| Abd paracentesis w/imaging (49083) |
$856.14 |
$1,031.50 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$655.28 |
$789.50 |
0.7× |
| Acne Surgery (10040) |
$232.40 |
$280 |
1.1× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,231.46 |
$2,688.50 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,895.30 |
$2,283.50 |
0.9× |
| Amniocentesis diagnostic (59000) |
$191.73 |
$231 |
0.2× |
| Amniocentesis therapeutic (59001) |
$1,889.08 |
$2,276 |
6.0× |
| Amputation Finger/Thumb (26951) |
$1,636.76 |
$1,972 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,498.56 |
$1,805.50 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$664 |
$800 |
0.2× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$1,515.58 |
$1,826 |
0.5× |
| Anoscopy diagnostic (46600) |
$292.16 |
$352 |
2.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$717.12 |
$864 |
0.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$239.04 |
$288 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,435.90 |
$1,730 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$211.65 |
$255 |
1.3× |
| Application cast elbow finger short arm (29075) |
$192.56 |
$232 |
0.7× |
| Application Cast Finger (29086) |
$173.47 |
$209 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$230.74 |
$278 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$212.48 |
$256 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$151.06 |
$182 |
2.5× |
| Application finger splint static (29130) |
$144.84 |
$174.50 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$271.82 |
$327.50 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$339.47 |
$409 |
2.0× |
| Application of long leg cast (29345) |
$335.74 |
$404.50 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$241.12 |
$290.50 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$228.25 |
$275 |
1.7× |
| Application short leg splint calf foot (29515) |
$225.76 |
$272 |
1.3× |
| Apply multlay comprs arm/hand (29584) |
$136.95 |
$165 |
0.8× |
| Apply short leg cast (29405) |
$246.51 |
$297 |
0.8× |
| Apply short leg cast (29425) |
$172.64 |
$208 |
0.6× |
| Arterial puncture (36600) |
$72.62 |
$87.50 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$273.90 |
$330 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$149.40 |
$180 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$291.74 |
$351.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$454.84 |
$548 |
1.4× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$1,448.35 |
$1,745 |
0.1× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$740.36 |
$892 |
0.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,163.28 |
$5,016 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$740.36 |
$892 |
0.2× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,343.92 |
$2,824 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,410.17 |
$1,699 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$206.26 |
$248.50 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,397.72 |
$1,684 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$280.96 |
$338.50 |
1.3× |
| Biopsy bone open superficial (20240) |
$2,489.17 |
$2,999 |
0.8× |
| Biopsy Breast Open Incisional (19101) |
$763.60 |
$920 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$429.94 |
$518 |
0.4× |
| Biopsy external ear (69100) |
$323.70 |
$390 |
1.3× |
| Biopsy intranasal (30100) |
$334.49 |
$403 |
0.2× |
| Biopsy muscle deep (20205) |
$702.18 |
$846 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,113.03 |
$1,341 |
0.6× |
| Biopsy of floor of mouth (41108) |
$1,277.37 |
$1,539 |
0.7× |
| Biopsy of mouth lesion (40808) |
$395.91 |
$477 |
0.7× |
| Biopsy of palate, uvula (42100) |
$1,093.11 |
$1,317 |
0.7× |
| Biopsy of tongue (41100) |
$970.27 |
$1,169 |
1.7× |
| Biopsy of uterus lining (58100) |
$462.31 |
$557 |
2.2× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$1,272.39 |
$1,533 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$771.07 |
$929 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$981.06 |
$1,182 |
1.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$350.26 |
$422 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$987.70 |
$1,190 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,216.78 |
$1,466 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$610.05 |
$735 |
0.8× |
| Bladder Irrigation Simple (51700) |
$215.80 |
$260 |
0.8× |
| Bladder Scan (51798) |
$141.93 |
$171 |
2.3× |
| Blood patch (62273) |
$486.80 |
$586.50 |
0.7× |
| Blood transfusion service (36430) |
$1,003.47 |
$1,209 |
2.2× |
| Bone marrow aspiration only (38220) |
$356.90 |
$430 |
0.2× |
| Bone Marrow Biopsy (38221) |
$394.25 |
$475 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,906.51 |
$2,297 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,533.01 |
$1,847 |
0.8× |
| Bronchoscopy dilate/fx repr (31630) |
$2,420.28 |
$2,916 |
0.6× |
| Bx breast 1st lesion mr imag (19085) |
$1,878.29 |
$2,263 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$1,498.56 |
$1,805.50 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,962.12 |
$2,364 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$356.07 |
$429 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$1,017.58 |
$1,226 |
1.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,004.30 |
$1,210 |
0.6× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$1,054.93 |
$1,271 |
0.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,135.44 |
$1,368 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$68.89 |
$83 |
0.3× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$359.39 |
$433 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$266.43 |
$321 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$246.10 |
$296.50 |
0.9× |
| Chemical Cautery Tissue (17250) |
$197.96 |
$238.50 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$527.88 |
$636 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$268.09 |
$323 |
0.8× |
| Chest tube placement (32551) |
$622.92 |
$750.50 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$8.30 |
$10 |
0.1× |
| Circumcision (54150) |
$265.60 |
$320 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$598.02 |
$720.50 |
0.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$786.42 |
$947.50 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$615.86 |
$742 |
2.4× |
| Closed Rx Med Malleolus Fx (27760) |
$721.68 |
$869.50 |
2.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,044.14 |
$1,258 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$832.08 |
$1,002.50 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$467.29 |
$563 |
1.8× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,961.29 |
$2,363 |
1.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$662.76 |
$798.50 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$722.52 |
$870.50 |
2.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$829.17 |
$999 |
3.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,717.27 |
$2,069 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$612.12 |
$737.50 |
2.4× |
| Closed treat wrist dislocation (25660) |
$752.81 |
$907 |
2.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,481.96 |
$1,785.50 |
0.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$768.16 |
$925.50 |
3.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$548.22 |
$660.50 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$468.54 |
$564.50 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$332 |
$400 |
1.3× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$625.40 |
$753.50 |
0.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$473.10 |
$570 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$621.67 |
$749 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$772.73 |
$931 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$607.98 |
$732.50 |
2.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$446.96 |
$538.50 |
1.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$743.68 |
$896 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$735.80 |
$886.50 |
2.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$676.45 |
$815 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$397.57 |
$479 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$352.75 |
$425 |
0.2× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,129.36 |
$2,565.50 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$570.21 |
$687 |
2.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$626.65 |
$755 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$757.38 |
$912.50 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$450.69 |
$543 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$811.74 |
$978 |
0.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$361.88 |
$436 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$328.68 |
$396 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$776.88 |
$936 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$483.48 |
$582.50 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$543.24 |
$654.50 |
2.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$521.24 |
$628 |
2.1× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,154.53 |
$1,391 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$516.26 |
$622 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$383.88 |
$462.50 |
1.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$528.30 |
$636.50 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$369.76 |
$445.50 |
1.4× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$243.19 |
$293 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$942.88 |
$1,136 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$489.28 |
$589.50 |
1.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$576.44 |
$694.50 |
0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,215.12 |
$1,464 |
0.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$673.96 |
$812 |
2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$642 |
$773.50 |
2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$618.35 |
$745 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$492.19 |
$593 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$643.25 |
$775 |
2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$383.46 |
$462 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$787.67 |
$949 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$763.18 |
$919.50 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$314.57 |
$379 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$940.39 |
$1,133 |
3.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,256.62 |
$1,514 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$414.58 |
$499.50 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$470.61 |
$567 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$311.25 |
$375 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$280.54 |
$338 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$495.10 |
$596.50 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$401.72 |
$484 |
1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$251.49 |
$303 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$441.56 |
$532 |
1.7× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,571.60 |
$1,893.50 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$770.24 |
$928 |
3.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$700.52 |
$844 |
2.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$502.15 |
$605 |
2.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$288.01 |
$347 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$633.29 |
$763 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$465.63 |
$561 |
1.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,490.26 |
$1,795.50 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$727.91 |
$877 |
2.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$630.38 |
$759.50 |
0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$486.38 |
$586 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,112.62 |
$1,340.50 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$380.14 |
$458 |
1.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$798.04 |
$961.50 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,110.96 |
$1,338.50 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$318.30 |
$383.50 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$947.03 |
$1,141 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$675.62 |
$814 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,168.64 |
$1,408 |
0.9× |
| Colonoscopy for bleeding (44391) |
$1,550.44 |
$1,868 |
1.2× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$5,888.02 |
$7,094 |
4.7× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$915.49 |
$1,103 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$989.36 |
$1,192 |
0.8× |
| Colonoscopy stoma w/snare (44394) |
$1,048.29 |
$1,263 |
0.8× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$968.61 |
$1,167 |
1.0× |
| Colonoscopy thru stoma (44388) |
$750.32 |
$904 |
0.8× |
| Colonoscopy w/ablation (45388) |
$6,076.43 |
$7,321 |
4.9× |
| Colonoscopy w/endoscopic fnb (45392) |
$703.01 |
$847 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$1,040.82 |
$1,254 |
0.8× |
Colonoscopy w/stent plcmt (44402)
likely a partial charge, not the full procedure |
$605.90 |
$730 |
0.1× |
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure |
$670.64 |
$808 |
0.1× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$543.24 |
$654.50 |
0.1× |
| Colporrhaphy suture injury vagina (57200) |
$1,383.61 |
$1,667 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$285.52 |
$344 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$285.52 |
$344 |
1.4× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$285.52 |
$344 |
0.9× |
| Colposcopy vulva w/biopsy (56821) |
$212.48 |
$256 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$285.52 |
$344 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$141.10 |
$170 |
0.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,616.84 |
$1,948 |
1.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,483.21 |
$1,787 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,066.55 |
$1,285 |
0.9× |
| Complete replacement picc rs&i (36584) |
$1,321.36 |
$1,592 |
0.8× |
| Complex Drainage, Wound (10180) |
$819.62 |
$987.50 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$553.61 |
$667 |
2.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$576.85 |
$695 |
4.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$332 |
$400 |
2.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$667.74 |
$804.50 |
1.2× |
| Correction hammertoe (28285) |
$1,250.81 |
$1,507 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$847.02 |
$1,020.50 |
6.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$579.76 |
$698.50 |
2.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,710.63 |
$2,061 |
0.8× |
| Cystometrogram W/Vp&Up (51729) |
$925.45 |
$1,115 |
1.3× |
| Cystourethroscopy (52000) |
$940.80 |
$1,133.50 |
1.3× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) |
$738.70 |
$890 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$429.94 |
$518 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,610.20 |
$1,940 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$798.04 |
$961.50 |
1.1× |
| Debride nail 1-5 (11720) |
$83.83 |
$101 |
1.4× |
| Debride nail 6 or more (11721) |
$103.75 |
$125 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$364.78 |
$439.50 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$635.78 |
$766 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,163.24 |
$1,401.50 |
0.7× |
| Declot vascular device (36593) |
$594.28 |
$716 |
1.7× |
| Delivery placenta separate procedure (59414) |
$446.96 |
$538.50 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$3,993.13 |
$4,811 |
2.0× |
| Destroy lumb/sac facet jnt (64635) |
$3,993.13 |
$4,811 |
2.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$378.48 |
$456 |
0.9× |
| Destruction benign lesions 15 or more (17111) |
$185.09 |
$223 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$170.98 |
$206 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,043.31 |
$1,257 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,403.68 |
$2,896 |
1.2× |
| Destruction of skin lesions (17106) |
$515.43 |
$621 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$156.87 |
$189 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$873.16 |
$1,052 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$444.05 |
$535 |
0.5× |
| Dilate urethra stricture (53620) |
$1,464.54 |
$1,764.50 |
2.0× |
| Dilate Urethra Stricture (53600) |
$302.54 |
$364.50 |
1.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$686.41 |
$827 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$449.03 |
$541 |
0.5× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$250.24 |
$301.50 |
1.8× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$226.59 |
$273 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$332.42 |
$400.50 |
0.5× |
| Drain outer ear canal lesion (69020) |
$389.27 |
$469 |
0.5× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$581.83 |
$701 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$330.76 |
$398.50 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$544.06 |
$655.50 |
2.6× |
| Drainage mouth roof lesion (42000) |
$394.25 |
$475 |
1.6× |
| Drainage of eyelid abscess (67700) |
$520 |
$626.50 |
1.6× |
| Drainage of gum lesion (41800) |
$456.50 |
$550 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$806.76 |
$972 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$935.82 |
$1,127.50 |
0.5× |
| Draw blood off venous device (36591) |
$140.27 |
$169 |
1.0× |
| Dressing change under anesthesia (15852) |
$675.62 |
$814 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$539.92 |
$650.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$392.18 |
$472.50 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$257.30 |
$310 |
1.2× |
| Dry Needling 3+ Muscles (20561) |
$55.61 |
$67 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$742.85 |
$895 |
0.3× |
| Dx bone marrow bx & aspir (38222) |
$1,169.06 |
$1,408.50 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$523.73 |
$631 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,671.77 |
$3,219 |
1.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,448.35 |
$1,745 |
0.7× |
| Egd Endo Mucosal Resection (43254) |
$625.82 |
$754 |
0.3× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$501.32 |
$604 |
0.1× |
| Egd flexible foreign body removal (43247) |
$1,035.01 |
$1,247 |
1.1× |
| Egd guide wire insertion (43248) |
$998.49 |
$1,203 |
1.1× |
| Egd injection varices (43243) |
$546.97 |
$659 |
0.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$537.84 |
$648 |
0.3× |
| Egd place gastrostomy tube (43246) |
$457.33 |
$551 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$1,092.28 |
$1,316 |
0.5× |
| Egd remove lesion snare (43251) |
$1,201.84 |
$1,448 |
0.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,528.86 |
$1,842 |
0.8× |
| Egd tube/cath insertion (43241) |
$327.85 |
$395 |
0.2× |
| Egd us exam duodenum/jejunum (43259) |
$522.90 |
$630 |
0.3× |
| Egd us transmural injxn/mark (43253) |
$608.39 |
$733 |
0.3× |
| Egd Varices Ligation (43244) |
$567.72 |
$684 |
0.3× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$906.36 |
$1,092 |
0.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$1,561.23 |
$1,881 |
0.5× |
| Endoscopic us exam esoph (43237) |
$453.18 |
$546 |
0.2× |
| Endoscopy of bowel pouch (44385) |
$512.11 |
$617 |
0.5× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$332 |
$400 |
0.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$443.22 |
$534 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$415.83 |
$501 |
0.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$746.17 |
$899 |
0.2× |
| Esoph endoscopy dilation (43226) |
$926.28 |
$1,116 |
0.5× |
| Esoph optical endomicroscopy (43206) |
$726.25 |
$875 |
0.4× |
| Esoph scope w/submucous inj (43201) |
$620.84 |
$748 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$974.42 |
$1,174 |
1.0× |
| Esophagosc dilate balloon 30 (43214) |
$443.22 |
$534 |
0.2× |
| Esophagoscop mucosal resect (43211) |
$542.82 |
$654 |
0.3× |
| Esophagoscopy flex biopsy (43202) |
$866.52 |
$1,044 |
0.4× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$1,018.41 |
$1,227 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$947.86 |
$1,142 |
0.5× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$452.35 |
$545 |
0.5× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$500.49 |
$603 |
0.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$629.97 |
$759 |
0.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$368.52 |
$444 |
0.2× |
| Esophagoscopy Retro Balloon (43213) |
$3,017.88 |
$3,636 |
1.5× |
| Esophagoscopy Rigid Balloon (43195) |
$422.47 |
$509 |
0.1× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$388.44 |
$468 |
0.2× |
| Esophagoscopy rigid trnso dx (43191) |
$354.41 |
$427 |
0.2× |
| Esophagoscopy w/us needle bx (43232) |
$462.31 |
$557 |
0.2× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,450.01 |
$1,747 |
0.7× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$312.08 |
$376 |
0.2× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$439.07 |
$529 |
0.2× |
| Esophagoscp rig trnso biopsy (43193) |
$387.61 |
$467 |
0.2× |
| Esophagus endoscopy/ligation (43205) |
$325.36 |
$392 |
0.2× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$2,214.44 |
$2,668 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$106.24 |
$128 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,905.68 |
$2,296 |
1.1× |
| Exc coccygeal pressure ulcer (15920) |
$1,449.18 |
$1,746 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$511.28 |
$616 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$336.98 |
$406 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$816.30 |
$983.50 |
0.5× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$1,586.96 |
$1,912 |
0.5× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$2,131.44 |
$2,568 |
0.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,726.40 |
$2,080 |
0.5× |
| Exc rect tum transanal part (45171) |
$1,420.96 |
$1,712 |
0.5× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$2,045.95 |
$2,465 |
1.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$949.52 |
$1,144 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$375.16 |
$452 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$447.37 |
$539 |
1.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$767.34 |
$924.50 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$734.55 |
$885 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,252.06 |
$1,508.50 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$898.06 |
$1,082 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$771.07 |
$929 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$734.55 |
$885 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$919.64 |
$1,108 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,167.81 |
$1,407 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$502.15 |
$605 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$405.04 |
$488 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,091.45 |
$1,315 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,121.33 |
$1,351 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,008.45 |
$1,215 |
0.3× |
| Excise pharynx lesion (42808) |
$1,686.14 |
$2,031.50 |
0.5× |
| Excise/repair mouth lesion (40812) |
$1,813.55 |
$2,185 |
1.1× |
| Excision hydrocele bilateral (55041) |
$1,183.58 |
$1,426 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$544.48 |
$656 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,101.41 |
$1,327 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,101.41 |
$1,327 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$475.59 |
$573 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$553.61 |
$667 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$865.28 |
$1,042.50 |
1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$845.77 |
$1,019 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$895.57 |
$1,079 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$782.69 |
$943 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$733.72 |
$884 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$462.72 |
$557.50 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$776.05 |
$935 |
1.1× |
| Excision of hydrocele; unilateral (55040) |
$782.69 |
$943 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$900.14 |
$1,084.50 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$300.46 |
$362 |
0.2× |
| Excision of nail fold toe (11765) |
$373.92 |
$450.50 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$840.79 |
$1,013 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,793.63 |
$2,161 |
0.6× |
| Excision sacral pressure ulcer w/skin flap clsr (15934) |
$2,148.87 |
$2,589 |
0.6× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$1,579.49 |
$1,903 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,450.01 |
$1,747 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$1,585.30 |
$1,910 |
0.9× |
| Exploration penetrating wound spx chest (20101) |
$1,390.25 |
$1,675 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$943.30 |
$1,136.50 |
0.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,358.71 |
$1,637 |
2.4× |
| External Cephalic Version (59412) |
$2,208.63 |
$2,661 |
0.7× |
| Fetal Contraction Stress Test (59020) |
$287.18 |
$346 |
1.4× |
| Fetal non-stress test (59025) |
$251.90 |
$303.50 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,122.99 |
$1,353 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$320.80 |
$386.50 |
0.8× |
| Fluid pressure muscle (20950) |
$693.88 |
$836 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$553.61 |
$667 |
2.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,754.09 |
$4,523 |
1.8× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,029.20 |
$1,240 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$80.92 |
$97.50 |
0.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,579.49 |
$1,903 |
0.8× |
| Guide Cathet Fluid Drainage (10030) |
$1,633.86 |
$1,968.50 |
2.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$2,049.27 |
$2,469 |
0.6× |
| Hemorrhoidectomy (46255) |
$1,220.10 |
$1,470 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$1,123.82 |
$1,354 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$1,215.95 |
$1,465 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$970.27 |
$1,169 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$419.15 |
$505 |
1.7× |
| I&d abscess simple (10060) |
$318.30 |
$383.50 |
1.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,888.66 |
$2,275.50 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,520.98 |
$1,832.50 |
0.7× |
| I&d perianal abscess superficial (46050) |
$590.96 |
$712 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$600.92 |
$724 |
0.8× |
| I&d submucosal abscess rectum (45005) |
$821.70 |
$990 |
0.7× |
| I&d thyroglossal duct cyst infected (60000) |
$674.79 |
$813 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$711.31 |
$857 |
0.4× |
| I&d vaginal hematoma, non-ob (57023) |
$2,315.70 |
$2,790 |
0.8× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$468.95 |
$565 |
0.5× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$725.42 |
$874 |
0.8× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,430.39 |
$4,133 |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$898.06 |
$1,082 |
2.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$815.06 |
$982 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$846.60 |
$1,020 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$363.54 |
$438 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$512.11 |
$617 |
2.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$346.94 |
$418 |
1.1× |
| Incision bone cortex foot (28005) |
$2,856.03 |
$3,441 |
0.8× |
| Incision of eardrum (69420) |
$443.22 |
$534 |
1.8× |
| Incision of lingual frenum (41010) |
$991.02 |
$1,194 |
0.6× |
| Incision of rectal abscess (46040) |
$1,635.93 |
$1,971 |
1.3× |
Incision of windpipe (31601)
likely a partial charge, not the full procedure |
$1,030.86 |
$1,242 |
0.2× |
Incision of windpipe (31610)
unusually low: confirm this is the full procedure |
$2,232.70 |
$2,690 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$493.85 |
$595 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$934.58 |
$1,126 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$192.56 |
$232 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,794.46 |
$2,162 |
2.0× |
| Inj tendon sheath/ligament (20550) |
$192.56 |
$232 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$210.82 |
$254 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$3,860.33 |
$4,651 |
4.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$456.50 |
$550 |
0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$3,222.06 |
$3,882 |
3.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$327.85 |
$395 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,208.48 |
$1,456 |
1.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$822.94 |
$991.50 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$987.70 |
$1,190 |
1.3× |
| Inject Nerv Blck,Pudendal (64430) |
$1,924.77 |
$2,319 |
2.1× |
| Inject scleros soln in hemorrhoids (46500) |
$748.66 |
$902 |
0.8× |
| Inject Tendon Origin/Insert (20551) |
$160.19 |
$193 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$873.16 |
$1,052 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$873.16 |
$1,052 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$348.18 |
$419.50 |
1.1× |
| Injection anes other peripheral nerve/branch (64450) |
$818.38 |
$986 |
1.1× |
| Injection for identification of sentinel node (38792) |
$760.28 |
$916 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$161.02 |
$194 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$534.52 |
$644 |
1.7× |
| Injection therapeutic carpal tunnel (20526) |
$160.19 |
$193 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$651.55 |
$785 |
2.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$119.52 |
$144 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$374.33 |
$451 |
2.8× |
| Insert cervical dilator (59200) |
$328.68 |
$396 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,453.74 |
$1,751.50 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,220.52 |
$1,470.50 |
0.4× |
| Insert picc cath (36569) |
$843.28 |
$1,016 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$183.02 |
$220.50 |
1.3× |
| Insert tunneled cv cath (36561) |
$2,835.70 |
$3,416.50 |
0.9× |
Insert Tunneled Cv Cath With Pump (36563)
unusually low: confirm this is the full procedure |
$2,695.84 |
$3,248 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$143.59 |
$173 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,927.26 |
$2,322 |
0.5× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$356.07 |
$429 |
0.2× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$550.29 |
$663 |
0.3× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$449.86 |
$542 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,057.84 |
$1,274.50 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,100.05 |
$3,735 |
0.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$1,969.59 |
$2,373 |
0.6× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$10,439.74 |
$12,578 |
1.8× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,984.68 |
$3,596 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,021.05 |
$2,435 |
0.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$2,958.95 |
$3,565 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$422.88 |
$509.50 |
1.7× |
| Irrigation maxillary sinus (31000) |
$430.77 |
$519 |
1.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$972.76 |
$1,172 |
0.2× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$865.69 |
$1,043 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,350.41 |
$1,627 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$776.05 |
$935 |
0.1× |
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 |
$2,253.45 |
$2,715 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$738.70 |
$890 |
0.1× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure |
$1,427.60 |
$1,720 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,053.42 |
$2,474 |
0.3× |
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure |
$2,356.37 |
$2,839 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,607.71 |
$1,937 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,494.98 |
$3,006 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,269.07 |
$1,529 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$843.28 |
$1,016 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$288.01 |
$347 |
1.4× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$652.80 |
$786.50 |
1.6× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$186.75 |
$225 |
0.9× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$357.32 |
$430.50 |
1.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$832.08 |
$1,002.50 |
0.5× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$731.64 |
$881.50 |
0.4× |
| Late closure of wound (13160) |
$1,817.70 |
$2,190 |
0.5× |
| Lateral canthopexy (21282) |
$1,567.04 |
$1,888 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$672.30 |
$810 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$724.59 |
$873 |
0.4× |
| Lip Surgery Procedure (40799) |
$117.86 |
$142 |
0.5× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,644.38 |
$3,186 |
0.4× |
| Mastectomy gynecomastia (19300) |
$1,344.60 |
$1,620 |
0.3× |
| Mastectomy partial (19301) |
$1,479.89 |
$1,783 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$2,030.18 |
$2,446 |
0.3× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,141.40 |
$2,580 |
0.3× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$667.32 |
$804 |
0.9× |
| Mrgfus strtctc ablt trgt icr (61715) |
$21,006.06 |
$25,308.50 |
1.8× |
| Myelography Lumbar Injection (62304) |
$1,754.62 |
$2,114 |
2.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,759.60 |
$2,120 |
2.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,759.60 |
$2,120 |
2.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$310.42 |
$374 |
1.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$295.48 |
$356 |
0.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$752.81 |
$907 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.84 |
$48 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$259.79 |
$313 |
0.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,302.27 |
$1,569 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$328.68 |
$396 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$798.88 |
$962.50 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$623.33 |
$751 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$707.58 |
$852.50 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$614.20 |
$740 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,324.83 |
$2,801 |
0.7× |
| Open tx interphalangeal joint dislocation (26785) |
$3,945.82 |
$4,754 |
1.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,173.62 |
$1,414 |
0.3× |
| Orchiectomy radical tumor w/abdominal expl (54535) |
$1,718.10 |
$2,070 |
0.5× |
| Orchiectomy, partial (54522) |
$1,358.71 |
$1,637 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,362.86 |
$1,642 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,049.27 |
$2,469 |
1.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,609.37 |
$1,939 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,605.22 |
$1,934 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,049.27 |
$2,469 |
0.6× |
| Pericardiocentesis W/Imaging (33016) |
$636.61 |
$767 |
0.4× |
| Peritoneal Lavage (49084) |
$458.99 |
$553 |
0.5× |
| Perq dev breast 1st mr guide (19287) |
$1,561.23 |
$1,881 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$1,961.29 |
$2,363 |
2.7× |
| Perq dev breast 1st us imag (19285) |
$1,264.92 |
$1,524 |
1.7× |
| Perq device breast 1st imag (19281) |
$848.68 |
$1,022.50 |
0.5× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,612.69 |
$1,943 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,801.93 |
$2,171 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$442.39 |
$533 |
1.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$653.21 |
$787 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$205.84 |
$248 |
0.4× |
| Placement of seton (46020) |
$262.28 |
$316 |
0.1× |
| Preputial Stretching (54450) |
$314.57 |
$379 |
1.2× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$523.73 |
$631 |
0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$498 |
$600 |
0.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$504.64 |
$608 |
0.2× |
| Proctosigmoidoscopy (45303) |
$2,323.17 |
$2,799 |
1.9× |
| Proctosigmoidoscopy ablate (45320) |
$527.05 |
$635 |
0.2× |
| Proctosigmoidoscopy removal (45308) |
$483.06 |
$582 |
0.2× |
| Proctosigmoidoscopy removal (45315) |
$537.01 |
$647 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$429.94 |
$518 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$229.08 |
$276 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$304.61 |
$367 |
0.3× |
Proctosigmoidoscopy,Transendo Stent (45327)
likely a partial charge, not the full procedure |
$258.13 |
$311 |
0.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$236.55 |
$285 |
0.3× |
Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212)
unusually low: confirm this is the full procedure |
$2,292.46 |
$2,762 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$466.46 |
$562 |
1.1× |
| Puncture Aspiration (10160) |
$298.38 |
$359.50 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$268.09 |
$323 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,403.68 |
$2,896 |
1.2× |
| Reconstruct extra finger (26587) |
$2,014.41 |
$2,427 |
0.6× |
| Reconstruction of nail bed with graft (11762) |
$511.70 |
$616.50 |
0.2× |
| Removal Anal Seton Other Marker (46030) |
$609.22 |
$734 |
0.5× |
| Removal fb intranasal (30300) |
$352.75 |
$425 |
2.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,806.91 |
$2,177 |
0.6× |
| Removal foreign body foot deep (28192) |
$800.95 |
$965 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$549.88 |
$662.50 |
0.7× |
| Removal foreign body jawbone (41806) |
$1,189.39 |
$1,433 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$499.24 |
$601.50 |
0.3× |
| Removal foreign body pharynx (42809) |
$529.96 |
$638.50 |
1.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,325.92 |
$1,597.50 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$129.48 |
$156 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$170.15 |
$205 |
2.8× |
| Removal Implant Deep (20680) |
$2,851.05 |
$3,435 |
0.9× |
| Removal of anal fissure (46200) |
$1,114.69 |
$1,343 |
0.4× |
| Removal of arm foreign body (24200) |
$515.02 |
$620.50 |
0.3× |
| Removal of infusion pump (36262) |
$5,052.21 |
$6,087 |
1.3× |
| Removal of intrauterine device (iud) (58301) |
$273.07 |
$329 |
0.9× |
| Removal of nail bed (11750) |
$377.65 |
$455 |
0.9× |
| Removal of palm tendon each (26170) |
$943.71 |
$1,137 |
0.6× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$997.66 |
$1,202 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$209.99 |
$253 |
1.0× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$420.81 |
$507 |
0.2× |
| Removal of tail bone ulcer (15922) |
$1,819.36 |
$2,192 |
0.5× |
| Removal of testis (54520) |
$755.30 |
$910 |
0.2× |
Removal of thyroid (60271)
unusually low: confirm this is the full procedure |
$2,394.55 |
$2,885 |
0.4× |
Removal of thyroid lesion (60200)
likely a partial charge, not the full procedure |
$1,520.56 |
$1,832 |
0.2× |
| Removal subq cardiac rhythm monitor (33286) |
$842.45 |
$1,015 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$144.42 |
$174 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$136.54 |
$164.50 |
0.5× |
| Remove anal fist 2 stage (46285) |
$1,315.55 |
$1,585 |
0.5× |
| Remove anal fist subq (46270) |
$1,249.98 |
$1,506 |
0.4× |
| Remove drug implant device (11982) |
$271.41 |
$327 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$527.46 |
$635.50 |
1.6× |
| Remove foreign body from eye (65235) |
$1,845.92 |
$2,224 |
0.8× |
| Remove foreign body from eye (65210) |
$271 |
$326.50 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$1,106.39 |
$1,333 |
0.4× |
| Remove in/ex hem grp w/fistu (46258) |
$1,086.47 |
$1,309 |
0.4× |
| Remove in/ex hem grps w/fist (46262) |
$1,327.17 |
$1,599 |
0.5× |
| Remove Peritoneal Foreign Body (49402) |
$1,908.17 |
$2,299 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,454.99 |
$1,753 |
0.5× |
| Remove shoulder foreign body (23330) |
$1,376.14 |
$1,658 |
0.8× |
| Remove wrist tendon lesion (25111) |
$2,218.18 |
$2,672.50 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$170.98 |
$206 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$192.56 |
$232 |
1.4× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$3,483.92 |
$4,197.50 |
0.5× |
| Repair anal fistula (46288) |
$1,286.50 |
$1,550 |
0.4× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,517.54 |
$4,238 |
1.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,093.52 |
$1,317.50 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$742.85 |
$895 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$820.87 |
$989 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$702.60 |
$846.50 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$800.95 |
$965 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$664.42 |
$800.50 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$738.70 |
$890 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$647.40 |
$780 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$714.22 |
$860.50 |
0.9× |
| Repair entropion excision tarsal wedge (67923) |
$1,789.06 |
$2,155.50 |
0.7× |
| Repair Entropion Suture (67921) |
$1,512.26 |
$1,822 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,799.44 |
$2,168 |
1.1× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$2,408.66 |
$2,902 |
0.7× |
| Repair eyelid wound (67930) |
$1,375.31 |
$1,657 |
0.6× |
| Repair finger/hand tendon (26350) |
$2,569.68 |
$3,096 |
0.8× |
| Repair forearm tendon/muscle (25270) |
$2,272.96 |
$2,738.50 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$2,640.23 |
$3,181 |
0.8× |
| Repair hallux rigidus (28289) |
$897.23 |
$1,081 |
0.3× |
| Repair hand tendon (26410) |
$891.84 |
$1,074.50 |
0.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,287.33 |
$1,551 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,419.30 |
$1,710 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,293.97 |
$1,559 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,318.04 |
$1,588 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,103.90 |
$1,330 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$566.06 |
$682 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$661.92 |
$797.50 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,286.08 |
$1,549.50 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$766.09 |
$923 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$885.20 |
$1,066.50 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,503.96 |
$1,812 |
3.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$991.02 |
$1,194 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$554.44 |
$668 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$690.14 |
$831.50 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$881.04 |
$1,061.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,423.86 |
$1,715.50 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$969.02 |
$1,167.50 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$486.38 |
$586 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$838.30 |
$1,010 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,129.22 |
$1,360.50 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$975.66 |
$1,175.50 |
2.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,351.24 |
$1,628 |
0.6× |
| Repair intrinsic muscles of hand (26591) |
$2,274.20 |
$2,740 |
0.7× |
| Repair Laceration Palate </2 Cm (42180) |
$611.71 |
$737 |
1.1× |
| Repair of anal fistula with fibrin glue (46706) |
$402.55 |
$485 |
0.1× |
| Repair Of Foot Tendon (28208) |
$1,829.74 |
$2,204.50 |
0.5× |
| Repair of hydrocele (55060) |
$878.14 |
$1,058 |
0.2× |
| Repair of nail bed (11760) |
$384.70 |
$463.50 |
0.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,934.73 |
$2,331 |
0.3× |
| Repair Tongue Laceration (41250) |
$563.98 |
$679.50 |
1.2× |
| Repair vagina/perineum (57210) |
$1,454.99 |
$1,753 |
0.4× |
| Repair/graft finger tendon (26428) |
$1,007.62 |
$1,214 |
0.3× |
| Rerepair fem hernia reduce (49555) |
$1,355.39 |
$1,633 |
0.4× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,602.73 |
$1,931 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,419.30 |
$1,710 |
0.4× |
| Revise finger joint (26535) |
$2,652.26 |
$3,195.50 |
0.8× |
| Revise median n/carpal tunnel surg (64721) |
$1,019.24 |
$1,228 |
0.5× |
| Revision of tracheostomy scar (31830) |
$1,157.85 |
$1,395 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$455.26 |
$548.50 |
0.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,071.12 |
$1,290.50 |
0.7× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$654.04 |
$788 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$379.72 |
$457.50 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$234.06 |
$282 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$304.61 |
$367 |
2.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$827.51 |
$997 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,460.38 |
$1,759.50 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,759.60 |
$2,120 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$969.44 |
$1,168 |
1.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,040.82 |
$1,254 |
0.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,321.36 |
$1,592 |
0.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,164.86 |
$11,042 |
1.5× |
| Rpr blood vessel direct lower extremity (35226) |
$1,831.40 |
$2,206.50 |
2.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$821.70 |
$990 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,189.80 |
$1,433.50 |
1.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,086.47 |
$1,309 |
4.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,113.44 |
$1,341.50 |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,071.12 |
$1,290.50 |
1.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,212.63 |
$1,461 |
0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$356.90 |
$430 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,479.21 |
$2,987 |
0.7× |
S bowel endoscope w/stent (44379)
likely a partial charge, not the full procedure |
$947.03 |
$1,141 |
0.2× |
Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370)
likely a partial charge, not the full procedure |
$616.69 |
$743 |
0.1× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$891.42 |
$1,074 |
0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$705.50 |
$850 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$719.61 |
$867 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$237.80 |
$286.50 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$363.54 |
$438 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$144.42 |
$174 |
0.7× |
| Sigmoidoscopy & decompress (45337) |
$264.77 |
$319 |
0.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$5,700.44 |
$6,868 |
4.6× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,205.16 |
$1,452 |
1.0× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$287.18 |
$346 |
0.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,118.84 |
$1,348 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$693.88 |
$836 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$795.14 |
$958 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$665.66 |
$802 |
0.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$392.59 |
$473 |
0.3× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347)
likely a partial charge, not the full procedure |
$356.07 |
$429 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$479.74 |
$578 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$314.16 |
$378.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$330.34 |
$398 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$408.36 |
$492 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$368.10 |
$443.50 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$417.08 |
$502.50 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$499.66 |
$602 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$284.28 |
$342.50 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$494.26 |
$595.50 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$344.86 |
$415.50 |
1.7× |
| Skin pinch graft (15050) |
$876.90 |
$1,056.50 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$374.33 |
$451 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$360.22 |
$434 |
0.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$731.23 |
$881 |
0.3× |
| Skin tissue rearrangement (14040) |
$2,133.10 |
$2,570 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$802.61 |
$967 |
0.4× |
| Small Bowel Endoscopy (44373) |
$441.56 |
$532 |
0.2× |
| Small bowel endoscopy (44366) |
$555.27 |
$669 |
0.3× |
| Small bowel endoscopy (44364) |
$472.27 |
$569 |
0.2× |
| Small bowel endoscopy (44376) |
$658.19 |
$793 |
0.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$568.55 |
$685 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$366.86 |
$442 |
0.2× |
| Small bowel endoscopy/biopsy (44377) |
$692.22 |
$834 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$317.06 |
$382 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$402.14 |
$484.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$454.42 |
$547.50 |
1.1× |
| Sphincterotomy (46080) |
$673.96 |
$812 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$292.99 |
$353 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$832.49 |
$1,003 |
1.1× |
| Sternal Debridement (21627) |
$1,225.91 |
$1,477 |
0.4× |
| Strapping ankle (29540) |
$177.20 |
$213.50 |
1.1× |
| Strapping elbow/wrist (29260) |
$69.72 |
$84 |
1.1× |
| Strapping hand/finger (29280) |
$68.89 |
$83 |
1.1× |
| Strapping Hip (29520) |
$98.36 |
$118.50 |
0.7× |
| Strapping knee (29530) |
$107.90 |
$130 |
0.8× |
| Strapping shoulder (29240) |
$71.38 |
$86 |
0.5× |
| Strapping thorax (29200) |
$190.90 |
$230 |
1.1× |
| Strapping toes (29550) |
$79.26 |
$95.50 |
1.3× |
| Strapping unna boot (29580) |
$157.70 |
$190 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,321.36 |
$1,592 |
0.5× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$2,165.06 |
$2,608.50 |
0.6× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,405.76 |
$2,898.50 |
1.2× |
| Suture Eyelid Wound,Full Thick (67935) |
$810.91 |
$977 |
0.3× |
| Suture of 1 nerve ulnar motor (64836) |
$2,548.52 |
$3,070.50 |
0.7× |
| Suture pharynx for wound or injury (42900) |
$849.50 |
$1,023.50 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$232.40 |
$280 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$544.48 |
$656 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$884.78 |
$1,066 |
0.5× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,480.19 |
$4,193 |
2.2× |
| Ther Apheresis,Platelets (36513) |
$566.06 |
$682 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$873.16 |
$1,052 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$709.24 |
$854.50 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$611.71 |
$737 |
0.9× |
| Thrombolytic Therapy, Stroke (37195) |
$429.94 |
$518 |
1.3× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260)
unusually low: confirm this is the full procedure |
$2,473.40 |
$2,980 |
0.4× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,079.15 |
$2,505 |
0.3× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure |
$2,990.49 |
$3,603 |
0.5× |
| Tongue and mouth surg unlisted (41599) |
$191.73 |
$231 |
0.8× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,895.04 |
$3,488 |
0.2× |
Total thyroid lobectomy unilateral (60225)
unusually low: confirm this is the full procedure |
$2,138.91 |
$2,577 |
0.3× |
| Trach Tube Change (31502) |
$80.51 |
$97 |
0.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,138.34 |
$1,371.50 |
4.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$724.59 |
$873 |
0.4× |
| Tracheostomy planned (31600) |
$688.90 |
$830 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$555.68 |
$669.50 |
2.2× |
| Treat humerus fracture (24500) |
$833.74 |
$1,004.50 |
3.3× |
| Treat humerus fracture (24577) |
$848.26 |
$1,022 |
0.5× |
| Treat humerus fracture (23600) |
$530.78 |
$639.50 |
2.1× |
| Treat knee fracture (27532) |
$1,930.58 |
$2,326 |
0.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$699.28 |
$842.50 |
0.4× |
| Treat Vaginal Bleeding (57180) |
$519.58 |
$626 |
2.5× |
| Treat wrist bone fracture (25622) |
$715.46 |
$862 |
2.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,270.73 |
$1,531 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$575.60 |
$693.50 |
2.2× |
| Treatment mouth roof lesion (42160) |
$1,176.52 |
$1,417.50 |
0.3× |
| Trim skin lesion (11055) |
$177.62 |
$214 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$201.69 |
$243 |
1.0× |
| Trim skin lesions over 4 (11057) |
$223.27 |
$269 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$81.34 |
$98 |
1.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,108.88 |
$1,336 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$815.06 |
$982 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,178.60 |
$1,420 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$511.70 |
$616.50 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$410.02 |
$494 |
1.0× |
| Tympanostomy (69433) |
$470.61 |
$567 |
0.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$132.80 |
$160 |
0.8× |
| Unlisted Procedure Small Intestine (44799) |
$2,774.69 |
$3,343 |
2.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,602.05 |
$3,135 |
2.8× |
| Unlisted procedure, hands or fingers (26989) |
$218.29 |
$263 |
0.9× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$535.35 |
$645 |
0.1× |
| Uppr gi opticl endomicrscopy (43252) |
$811.74 |
$978 |
0.4× |
| Vaginal delivery only (59409) |
$1,132.95 |
$1,365 |
0.3× |
| Venipuncture (36415) |
$37.76 |
$45.50 |
4.0× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$358.56 |
$432 |
2.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$352.75 |
$425 |
0.8× |
| Ventricular puncture previous burr hole w/inj (61026) |
$730.40 |
$880 |
1.0× |
| Wedging of cast (29740) |
$180.11 |
$217 |
0.6× |
| Windowing of cast (29730) |
$141.52 |
$170.50 |
0.8× |