| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,500 |
$3,000 |
1.7× |
| Amputation metatarsal with toe single (28810) |
$3,658 |
$7,316 |
1.2× |
| Amputation of finger/thumb (26952) |
$2,121.50 |
$4,243 |
0.7× |
| Amputation thigh through femur any level (27590) |
$1,157 |
$2,314 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$3,658 |
$7,316 |
1.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,658 |
$7,316 |
1.2× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,427.50 |
$2,855 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$383 |
$766 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,022 |
$4,044 |
0.8× |
| Appendectomy (44950) |
$4,294.50 |
$8,589 |
0.7× |
| Arterial puncture (36600) |
$147.50 |
$295 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$75.75 |
$151.50 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$346.50 |
$693 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$152 |
$304 |
0.8× |
| Biopsy bone open superficial (20240) |
$3,223.50 |
$6,447 |
1.2× |
| Biopsy Breast Open Incisional (19101) |
$3,749.50 |
$7,499 |
1.0× |
| Biopsy muscle deep (20205) |
$3,223.50 |
$6,447 |
1.2× |
| Biopsy of tongue (41100) |
$935 |
$1,870 |
1.8× |
| Biopsy of uterus lining (58100) |
$284.50 |
$569 |
1.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,749.50 |
$7,499 |
1.0× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,885.50 |
$3,771 |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$2,019.50 |
$4,039 |
1.3× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$1,855 |
$3,710 |
1.2× |
| Bladder Irrigation Simple (51700) |
$323.50 |
$647 |
1.3× |
| Blood transfusion service (36430) |
$532 |
$1,064 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,869 |
$3,738 |
1.2× |
| Bx vulva/perineum 1 lesion (56605) |
$425 |
$850 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$191 |
$382 |
0.9× |
| Chest tube placement (32551) |
$1,026.50 |
$2,053 |
0.7× |
| Circum 28 days or older (54161) |
$2,603.50 |
$5,207 |
1.3× |
| Closed treat wrist dislocation (25660) |
$701 |
$1,402 |
3.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$483 |
$966 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$714 |
$1,428 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$345.75 |
$691.50 |
1.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$293.50 |
$587 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$450 |
$900 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$92 |
$184 |
0.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$938 |
$1,876 |
0.8× |
| Conization of cervix (57522) |
$3,128.50 |
$6,257 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$131 |
$262 |
1.0× |
| Cystoscopy w/biopsy (52204) |
$3,011 |
$6,022 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$439 |
$878 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$680 |
$1,360 |
1.0× |
| Declot vascular device (36593) |
$419.50 |
$839 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,339 |
$2,678 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,336.50 |
$2,673 |
0.7× |
| Destruction anal lesion(s) (46924) |
$3,654.50 |
$7,309 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$230 |
$460 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$624.50 |
$1,249 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$157.75 |
$315.50 |
0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,128.50 |
$6,257 |
1.0× |
| Division of fallopian tube (58600) |
$3,784.50 |
$7,569 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,855 |
$3,710 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$157.25 |
$314.50 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$3,251.50 |
$6,503 |
1.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,267 |
$4,534 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$1,917 |
$3,834 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,002.50 |
$4,005 |
1.1× |
| Egd flexible foreign body removal (43247) |
$1,056 |
$2,112 |
1.2× |
| Egd place gastrostomy tube (43246) |
$2,002.50 |
$4,005 |
1.1× |
| Egd rem tumr/polyp forcep (43250) |
$2,002.50 |
$4,005 |
1.1× |
| Electrical stimulation bone healing noninvasive (20974) |
$14.50 |
$29 |
0.2× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$4,763.50 |
$9,527 |
1.0× |
| Epidural lysis on single day (62264) |
$733.50 |
$1,467 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$3,223.50 |
$6,447 |
1.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,650 |
$3,300 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,855 |
$3,710 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,020 |
$4,040 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$886 |
$1,772 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$1,917 |
$3,834 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$809 |
$1,618 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,855 |
$3,710 |
1.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,261 |
$6,522 |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$3,223.50 |
$6,447 |
1.2× |
| Exc rect tum transanal part (45171) |
$3,336 |
$6,672 |
1.2× |
| Exc shoulder tum deep 5 cm/> (23073) |
$3,223.50 |
$6,447 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,277 |
$2,554 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$453 |
$906 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$748 |
$1,496 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,277 |
$2,554 |
1.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,855 |
$3,710 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,855 |
$3,710 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,223.50 |
$6,447 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,223.50 |
$6,447 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,020 |
$4,040 |
1.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,855 |
$3,710 |
1.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,223.50 |
$6,447 |
1.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,223.50 |
$6,447 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,128.50 |
$4,257 |
1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,223.50 |
$6,447 |
1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$334.50 |
$669 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,223.50 |
$6,447 |
1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,917 |
$3,834 |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,223.50 |
$6,447 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,917 |
$3,834 |
1.2× |
| Excise parotid gland/lesion (42420) |
$6,196.50 |
$12,393 |
1.1× |
| Excise/repair mouth lesion (40812) |
$3,261 |
$6,522 |
2.2× |
| Excision external ear partial simple repair (69110) |
$3,223.50 |
$6,447 |
1.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$3,223.50 |
$6,447 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$801 |
$1,602 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$527 |
$1,054 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$794 |
$1,588 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$873.50 |
$1,747 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$867 |
$1,734 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$961 |
$1,922 |
1.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$961 |
$1,922 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,855 |
$3,710 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,885.50 |
$3,771 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,020 |
$4,040 |
1.3× |
| Excision of bartholin's gland or cyst (56740) |
$3,784.50 |
$7,569 |
1.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$809 |
$1,618 |
1.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,277 |
$2,554 |
1.9× |
| Excision of hydrocele; unilateral (55040) |
$4,294.50 |
$8,589 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,855 |
$3,710 |
1.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,316.50 |
$2,633 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,128.50 |
$6,257 |
1.0× |
| Excision olecranon bursa (24105) |
$3,658 |
$7,316 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,223.50 |
$6,447 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,057.50 |
$4,115 |
1.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,605 |
$5,210 |
1.6× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,223.50 |
$6,447 |
1.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$3,223.50 |
$6,447 |
1.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,223.50 |
$6,447 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$473.50 |
$947 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,142 |
$4,284 |
1.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,142 |
$4,284 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,142 |
$4,284 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$191.25 |
$382.50 |
0.9× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$3,556 |
$7,112 |
1.3× |
| Hysteroscopy ablation (58563) |
$5,716.50 |
$11,433 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$424.50 |
$849 |
1.9× |
| I&d abscess simple (10060) |
$239.50 |
$479 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$439 |
$878 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$299 |
$598 |
0.8× |
| Incision of rectal abscess (46040) |
$836.50 |
$1,673 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$439 |
$878 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$635.75 |
$1,271.50 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$221.25 |
$442.50 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$547.25 |
$1,094.50 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$486 |
$972 |
0.7× |
| Inject scleros soln in hemorrhoids (46500) |
$1,002 |
$2,004 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$453 |
$906 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$67.50 |
$135 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$210.75 |
$421.50 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$210.75 |
$421.50 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$219.50 |
$439 |
0.7× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$237.50 |
$475 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$150.50 |
$301 |
1.2× |
| Insert tunneled cv cath (36561) |
$3,669 |
$7,338 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$150.50 |
$301 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,275 |
$2,550 |
0.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,275 |
$2,550 |
2.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,541 |
$7,082 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$266 |
$532 |
1.2× |
| Lap ing hernia repair init (49650) |
$6,299 |
$12,598 |
1.1× |
| Laparoscopy Remove Adnexa (58661) |
$6,299 |
$12,598 |
1.1× |
| Laparoscopy Tubal Cautery (58670) |
$6,364.50 |
$12,729 |
1.1× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,299 |
$12,598 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,299 |
$12,598 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$10,455 |
$20,910 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,299 |
$12,598 |
1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,299 |
$12,598 |
1.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$10,455 |
$20,910 |
1.0× |
| Late closure of wound (13160) |
$2,392 |
$4,784 |
0.7× |
| Ligate/strip long leg vein (37722) |
$3,541 |
$7,082 |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,002 |
$2,004 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$1,443.50 |
$2,887 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,458.50 |
$2,917 |
0.7× |
| Mastectomy gynecomastia (19300) |
$3,749.50 |
$7,499 |
1.0× |
| Mastectomy partial (19301) |
$3,749.50 |
$7,499 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$228.50 |
$457 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$625.50 |
$1,251 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$624 |
$1,248 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$478.50 |
$957 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$471.25 |
$942.50 |
0.7× |
| Ovarian cystectomy (58925) |
$6,079 |
$12,158 |
1.3× |
| Paravaginal defect repair vaginal approach (57285) |
$8,799.50 |
$17,599 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$324.50 |
$649 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$246.25 |
$492.50 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$439 |
$878 |
1.1× |
| Puncture Aspiration (10160) |
$309.50 |
$619 |
0.8× |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
$3,223.50 |
$6,447 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater (21016) |
$3,223.50 |
$6,447 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,207 |
$2,414 |
0.8× |
| Removal foreign body pharynx (42809) |
$318.50 |
$637 |
0.7× |
| Removal foreign body upper arm/elbow deep (24201) |
$393.75 |
$787.50 |
0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,261 |
$6,522 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$68.50 |
$137 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$67.50 |
$135 |
1.2× |
| Removal of nail bed (11750) |
$525 |
$1,050 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$230 |
$460 |
1.2× |
| Removal of tonsils (42826) |
$3,261 |
$6,522 |
1.0× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,440 |
$6,880 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$203.50 |
$407 |
0.8× |
| Remove skin nerve lesion (64774) |
$2,345.50 |
$4,691 |
1.2× |
| Remove wrist tendon lesion (25111) |
$1,687.50 |
$3,375 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$120.75 |
$241.50 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$680 |
$1,360 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$680 |
$1,360 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$581 |
$1,162 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$680 |
$1,360 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$680 |
$1,360 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$680 |
$1,360 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,117.25 |
$2,234.50 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$537 |
$1,074 |
0.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,294.50 |
$8,589 |
1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,294.50 |
$8,589 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$439 |
$878 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$330 |
$660 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$439 |
$878 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$439 |
$878 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$439 |
$878 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$439 |
$878 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$330 |
$660 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$680 |
$1,360 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$439 |
$878 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$439 |
$878 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$680 |
$1,360 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,142 |
$4,284 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$439 |
$878 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$439 |
$878 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$439 |
$878 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$680 |
$1,360 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$439 |
$878 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,757.50 |
$7,515 |
1.9× |
| Repair rectum & vagina (57250) |
$5,716.50 |
$11,433 |
1.2× |
| Reposition gastrostomy tube (43761) |
$1,010.50 |
$2,021 |
4.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,345.50 |
$4,691 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$231.75 |
$463.50 |
0.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$553.25 |
$1,106.50 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,274.50 |
$2,549 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,026.50 |
$2,053 |
1.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,541 |
$7,082 |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$439 |
$878 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$230 |
$460 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$230 |
$460 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$230 |
$460 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$230 |
$460 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$439 |
$878 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$230 |
$460 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$230 |
$460 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$345 |
$690 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$230 |
$460 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$306 |
$612 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$230 |
$460 |
1.2× |
| Skin tissue rearrangement (14040) |
$2,142 |
$4,284 |
1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,513 |
$3,026 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$230 |
$460 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$439 |
$878 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$439 |
$878 |
1.1× |
| Sphincterotomy (46080) |
$3,251.50 |
$6,503 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$793.50 |
$1,587 |
1.2× |
| Strapping hand/finger (29280) |
$70 |
$140 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$439 |
$878 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,026.50 |
$2,053 |
1.7× |
| Thrombolytic Therapy, Stroke (37195) |
$419.50 |
$839 |
1.3× |
| Thyroid biopsy (60100) |
$809 |
$1,618 |
1.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,261 |
$6,522 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$483 |
$966 |
2.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$91.50 |
$183 |
1.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,251.50 |
$6,503 |
1.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$772 |
$1,544 |
1.3× |
| Unlisted procedure, stomach (43999) |
$1,500 |
$3,000 |
1.7× |
| Vag hyst complex (58290) |
$8,799.50 |
$17,599 |
1.2× |
| Vaginal delivery only (59409) |
$2,225.50 |
$4,451 |
0.7× |
| Vaginal hysterectomy (58260) |
$2,996.50 |
$5,993 |
0.6× |
| Vasectomy (55250) |
$2,603.50 |
$5,207 |
1.3× |
| Venipuncture (36415) |
$5 |
$10 |
0.5× |