| Abd paracentesis w/imaging (49083) |
$510.16 |
$1,020.32 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$447.91 |
$895.82 |
0.5× |
| Acne Surgery (10040) |
$112.35 |
$224.70 |
0.6× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$912.18 |
$1,824.35 |
0.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$901.61 |
$1,803.22 |
0.5× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$1,241.52 |
$2,483.04 |
0.4× |
| Amputate metacarpal bone (26910) |
$710.02 |
$1,420.03 |
0.2× |
| Amputation Finger/Thumb (26951) |
$1,072.68 |
$2,145.35 |
0.4× |
| Amputation Foot Midtarsal (28800) |
$747.88 |
$1,495.76 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$1,000.44 |
$2,000.88 |
0.3× |
| Amputation of finger/thumb (26952) |
$1,178.10 |
$2,356.19 |
0.4× |
| Amputation thigh through femur any level (27590) |
$1,192.20 |
$2,384.39 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$1,062.51 |
$2,125.02 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,009.58 |
$2,019.16 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$1,551.50 |
$3,103 |
0.5× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$894.30 |
$1,788.60 |
0.1× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$923.34 |
$1,846.68 |
0.3× |
| Anoscopy control bleeding (46614) |
$382.53 |
$765.05 |
0.4× |
| Anoscopy diagnostic (46600) |
$149.90 |
$299.78 |
1.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$602.28 |
$1,204.55 |
0.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$2,477.05 |
$4,954.10 |
0.5× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,296.58 |
$2,593.14 |
0.2× |
| Application cast elbow finger short arm (29075) |
$86.46 |
$172.92 |
0.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$98.98 |
$197.95 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$97.83 |
$195.65 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$50.49 |
$100.98 |
0.9× |
| Application finger splint static (29130) |
$28.40 |
$56.80 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$85.60 |
$171.20 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$53.02 |
$106.03 |
0.4× |
| Application of long leg cast (29345) |
$144.45 |
$288.90 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$91.51 |
$183.02 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$76.36 |
$152.71 |
0.6× |
| Application short leg splint calf foot (29515) |
$78.89 |
$157.78 |
0.5× |
| Application, cast; figure-of-eight (29049) |
$238.08 |
$476.15 |
0.9× |
| Apply short leg cast (29405) |
$90.26 |
$180.51 |
0.4× |
| Apply short leg cast (29425) |
$238.08 |
$476.15 |
0.9× |
| Arterial puncture (36600) |
$48.09 |
$96.17 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$85.84 |
$171.67 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$91.20 |
$182.40 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$125.50 |
$251 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$66.58 |
$133.17 |
0.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$3,354.45 |
$6,708.90 |
0.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$3,354.45 |
$6,708.90 |
0.5× |
| Arthrodesis; subtalar (28725) |
$6,304.98 |
$12,609.95 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,551.50 |
$3,103 |
0.5× |
| Aspir/inj thyroid cyst (60300) |
$379.85 |
$759.70 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$155.18 |
$310.34 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$132.94 |
$265.87 |
0.7× |
Axillary lymphadenectomy superficial 38740 (38740)
unusually low: confirm this is the full procedure |
$1,687.93 |
$3,375.85 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$872.05 |
$1,744.10 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$953 |
$1,906 |
0.3× |
| Biopsy Muscle Superficial (20200) |
$576.25 |
$1,152.50 |
0.4× |
| Biopsy of tongue (41100) |
$627.34 |
$1,254.68 |
1.3× |
| Biopsy of uterus lining (58100) |
$197.23 |
$394.45 |
1.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$962.47 |
$1,924.94 |
0.3× |
| Biopsy Oropharynx (42800) |
$1,374.95 |
$2,749.90 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$509.50 |
$1,019 |
0.3× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$644.68 |
$1,289.35 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,551.50 |
$3,103 |
1.0× |
| Biopsy tongue posterior one-third (41105) |
$784.80 |
$1,569.58 |
0.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$458.83 |
$917.66 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$1,128.85 |
$2,257.70 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,189.60 |
$2,379.20 |
0.3× |
| Bladder Irrigation Simple (51700) |
$56.17 |
$112.34 |
0.2× |
| Blepharoplasty lower eyelid (15820) |
$920.19 |
$1,840.37 |
0.5× |
| Blepharoplasty upper eyelid (15822) |
$1,142.35 |
$2,284.69 |
0.6× |
| Blood transfusion service (36430) |
$378.68 |
$757.36 |
0.9× |
| Bone marrow aspiration only (38220) |
$813.20 |
$1,626.40 |
0.5× |
| Bone Marrow Biopsy (38221) |
$813.20 |
$1,626.40 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$826.48 |
$1,652.96 |
0.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$488.41 |
$976.82 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$272.97 |
$545.93 |
0.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,551.50 |
$3,103 |
0.5× |
| Cataract surgery complex (66982) |
$1,798.72 |
$3,597.43 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$89.63 |
$179.25 |
0.4× |
| Cervical lymphadenectomy (complete) (38720) |
$4,395.03 |
$8,790.05 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$266.66 |
$533.31 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$150.12 |
$300.24 |
0.7× |
| Chemical Cautery Tissue (17250) |
$151.98 |
$303.97 |
0.8× |
| Chemical peel facial epidermal (15788) |
$199.44 |
$398.87 |
0.5× |
| Chemodenervation internal anal sphincter (46505) |
$450 |
$900 |
0.4× |
| Chest tube placement (32551) |
$444.32 |
$888.62 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$48.09 |
$96.17 |
0.4× |
| Circum 28 days or older (54161) |
$559.18 |
$1,118.36 |
0.3× |
| Circumcision (54150) |
$1,163.63 |
$2,327.25 |
0.6× |
| Circumcision Neonate (54160) |
$874.11 |
$1,748.22 |
1.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$280.88 |
$561.75 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$501.75 |
$1,003.49 |
2.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$468 |
$936 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$288.90 |
$577.80 |
1.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$405 |
$810 |
0.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$304.21 |
$608.41 |
1.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$332.61 |
$665.21 |
1.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$824.26 |
$1,648.51 |
0.6× |
| Closed Rx Trimalleolar Fx (27816) |
$332.61 |
$665.21 |
1.5× |
| Closed Treat Vert Body Fract (22310) |
$326.35 |
$652.70 |
1.5× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$243.62 |
$487.24 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$171.20 |
$342.40 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$394.45 |
$788.90 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$514.37 |
$1,028.74 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$168.52 |
$337.03 |
0.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$268.87 |
$537.73 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$447.48 |
$894.94 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$186.81 |
$373.62 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$841.50 |
$1,683 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$280.88 |
$561.75 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$429.17 |
$858.33 |
1.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$337.05 |
$674.10 |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$272.85 |
$545.70 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$529.52 |
$1,059.03 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$200.70 |
$401.40 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$112.35 |
$224.70 |
0.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$232.89 |
$465.77 |
1.0× |
| Closure of gastrostomy surgical (43870) |
$1,231.57 |
$2,463.14 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$247.40 |
$494.80 |
1.1× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$432.32 |
$864.63 |
0.9× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$1,094.78 |
$2,189.57 |
0.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$386.25 |
$772.50 |
1.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$222.16 |
$444.32 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$186.81 |
$373.62 |
0.8× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$597.68 |
$1,195.35 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$362.27 |
$724.54 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$301.05 |
$602.09 |
1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$172.30 |
$344.59 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$398.58 |
$797.15 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$353.43 |
$706.86 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$300.54 |
$601.08 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$331.70 |
$663.40 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$491.02 |
$982.03 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$192.60 |
$385.20 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$268.23 |
$536.46 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$482.50 |
$965 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$473.35 |
$946.69 |
2.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$440.53 |
$881.06 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$152.48 |
$304.95 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$173.88 |
$347.75 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$131.08 |
$262.15 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$289.69 |
$579.37 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$532.36 |
$1,064.72 |
2.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$813.20 |
$1,626.40 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$182.72 |
$365.42 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$278.72 |
$557.42 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$225 |
$450 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$370.47 |
$740.94 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$305.47 |
$610.93 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$139.48 |
$278.96 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$355.78 |
$711.55 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$205.98 |
$411.95 |
0.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$753.56 |
$1,507.11 |
0.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$423.49 |
$846.97 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$258.96 |
$517.91 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$229.73 |
$459.46 |
1.0× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$583.15 |
$1,166.30 |
0.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$741.58 |
$1,483.15 |
0.5× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$551.05 |
$1,102.10 |
2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$482.50 |
$965 |
0.3× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$2,477.05 |
$4,954.10 |
0.5× |
| Coccygectomy Primary (27080) |
$1,551.50 |
$3,103 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$733.68 |
$1,467.37 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$464.12 |
$928.22 |
0.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$556.82 |
$1,113.64 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$510.98 |
$1,021.95 |
0.5× |
| Colonoscopy thru stoma (44388) |
$440.74 |
$881.46 |
0.5× |
| Colonoscopy w/ablation (45388) |
$1,744.40 |
$3,488.80 |
1.6× |
| Colonoscopy w/fb removal (45379) |
$438.70 |
$877.40 |
0.4× |
| Colonoscopy w/resection (45390) |
$500.23 |
$1,000.45 |
0.2× |
| Colpocentesis (57020) |
$1,551.50 |
$3,103 |
0.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$328.19 |
$656.37 |
0.4× |
| Colpotomy; with exploration (57000) |
$1,551.50 |
$3,103 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$845.26 |
$1,690.52 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$637.99 |
$1,275.98 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$683.20 |
$1,366.40 |
0.6× |
| Complex Drainage, Wound (10180) |
$262.15 |
$524.30 |
0.1× |
| Conization of cervix (57520) |
$1,551.50 |
$3,103 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$224.70 |
$449.40 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$195.30 |
$390.60 |
1.6× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$1,953.34 |
$3,906.68 |
0.6× |
| Correction hammertoe (28285) |
$1,551.50 |
$3,103 |
0.5× |
| Correction of bunion (28292) |
$1,551.50 |
$3,103 |
0.5× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$1,551.50 |
$3,103 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,551.50 |
$3,103 |
0.5× |
| Create eardrum opening (69436) |
$1,009.80 |
$2,019.60 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$342.40 |
$684.80 |
2.8× |
| Curettage postpartum (59160) |
$1,551.50 |
$3,103 |
0.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$959.32 |
$1,918.63 |
0.5× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$2,364.70 |
$4,729.40 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$1,792.25 |
$3,584.50 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,024.53 |
$2,049.05 |
0.5× |
| Cystolithotomy w rem stone wo vn res (51050) |
$2,209.55 |
$4,419.10 |
0.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$1,691.75 |
$3,383.49 |
0.2× |
| Cystoscopy implant stent (52282) |
$1,577.19 |
$3,154.37 |
0.5× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,024.53 |
$2,049.05 |
0.5× |
| Cystoscopy,insert ureteral stent (52332) |
$1,792.25 |
$3,584.50 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,006.65 |
$2,013.29 |
0.5× |
| Cystourethroscopy (52000) |
$662.69 |
$1,325.37 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,024.53 |
$2,049.05 |
0.5× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,792.25 |
$3,584.50 |
0.6× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$1,792.25 |
$3,584.50 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$110.45 |
$220.89 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,551.50 |
$3,103 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$505.58 |
$1,011.15 |
0.8× |
| Debride nail 1-5 (11720) |
$66.28 |
$132.54 |
1.2× |
| Debride nail 6 or more (11721) |
$143.90 |
$287.80 |
2.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$376.78 |
$753.56 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$296.32 |
$592.63 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$467.32 |
$934.64 |
0.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$751.34 |
$1,502.68 |
0.5× |
| Decompress fingers/hand (26037) |
$1,551.50 |
$3,103 |
0.5× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$1,274.64 |
$2,549.28 |
0.4× |
| Decompression of tibia nerve (28035) |
$984.56 |
$1,969.11 |
0.6× |
| Derm autograft trnk/arm/leg (15130) |
$912.18 |
$1,824.35 |
0.5× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$1,629.08 |
$3,258.15 |
0.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$147.84 |
$295.68 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$115.03 |
$230.05 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$209.22 |
$418.44 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$227.21 |
$454.42 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$228.47 |
$456.94 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$268.87 |
$537.73 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$135.25 |
$270.50 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$196.92 |
$393.82 |
1.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$91.51 |
$183.02 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$135.69 |
$271.38 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$132.54 |
$265.08 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$203.49 |
$406.98 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$116.76 |
$233.52 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$63.74 |
$127.49 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$142 |
$284 |
0.2× |
| Dilate urethra stricture (53620) |
$1,088.70 |
$2,177.39 |
1.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$967.62 |
$1,935.22 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$343.49 |
$686.98 |
0.4× |
| Dilation of anal sphincter (45905) |
$880.43 |
$1,760.85 |
0.8× |
| Dilation of salivary duct (42650) |
$749 |
$1,498 |
0.5× |
| Division of fallopian tube (58600) |
$1,551.50 |
$3,103 |
0.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$316.14 |
$632.26 |
0.5× |
| Drain shoulder bursa (23031) |
$741.58 |
$1,483.15 |
0.3× |
| Drain shoulder lesion (23030) |
$1,551.50 |
$3,103 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$195.28 |
$390.55 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$813.20 |
$1,626.40 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$268.23 |
$536.46 |
1.5× |
| Drainage of eyelid abscess (67700) |
$273.92 |
$547.82 |
0.9× |
| Drainage of gum lesion (41800) |
$221.53 |
$443.06 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$420.34 |
$840.66 |
0.3× |
| Drainage of hydrocele (55000) |
$268.23 |
$536.46 |
0.4× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$942.50 |
$1,885 |
0.4× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$872.05 |
$1,744.10 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$494.50 |
$988.98 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$882.94 |
$1,765.89 |
0.3× |
| Draw blood off venous device (36591) |
$46.28 |
$92.56 |
0.4× |
| Dressing change under anesthesia (15852) |
$258.13 |
$516.26 |
0.4× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$342.40 |
$684.80 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$217.74 |
$435.48 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$177.32 |
$354.63 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$71.32 |
$142.63 |
0.4× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$272.85 |
$545.70 |
0.1× |
| Dstrj lesion anus simple surg excision (46922) |
$1,374.95 |
$2,749.90 |
0.5× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$635.50 |
$1,271 |
0.3× |
| Dstrj lesion penis simple surg excision (54060) |
$565.91 |
$1,131.81 |
0.3× |
| Dx gastr intub w/asp spec (43754) |
$238.08 |
$476.15 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$912.18 |
$1,824.35 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$731.62 |
$1,463.22 |
0.4× |
| Egd flexible foreign body removal (43247) |
$502.26 |
$1,004.52 |
0.6× |
| Egd guide wire insertion (43248) |
$505.54 |
$1,011.06 |
0.6× |
| Egd place gastrostomy tube (43246) |
$710.25 |
$1,420.50 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$651.36 |
$1,302.72 |
0.4× |
| Egd remove lesion snare (43251) |
$666.07 |
$1,332.14 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$736.96 |
$1,473.92 |
0.4× |
| Egd tube/cath insertion (43241) |
$529.52 |
$1,059.04 |
0.3× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$2,682.50 |
$5,365 |
0.6× |
| Enterorrhaphy single perforation (44602) |
$1,004.64 |
$2,009.28 |
0.3× |
| Epididymectomy unilateral (54860) |
$1,322.36 |
$2,644.72 |
0.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$841.50 |
$1,683 |
0.4× |
| Escharotomy initial incision (16035) |
$583.79 |
$1,167.58 |
1.6× |
| Esophagoscopy flex biopsy (43202) |
$940.43 |
$1,880.85 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$628.62 |
$1,257.25 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$450.31 |
$900.62 |
0.5× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$904.15 |
$1,808.30 |
0.5× |
| Evacuate mole of uterus (59870) |
$1,391 |
$2,782 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$50.49 |
$100.98 |
0.4× |
| Exc abd les sc 3 cm/> (22903) |
$1,203.88 |
$2,407.75 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$913.06 |
$1,826.12 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$679.32 |
$1,358.64 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$506.80 |
$1,013.60 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$491.66 |
$983.30 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$742.52 |
$1,485.04 |
0.5× |
| Exc back tum deep < 5 cm (21932) |
$977.50 |
$1,955 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$629.70 |
$1,259.39 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$266.52 |
$533.04 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$412.13 |
$824.26 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,136.03 |
$2,272.06 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$676.21 |
$1,352.42 |
0.4× |
| Exc forearm les sc < 3 cm (25075) |
$664.74 |
$1,329.48 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$792.06 |
$1,584.12 |
0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,322.36 |
$2,644.72 |
0.4× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$1,551.50 |
$3,103 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$596.73 |
$1,193.46 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$1,024.52 |
$2,049.05 |
0.4× |
| Exc Rect Tum Transanal Full (45172) |
$1,271.09 |
$2,542.18 |
0.5× |
| Exc rect tum transanal part (45171) |
$1,014.92 |
$2,029.85 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$626.25 |
$1,252.50 |
0.4× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,072.24 |
$4,144.46 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$330.68 |
$661.36 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$201.04 |
$402.08 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$203.22 |
$406.44 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$405.82 |
$811.64 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$584.02 |
$1,168.04 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$553.18 |
$1,106.36 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$956.88 |
$1,913.77 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$805.88 |
$1,611.76 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$497.33 |
$994.65 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$502.38 |
$1,004.75 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,151.80 |
$2,303.60 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$977.40 |
$1,954.80 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$651.46 |
$1,302.93 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$986.12 |
$1,972.25 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$572.32 |
$1,144.64 |
0.5× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$854.66 |
$1,709.32 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$249.25 |
$498.50 |
0.4× |
| Exc troc pres ulc & bone flap clos (15953) |
$1,551.50 |
$3,103 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,159.70 |
$2,319.39 |
0.4× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$823.62 |
$1,647.23 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,086.58 |
$2,173.16 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,097.62 |
$2,195.25 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$825.20 |
$1,650.40 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,551.50 |
$3,103 |
0.6× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,551.50 |
$3,103 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$957.74 |
$1,915.48 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$652.28 |
$1,304.54 |
0.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,130.76 |
$2,261.52 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,075.85 |
$2,151.70 |
0.4× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$1,792.25 |
$3,584.50 |
0.6× |
| Exchange intraocular lens (66986) |
$1,157.49 |
$2,314.98 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$754.42 |
$1,508.84 |
0.5× |
| Excise cutaneous neurofibroma (64788) |
$960.33 |
$1,920.65 |
0.5× |
| Excise lesion testis (54512) |
$521.63 |
$1,043.25 |
0.2× |
Excise parotid gland/lesion (42420)
likely a partial charge, not the full procedure |
$1,577.19 |
$3,154.37 |
0.3× |
| Excise pharynx lesion (42808) |
$1,324.13 |
$2,648.25 |
0.4× |
| Excise/repair mouth lesion (40812) |
$826.64 |
$1,653.28 |
0.6× |
| Excision Breast Lesion (19125) |
$1,161.20 |
$2,322.40 |
0.3× |
| Excision Chalazion Single (67800) |
$306.10 |
$612.19 |
1.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$870 |
$1,740 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$1,551.50 |
$3,103 |
0.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$473.35 |
$946.69 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$317.02 |
$634.02 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$296.64 |
$593.26 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$448.10 |
$896.20 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$488.50 |
$976.99 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$346.10 |
$692.18 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$391.30 |
$782.60 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$367.32 |
$734.64 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$758.56 |
$1,517.11 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$537.68 |
$1,075.35 |
0.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$483.28 |
$966.54 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$391.30 |
$782.60 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$672.15 |
$1,344.29 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$643.76 |
$1,287.50 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,374.95 |
$2,749.90 |
0.5× |
| Excision of bartholin's gland or cyst (56740) |
$937.32 |
$1,874.64 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$205.12 |
$410.23 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$566.12 |
$1,132.24 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$814.79 |
$1,629.57 |
0.6× |
| Excision of hydrocele; unilateral (55040) |
$1,084.48 |
$2,168.96 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$429.17 |
$858.33 |
0.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$810.82 |
$1,621.62 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$544.32 |
$1,088.63 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$484.86 |
$969.72 |
0.3× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$663.26 |
$1,326.52 |
0.5× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$1,374.95 |
$2,749.90 |
0.5× |
| Excision of local lesion of epididymis (54830) |
$1,322.36 |
$2,644.72 |
0.4× |
| Excision of nail fold toe (11765) |
$176.55 |
$353.10 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$928.17 |
$1,856.34 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$548.48 |
$1,096.96 |
0.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$981.72 |
$1,963.45 |
0.4× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$1,322.36 |
$2,644.72 |
0.7× |
Excision of submandibular (submaxillary) gland (42440)
unusually low: confirm this is the full procedure |
$2,605.45 |
$5,210.90 |
0.5× |
| Excision of tongue lesion (41112) |
$1,324.13 |
$2,648.25 |
0.4× |
| Excision of tonsil tags (42860) |
$2,103.76 |
$4,207.51 |
0.7× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
unusually low: confirm this is the full procedure |
$1,685.45 |
$3,370.90 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$883.36 |
$1,766.72 |
0.3× |
| Excision olecranon bursa (24105) |
$949.50 |
$1,899 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,070 |
$2,140 |
0.4× |
| Excision Prepatellar Bursa (27340) |
$941.96 |
$1,883.91 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$813.21 |
$1,626.42 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$681.34 |
$1,362.68 |
0.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$910.72 |
$1,821.43 |
0.6× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$958.69 |
$1,917.37 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$605 |
$1,210 |
0.4× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,798.72 |
$3,597.43 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$930.16 |
$1,860.32 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,016.18 |
$2,032.36 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$950 |
$1,900 |
0.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,374.95 |
$2,749.90 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$912.18 |
$1,824.35 |
0.5× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$1,170.11 |
$2,340.22 |
0.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$410 |
$820 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$616.89 |
$1,233.78 |
0.4× |
| Exploration penetrating wound spx chest (20101) |
$691.49 |
$1,382.98 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$576.86 |
$1,153.71 |
0.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$966.66 |
$1,933.33 |
0.3× |
| Explore eye socket,remv f.b. (67413) |
$1,356.93 |
$2,713.85 |
0.6× |
| Explore/treat ankle joint (27610) |
$1,551.50 |
$3,103 |
0.5× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$561.75 |
$1,123.50 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$1,551.50 |
$3,103 |
0.5× |
| Fasciotomy palmar open partial (26045) |
$1,551.50 |
$3,103 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,551.50 |
$3,103 |
0.5× |
| Fetal non-stress test (59025) |
$90.17 |
$180.33 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$197.86 |
$395.72 |
0.5× |
| Frenulotomy of penis (54164) |
$1,024.53 |
$2,049.05 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$728.32 |
$1,456.64 |
0.4× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$892.89 |
$1,785.78 |
0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$749.57 |
$1,499.14 |
0.4× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,322.36 |
$2,644.72 |
0.7× |
| Fusion of finger tendons (26474) |
$616.10 |
$1,232.20 |
0.4× |
| Fusion of toes (28280) |
$1,551.50 |
$3,103 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$25 |
$50 |
0.1× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,483.15 |
$2,966.30 |
0.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$871.33 |
$1,742.66 |
0.5× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,551.50 |
$3,103 |
0.5× |
| Hemorrhoidectomy (46255) |
$982.53 |
$1,965.06 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$1,050.38 |
$2,100.74 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$1,502.68 |
$3,005.36 |
0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$889.75 |
$1,779.50 |
0.4× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$1,243.32 |
$2,486.64 |
0.5× |
| Hysteroscopy ablation (58563) |
$2,925 |
$5,850 |
0.6× |
| Hysteroscopy biopsy (58558) |
$1,625 |
$3,250 |
0.6× |
| Hysteroscopy dx sep proc (58555) |
$1,625 |
$3,250 |
0.6× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$555 |
$1,110 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$164.78 |
$329.56 |
0.8× |
| I&d abscess simple (10060) |
$193.76 |
$387.52 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,088.72 |
$2,177.45 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,551.50 |
$3,103 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$628.63 |
$1,257.25 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$646.90 |
$1,293.80 |
0.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,551.50 |
$3,103 |
0.5× |
| I&d perianal abscess superficial (46050) |
$317.14 |
$634.29 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$109.19 |
$218.37 |
0.2× |
| I&d submucosal abscess rectum (45005) |
$222.16 |
$444.32 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$557.74 |
$1,115.48 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$636.66 |
$1,273.30 |
0.2× |
| Incise finger tendon sheath (26055) |
$901.61 |
$1,803.22 |
0.6× |
| Incise inner eye adhesions (65875) |
$1,374.95 |
$2,749.90 |
0.7× |
| Incise wrist/forearm tendon (25290) |
$787.65 |
$1,575.29 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$223.42 |
$446.84 |
0.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$916.75 |
$1,833.50 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$288.90 |
$577.80 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$889.89 |
$1,779.78 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$196.70 |
$393.38 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$134.43 |
$268.86 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$364.16 |
$728.32 |
1.3× |
| Incision bone cortex foot (28005) |
$1,103.31 |
$2,206.62 |
0.4× |
| Incision of achilles tendon (27605) |
$826.78 |
$1,653.56 |
0.6× |
| Incision of heel bone (28300) |
$3,354.45 |
$6,708.90 |
0.5× |
| Incision of lingual frenum (41010) |
$749 |
$1,498 |
0.5× |
| Incision of rectal abscess (46040) |
$757.36 |
$1,514.70 |
0.7× |
| Incision of urethra (53020) |
$1,012.96 |
$2,025.92 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$318.72 |
$637.43 |
1.4× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
unusually low: confirm this is the full procedure |
$1,844.42 |
$3,688.82 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$118.24 |
$236.47 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$87.10 |
$174.20 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$110.45 |
$220.90 |
0.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$460.10 |
$920.18 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$117.70 |
$235.40 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$347.13 |
$694.25 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$58.85 |
$117.70 |
0.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$271.70 |
$543.40 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$125.60 |
$251.19 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$132.50 |
$265 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$255.85 |
$511.70 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$149.17 |
$298.34 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$150.52 |
$301.04 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$83.94 |
$167.87 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$122.44 |
$244.88 |
0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$58.85 |
$117.70 |
0.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$254.98 |
$509.95 |
0.3× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$2,395.46 |
$4,790.92 |
0.5× |
| Insert and remove bone pin (20650) |
$1,693.28 |
$3,386.55 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$132.50 |
$265 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$234.15 |
$468.30 |
0.1× |
| Insert pessary/other device (57160) |
$120.22 |
$240.43 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$70.38 |
$140.74 |
0.6× |
| Insert tun ip cath perc (49418) |
$1,334.84 |
$2,669.66 |
0.4× |
| Insert tunneled cv cath (36561) |
$1,265.28 |
$2,530.55 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$135.25 |
$270.49 |
1.1× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$1,420.04 |
$2,840.07 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,322.46 |
$2,644.90 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,369.41 |
$2,738.82 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$225.95 |
$451.89 |
1.0× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,603.26 |
$3,206.51 |
0.3× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$1,752.66 |
$3,505.32 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,576.26 |
$3,152.52 |
0.3× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$694.24 |
$1,388.47 |
0.1× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$1,746.36 |
$3,492.70 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,835.74 |
$5,671.46 |
0.3× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$1,640.01 |
$3,280.01 |
0.3× |
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure |
$2,704.43 |
$5,408.85 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,601.52 |
$3,203.02 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,853.96 |
$3,707.92 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$3,011.09 |
$6,022.18 |
0.3× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545)
unusually low: confirm this is the full procedure |
$2,704.43 |
$5,408.85 |
0.5× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$1,942.95 |
$3,885.89 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,408.72 |
$4,817.44 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,651.22 |
$3,302.44 |
0.3× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure |
$1,737.52 |
$3,475.03 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,572.48 |
$3,144.96 |
0.3× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure |
$1,786.12 |
$3,572.22 |
0.3× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$1,341.78 |
$2,683.55 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$581.27 |
$1,162.53 |
3.2× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$259.36 |
$518.70 |
1.4× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$412.13 |
$824.25 |
2.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$258.77 |
$517.53 |
0.2× |
| Laser surgery, anal lesion(s) (46917) |
$856.25 |
$1,712.50 |
0.3× |
| Late closure of wound (13160) |
$1,110.86 |
$2,221.71 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$390.70 |
$781.40 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$571.12 |
$1,142.22 |
0.4× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$349.65 |
$699.30 |
0.1× |
| Lysis of labial adhesions (56441) |
$1,551.50 |
$3,103 |
0.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,096.76 |
$2,193.50 |
0.6× |
| Marsup Bartholin Gland Cyst (56440) |
$771.24 |
$1,542.48 |
0.3× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$1,925.80 |
$3,851.58 |
0.3× |
| Mastectomy gynecomastia (19300) |
$1,174.32 |
$2,348.65 |
0.3× |
| Mastectomy partial (19301) |
$1,792.25 |
$3,584.50 |
0.5× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,810 |
$3,620 |
0.3× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$960.33 |
$1,920.65 |
0.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$1,057.14 |
$2,114.28 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$152.10 |
$304.20 |
0.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$181.90 |
$363.80 |
0.2× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,070.88 |
$2,141.77 |
0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$3,354.45 |
$6,708.90 |
0.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$3,354.45 |
$6,708.90 |
0.5× |
| Open treatment metatarsal fracture each (28485) |
$3,354.45 |
$6,708.90 |
0.5× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$3,354.45 |
$6,708.90 |
0.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,324.13 |
$2,648.25 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$533.30 |
$1,066.60 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,433.29 |
$2,866.57 |
0.5× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,792.25 |
$3,584.50 |
0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,551.50 |
$3,103 |
0.5× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,551.50 |
$3,103 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,551.50 |
$3,103 |
0.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,551.50 |
$3,103 |
0.5× |
| Ovarian cystectomy (58925) |
$1,714.86 |
$3,429.70 |
0.4× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$2,477.05 |
$4,954.10 |
0.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,551.50 |
$3,103 |
0.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$1,625 |
$3,250 |
0.6× |
| Partial Removal Foot Fascia (28060) |
$1,551.50 |
$3,103 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,551.50 |
$3,103 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$510.92 |
$1,021.83 |
0.8× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$1,551.50 |
$3,103 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$331.34 |
$662.68 |
0.5× |
| Perq device breast 1st imag (19281) |
$167.25 |
$334.49 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$765.02 |
$1,530.04 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$200.63 |
$401.25 |
0.9× |
| Phleb Veins - Extrem 20+ (37766) |
$1,551.50 |
$3,103 |
0.5× |
| Pin finger fracture each (26756) |
$1,426.27 |
$2,852.54 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$173.56 |
$347.12 |
0.4× |
| Placement of seton (46020) |
$1,374.95 |
$2,749.90 |
0.5× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$752.93 |
$1,505.86 |
0.4× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$1,433.29 |
$2,866.57 |
0.7× |
Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679)
unusually low: confirm this is the full procedure |
$1,707.22 |
$3,414.44 |
0.3× |
| Preputial Stretching (54450) |
$114.55 |
$229.10 |
0.5× |
| Proctopexy Perineal Approach (45541) |
$1,135.54 |
$2,271.08 |
0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$203.23 |
$406.45 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$513.60 |
$1,027.20 |
0.6× |
| Prostatectomy (turp) (52601) |
$3,597.42 |
$7,194.84 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$120.63 |
$241.26 |
0.3× |
| Puncture Aspiration (10160) |
$177.08 |
$354.16 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$115.03 |
$230.05 |
0.2× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$1,243.61 |
$2,487.22 |
0.5× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure |
$3,281.86 |
$6,563.71 |
0.5× |
| Reconstruc Ant Male Urethra (53410) |
$2,621.50 |
$5,243 |
0.5× |
| Reduce testis torsion (54600) |
$1,322.36 |
$2,644.72 |
0.4× |
| Release of big toe (28240) |
$1,551.50 |
$3,103 |
0.5× |
| Release of eye fluid (67015) |
$1,819.54 |
$3,639.08 |
0.9× |
| Release palm contracture (26121) |
$1,120.26 |
$2,240.51 |
0.4× |
| Release thumb contracture (26508) |
$1,551.50 |
$3,103 |
0.5× |
| Removal fb intranasal (30300) |
$192.60 |
$385.20 |
1.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$625.95 |
$1,251.90 |
0.2× |
| Removal Foreign Body Foot Complicated (28193) |
$837.51 |
$1,675.01 |
0.6× |
| Removal foreign body foot deep (28192) |
$721.54 |
$1,443.07 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$229.73 |
$459.46 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$196.91 |
$393.82 |
0.1× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,151.42 |
$2,302.84 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58.70 |
$117.38 |
1.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$182.39 |
$364.78 |
0.1× |
| Removal Implant Deep (20680) |
$1,551.50 |
$3,103 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$605.17 |
$1,210.34 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$255 |
$510 |
0.4× |
| Removal neck/armpit lesion (38550) |
$501.75 |
$1,003.49 |
0.1× |
| Removal of adenoids (42830) |
$2,287.83 |
$4,575.66 |
0.8× |
| Removal of anal fissure (46200) |
$1,374.95 |
$2,749.90 |
0.5× |
| Removal of arm foreign body (24200) |
$154.63 |
$309.25 |
0.1× |
| Removal of finger lesion (26210) |
$841.50 |
$1,683 |
0.6× |
| Removal of heel spur (28119) |
$1,551.50 |
$3,103 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$352.06 |
$704.12 |
0.6× |
| Removal of intrauterine device (iud) (58301) |
$109.82 |
$219.64 |
0.4× |
| Removal of nail bed (11750) |
$189.97 |
$379.94 |
0.5× |
| Removal of salivary stone (42330) |
$802.48 |
$1,604.95 |
0.3× |
| Removal of sesamoid bone (28315) |
$1,551.50 |
$3,103 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$121.42 |
$242.84 |
0.7× |
| Removal of sperm cord lesion (55520) |
$1,093.68 |
$2,187.37 |
0.3× |
| Removal of testis (54520) |
$999.80 |
$1,999.60 |
0.3× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,605.45 |
$5,210.90 |
0.5× |
| Removal of tonsils (42826) |
$1,102.26 |
$2,204.52 |
0.4× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,158.28 |
$2,316.55 |
0.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$497.12 |
$994.22 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$238.08 |
$476.15 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$238.08 |
$476.15 |
0.9× |
| Remove anal fist subq (46270) |
$1,005.52 |
$2,011.04 |
0.4× |
| Remove cervix/repair vagina (57555) |
$2,477.05 |
$4,954.10 |
0.5× |
| Remove drug implant device (11982) |
$256.87 |
$513.74 |
0.6× |
| Remove elbow lesion (24120) |
$1,551.50 |
$3,103 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$150.27 |
$300.54 |
0.5× |
| Remove eyelid lesion(s) (67808) |
$701.86 |
$1,403.71 |
0.3× |
| Remove foreign body from eye (65210) |
$205.12 |
$410.23 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$1,328 |
$2,656 |
0.5× |
| Remove in/ex hem grp w/fistu (46258) |
$855.18 |
$1,710.35 |
0.3× |
| Remove in/ex hem grps w/fist (46262) |
$2,103.76 |
$4,207.51 |
0.8× |
| Remove Peritoneal Foreign Body (49402) |
$1,194.18 |
$2,388.34 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,162.32 |
$2,324.63 |
0.4× |
| Remove shoulder foreign body (23330) |
$291.58 |
$583.15 |
0.2× |
| Remove skin nerve lesion (64774) |
$376.16 |
$752.31 |
0.2× |
| Remove wrist tendon lesion (25111) |
$591.68 |
$1,183.36 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$829.94 |
$1,659.87 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$73.22 |
$146.42 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$161.88 |
$323.77 |
1.3× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,669.97 |
$3,339.93 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,554.18 |
$3,108.35 |
0.5× |
| Repair brow defect (67900) |
$1,158.28 |
$2,316.55 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$449.40 |
$898.80 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$535 |
$1,070 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$394.45 |
$788.90 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$505.58 |
$1,011.15 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$371.83 |
$743.65 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$438.70 |
$877.40 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$312.98 |
$625.95 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$347.75 |
$695.50 |
0.5× |
| Repair elbow perc (24357) |
$1,551.50 |
$3,103 |
0.5× |
| Repair entropion excision tarsal wedge (67923) |
$1,158.28 |
$2,316.55 |
0.5× |
| Repair Entropion Suture (67921) |
$1,158.28 |
$2,316.55 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$770.16 |
$1,540.31 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$1,234.90 |
$2,469.79 |
0.4× |
| Repair hand tendon (26410) |
$770.61 |
$1,541.21 |
0.5× |
| Repair incomplete circumcision (54163) |
$1,024.53 |
$2,049.05 |
0.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,174.14 |
$2,348.27 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,587.50 |
$3,175 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,534.58 |
$3,069.17 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,218.63 |
$2,437.26 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$500.23 |
$1,000.45 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$258.77 |
$517.53 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$315.65 |
$631.30 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$238.08 |
$476.15 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$369.15 |
$738.30 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$385.20 |
$770.40 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$422.65 |
$845.30 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$256.80 |
$513.60 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$272.85 |
$545.70 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$382.53 |
$765.05 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$333.16 |
$666.32 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$227.21 |
$454.41 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$218.69 |
$437.38 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$340.81 |
$681.61 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$241.09 |
$482.18 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$841.50 |
$1,683 |
0.4× |
Repair lumbar hernia (49540)
unusually low: confirm this is the full procedure |
$2,704.43 |
$5,408.85 |
0.5× |
| Repair of anal sphincter (46750) |
$1,322.36 |
$2,644.72 |
0.5× |
| Repair of ankle ligament (27695) |
$3,354.45 |
$6,708.90 |
0.5× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$1,551.50 |
$3,103 |
0.3× |
| Repair Of Foot Tendon (28208) |
$1,551.50 |
$3,103 |
0.5× |
| Repair of hydrocele (55060) |
$1,322.36 |
$2,644.72 |
0.4× |
| Repair of nail bed (11760) |
$125.60 |
$251.19 |
0.2× |
| Repair of rectocele (45560) |
$1,365.13 |
$2,730.25 |
0.5× |
| Repair of rectum (45505) |
$1,322.36 |
$2,644.72 |
0.5× |
| Repair of vagina (57260) |
$2,477.05 |
$4,954.10 |
0.5× |
| Repair rectum & vagina (57250) |
$2,477.05 |
$4,954.10 |
0.5× |
| Repair Tongue Laceration (41250) |
$286.23 |
$572.45 |
0.7× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,551.50 |
$3,103 |
0.5× |
| Replace g/c tube perc (49450) |
$74.90 |
$149.80 |
0.1× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$1,874.37 |
$3,748.74 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$1,215.16 |
$2,430.32 |
0.4× |
| Resection of scrotum (55150) |
$1,322.36 |
$2,644.72 |
0.4× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$1,551.50 |
$3,103 |
0.5× |
| Revise low back nerve(s) (64714) |
$701.14 |
$1,402.27 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$1,025.58 |
$2,051.16 |
0.6× |
| Revision of colostomy simple (44340) |
$1,551.50 |
$3,103 |
0.5× |
| Revision of iris (66761) |
$361.13 |
$722.25 |
0.7× |
| Revision of lower leg tendon (27685) |
$1,551.50 |
$3,103 |
0.5× |
| Revision of major vein (37650) |
$1,039.24 |
$2,078.49 |
0.4× |
| Revision of upper eyelid (15823) |
$1,076.07 |
$2,152.13 |
0.6× |
| Revision of urethra (53460) |
$1,322.36 |
$2,644.72 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$64.20 |
$128.40 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$788.92 |
$1,577.82 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,551.50 |
$3,103 |
0.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$813.20 |
$1,626.40 |
0.3× |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
$1,792.25 |
$3,584.50 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$470.51 |
$941.01 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$429.16 |
$858.33 |
0.8× |
| Rmvl vitreous ant appr partial removal (67005) |
$1,183.36 |
$2,366.72 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,405 |
$2,810 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,551.50 |
$3,103 |
0.5× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
unusually low: confirm this is the full procedure |
$1,792.25 |
$3,584.50 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,332.50 |
$2,665 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$1,600.25 |
$3,200.50 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,169.50 |
$2,339 |
0.4× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$1,550 |
$3,100 |
0.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,755.80 |
$3,511.58 |
0.5× |
| Rpr ing hernia init blocked (49501) |
$1,217.06 |
$2,434.10 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$432.58 |
$865.17 |
0.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$189.97 |
$379.94 |
0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$822.99 |
$1,645.98 |
0.6× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$3,354.45 |
$6,708.90 |
0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$358.48 |
$716.96 |
0.6× |
| Salpingostomy (salpingoneostomy) (58770) |
$1,467.37 |
$2,934.73 |
0.5× |
| Severing ads ant seg incal spx ant synechiae (65870) |
$1,136.03 |
$2,272.06 |
0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$320.62 |
$641.22 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$432.02 |
$864.02 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$99.88 |
$199.75 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$101.65 |
$203.30 |
0.3× |
| Sigmoidoscopy & decompress (45337) |
$322.50 |
$645 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$354.56 |
$709.11 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$391.02 |
$782.05 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$222.16 |
$444.32 |
0.2× |
| Simple destruction of growth of penis using electric current (54055) |
$912.18 |
$1,824.35 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$283.69 |
$567.38 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$147.05 |
$294.10 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$152.42 |
$304.84 |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$401.40 |
$802.79 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$196.91 |
$393.82 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$212.06 |
$424.12 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$491.02 |
$982.04 |
2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$139.48 |
$278.96 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$312.41 |
$624.82 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$166.62 |
$333.24 |
0.9× |
| Skin pinch graft (15050) |
$476.82 |
$953.63 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$1,059.76 |
$2,119.51 |
0.6× |
| Skin tissue rearrangement (14040) |
$708.88 |
$1,417.75 |
0.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,079.23 |
$2,158.46 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$2,477.05 |
$4,954.10 |
0.5× |
| Slitting of prepuce (54001) |
$598.11 |
$1,196.22 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$149.58 |
$299.16 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$209.86 |
$419.70 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$294.74 |
$589.47 |
0.8× |
| Sphincterotomy (46080) |
$256.87 |
$513.74 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$301.36 |
$602.73 |
0.5× |
| Strapping ankle (29540) |
$31.56 |
$63.12 |
0.2× |
| Strapping elbow/wrist (29260) |
$215.22 |
$430.43 |
4.0× |
| Strapping hand/finger (29280) |
$35.34 |
$70.68 |
0.7× |
| Strapping Hip (29520) |
$50.49 |
$100.98 |
0.4× |
| Strapping knee (29530) |
$170 |
$340 |
1.4× |
| Strapping shoulder (29240) |
$70.06 |
$140.12 |
0.6× |
| Strapping thorax (29200) |
$90.17 |
$180.33 |
0.6× |
| Strapping toes (29550) |
$39.14 |
$78.27 |
0.7× |
| Strapping unna boot (29580) |
$22.09 |
$44.18 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$911.98 |
$1,823.96 |
0.4× |
| Suspension of testis (54640) |
$1,792.25 |
$3,584.50 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$104.46 |
$208.91 |
0.3× |
| Tendon excision palm/finger (26145) |
$901.61 |
$1,803.22 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$820.47 |
$1,640.93 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$340 |
$680 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$401.72 |
$803.42 |
0.7× |
| Throat Surgery Procedure (42999) |
$218.37 |
$436.74 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$267.50 |
$535 |
0.9× |
| Thyroid biopsy (60100) |
$300.54 |
$601.07 |
0.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$912.18 |
$1,824.35 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,786.09 |
$3,572.18 |
0.6× |
| Trach Tube Change (31502) |
$45.45 |
$90.89 |
0.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$519.81 |
$1,039.62 |
0.4× |
| Tracheostomy planned (31600) |
$1,324.13 |
$2,648.25 |
0.4× |
| Transurethral incision of prostate (52450) |
$1,792.25 |
$3,584.50 |
0.6× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$931.54 |
$1,863.08 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$294.25 |
$588.50 |
1.3× |
| Treat humerus fracture (24500) |
$374.50 |
$749 |
1.7× |
| Treat humerus fracture (23600) |
$286.54 |
$573.07 |
1.3× |
| Treat pleurodesis w/agent (32560) |
$430.68 |
$861.35 |
0.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$452.08 |
$904.15 |
0.3× |
| Treat wrist bone fracture (25622) |
$458.83 |
$917.66 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$321 |
$642 |
1.4× |
| Treatment closed elbow dislocation req anes (24605) |
$813.20 |
$1,626.40 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$332.61 |
$665.21 |
1.5× |
| Treatment mouth roof lesion (42160) |
$785.12 |
$1,570.22 |
0.3× |
| Treatment of ankle fracture (27822) |
$3,354.45 |
$6,708.90 |
0.5× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$3,092.52 |
$6,185.04 |
0.5× |
| Treatment of gum lesion (41850) |
$340.81 |
$681.61 |
0.2× |
| Trim skin lesion (11055) |
$108.76 |
$217.51 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$111.71 |
$223.42 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$31.56 |
$63.12 |
0.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$621.66 |
$1,243.32 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$926.28 |
$1,852.54 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,551.50 |
$3,103 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$282.34 |
$564.67 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$299.78 |
$599.57 |
0.8× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$1,692.71 |
$3,385.41 |
0.3× |
Unlisted laparoscopy procedure, appendix (44979)
unusually low: confirm this is the full procedure |
$2,704.43 |
$5,408.85 |
0.5× |
Unlisted laparoscopy procedure, biliary tract (47579)
unusually low: confirm this is the full procedure |
$2,612.54 |
$5,225.08 |
0.5× |
Unlisted laparoscopy procedure, stomach (43659)
unusually low: confirm this is the full procedure |
$2,014.90 |
$4,029.79 |
0.4× |
| Unlisted procedure anus (46999) |
$270.76 |
$541.50 |
0.3× |
| Unlisted Procedure Conjunctiva (68399) |
$246.15 |
$492.29 |
0.9× |
| Unlisted Procedure Rectum (45999) |
$725.80 |
$1,451.59 |
0.9× |
| Unlisted Procedure Small Intestine (44799) |
$1,503.66 |
$3,007.32 |
1.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,322.36 |
$2,644.72 |
1.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$90.17 |
$180.33 |
0.5× |
| Vaginal delivery only (59409) |
$867.80 |
$1,735.60 |
0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,757.62 |
$3,515.25 |
0.4× |
| Vasectomy (55250) |
$997.82 |
$1,995.62 |
0.5× |
| Venipuncture (36415) |
$12.02 |
$24.04 |
1.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$238.08 |
$476.15 |
0.6× |
| Vulvectomy simple partial (56620) |
$1,625 |
$3,250 |
0.6× |
| Vulvectomy simple; complete (56625) |
$1,625 |
$3,250 |
0.6× |