| Abd paracentesis w/imaging (49083) |
$1,390.74 |
$1,783 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,177.80 |
$1,510 |
1.3× |
| Anoscopy diagnostic (46600) |
$304.98 |
$391 |
2.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,470.26 |
$3,167 |
2.0× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$265.20 |
$340 |
1.6× |
| Application finger splint static (29130) |
$260.91 |
$334.50 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$467.61 |
$599.50 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$475.02 |
$609 |
3.5× |
| Apply long leg splint (29505) |
$358.80 |
$460 |
2.1× |
| Apply short leg splint (29515) |
$312 |
$400 |
1.9× |
| Arterial puncture (36600) |
$102.96 |
$132 |
0.7× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure |
$5,557.50 |
$7,125 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$654.94 |
$839.67 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$650.91 |
$834.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$582.27 |
$746.50 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$418.08 |
$536 |
1.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$11,115 |
$14,250 |
1.5× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$5,501.61 |
$7,053.34 |
0.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$3,800.48 |
$4,872.42 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,271.01 |
$1,629.50 |
2.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$475.80 |
$610 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$5,085.60 |
$6,520 |
2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$330.72 |
$424 |
1.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,266.72 |
$1,624 |
1.8× |
| Bladder Irrigation Simple (51700) |
$517.92 |
$664 |
2.0× |
| Blood transfusion service (36430) |
$3,016.65 |
$3,867.50 |
6.6× |
| Bx breast 1st lesion us imag (19083) |
$2,340 |
$3,000 |
1.4× |
| Bx/exc lymph node needle superficial (38505) |
$1,503.06 |
$1,927 |
0.9× |
| Change of cystostomy tube simple (51705) |
$583.44 |
$748 |
2.3× |
| Chemical cautery tissue (17250) |
$316.68 |
$406 |
1.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$684.84 |
$878 |
0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$684.84 |
$878 |
2.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$684.84 |
$878 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$684.84 |
$878 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,345.50 |
$1,725 |
5.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$684.84 |
$878 |
2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$684.84 |
$878 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$684.84 |
$878 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,648.10 |
$3,395 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$585 |
$750 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$684.84 |
$878 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$585 |
$750 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$575.25 |
$737.50 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$229.32 |
$294 |
1.7× |
| Colonoscopy flex w/inj submuc (45381) |
$926.90 |
$1,188.33 |
0.8× |
| Colonoscopy stoma w/biopsy (44389) |
$2,652 |
$3,400 |
2.1× |
| Colonoscopy thru stoma (44388) |
$1,969.50 |
$2,525 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$381.42 |
$489 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$441.09 |
$565.50 |
3.2× |
| Correction of bunion (28299) |
$9,516 |
$12,200 |
1.3× |
| Correction of bunion (28297) |
$12,294.75 |
$15,762.50 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$9,711 |
$12,450 |
2.7× |
| Cystourethroscopy (52000) |
$1,463.28 |
$1,876 |
2.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$5,148 |
$6,600 |
2.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$5,148 |
$6,600 |
1.4× |
| Cystourethroscopy with biopsy (52204) |
$5,148 |
$6,600 |
2.4× |
| Debride tissue/muscle (11043) |
$278.93 |
$357.60 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$783.12 |
$1,004 |
1.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,357.16 |
$3,022 |
1.4× |
| Declot vascular device (36593) |
$1,043.64 |
$1,338 |
3.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$136.89 |
$175.50 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$79.40 |
$101.80 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,508 |
$1,933.33 |
1.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,794 |
$2,300 |
1.1× |
| Drainage of gum lesion (41800) |
$509.34 |
$653 |
3.7× |
| Draw blood off venous device (36591) |
$606.84 |
$778 |
4.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$378.30 |
$485 |
1.8× |
| Egd control bleeding any (43255) |
$2,652 |
$3,400 |
1.3× |
| Egd flexible foreign body removal (43247) |
$9,500.40 |
$12,180 |
10.1× |
| Egd remove lesion snare (43251) |
$2,408.25 |
$3,087.50 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$998.79 |
$1,280.50 |
7.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,737.41 |
$3,509.50 |
3.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$5,148 |
$6,600 |
3.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$2,737.41 |
$3,509.50 |
3.7× |
| Exc back les sc < 3 cm (21930) |
$2,940.60 |
$3,770 |
1.7× |
| Exc neck tum deep < 5 cm (21556) |
$3,182.40 |
$4,080 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$3,345.81 |
$4,289.50 |
4.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,737.41 |
$3,509.50 |
6.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,487.07 |
$1,906.50 |
2.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,070 |
$6,500 |
1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$9,221.94 |
$11,823 |
5.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,273.66 |
$4,197 |
1.9× |
| Excision interdigital morton neuroma single each (28080) |
$4,212 |
$5,400 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,517.10 |
$1,945 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,517.10 |
$1,945 |
2.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,106 |
$2,700 |
0.7× |
| Excision of hydrocele unilateral (55040) |
$7,312.50 |
$9,375 |
2.0× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$4,305.60 |
$5,520 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,366.56 |
$1,752 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
$1,817.60 |
$2,330.25 |
1.5× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$4,368 |
$5,600 |
2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,358.68 |
$4,306 |
2.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$5,577 |
$7,150 |
3.3× |
| External cephalic version (59412) |
$2,867.28 |
$3,676 |
0.9× |
| Fetal non-stress test (59025) |
$400.92 |
$514 |
1.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,608.32 |
$3,344 |
3.6× |
| Fluoro exam of g/colon tube (49465) |
$370.50 |
$475 |
1.5× |
| Gastrocnemius recession (27687) |
$78 |
$100 |
0.0× |
| Hemorrhoidectomy (46255) |
$7,571.20 |
$9,706.67 |
2.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,864 |
$8,800 |
2.4× |
| I&d abscess simple (10060) |
$462.54 |
$593 |
2.2× |
| I&d vulva/perineal abscess (56405) |
$509.34 |
$653 |
1.6× |
| Incise finger tendon sheath (26055) |
$3,159 |
$4,050 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$509.34 |
$653 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$456.30 |
$585 |
1.1× |
| Incision and drainage perianal abscess superficial (46050) |
$1,131 |
$1,450 |
1.2× |
| Incision of rectal abscess (46040) |
$4,017 |
$5,150 |
3.3× |
| Initial tx 1st degree burn local tx (16000) |
$378.30 |
$485 |
1.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,321.32 |
$1,694 |
1.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$2,289.30 |
$2,935 |
3.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$580.32 |
$744 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$2,523.30 |
$3,235 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$206.70 |
$265 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$156 |
$200 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$608.40 |
$780 |
2.5× |
| Lap ing hernia repair init (49650) |
$16,438.50 |
$21,075 |
2.6× |
| Laparoscopy appendectomy (44970) |
$11,778 |
$15,100 |
1.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$11,797.50 |
$15,125 |
1.9× |
| Ligation of hemorrhoid(s) (46221) |
$1,217.89 |
$1,561.40 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$12.09 |
$15.50 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,900 |
$5,000 |
1.9× |
| Njx aa&/strd sciatic nerve (64445) |
$2,289.30 |
$2,935 |
3.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$580.32 |
$744 |
2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,234.89 |
$5,429.34 |
4.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,746.42 |
$2,239 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,746.42 |
$2,239 |
2.4× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) |
$8,694.39 |
$11,146.66 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,224.99 |
$5,416.66 |
0.6× |
| Open treatment metatarsal fracture each (28485) |
$8,268 |
$10,600 |
1.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$11,662.30 |
$14,951.67 |
1.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$4,225 |
$5,416.67 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$9,516 |
$12,200 |
2.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$78 |
$100 |
0.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$6,084 |
$7,800 |
1.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$507.78 |
$651 |
2.0× |
| Picc line placement (36569) |
$1,942.20 |
$2,490 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$448.50 |
$575 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$259.90 |
$333.20 |
0.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,794 |
$2,300 |
4.3× |
| Removal foreign body foot deep (28192) |
$717.60 |
$920 |
0.4× |
| Removal foreign body intranasal (30300) |
$465.66 |
$597 |
3.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$3,939 |
$5,050 |
2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$66.10 |
$84.75 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$121.21 |
$155.40 |
2.0× |
| Removal implant deep (20680) |
$15,744.30 |
$20,185 |
5.3× |
| Removal of arm foreign body (24200) |
$456.30 |
$585 |
0.3× |
| Removal of nail bed (11750) |
$1,140.23 |
$1,461.84 |
2.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$526.50 |
$675 |
2.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$583.44 |
$748 |
2.0× |
| Remove anal fist subq (46270) |
$3,785.60 |
$4,853.33 |
1.3× |
| Remove drug implant device (11982) |
$140.09 |
$179.60 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$4,056 |
$5,200 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$296.40 |
$380 |
2.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$557.70 |
$715 |
4.1× |
| Repair achilles tendon (27650) |
$12,948 |
$16,600 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$585 |
$750 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$877.50 |
$1,125 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$842.40 |
$1,080 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$877.50 |
$1,125 |
2.1× |
| Repair of nail bed (11760) |
$1,248 |
$1,600 |
1.6× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$17,388.81 |
$22,293.34 |
2.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$13,104 |
$16,800 |
1.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$9,075.21 |
$11,634.88 |
1.2× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
unusually low: confirm this is the full procedure |
$2,985.01 |
$3,826.94 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$557.70 |
$715 |
4.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$9,515.22 |
$12,199 |
1.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$10,959 |
$14,050 |
3.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$585 |
$750 |
1.1× |
| Shave skin lesion 0.5 cm/< (11305) |
$131.51 |
$168.60 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$198.04 |
$253.90 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$865.80 |
$1,110 |
4.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$585 |
$750 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$585 |
$750 |
2.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$585 |
$750 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$684.84 |
$878 |
3.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$842.40 |
$1,080 |
4.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,045.16 |
$2,622 |
2.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$877.50 |
$1,125 |
4.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$561.60 |
$720 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$998.40 |
$1,280 |
1.4× |
| Strapping unna boot (29580) |
$291.72 |
$374 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$109.43 |
$140.30 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,793.57 |
$3,581.50 |
1.7× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$4,344.60 |
$5,570 |
2.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$930.93 |
$1,193.50 |
1.4× |
| Thrombolytic Therapy Stroke (37195) |
$567.84 |
$728 |
1.7× |
| Total hip arthroplasty (27130) |
$23,195.25 |
$29,737.50 |
1.8× |
| Total Knee Arthroplasty (27447) |
$19,773 |
$25,350 |
1.5× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$6,084 |
$7,800 |
0.8× |
| Treat Thumb Dislocation (26641) |
$684.84 |
$878 |
2.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$479.70 |
$615 |
1.9× |
| Trim skin lesion (11055) |
$248.82 |
$319 |
1.2× |
| Tube thoracostomy includes water seal (32551) |
$901.68 |
$1,156 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,850 |
$7,500 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$596.70 |
$765 |
0.8× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$3,452.79 |
$4,426.66 |
0.6× |
| Urine flow measurement (51736) |
$269.10 |
$345 |
2.0× |
| Us urine capacity measure (51798) |
$330.72 |
$424 |
5.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,071.25 |
$3,937.50 |
1.4× |
| Venipuncture (36415) |
$53.82 |
$69 |
5.8× |