| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,177.80 |
$1,510 |
1.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,943.50 |
$2,491.67 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$6,302.40 |
$8,080 |
1.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$7,254 |
$9,300 |
2.1× |
| Anoscopy diagnostic (46600) |
$129.56 |
$166.10 |
0.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$397.80 |
$510 |
2.4× |
| Application cast elbow finger short arm (29075) |
$291.72 |
$374 |
1.0× |
| Application finger splint static (29130) |
$256.62 |
$329 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$451.23 |
$578.50 |
2.7× |
| Application of rigid total contact leg cast (29445) |
$397.80 |
$510 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$389.22 |
$499 |
2.8× |
| Apply short leg splint (29515) |
$291.72 |
$374 |
1.7× |
| Arterial puncture (36600) |
$102.96 |
$132 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$592.80 |
$760 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,185.60 |
$1,520 |
3.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$4,360.71 |
$5,590.65 |
13.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$14,313 |
$18,350 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$8,252.40 |
$10,580 |
2.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,885.06 |
$4,980.84 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$4,126.20 |
$5,290 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$4,742.40 |
$6,080 |
1.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,256.96 |
$6,739.69 |
1.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$3,433.30 |
$4,401.66 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,252.46 |
$11,862.14 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,549.08 |
$8,396.25 |
1.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$12,195.30 |
$15,635 |
1.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,033.29 |
$11,581.14 |
1.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$9,754.38 |
$12,505.62 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$5,148 |
$6,600 |
2.4× |
| Bladder Irrigation Simple (51700) |
$502.32 |
$644 |
1.9× |
| Blood transfusion service (36430) |
$2,129.40 |
$2,730 |
4.7× |
| Chemical cautery tissue (17250) |
$316.68 |
$406 |
1.5× |
| Chemodenervation internal anal sphincter (46505) |
$5,460 |
$7,000 |
4.4× |
| Circum 28 days or older (54161) |
$5,335.20 |
$6,840 |
2.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$684.84 |
$878 |
0.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$5,214.30 |
$6,685 |
3.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$684.84 |
$878 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,473.42 |
$1,889 |
5.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$684.84 |
$878 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$684.84 |
$878 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$547.56 |
$702 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$479.70 |
$615 |
1.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$305.76 |
$392 |
2.2× |
| Colonoscopy flex w/inj submuc (45381) |
$1,974.05 |
$2,530.84 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$381.42 |
$489 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$435.24 |
$558 |
3.2× |
| Correction hammertoe (28285) |
$2,925 |
$3,750 |
0.9× |
| Correction of bunion (28299) |
$7,930 |
$10,166.67 |
1.1× |
| Cysto w/removal of tumors small (52234) |
$9,711 |
$12,450 |
2.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$5,148 |
$6,600 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$3,784.95 |
$4,852.50 |
9.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,710.50 |
$3,475 |
1.6× |
| Declot vascular device (36593) |
$521.82 |
$669 |
1.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,560 |
$2,000 |
1.6× |
| Drainage Finger Abscess Simple (26010) |
$3,463.20 |
$4,440 |
16.7× |
| Drainage of hematoma/fluid (10140) |
$970.16 |
$1,243.80 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$509.34 |
$653 |
0.3× |
| Draw blood off venous device (36591) |
$352.56 |
$452 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$709.80 |
$910 |
3.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,301 |
$2,950 |
1.2× |
| Egd remove lesion snare (43251) |
$1,435.20 |
$1,840 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$255.45 |
$327.50 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$800.36 |
$1,026.10 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$193.99 |
$248.70 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$186.58 |
$239.20 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$236.73 |
$303.50 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,070 |
$6,500 |
1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$758.32 |
$972.20 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,813.78 |
$2,325.35 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,788.50 |
$3,575 |
1.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$634.14 |
$813 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$8,814 |
$11,300 |
2.6× |
| Excision interdigital morton neuroma single each (28080) |
$3,857.10 |
$4,945 |
2.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,788.50 |
$3,575 |
3.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,641 |
$5,950 |
2.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$217.54 |
$278.90 |
0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$382.82 |
$490.80 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$5,752.50 |
$7,375 |
4.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,943.50 |
$2,491.67 |
0.6× |
| Fetal non-stress test (59025) |
$400.92 |
$514 |
1.9× |
| Fixation of shoulder (23700) |
$6,032 |
$7,733.33 |
3.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$10,108.80 |
$12,960 |
3.5× |
| I&d abscess simple (10060) |
$328.22 |
$420.80 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$485.16 |
$622 |
0.7× |
| I&d shoulder deep abscess/hematoma (23030) |
$6,006 |
$7,700 |
2.0× |
| Incise finger tendon sheath (26055) |
$3,463.20 |
$4,440 |
2.1× |
| 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 extensor tendon sheath wrist (25000) |
$5,018.01 |
$6,433.34 |
3.0× |
| Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory… (0311U) |
$140.44 |
$180.05 |
17.4× |
| Initial tx 1st degree burn local tx (16000) |
$390 |
$500 |
1.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$3,607.50 |
$4,625 |
4.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$904.80 |
$1,160 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,547.52 |
$1,984 |
1.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$2,691.78 |
$3,451 |
2.9× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,144.65 |
$1,467.50 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$968.76 |
$1,242 |
3.1× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,924.65 |
$2,467.50 |
2.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$580.32 |
$744 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$580.32 |
$744 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$465.66 |
$597 |
3.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$156 |
$200 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$1,182.48 |
$1,516 |
4.8× |
| Knee Arthroscopy/Surgery (29879) |
$9,586.20 |
$12,290 |
2.8× |
| Lap ing hernia repair init (49650) |
$14,274 |
$18,300 |
2.3× |
| Laparoscopy appendectomy (44970) |
$11,778 |
$15,100 |
1.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$12,729.60 |
$16,320 |
2.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$10,959 |
$14,050 |
1.8× |
| Ligation of hemorrhoid(s) (46221) |
$1,371.30 |
$1,758.07 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$3,627 |
$4,650 |
2.2× |
| 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) |
$4,822.35 |
$6,182.50 |
2.4× |
| Njx aa&/strd sciatic nerve (64445) |
$2,843.10 |
$3,645 |
3.9× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$12,675 |
$16,250 |
1.7× |
Open treatment tarsometatarsal joint dislocation (28615)
unusually low: confirm this is the full procedure |
$3,171.99 |
$4,066.66 |
0.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$12,604.80 |
$16,160 |
1.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$15,475.20 |
$19,840 |
4.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$9,516 |
$12,200 |
2.8× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$9,009 |
$11,550 |
2.7× |
| Placement of needle for intraosseous infusion (36680) |
$448.50 |
$575 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$10,374 |
$13,300 |
3.1× |
| Punch biopsy skin single lesion (11104) |
$333.84 |
$428 |
0.8× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,794 |
$2,300 |
4.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$191.10 |
$245 |
3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$191.10 |
$245 |
3.1× |
| Removal of adenoids (42830) |
$5,186.22 |
$6,649 |
1.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$557.70 |
$715 |
1.2× |
| Removal of iud (58301) |
$234 |
$300 |
0.7× |
| Removal of tonsils (42826) |
$8,970 |
$11,500 |
2.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,939 |
$5,050 |
1.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$3,841.50 |
$4,925 |
2.3× |
| Remove anal fist subq (46270) |
$6,115.20 |
$7,840 |
2.1× |
| Remove Tendon Sheath Lesion (26160) |
$3,441.75 |
$4,412.50 |
2.1× |
| Remv Ext Canal Foreign Body (69200) |
$296.40 |
$380 |
2.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$557.70 |
$715 |
4.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,123.20 |
$1,440 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,833 |
$2,350 |
4.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$877.50 |
$1,125 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$877.50 |
$1,125 |
2.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$877.50 |
$1,125 |
2.1× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$3,504.15 |
$4,492.50 |
0.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$11,655.15 |
$14,942.50 |
1.6× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$3,614 |
$4,633.33 |
0.5× |
| Repair tongue laceration (41252) |
$561.60 |
$720 |
2.3× |
| Revise ulnar nerve at elbow (64718) |
$4,867.20 |
$6,240 |
2.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$500.76 |
$642 |
3.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$10,959 |
$14,050 |
3.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$877.50 |
$1,125 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$877.50 |
$1,125 |
1.6× |
| Sigmoidoscopy w/biopsy (45331) |
$1,123.20 |
$1,440 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$585 |
$750 |
2.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$585 |
$750 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$585 |
$750 |
2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$585 |
$750 |
2.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,294.76 |
$2,942 |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,045.16 |
$2,622 |
2.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$11,934 |
$15,300 |
2.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$585 |
$750 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$585 |
$750 |
1.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$8,902.41 |
$11,413.34 |
2.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$5,460 |
$7,000 |
1.9× |
| Suspension of testis (54640) |
$6,396 |
$8,200 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$109.43 |
$140.30 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$8,970 |
$11,500 |
2.6× |
| Total hip arthroplasty (27130) |
$23,887.50 |
$30,625 |
1.8× |
| Total Knee Arthroplasty (27447) |
$24,716.25 |
$31,687.50 |
1.9× |
| Transur electr resection of prostate (52601) |
$9,711 |
$12,450 |
1.8× |
| Treat Kneecap Fracture (27524) |
$11,524.50 |
$14,775 |
1.5× |
| Tube thoracostomy includes water seal (32551) |
$964.86 |
$1,237 |
0.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,460 |
$7,000 |
1.9× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$14,898 |
$19,100 |
1.1× |
| Tympanostomy general anesthesia (69436) |
$5,791.50 |
$7,425 |
3.6× |
| Unlisted procedure nervous system (64999) |
$520.65 |
$667.50 |
1.6× |
| Unlisted procedure, hands or fingers (26989) |
$10,374 |
$13,300 |
40.7× |
| Us urine capacity measure (51798) |
$341.64 |
$438 |
5.6× |
| Venipuncture (36415) |
$40.36 |
$51.75 |
4.3× |
| Wedge excision skin nail fold (11765) |
$534.30 |
$685 |
1.3× |