |
0.3× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$836.25 |
$5,425 |
0.2× |
Revision spinal neurostim electrode perc array, incl fluoro (63663)
likely a partial charge, not the full procedure |
$1,038.75 |
$10,255 |
0.2× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$326.25 |
$4,667.50 |
0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$288.75 |
$4,642.50 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$93.75 |
$125 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$112.50 |
$162.50 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$510 |
$665 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$446.25 |
$1,497.50 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$311.25 |
$880 |
0.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$225 |
— |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$1,856.25 |
$5,285 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$660 |
$4,722.50 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,661.25 |
$9,167.50 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,275 |
$6,322.50 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$1,065 |
$8,770 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$772.50 |
$5,987.50 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,275 |
$8,910 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$697.50 |
$905 |
0.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$401.25 |
$535 |
1.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$461.25 |
$615 |
1.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$675 |
$900 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,856.25 |
$6,002.50 |
0.6× |
| Scrotal exploration (55110) |
$888.75 |
$5,115 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$273.75 |
$1,212.50 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$97.50 |
$195 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$217.50 |
$325 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$80.62 |
$155 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$120 |
$375 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$142.50 |
$195 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$165 |
$325 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$67.50 |
$195 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$142.50 |
$195 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$165 |
$325 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$112.50 |
$195 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$165 |
$325 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$142.50 |
$195 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$146.25 |
$757.50 |
0.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$210 |
$757.50 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$296.25 |
$410 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$127.50 |
$177.50 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$135 |
$192.50 |
0.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$348.75 |
$477.50 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$172.50 |
$240 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$217.50 |
$310 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$397.50 |
$550 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$101.25 |
$142.50 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$333.75 |
$460 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$168.75 |
$232.50 |
0.8× |
Sinus endo w/balloon dil (31296)
likely a partial charge, not the full procedure |
$416.25 |
$7,792.50 |
0.1× |
Sinus endo w/balloon dil (31297)
likely a partial charge, not the full procedure |
$330 |
$7,735 |
0.0× |
| Skin splt grft trnk/arm/leg (15100) |
— |
$4,615 |
— |
| Skin sub graft face/nk/hf/g (15275) |
$221.25 |
$2,655 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$195 |
$2,637.50 |
0.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$465 |
$4,910 |
0.2× |
| Skin tissue rearrangement (14040) |
$1,273.12 |
$2,650 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$4,615 |
— |
| Skn sub grft f/n/hf/g child (15277) |
$525 |
$2,857.50 |
0.3× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$1,316.25 |
$5,385 |
0.3× |
| Slitting of prepuce (54001) |
— |
$3,090 |
— |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$337.50 |
$2,047.50 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$135 |
$187.50 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$217.50 |
$305 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$266.25 |
$372.50 |
0.7× |
| Sphincterotomy (46080) |
— |
$7,210 |
— |
| Spinal puncture lumbar diagnostic (62270) |
$146.25 |
$845 |
0.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$618.75 |
$4,695 |
0.2× |
| Strapping ankle (29540) |
— |
$105 |
— |
| Strapping elbow/wrist (29260) |
$48.75 |
$105 |
0.8× |
| Strapping hand/finger (29280) |
— |
$105 |
— |
| Strapping Hip (29520) |
— |
$85 |
— |
| Strapping knee (29530) |
— |
$105 |
— |
| Strapping shoulder (29240) |
— |
$105 |
— |
| Strapping thorax (29200) |
— |
$105 |
— |
| Strapping toes (29550) |
$30 |
$40 |
0.5× |
| Strapping unna boot (29580) |
$63.75 |
$262.50 |
0.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$135 |
$542.50 |
0.3× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$528.75 |
$8,607.50 |
0.1× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$720 |
$4,525 |
0.2× |
| Suspension of testis (54640) |
$1,098.75 |
$5,287.50 |
0.3× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386)
likely a partial charge, not the full procedure |
$1,893.75 |
$10,942.50 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$870 |
$2,950 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$90 |
$545 |
0.2× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,668.75 |
$10,355 |
0.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,158.75 |
$5,255 |
0.4× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,448.75 |
$2,097.50 |
1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$472.50 |
$2,345 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$465 |
$1,825 |
0.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
— |
$39,140 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$247.50 |
$335 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$202.50 |
$835 |
0.3× |
| Thrombolytic Therapy, Stroke (37195) |
$367.50 |
$490 |
1.1× |
| Thyroid biopsy (60100) |
$181.88 |
$915 |
0.3× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,083.75 |
$5,000 |
0.5× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
— |
$5,000 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$581.25 |
$2,577.50 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,108.75 |
$21,642.50 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,090 |
$20,447.50 |
0.2× |
| Trach Tube Change (31502) |
$75 |
$105 |
0.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$716.25 |
$815 |
0.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,237.50 |
$3,607.50 |
0.6× |
| Transurethral resection of bladder neck (52500) |
$1,125 |
$5,272.50 |
0.3× |
| Treat finger dislocation (26775) |
$765 |
$1,020 |
2.7× |
| Treat Finger Fracture Each (26727) |
$1,046.25 |
$5,180 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$562.50 |
$722.50 |
2.3× |
| Treat humerus fracture (24577) |
$1,110 |
$1,480 |
0.7× |
| Treat humerus fracture (23600) |
— |
$850 |
— |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$2,936.25 |
$21,425 |
0.2× |
| Treat Metatarsal Fracture (28475) |
— |
$660 |
— |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,432.50 |
$10,845 |
0.2× |
| Treat Vaginal Bleeding (57180) |
— |
$345 |
— |
| Treat wrist bone fracture (25622) |
$618.75 |
$735 |
2.5× |
| Treat Wrist Bone Fracture (25630) |
$618.75 |
$825 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,046.25 |
$1,395 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$742.50 |
$970 |
3.0× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,931.25 |
$10,557.50 |
0.3× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,451.25 |
$10,212.50 |
0.2× |
| Trim skin lesion (11055) |
$41.25 |
$312.50 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$52.50 |
$570 |
0.3× |
| Trim skin lesions over 4 (11057) |
$67.50 |
$330 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$19.50 |
$26 |
0.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,065 |
$4,332.50 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$416.25 |
$815 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$400 |
— |
| Tympanostomy (69433) |
$292.50 |
$892.50 |
0.5× |
| Unlisted procedure anus (46999) |
— |
$2,455 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$515 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$85 |
— |
| Unlisted Procedure Nervous System (64999) |
$120 |
$362.50 |
0.4× |
| Urine Flow Measurement (51736) |
$18.75 |
$165 |
0.1× |
| Uvulectomy excision uvula (42140) |
$345 |
$3,680 |
0.1× |
| Vaginal delivery only (59409) |
$1,848.75 |
$4,097.50 |
0.6× |
| Vasectomy (55250) |
$442.50 |
$2,150 |
0.2× |
| Venipuncture (36415) |
— |
$25 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$210 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
$138.75 |
$4,420 |
0.0× |
| Vermilionectomy (lip shave), with mucosal advancement (40500) |
$798.75 |
$5,270 |
0.2× |
Xfer single deep low leg tendon (27691)
likely a partial charge, not the full procedure |
$1,683.75 |
$10,802.50 |
0.2× |