| Abd paracentesis w/imaging (49083) |
$1,614.96 |
$1,614.96 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,555.60 |
$2,555.60 |
2.4× |
| Ablate inf turbinate submuc (30802) |
$3,208.39 |
$3,208.39 |
1.7× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$1,855 |
$1,855 |
0.1× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$2,270.59 |
$2,270.59 |
1.2× |
| Acne Surgery (10040) |
$565 |
$565 |
2.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$3,275 |
$3,275 |
1.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,743.05 |
$3,743.05 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,296.08 |
$3,296.08 |
1.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,745.12 |
$2,745.12 |
1.1× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,148.35 |
$3,148.35 |
1.3× |
| Amputation metatarsal with toe single (28810) |
$1,731.10 |
$1,731.10 |
0.4× |
| Amputation thigh through femur any level (27590) |
$2,350.30 |
$2,350.30 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$971.50 |
$971.50 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,059.45 |
$1,059.45 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$2,982.52 |
$2,982.52 |
0.8× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$3,745.48 |
$3,745.48 |
0.4× |
| Analyze infusn pump+reprogram (62368) |
$624 |
$624 |
1.7× |
| Anoscopy control bleeding (46614) |
$320 |
$320 |
0.2× |
| Anoscopy diagnostic (46600) |
$129.21 |
$129.21 |
0.8× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$427.82 |
$427.82 |
0.1× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,964.85 |
$2,964.85 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$242.14 |
$242.14 |
1.2× |
| Application finger splint static (29130) |
$455.52 |
$455.52 |
2.9× |
| Application long arm splint shoulder hand (29105) |
$573.78 |
$573.78 |
2.9× |
| Application long leg splint thigh ankle/toes (29505) |
$252 |
$252 |
1.3× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
unusually low: confirm this is the full procedure |
$3,465 |
$3,465 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$980.03 |
$980.03 |
2.9× |
| Application short arm splint forearm-hand static (29125) |
$626.34 |
$626.34 |
3.9× |
| Application short leg splint calf foot (29515) |
$573.78 |
$573.78 |
2.9× |
| Apply short leg cast (29405) |
$980.03 |
$980.03 |
2.9× |
| Arterial puncture (36600) |
$149.82 |
$149.82 |
0.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,728.50 |
$1,728.50 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,061.06 |
$1,061.06 |
2.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,577.63 |
$2,577.63 |
3.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,458.96 |
$1,458.96 |
4.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,458.96 |
$1,458.96 |
4.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,458.96 |
$1,458.96 |
4.0× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$7,755 |
$7,755 |
0.2× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$2,344.90 |
$2,344.90 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$6,013.98 |
$6,013.98 |
0.3× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure |
$2,668.10 |
$2,668.10 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,282.10 |
$2,282.10 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,743.28 |
$2,743.28 |
0.7× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,585 |
$1,585 |
0.8× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,895 |
$1,895 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$1,061.06 |
$1,061.06 |
2.9× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$970.45 |
$970.45 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$729.27 |
$729.27 |
3.0× |
| Axillary lymphadenectomy; complete (38745) |
$3,855.45 |
$3,855.45 |
0.5× |
| Biopsy Bone Open Deep (20245) |
$6,172.52 |
$6,172.52 |
1.8× |
| Biopsy bone trocar/needle deep (20225) |
$5,717 |
$5,717 |
2.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$5,717 |
$5,717 |
2.9× |
| Biopsy Breast Open Incisional (19101) |
$927.60 |
$927.60 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,573 |
$2,573 |
2.3× |
| Biopsy external auditory canal (69105) |
$2,334.21 |
$2,334.21 |
1.3× |
| Biopsy external ear (69100) |
$705.60 |
$705.60 |
2.5× |
| Biopsy intranasal (30100) |
$198.65 |
$198.65 |
0.1× |
| Biopsy muscle deep (20205) |
$638.08 |
$638.08 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$5,717 |
$5,717 |
2.9× |
| Biopsy of lip (40490) |
$705.60 |
$705.60 |
2.5× |
| Biopsy of mouth lesion (40808) |
$412.52 |
$412.52 |
0.6× |
| Biopsy of nail unit (11755) |
$2,527.26 |
$2,527.26 |
3.0× |
| Biopsy of palate, uvula (42100) |
$304.50 |
$304.50 |
0.2× |
| Biopsy of penis (54100) |
$695 |
$695 |
0.4× |
| Biopsy of prostate (55705) |
$1,025 |
$1,025 |
0.2× |
| Biopsy of tongue (41100) |
$459.88 |
$459.88 |
0.7× |
| Biopsy of uterus lining (58100) |
$692.04 |
$692.04 |
2.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,248.98 |
$1,248.98 |
0.3× |
| Biopsy Oropharynx (42800) |
$1,550.52 |
$1,550.52 |
0.8× |
| Biopsy pleura percutaneous needle (32400) |
$1,675.35 |
$1,675.35 |
0.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,129.62 |
$1,129.62 |
1.3× |
| Biopsy tongue posterior one-third (41105) |
$640 |
$640 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$2,573.25 |
$2,573.25 |
2.3× |
| Biopsy/removal lymph nodes (38525) |
$1,770.05 |
$1,770.05 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$2,242.78 |
$2,242.78 |
0.5× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$1,081.86 |
$1,081.86 |
1.3× |
| Bladder Irrigation Simple (51700) |
$328 |
$328 |
1.1× |
| Bladder Scan (51798) |
$226.67 |
$226.67 |
3.2× |
| Blood transfusion service (36430) |
$696.85 |
$696.85 |
1.3× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$992.50 |
$992.50 |
0.1× |
| Bronch ebus samplng 1/2 node (31652) |
$12,585.93 |
$12,585.93 |
2.8× |
| Bronch ebus samplng 3/> node (31653) |
$1,220 |
$1,220 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,210.58 |
$3,210.58 |
1.5× |
| Bronchoscopy W/Biopsy(S) (31625) |
$642.95 |
$642.95 |
0.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,210.58 |
$3,210.58 |
1.5× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$579.30 |
$579.30 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$572.72 |
$572.72 |
0.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,129.62 |
$1,129.62 |
0.6× |
| Bx breast 1st lesion strtctc (19081) |
$5,717 |
$5,717 |
2.9× |
| Bx breast 1st lesion us imag (19083) |
$5,717 |
$5,717 |
2.9× |
| Bx vulva/perineum 1 lesion (56605) |
$2,573.25 |
$2,573.25 |
2.3× |
| Bx/exc lymph node needle superficial (38505) |
$1,675.35 |
$1,675.35 |
0.8× |
| Cataract surgery complex (66982) |
$5,464.83 |
$5,464.83 |
2.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$276.73 |
$276.73 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$868.32 |
$868.32 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$305.65 |
$305.65 |
1.0× |
| Chemical Cautery Tissue (17250) |
$729.27 |
$729.27 |
3.0× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,116.55 |
$1,116.55 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,116.55 |
$1,116.55 |
1.3× |
| Chemodenerv Musc Migraine (64615) |
$1,227.07 |
$1,227.07 |
3.3× |
| Chemodenerv Musc Neck Dyston (64616) |
$994.18 |
$994.18 |
2.7× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$430.23 |
$430.23 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$1,834.04 |
$1,834.04 |
5.0× |
| Chest tube placement (32551) |
$902.38 |
$902.38 |
0.5× |
| Circum 28 days or older (54161) |
$1,185.20 |
$1,185.20 |
0.5× |
| Clean out mastoid cavity (69222) |
$588.18 |
$588.18 |
0.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$837.68 |
$837.68 |
2.8× |
| Closed Rx Med Malleolus Fx (27760) |
$1,865 |
$1,865 |
6.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,902.32 |
$1,902.32 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,760 |
$1,760 |
6.0× |
| Closed Rx Trimalleolar Fx (27816) |
$1,780 |
$1,780 |
6.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$453.80 |
$453.80 |
0.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$852.95 |
$852.95 |
2.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$522.50 |
$522.50 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,905 |
$1,905 |
6.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,101 |
$2,101 |
1.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$343.60 |
$343.60 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,905.98 |
$1,905.98 |
6.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,830 |
$2,830 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$242.14 |
$242.14 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$360.35 |
$360.35 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$837.68 |
$837.68 |
2.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,054.88 |
$1,054.88 |
3.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,238.75 |
$1,238.75 |
0.6× |
| Closed tx septal&nose fx (21337) |
$1,064 |
$1,064 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$148 |
$148 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$837.68 |
$837.68 |
2.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$656 |
$656 |
2.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$837.68 |
$837.68 |
2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$837.68 |
$837.68 |
2.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,466.50 |
$1,466.50 |
5.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,355 |
$1,355 |
4.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,300 |
$2,300 |
7.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,181.08 |
$1,181.08 |
4.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$837.68 |
$837.68 |
2.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$837.68 |
$837.68 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,520.50 |
$2,520.50 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,380 |
$4,380 |
2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$837.68 |
$837.68 |
2.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$837.68 |
$837.68 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$605.35 |
$605.35 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$837.68 |
$837.68 |
2.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$712.60 |
$712.60 |
2.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$457.50 |
$457.50 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,291.50 |
$1,291.50 |
4.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$837.68 |
$837.68 |
2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,202.38 |
$1,202.38 |
4.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,895 |
$1,895 |
6.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$837.68 |
$837.68 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$837.68 |
$837.68 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$938.50 |
$938.50 |
3.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,015 |
$2,015 |
6.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$837.68 |
$837.68 |
2.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,062.50 |
$2,062.50 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,155 |
$2,155 |
1.1× |
| Colonoscopy stoma w/snare (44394) |
$4,213.56 |
$4,213.56 |
2.9× |
| Colonoscopy thru stoma (44388) |
$3,224.78 |
$3,224.78 |
2.9× |
| Colonoscopy w/resection (45390) |
$9,926.18 |
$9,926.18 |
3.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,143 |
$1,143 |
3.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,143.18 |
$1,143.18 |
3.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$4,213.56 |
$4,213.56 |
2.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$4,213.56 |
$4,213.56 |
2.9× |
| Complex Drainage, Wound (10180) |
$3,226.31 |
$3,226.31 |
0.9× |
| Complex Uroflowmetry (51741) |
$66 |
$66 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$801.45 |
$801.45 |
3.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$295.65 |
$295.65 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$295.65 |
$295.65 |
1.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,675.35 |
$1,675.35 |
0.8× |
| Correction hammertoe (28285) |
$1,566.08 |
$1,566.08 |
0.4× |
| Correction of bunion (28292) |
$1,958.30 |
$1,958.30 |
0.5× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$2,394.05 |
$2,394.05 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,764.38 |
$2,764.38 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,466.02 |
$2,466.02 |
0.6× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,352.50 |
$3,352.50 |
0.9× |
| Create eardrum opening (69436) |
$689.60 |
$689.60 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$464.55 |
$464.55 |
2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$627 |
$627 |
2.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$995.20 |
$995.20 |
0.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,141.90 |
$1,141.90 |
0.3× |
Cysto w fulgertn lg bladder tumor(s) (52240)
unusually low: confirm this is the full procedure |
$2,496.52 |
$2,496.52 |
0.4× |
| Cysto w/destruction of lesions (52214) |
$1,065.45 |
$1,065.45 |
0.3× |
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
likely a partial charge, not the full procedure |
$925 |
$925 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$1,454.75 |
$1,454.75 |
0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$7,285.04 |
$7,285.04 |
2.9× |
| Cysto w/ureter stricture tx (52341) |
$2,310.88 |
$2,310.88 |
0.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,521.82 |
$2,521.82 |
0.6× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,564.32 |
$2,564.32 |
0.6× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure |
$3,080.42 |
$3,080.42 |
0.5× |
Cysto/uretero w/lithotripsy (52356)
unusually low: confirm this is the full procedure |
$3,194.58 |
$3,194.58 |
0.5× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
unusually low: confirm this is the full procedure |
$3,007.92 |
$3,007.92 |
0.5× |
| Cystometrogram w/vp (51728) |
$480.50 |
$480.50 |
0.6× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
unusually low: confirm this is the full procedure |
$4,235 |
$4,235 |
0.4× |
| Cystoscopy and treatment (52330) |
$1,438.32 |
$1,438.32 |
0.3× |
| Cystoscopy w/biopsy (52204) |
$941 |
$941 |
0.4× |
| Cystoscopy w/complex removal stone & stent (52315) |
$1,660.08 |
$1,660.08 |
0.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,054.08 |
$1,054.08 |
0.4× |
| Cystoscopy,insert ureteral stent (52332) |
$1,396.48 |
$1,396.48 |
0.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,091.55 |
$4,091.55 |
1.6× |
| Cystourethroscopy (52000) |
$2,335.64 |
$2,335.64 |
2.8× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$720.42 |
$720.42 |
0.3× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,241.18 |
$1,241.18 |
0.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$1,790.15 |
$1,790.15 |
0.4× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$1,760.40 |
$1,760.40 |
0.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$1,995.80 |
$1,995.80 |
0.5× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$1,827.90 |
$1,827.90 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,862.60 |
$1,862.60 |
3.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,365 |
$2,365 |
0.7× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,031.28 |
$2,031.28 |
0.5× |
| Debride nail 1-5 (11720) |
$226.67 |
$226.67 |
3.2× |
| Debride nail 6 or more (11721) |
$226.67 |
$226.67 |
3.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$240.28 |
$240.28 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,405.98 |
$1,405.98 |
2.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$2,129.78 |
$2,129.78 |
2.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$5,149.79 |
$5,149.79 |
2.6× |
| Declot vascular device (36593) |
$586.57 |
$586.57 |
1.5× |
| Decompression of tibia nerve (28035) |
$1,780 |
$1,780 |
0.8× |
| Delivery placenta separate procedure (59414) |
$4,101.08 |
$4,101.08 |
1.1× |
| Derma-fat-fascia graft (15770) |
$2,780.60 |
$2,780.60 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$8,688.62 |
$8,688.62 |
3.7× |
| Destroy lumb/sac facet jnt (64635) |
$11,583 |
$11,583 |
4.9× |
| Destruction benign lesions 15 or more (17111) |
$866.14 |
$866.14 |
3.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$729.27 |
$729.27 |
3.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$5,004 |
$5,004 |
4.7× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$584.20 |
$584.20 |
1.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$729.27 |
$729.27 |
3.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$7,239.38 |
$7,239.38 |
3.1× |
| Destruction of multiple growths of penis (54065) |
$1,043.50 |
$1,043.50 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$216.24 |
$216.24 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,419.12 |
$1,419.12 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$3,224.78 |
$3,224.78 |
2.9× |
| Dilate urethra stricture (53620) |
$511.60 |
$511.60 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$3,288.29 |
$3,288.29 |
3.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$462 |
$462 |
0.2× |
Dissection, deep jugular node(s) (38542)
unusually low: confirm this is the full procedure |
$2,445 |
$2,445 |
0.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,368.80 |
$2,368.80 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,019.16 |
$1,019.16 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$1,458.96 |
$1,458.96 |
4.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,012.48 |
$1,012.48 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$5,717 |
$5,717 |
2.9× |
| Drainage Finger Abscess Simple (26010) |
$680.50 |
$680.50 |
2.8× |
| Drainage mouth roof lesion (42000) |
$635 |
$635 |
2.2× |
| Drainage of eyelid abscess (67700) |
$665 |
$665 |
1.7× |
| Drainage of gum lesion (41800) |
$755.50 |
$755.50 |
4.7× |
| Drainage of hematoma/fluid (10140) |
$5,717 |
$5,717 |
2.9× |
| Drainage of hydrocele (55000) |
$409.25 |
$409.25 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$2,406.12 |
$2,406.12 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$457.04 |
$457.04 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$729.27 |
$729.27 |
3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$729.27 |
$729.27 |
3.0× |
| Dstrj lesion anus simple surg excision (46922) |
$700.60 |
$700.60 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$6,967.49 |
$6,967.49 |
2.8× |
| Dx bone marrow bx & aspir (38222) |
$3,226.31 |
$3,226.31 |
0.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$3,210.58 |
$3,210.58 |
1.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd Endo Mucosal Resection (43254) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd endoscopic stent place (43266) |
$20,428.32 |
$20,428.32 |
2.8× |
| Egd flexible foreign body removal (43247) |
$3,288.29 |
$3,288.29 |
3.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd place gastrostomy tube (43246) |
$3,210.58 |
$3,210.58 |
1.4× |
| Egd remove lesion snare (43251) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd us exam duodenum/jejunum (43259) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd us fine needle bx/aspir (43242) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd Varices Ligation (43244) |
$6,601.76 |
$6,601.76 |
2.9× |
| Egd w/transmural drain cyst (43240) |
$12,515.85 |
$12,515.85 |
1.7× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$158.50 |
$158.50 |
1.0× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,142.50 |
$2,142.50 |
0.5× |
| Endoscopic us exam esoph (43237) |
$6,601.76 |
$6,601.76 |
2.9× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$6,601.76 |
$6,601.76 |
2.9× |
| Enterorrhaphy single perforation (44602) |
$5,690.95 |
$5,690.95 |
1.2× |
| Ercp Duct Stent Placement (43274) |
$20,428.32 |
$20,428.32 |
2.8× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$18,656 |
$18,656 |
4.0× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$12,515.85 |
$12,515.85 |
2.7× |
| Ercp remove forgn body duct (43275) |
$12,515.85 |
$12,515.85 |
5.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$20,428.32 |
$20,428.32 |
2.8× |
| Ercp W/Biopsy Single/Multiple (43261) |
$18,656 |
$18,656 |
4.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$18,656 |
$18,656 |
4.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,288.29 |
$3,288.29 |
3.0× |
| Esophagoscopy flex biopsy (43202) |
$6,601.76 |
$6,601.76 |
2.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$6,601.76 |
$6,601.76 |
2.9× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$3,288.29 |
$3,288.29 |
3.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$6,602 |
$6,602 |
2.9× |
| Esophagoscopy Rigid Balloon (43195) |
$1,005 |
$1,005 |
0.2× |
| Esophagoscopy rigid trnso dx (43191) |
$6,601.76 |
$6,601.76 |
2.9× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,090 |
$1,090 |
0.5× |
| Esophagoscp rig trnso biopsy (43193) |
$835 |
$835 |
0.4× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$6,601.76 |
$6,601.76 |
2.9× |
| Evacuation of subungual hematoma (11740) |
$129.21 |
$129.21 |
0.8× |
| Exc abd les sc 3 cm/> (22903) |
$1,845.10 |
$1,845.10 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,885.33 |
$2,885.33 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$5,717 |
$5,717 |
2.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$5,717 |
$5,717 |
2.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$5,717 |
$5,717 |
2.9× |
| Exc back les sc < 3 cm (21930) |
$5,717 |
$5,717 |
2.9× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low: confirm this is the full procedure |
$2,710 |
$2,710 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$5,717 |
$5,717 |
2.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$453.22 |
$453.22 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$769.40 |
$769.40 |
0.4× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,098.48 |
$1,098.48 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$5,392.88 |
$5,392.88 |
2.7× |
| Exc forearm les sc < 3 cm (25075) |
$5,717 |
$5,717 |
2.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,527.50 |
$1,527.50 |
0.8× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$4,472.32 |
$4,472.32 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,824 |
$1,824 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,281.11 |
$2,281.11 |
2.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,404.89 |
$1,404.89 |
2.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$2,527.26 |
$2,527.26 |
3.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$635.12 |
$635.12 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,310 |
$1,310 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$699.35 |
$699.35 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,795.38 |
$3,795.38 |
1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$9,628.34 |
$9,628.34 |
2.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,717 |
$5,717 |
2.9× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$5,717 |
$5,717 |
2.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,885.33 |
$2,885.33 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,199.58 |
$1,199.58 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$5,717 |
$5,717 |
2.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,707.65 |
$1,707.65 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,435.45 |
$3,435.45 |
2.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$2,527.26 |
$2,527.26 |
3.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,009 |
$5,009 |
1.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,439.90 |
$1,439.90 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,409.10 |
$1,409.10 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,227.50 |
$2,227.50 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,127.08 |
$3,127.08 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,836.38 |
$1,836.38 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,717 |
$5,717 |
2.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,779.40 |
$1,779.40 |
0.5× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$2,301.60 |
$2,301.60 |
0.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,582.50 |
$1,582.50 |
0.8× |
| Exchange nephrostomy cath (50435) |
$9,449.30 |
$9,449.30 |
3.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,691.54 |
$2,691.54 |
1.2× |
| Excis uppr jaw cyst w/repair (21049) |
$6,315 |
$6,315 |
0.9× |
| Excise parotid gland/lesion (42420) |
$5,039.55 |
$5,039.55 |
0.7× |
| Excise pharynx lesion (42808) |
$5,247.20 |
$5,247.20 |
1.3× |
| Excise/repair mouth lesion (40812) |
$4,212.42 |
$4,212.42 |
2.3× |
| Excision brach clft cyst,superficial (42810) |
$816.55 |
$816.55 |
0.2× |
| Excision Breast Lesion (19125) |
$2,211.90 |
$2,211.90 |
0.5× |
| Excision external ear partial simple repair (69110) |
$5,988 |
$5,988 |
1.7× |
| Excision lesion mouth roof (42104) |
$3,900.21 |
$3,900.21 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$629.75 |
$629.75 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$705 |
$705 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$2,527.26 |
$2,527.26 |
3.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,404.89 |
$1,404.89 |
2.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,527.26 |
$2,527.26 |
3.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,527.26 |
$2,527.26 |
3.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$730 |
$730 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$625.35 |
$625.35 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,527.26 |
$2,527.26 |
3.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,127.98 |
$1,127.98 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$5,717 |
$5,717 |
2.9× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$2,527.26 |
$2,527.26 |
3.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,527.26 |
$2,527.26 |
3.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$5,717 |
$5,717 |
2.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$5,717 |
$5,717 |
2.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$567.92 |
$567.92 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$630.88 |
$630.88 |
0.7× |
Excision of benign tumor or cyst of facial bone other than mandible (21030)
likely a partial charge, not the full procedure |
$1,875 |
$1,875 |
0.3× |
| Excision of gum lesion (41828) |
$1,290 |
$1,290 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$1,803.62 |
$1,803.62 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$3,177.69 |
$3,177.69 |
0.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$5,717 |
$5,717 |
2.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,281.11 |
$2,281.11 |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,263.42 |
$1,263.42 |
0.7× |
| Excision of nail fold toe (11765) |
$449 |
$449 |
0.9× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,552.50 |
$2,552.50 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$802.32 |
$802.32 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$257.20 |
$257.20 |
0.2× |
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure |
$1,857.20 |
$1,857.20 |
0.3× |
Excision of thyroglossal duct cyst or sinus; recurrent (60281)
unusually low: confirm this is the full procedure |
$3,102.50 |
$3,102.50 |
0.4× |
| Excision of tongue lesion (41112) |
$720.10 |
$720.10 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,024.70 |
$1,024.70 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,717 |
$5,717 |
2.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,325.95 |
$1,325.95 |
0.7× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,533.12 |
$1,533.12 |
0.8× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$2,181.28 |
$2,181.28 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$5,717 |
$5,717 |
2.9× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,935 |
$1,935 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,773.72 |
$1,773.72 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,929.50 |
$1,929.50 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,841.65 |
$2,841.65 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,177.69 |
$3,177.69 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$1,620.30 |
$1,620.30 |
0.8× |
Exploration maxillary sinus (31030)
unusually low: confirm this is the full procedure |
$2,429.50 |
$2,429.50 |
0.3× |
| Exploration Of Foot Joint (28020) |
$2,100 |
$2,100 |
0.5× |
| Explore parathyroid glands (60500) |
$4,078.15 |
$4,078.15 |
0.6× |
| Explore/treat ankle joint (27620) |
$2,625 |
$2,625 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$1,390 |
$1,390 |
0.4× |
| Fetal non-stress test (59025) |
$694.54 |
$694.54 |
2.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,527.26 |
$2,527.26 |
3.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,527.26 |
$2,527.26 |
3.0× |
| Fine needle aspiration without imaging guidance (10021) |
$417.20 |
$417.20 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,232.10 |
$3,232.10 |
1.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,515.02 |
$3,515.02 |
1.4× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$3,519.50 |
$3,519.50 |
0.2× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$3,550 |
$3,550 |
0.4× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$5,612.70 |
$5,612.70 |
1.2× |
Graft ear crtlg autogenous nose/ear (21235)
unusually low: confirm this is the full procedure |
$3,295 |
$3,295 |
0.5× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$2,780 |
$2,780 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$2,527.26 |
$2,527.26 |
3.0× |
Hemiarthroplasty Hip Partial (27125)
unusually low: confirm this is the full procedure |
$4,868.20 |
$4,868.20 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,597.82 |
$1,597.82 |
0.5× |
| Hemorrhoidectomy external complete (46250) |
$1,431.92 |
$1,431.92 |
0.4× |
| Hysteroscopy biopsy (58558) |
$1,270 |
$1,270 |
0.3× |
| Hysteroscopy dx sep proc (58555) |
$865 |
$865 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$705.60 |
$705.60 |
2.5× |
| I&d abscess simple (10060) |
$386.41 |
$386.41 |
1.6× |
| I&d below fascia foot 1 bursal space (28002) |
$1,044.80 |
$1,044.80 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,231 |
$2,231 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$805.65 |
$805.65 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$612.60 |
$612.60 |
0.2× |
| I&d perianal abscess superficial (46050) |
$1,932.61 |
$1,932.61 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$802.62 |
$802.62 |
0.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$945 |
$945 |
0.5× |
| Image Cath Fluid Colxn Visc (49405) |
$2,755.22 |
$2,755.22 |
1.4× |
| Image Cath Fluid Peri/Retro (49406) |
$4,101.43 |
$4,101.43 |
2.1× |
| Implant neuroelectrodes (63650) |
$9,664 |
$9,664 |
1.3× |
| Incise inner ear (69801) |
$2,379.04 |
$2,379.04 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$519.34 |
$519.34 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,795.65 |
$1,795.65 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,527.26 |
$2,527.26 |
3.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,717 |
$5,717 |
2.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$436.98 |
$436.98 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$236.05 |
$236.05 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,143.18 |
$1,143.18 |
3.1× |
| Incision of eardrum (69420) |
$886.86 |
$886.86 |
3.1× |
| Incision of lingual frenum (41010) |
$482.10 |
$482.10 |
0.3× |
| Incision of metatarsal (28308) |
$1,569.40 |
$1,569.40 |
0.4× |
| Incision of rectal abscess (46040) |
$1,629.45 |
$1,629.45 |
1.1× |
| Incision of urethra (53020) |
$1,087 |
$1,087 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$260.29 |
$260.29 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$2,129.78 |
$2,129.78 |
2.4× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$729 |
$729 |
1.7× |
| Initial tx 1st degree burn local tx (16000) |
$201.48 |
$201.48 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$4,470.16 |
$4,470.16 |
4.2× |
| Inj tendon sheath/ligament (20550) |
$1,061.06 |
$1,061.06 |
2.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$390 |
$390 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$988.65 |
$988.65 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$635.56 |
$635.56 |
1.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$492.50 |
$492.50 |
0.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$295.55 |
$295.55 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,111.59 |
$1,111.59 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,084.86 |
$1,084.86 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$3,251.02 |
$3,251.02 |
3.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$727.65 |
$727.65 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$1,061.06 |
$1,061.06 |
2.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,544.77 |
$1,544.77 |
1.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,966.07 |
$1,966.07 |
2.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,201.28 |
$1,201.28 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$315 |
$315 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$539.68 |
$539.68 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$580.78 |
$580.78 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$645.50 |
$645.50 |
0.6× |
| Injection for identification of sentinel node (38792) |
$633.40 |
$633.40 |
1.3× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$1,964.30 |
$1,964.30 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,061.06 |
$1,061.06 |
2.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,061.06 |
$1,061.06 |
2.9× |
| Injection therapeutic carpal tunnel (20526) |
$1,061.06 |
$1,061.06 |
2.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$994.18 |
$994.18 |
2.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$729.27 |
$729.27 |
3.0× |
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207)
likely a partial charge, not the full procedure |
$1,970.25 |
$1,970.25 |
0.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$20,477 |
$20,477 |
1.6× |
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213)
likely a partial charge, not the full procedure |
$1,414.18 |
$1,414.18 |
0.1× |
| Ins vag brachytx device (57156) |
$2,314.70 |
$2,314.70 |
6.3× |
| Insert Bladder Cath Complex (51703) |
$566.12 |
$566.12 |
3.7× |
| Insert Drug Implant Device (11981) |
$455.52 |
$455.52 |
2.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,512.19 |
$3,512.19 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$471.62 |
$471.62 |
0.1× |
| Insert picc cath (36569) |
$4,641.71 |
$4,641.71 |
2.5× |
| Insert Temp Bladder Cath (51702) |
$247.63 |
$247.63 |
1.6× |
| Insert tun ip cath perc (49418) |
$5,317.27 |
$5,317.27 |
1.2× |
| Insert tunneled cv cath (36561) |
$3,327.71 |
$3,327.71 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$455.52 |
$455.52 |
2.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,956.24 |
$3,956.24 |
0.9× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$1,171.50 |
$1,171.50 |
0.3× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$1,675 |
$1,675 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,323.99 |
$3,323.99 |
1.8× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$348.15 |
$348.15 |
0.0× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$4,730.80 |
$4,730.80 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,770 |
$5,770 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,618.56 |
$3,618.56 |
1.0× |
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure |
$3,338.80 |
$3,338.80 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$900 |
$900 |
0.1× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$930 |
$930 |
0.1× |
Insrt/redo spine n generator (63685)
unusually low: confirm this is the full procedure |
$16,033.68 |
$16,033.68 |
0.4× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$3,586.11 |
$3,586.11 |
1.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$18,934.07 |
$18,934.07 |
1.4× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,368.09 |
$9,368.09 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$381.68 |
$381.68 |
1.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$718.50 |
$718.50 |
2.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,890.35 |
$1,890.35 |
0.3× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$1,677.48 |
$1,677.48 |
0.2× |
| Lap jejunostomy (44186) |
$3,755 |
$3,755 |
0.5× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,760.82 |
$2,760.82 |
0.4× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,651.62 |
$1,651.62 |
0.2× |
| Laparoscopy Remove Adnexa (58661) |
$3,715 |
$3,715 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,913.98 |
$1,913.98 |
0.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,831.75 |
$3,831.75 |
0.5× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$9,360 |
$9,360 |
0.7× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$6,040 |
$6,040 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,095.35 |
$4,095.35 |
0.6× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$2,454.42 |
$2,454.42 |
0.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,070 |
$4,070 |
0.6× |
Laps surg bilateral total pelvic lmphadectomy (38571)
likely a partial charge, not the full procedure |
$3,617.50 |
$3,617.50 |
0.3× |
Laps W/Revision Intraperitoneal Catheter (49325)
likely a partial charge, not the full procedure |
$1,324.85 |
$1,324.85 |
0.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$987.18 |
$987.18 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$311.86 |
$311.86 |
1.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$580.72 |
$580.72 |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$759.65 |
$759.65 |
0.2× |
| Laryngoscopy w/bx op scope (31536) |
$883.40 |
$883.40 |
0.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$680.28 |
$680.28 |
0.3× |
| Larynscop w/tumr exc + scope (31541) |
$1,097.22 |
$1,097.22 |
0.2× |
| Laser vaporization surgery prostate, complete (52648) |
$3,935 |
$3,935 |
0.6× |
| Late closure of wound (13160) |
$3,319.32 |
$3,319.32 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$871.72 |
$871.72 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,796.12 |
$1,796.12 |
0.4× |
| Lithotripsy (50590) |
$14,848.13 |
$14,848.13 |
3.5× |
| Liver Biopsy (47000) |
$1,675.35 |
$1,675.35 |
0.8× |
| Lyse Chest Fibrin Init Day (32561) |
$280 |
$280 |
0.4× |
| Lysis Intranasal Synechia (30560) |
$689 |
$689 |
1.1× |
| Mast mod rad (19307) |
$4,945.65 |
$4,945.65 |
0.6× |
| Mastectomy partial (19301) |
$2,693 |
$2,693 |
0.6× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$3,702.40 |
$3,702.40 |
0.5× |
| Mastectomy simple complete (19303) |
$4,003.88 |
$4,003.88 |
0.5× |
Mastopexy (19316)
unusually low: confirm this is the full procedure |
$3,155.82 |
$3,155.82 |
0.4× |
| Metatarsectomy (28140) |
$2,435 |
$2,435 |
0.6× |
| Muscle-skin graft trunk (15734) |
$6,039.02 |
$6,039.02 |
1.4× |
| Myringoplasty (69620) |
$1,267.85 |
$1,267.85 |
0.3× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$276.45 |
$276.45 |
1.2× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$909.62 |
$909.62 |
1.9× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$822.50 |
$822.50 |
0.4× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$1,757 |
$1,757 |
0.2× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$10,656.54 |
$10,656.54 |
1.3× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$8,980.37 |
$8,980.37 |
1.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$785.98 |
$785.98 |
0.2× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
likely a partial charge, not the full procedure |
$1,299.50 |
$1,299.50 |
0.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$674.85 |
$674.85 |
0.3× |
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295)
likely a partial charge, not the full procedure |
$627.40 |
$627.40 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$1,050.20 |
$1,050.20 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$1,036.30 |
$1,036.30 |
0.1× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$5,892.50 |
$5,892.50 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,642.13 |
$2,642.13 |
1.2× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,139.35 |
$1,139.35 |
0.1× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,579 |
$1,579 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$167.58 |
$167.58 |
0.3× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$3,224.78 |
$3,224.78 |
2.9× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$2,160 |
$2,160 |
0.9× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) |
$274 |
$274 |
1.7× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) |
$274 |
$274 |
1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$625 |
$625 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,251.02 |
$3,251.02 |
3.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$423.52 |
$423.52 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$5,560.34 |
$5,560.34 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,470.16 |
$4,470.16 |
4.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,710.53 |
$3,710.53 |
4.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,710.53 |
$3,710.53 |
4.4× |
Nsl/sins ndsc surg frnt&sphn (31298)
likely a partial charge, not the full procedure |
$1,310 |
$1,310 |
0.2× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$938 |
$938 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,796.60 |
$1,796.60 |
0.4× |
Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582)
likely a partial charge, not the full procedure |
$4,442 |
$4,442 |
0.1× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$3,270 |
$3,270 |
0.4× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$5,051.88 |
$5,051.88 |
0.6× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$2,323.05 |
$2,323.05 |
0.3× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$3,751.72 |
$3,751.72 |
0.2× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
unusually low: confirm this is the full procedure |
$4,105.28 |
$4,105.28 |
0.5× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$2,174.50 |
$2,174.50 |
0.2× |
| Open tx septal fx w/wo stabj (21336) |
$3,552.50 |
$3,552.50 |
0.9× |
| Orchiectomy radical tumor inguinal approach (54530) |
$2,541.88 |
$2,541.88 |
0.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,748.68 |
$1,748.68 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,815 |
$1,815 |
0.5× |
| Partial excision bone talus/calcaneus (28120) |
$2,052.50 |
$2,052.50 |
0.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,780.72 |
$1,780.72 |
0.5× |
| Partial Removal Foot Fascia (28060) |
$2,007.50 |
$2,007.50 |
0.5× |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$2,932.88 |
$2,932.88 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,354.48 |
$1,354.48 |
0.3× |
| Perq dev breast 1st strtctc (19283) |
$2,345 |
$2,345 |
2.8× |
| Perq dev breast 1st us imag (19285) |
$2,996 |
$2,996 |
3.5× |
| Perq device breast 1st imag (19281) |
$7,451.12 |
$7,451.12 |
3.8× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$688 |
$688 |
0.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,162.17 |
$2,162.17 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$424.85 |
$424.85 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$802.62 |
$802.62 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,368.09 |
$9,368.09 |
1.4× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure |
$3,020 |
$3,020 |
0.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,597.50 |
$2,597.50 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$283.50 |
$283.50 |
0.5× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$3,350.90 |
$3,350.90 |
1.5× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$407.85 |
$407.85 |
0.2× |
| Preputial Stretching (54450) |
$402.90 |
$402.90 |
1.3× |
| Proctosigmoidoscopy w/bx (45305) |
$312.15 |
$312.15 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$266.65 |
$266.65 |
0.2× |
| Prostate Saturation Sampling (55706) |
$1,920 |
$1,920 |
0.5× |
| Prostatectomy (turp) (52601) |
$3,719.72 |
$3,719.72 |
0.6× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$1,439.50 |
$1,439.50 |
0.2× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$10,214.03 |
$10,214.03 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$1,404.89 |
$1,404.89 |
2.9× |
| Puncture Aspiration (10160) |
$1,404.89 |
$1,404.89 |
2.9× |
| Puncture Aspiration Cyst Breast (19000) |
$2,527.26 |
$2,527.26 |
3.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$6,592.50 |
$6,592.50 |
1.9× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$4,045 |
$4,045 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,811 |
$1,811 |
0.8× |
| Reduce testis torsion (54600) |
$1,246.75 |
$1,246.75 |
0.3× |
| Rem endovas vena cava filter (37193) |
$4,585.06 |
$4,585.06 |
1.2× |
| Removal fb intranasal (30300) |
$276.78 |
$276.78 |
1.7× |
| Removal Foreign Body Foot Complicated (28193) |
$1,762.50 |
$1,762.50 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,387.25 |
$1,387.25 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$2,527.26 |
$2,527.26 |
3.0× |
| Removal foreign body jawbone (41806) |
$1,527.50 |
$1,527.50 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$365.85 |
$365.85 |
0.2× |
| Removal foreign body pharynx (42809) |
$542.58 |
$542.58 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72.50 |
$72.50 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$129.74 |
$129.74 |
1.8× |
| Removal Implant Deep (20680) |
$1,753.02 |
$1,753.02 |
0.5× |
| Removal of adenoids (42831) |
$981.32 |
$981.32 |
0.2× |
| Removal of adenoids (42830) |
$909.28 |
$909.28 |
0.2× |
| Removal of anal fissure (46200) |
$1,377 |
$1,377 |
0.4× |
| Removal of arm foreign body (24200) |
$840 |
$840 |
0.4× |
| Removal of heel bone (28118) |
$1,707.05 |
$1,707.05 |
0.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$575.72 |
$575.72 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$1,143.18 |
$1,143.18 |
3.1× |
| Removal of nail bed (11750) |
$1,404.89 |
$1,404.89 |
2.9× |
| Removal of salivary stone (42330) |
$3,178 |
$3,178 |
0.8× |
| Removal of salivary stone (42335) |
$1,497 |
$1,497 |
0.4× |
| Removal of sesamoid bone (28315) |
$1,890 |
$1,890 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$231.96 |
$231.96 |
1.0× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,603.98 |
$2,603.98 |
1.1× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$7,195 |
$7,195 |
1.7× |
| Removal of tonsils (42826) |
$1,085.30 |
$1,085.30 |
0.3× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$2,301.60 |
$2,301.60 |
0.6× |
| Removal subq cardiac rhythm monitor (33286) |
$1,070.13 |
$1,070.13 |
1.3× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,262.84 |
$4,262.84 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$980.03 |
$980.03 |
2.9× |
| Remove anal fist subq (46270) |
$1,551.35 |
$1,551.35 |
0.5× |
| Remove bladder stone (52318) |
$2,468.30 |
$2,468.30 |
0.6× |
| Remove drug implant device (11982) |
$1,098 |
$1,098 |
2.1× |
| Remove foreign body from eye (65210) |
$197.50 |
$197.50 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$2,153.22 |
$2,153.22 |
0.6× |
| Remove in/ex hem grps w/fist (46262) |
$3,065 |
$3,065 |
0.9× |
| Remove Pilonidal Cyst Exten (11771) |
$1,927.70 |
$1,927.70 |
0.6× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,891.05 |
$1,891.05 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$414.80 |
$414.80 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$276.78 |
$276.78 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$250.12 |
$250.12 |
1.6× |
| Remv&replc pm gen dual lead (33228) |
$18,931 |
$18,931 |
1.5× |
| Renal biopsy (50200) |
$5,717 |
$5,717 |
2.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,197.30 |
$1,197.30 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,492.92 |
$1,492.92 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,129.78 |
$2,129.78 |
4.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,405 |
$1,405 |
1.6× |
| Repair hallux rigidus (28289) |
$2,455 |
$2,455 |
0.6× |
| Repair incomplete circumcision (54163) |
$671.45 |
$671.45 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,750.58 |
$2,750.58 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,910.78 |
$2,910.78 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$417.20 |
$417.20 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$417.20 |
$417.20 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,068 |
$1,068 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$722 |
$722 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$948 |
$948 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,035 |
$1,035 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,162 |
$1,162 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$417.20 |
$417.20 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$417.20 |
$417.20 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,051.33 |
$1,051.33 |
2.2× |
| Repair nasal vestibular stenosis (30465) |
$4,702 |
$4,702 |
0.7× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,415 |
$4,415 |
0.6× |
| Repair of nail bed (11760) |
$568 |
$568 |
0.6× |
| Repair of nasal septum (30520) |
$2,725.78 |
$2,725.78 |
0.7× |
Repair oro-maxillary fistula (30580)
likely a partial charge, not the full procedure |
$1,923.15 |
$1,923.15 |
0.3× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$4,332.50 |
$4,332.50 |
0.5× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$2,890.62 |
$2,890.62 |
0.3× |
| Repair Tongue Laceration (41250) |
$456.70 |
$456.70 |
0.9× |
| Repair tympanic membrane (69610) |
$1,645 |
$1,645 |
0.9× |
| Replace g/c tube perc (49450) |
$921.99 |
$921.99 |
0.8× |
| Reposition pacing-defib lead (33215) |
$1,270.78 |
$1,270.78 |
0.3× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$3,531.38 |
$3,531.38 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$3,031.82 |
$3,031.82 |
0.7× |
| Resection of scrotum (55150) |
$2,825 |
$2,825 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$2,580 |
$2,580 |
1.1× |
| Revise vag graft via vagina (57295) |
$1,534.50 |
$1,534.50 |
0.4× |
Revision of big toe (28310)
likely a partial charge, not the full procedure |
$2,040 |
$2,040 |
0.2× |
| Revision of colostomy simple (44340) |
$2,556.12 |
$2,556.12 |
0.6× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$3,335 |
$3,335 |
1.2× |
| Revision of iris (66761) |
$4,170.14 |
$4,170.14 |
6.3× |
| Revision of nose (30435) |
$7,115 |
$7,115 |
1.0× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$7,127.53 |
$7,127.53 |
1.7× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$3,430 |
$3,430 |
0.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$927.85 |
$927.85 |
0.2× |
Rmvl & rplcmt inflatable penile prosth same sess (54410)
likely a partial charge, not the full procedure |
$3,784.75 |
$3,784.75 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$195 |
$195 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$239.50 |
$239.50 |
1.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$927.68 |
$927.68 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,254.52 |
$1,254.52 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,662.21 |
$1,662.21 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$783.94 |
$783.94 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,403.19 |
$6,403.19 |
1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,618.56 |
$3,618.56 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,875 |
$3,875 |
0.5× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure |
$2,977.50 |
$2,977.50 |
0.4× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure |
$2,477.50 |
$2,477.50 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,780 |
$1,780 |
0.4× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$3,320 |
$3,320 |
0.4× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure |
$2,670 |
$2,670 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,190 |
$2,190 |
0.5× |
| Rpr blood vessel direct lower extremity (35226) |
$4,625 |
$4,625 |
5.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,040 |
$1,040 |
3.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,509.05 |
$1,509.05 |
2.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,860 |
$1,860 |
2.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,106.10 |
$1,106.10 |
0.6× |
Rpr non/malunion metarsal w/wo bone graft (28322)
unusually low: confirm this is the full procedure |
$3,115 |
$3,115 |
0.4× |
| Sclerotx Fluid Collection (49185) |
$2,163.72 |
$2,163.72 |
1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$3,224.78 |
$3,224.78 |
2.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$4,213.56 |
$4,213.56 |
2.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$729.27 |
$729.27 |
3.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$540 |
$540 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$729.27 |
$729.27 |
3.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$729.27 |
$729.27 |
3.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$729.27 |
$729.27 |
3.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$313.42 |
$313.42 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$161.58 |
$161.58 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$729.27 |
$729.27 |
3.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$1,404.89 |
$1,404.89 |
2.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$729.27 |
$729.27 |
3.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$1,404.89 |
$1,404.89 |
2.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$729.27 |
$729.27 |
3.0× |
| Sigmoidoscopy & decompress (45337) |
$3,224.78 |
$3,224.78 |
2.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$4,213.56 |
$4,213.56 |
2.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$3,224.78 |
$3,224.78 |
2.9× |
| Simple destruction of growth of penis using electric current (54055) |
$6,967.49 |
$6,967.49 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$265.50 |
$265.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$729.27 |
$729.27 |
3.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$361 |
$361 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$729.27 |
$729.27 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$352.29 |
$352.29 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$729.27 |
$729.27 |
3.0× |
Sinus endo w/balloon dil (31296)
likely a partial charge, not the full procedure |
$715.28 |
$715.28 |
0.1× |
Sinus endo w/balloon dil (31297)
likely a partial charge, not the full procedure |
$790 |
$790 |
0.1× |
| Skin splt grft trnk/arm/leg (15100) |
$2,987.02 |
$2,987.02 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$6,967.49 |
$6,967.49 |
7.9× |
| Skin sub graft trnk/arm/leg (15271) |
$6,967.49 |
$6,967.49 |
7.9× |
| Skin Tissue Procedure (17999) |
$433.62 |
$433.62 |
1.8× |
| Skin tissue rearrangement (14040) |
$2,581.15 |
$2,581.15 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$589.65 |
$589.65 |
0.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$3,963.70 |
$3,963.70 |
0.7× |
| Small bowel endoscopy (44366) |
$6,601.76 |
$6,601.76 |
2.9× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$6,601.76 |
$6,601.76 |
2.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$280 |
$280 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,404.89 |
$1,404.89 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$560 |
$560 |
1.1× |
| Sphincterotomy (46080) |
$692.82 |
$692.82 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$2,577.53 |
$2,577.53 |
3.0× |
| Strapping ankle (29540) |
$573.78 |
$573.78 |
2.9× |
| Strapping unna boot (29580) |
$788.95 |
$788.95 |
4.0× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$1,120 |
$1,120 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,628.25 |
$1,628.25 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$729.27 |
$729.27 |
1.5× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
unusually low: confirm this is the full procedure |
$16,003 |
$16,003 |
0.5× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,517.50 |
$1,517.50 |
0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$5,655.68 |
$5,655.68 |
2.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$980.58 |
$980.58 |
0.5× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$26,062.14 |
$26,062.14 |
1.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,367.44 |
$1,367.44 |
1.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$381.20 |
$381.20 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$650 |
$650 |
1.6× |
Tissue expander placement breast reconstruction (19357)
unusually low: confirm this is the full procedure |
$5,450.52 |
$5,450.52 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,281.42 |
$1,281.42 |
0.3× |
| Trach Tube Change (31502) |
$492.74 |
$492.74 |
1.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$474.48 |
$474.48 |
0.7× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$1,787.28 |
$1,787.28 |
0.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,795 |
$1,795 |
1.0× |
| Tracheostomy planned (31600) |
$1,517.90 |
$1,517.90 |
0.4× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
likely a partial charge, not the full procedure |
$823.40 |
$823.40 |
0.1× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$3,824.32 |
$3,824.32 |
0.4× |
| Treat humerus fracture (23600) |
$1,925 |
$1,925 |
6.5× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$6,495 |
$6,495 |
0.4× |
| Treat wrist bone fracture (25622) |
$837.68 |
$837.68 |
2.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,674.50 |
$1,674.50 |
5.7× |
| Treatment mouth roof lesion (42160) |
$587 |
$587 |
0.1× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$2,224.40 |
$2,224.40 |
0.3× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$7,085 |
$7,085 |
0.8× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$7,095 |
$7,095 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$795.02 |
$795.02 |
2.7× |
| Trim skin lesion (11055) |
$231.96 |
$231.96 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$234.33 |
$234.33 |
1.0× |
| Trim skin lesions over 4 (11057) |
$131.22 |
$131.22 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$103.72 |
$103.72 |
1.5× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$9,368.09 |
$9,368.09 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$497.50 |
$497.50 |
0.6× |
| Tympanostomy (69433) |
$1,015.08 |
$1,015.08 |
1.6× |
| Unlisted procedure colon (45399) |
$3,224.78 |
$3,224.78 |
2.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,494.41 |
$2,494.41 |
3.3× |
| Urine Flow Measurement (51736) |
$27.12 |
$27.12 |
0.2× |
| Uvulectomy excision uvula (42140) |
$419.75 |
$419.75 |
0.1× |
| Vasectomy (55250) |
$7,285.04 |
$7,285.04 |
2.9× |
| Venipuncture (36415) |
$15 |
$15 |
1.6× |
| Wound Prep F/N/Hf/G (15004) |
$1,107.50 |
$1,107.50 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$939.62 |
$939.62 |
1.1× |