| Abd paracentesis w/imaging (49083) |
$2,118.35 |
$3,259 |
2.5× |
| Acne Surgery (10040) |
$86.78 |
$133.50 |
0.5× |
| Amputation Finger/Thumb (26951) |
$3,845.08 |
$5,915.50 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$2,275 |
$3,500 |
0.8× |
| Anoscopy diagnostic (46600) |
$115.05 |
$177 |
0.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,244.10 |
$1,914 |
1.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,410.85 |
$3,709 |
0.9× |
| Application cast elbow finger short arm (29075) |
$145.60 |
$224 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$243.10 |
$374 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$178.10 |
$274 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$97.50 |
$150 |
1.8× |
| Application finger splint static (29130) |
$167.05 |
$257 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$192.40 |
$296 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$234 |
$360 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$156.32 |
$240.50 |
1.0× |
| Application of long leg cast (29345) |
$242.45 |
$373 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$260 |
$400 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$193.70 |
$298 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$192.40 |
$296 |
1.6× |
| Application short leg splint calf foot (29515) |
$166.40 |
$256 |
1.1× |
| Apply short leg cast (29405) |
$185.90 |
$286 |
0.7× |
| Apply short leg cast (29425) |
$213.85 |
$329 |
0.8× |
| Arterial puncture (36600) |
$117 |
$180 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$312 |
$480 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$823.88 |
$1,267.50 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$520 |
$800 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$305.50 |
$470 |
1.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$6,825 |
$10,500 |
0.4× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,655.60 |
$5,624 |
1.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,387.50 |
$6,750 |
1.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,800 |
$12,000 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,117.12 |
$7,872.50 |
1.7× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$7,799.35 |
$11,999 |
2.6× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,387.50 |
$6,750 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,850 |
$9,000 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$193.70 |
$298 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$161.20 |
$248 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$3,045.58 |
$4,685.50 |
0.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$110.33 |
$169.74 |
0.1× |
| Biopsy external ear (69100) |
$303.22 |
$466.50 |
1.4× |
| Biopsy intranasal (30100) |
$715 |
$1,100 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,083.55 |
$1,667 |
0.7× |
| Biopsy of mouth lesion (40808) |
$911.95 |
$1,403 |
1.8× |
| Biopsy of palate, uvula (42100) |
$315.25 |
$485 |
0.2× |
| Biopsy of tongue (41100) |
$375.70 |
$578 |
0.8× |
| Biopsy of uterus lining (58100) |
$178.10 |
$274 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,802.80 |
$4,312 |
0.8× |
| Biopsy Oropharynx (42800) |
$1,040 |
$1,600 |
0.7× |
| Biopsy Salivary Gland Incisional (42405) |
$1,221.35 |
$1,879 |
0.9× |
| Biopsy Salivary Gland,Needle (42400) |
$563.55 |
$867 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,040 |
$1,600 |
0.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$563.55 |
$867 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,900.60 |
$2,924 |
2.2× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$494 |
$760 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$3,242.85 |
$4,989 |
0.9× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$811.85 |
$1,249 |
1.3× |
| Bladder Irrigation Simple (51700) |
$305.50 |
$470 |
1.3× |
| Bladder Scan (51798) |
$88.72 |
$136.50 |
1.6× |
| Blood patch (62273) |
$1,073.15 |
$1,651 |
1.7× |
| Blood transfusion service (36430) |
$670.80 |
$1,032 |
1.7× |
| Bone marrow aspiration only (38220) |
$1,430 |
$2,200 |
0.9× |
| Bone Marrow Biopsy (38221) |
$2,182.70 |
$3,358 |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,462.50 |
$2,250 |
0.9× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,327.30 |
$2,042 |
0.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,381.25 |
$2,125 |
0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,820 |
$2,800 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,361.75 |
$2,095 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,794 |
$2,760 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,033.85 |
$3,129 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$694.85 |
$1,069 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$845 |
$1,300 |
0.6× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,820 |
$2,800 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$627.25 |
$965 |
3.1× |
| Change Cystostomy Tube Simple (51705) |
$174.85 |
$269 |
0.8× |
| Chemical Cautery Tissue (17250) |
$81.90 |
$126 |
0.4× |
| Chemodenerv Musc Migraine (64615) |
$339.30 |
$522 |
1.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$872.30 |
$1,342 |
3.1× |
| Chest tube placement (32551) |
$915.85 |
$1,409 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$141.70 |
$218 |
1.2× |
| Circum 28 days or older (54161) |
$2,925 |
$4,500 |
1.5× |
| Circumcision (54150) |
$273 |
$420 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,441.05 |
$2,217 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,246.05 |
$1,917 |
0.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,365 |
$2,100 |
6.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,017.58 |
$1,565.50 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,462.50 |
$2,250 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$845 |
$1,300 |
3.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,462.50 |
$2,250 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,932.45 |
$2,973 |
1.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$1,300 |
$2,000 |
5.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$835.25 |
$1,285 |
3.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$634.56 |
$976.25 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,020.50 |
$1,570 |
0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,124.50 |
$1,730 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$634.56 |
$976.25 |
2.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,015 |
$3,100 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,022.48 |
$3,111.50 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$634.56 |
$976.25 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,462.50 |
$2,250 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$492.70 |
$758 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$845 |
$1,300 |
0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,508.65 |
$2,321 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$406.90 |
$626 |
1.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$845 |
$1,300 |
3.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,300 |
$2,000 |
5.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,075.10 |
$1,654 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$634.56 |
$976.25 |
2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,107.60 |
$1,704 |
4.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$845 |
$1,300 |
3.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$568.10 |
$874 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,020.50 |
$1,570 |
4.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,022.80 |
$3,112 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$921.54 |
$1,417.75 |
4.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,020.50 |
$1,570 |
4.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$650 |
$1,000 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$650 |
$1,000 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$715 |
$1,100 |
3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$617.50 |
$950 |
2.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,125.80 |
$1,732 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$564.85 |
$869 |
2.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$640.41 |
$985.25 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$951.44 |
$1,463.75 |
4.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,164.18 |
$3,329.50 |
1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,593.15 |
$2,451 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$634.56 |
$976.25 |
2.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,365 |
$2,100 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,123.20 |
$1,728 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,020.50 |
$1,570 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,658.15 |
$2,551 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$2,193.42 |
$3,374.50 |
2.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,379.30 |
$2,122 |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,564.55 |
$2,407 |
1.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$167.22 |
$257.27 |
0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$579.74 |
$891.90 |
3.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$220.39 |
$339.06 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$197.47 |
$303.80 |
0.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$157.38 |
$242.12 |
0.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$96.93 |
$149.13 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,211.62 |
$3,402.50 |
2.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,087.15 |
$3,211 |
1.9× |
| Complex Drainage, Wound (10180) |
$372.45 |
$573 |
0.1× |
| Complex Uroflowmetry (51741) |
$76.05 |
$117 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$377 |
$580 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$387.73 |
$596.50 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$207.02 |
$318.50 |
1.7× |
| Correction hammertoe (28285) |
$2,923.70 |
$4,498 |
1.0× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,193.75 |
$3,375 |
0.3× |
| Correction of bunion (28292) |
$2,925 |
$4,500 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,925 |
$4,500 |
1.0× |
| Create eardrum opening (69436) |
$975 |
$1,500 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$389.35 |
$599 |
3.2× |
| Curette/treat cornea (65435) |
$434.85 |
$669 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,925 |
$4,500 |
1.5× |
| Cystoscopy w/complex removal stone & stent (52315) |
$2,925 |
$4,500 |
1.5× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,571.08 |
$3,955.50 |
1.3× |
| Cystourethroscopy (52000) |
$1,462.50 |
$2,250 |
2.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,462.50 |
$2,250 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$91.65 |
$141 |
0.2× |
| Debride nail 1-5 (11720) |
$74.75 |
$115 |
1.4× |
| Debride nail 6 or more (11721) |
$288.92 |
$444.50 |
5.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$436.15 |
$671 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$253.82 |
$390.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$795.92 |
$1,224.50 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,501.50 |
$2,310 |
1.0× |
| Declot vascular device (36593) |
$448.50 |
$690 |
1.5× |
| Decompression of tibia nerve (28035) |
$4,387.18 |
$6,749.50 |
2.4× |
| Destroy cerv/thor facet jnt (64633) |
$2,540.85 |
$3,909 |
1.4× |
| Destroy lumb/sac facet jnt (64635) |
$2,541.50 |
$3,910 |
1.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$423.80 |
$652 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$572.32 |
$880.50 |
3.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$126.75 |
$195 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,715.70 |
$4,178 |
3.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$164.45 |
$253 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$164.45 |
$253 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$164.45 |
$253 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$88.72 |
$136.50 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$92.30 |
$142 |
0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$97.50 |
$150 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$91.65 |
$141 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$85.80 |
$132 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$86.45 |
$133 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$92.30 |
$142 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$164.45 |
$253 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$356.20 |
$548 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$73.78 |
$113.50 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,340 |
$3,600 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$196.62 |
$302.50 |
1.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$601.25 |
$925 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$622.70 |
$958 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,402.70 |
$2,158 |
1.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$377 |
$580 |
0.6× |
| Drain outer ear canal lesion (69020) |
$302.90 |
$466 |
0.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$235.30 |
$362 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$640.90 |
$986 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$747.50 |
$1,150 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$316.88 |
$487.50 |
1.7× |
| Drainage of gum lesion (41800) |
$479.70 |
$738 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$1,570.40 |
$2,416 |
1.0× |
| Draw blood off venous device (36591) |
$154.70 |
$238 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$348.89 |
$536.75 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$2,925 |
$4,500 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$1,430 |
$2,200 |
0.5× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,809.60 |
$2,784 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,840.80 |
$2,832 |
1.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,258.40 |
$1,936 |
0.7× |
| Egd flexible foreign body removal (43247) |
$2,203.50 |
$3,390 |
2.6× |
| Egd place gastrostomy tube (43246) |
$1,671.15 |
$2,571 |
0.9× |
| Egd rem tumr/polyp forcep (43250) |
$1,176.18 |
$1,809.50 |
0.7× |
| Egd remove lesion snare (43251) |
$2,238.60 |
$3,444 |
1.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,628.90 |
$2,506 |
0.9× |
| Endocervical Curettage (57505) |
$97.73 |
$150.35 |
0.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,193.75 |
$3,375 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,037.75 |
$3,135 |
2.4× |
| Esophagoscopy flex biopsy (43202) |
$750.10 |
$1,154 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,008.15 |
$1,551 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$161.52 |
$248.50 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$4,084.60 |
$6,284 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,415.05 |
$2,177 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,440.40 |
$2,216 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$312 |
$480 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$901.55 |
$1,387 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,467.40 |
$3,796 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,291.55 |
$1,987 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$756.60 |
$1,164 |
2.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$618.80 |
$952 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,008.15 |
$1,551 |
1.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,275.30 |
$1,962 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,327.30 |
$2,042 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,689.02 |
$2,598.50 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,451.15 |
$3,771 |
1.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,046.50 |
$1,610 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,925 |
$4,500 |
1.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$564.52 |
$868.50 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$991.25 |
$1,525 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,743.65 |
$4,221 |
1.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,387.50 |
$6,750 |
1.6× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,925 |
$4,500 |
2.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,610.40 |
$4,016 |
1.8× |
| Excise cutaneous neurofibroma (64788) |
$1,462.50 |
$2,250 |
0.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,456 |
$2,240 |
1.0× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,647.75 |
$2,535 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$220.35 |
$339 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$637.65 |
$981 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$715.32 |
$1,100.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$898.30 |
$1,382 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$258.70 |
$398 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$337.35 |
$519 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$736.12 |
$1,132.50 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,631.50 |
$2,510 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$694.85 |
$1,069 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,968.20 |
$3,028 |
3.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$349.70 |
$538 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,112.80 |
$1,712 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$404.95 |
$623 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$861.90 |
$1,326 |
1.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$778.05 |
$1,197 |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$1,166.75 |
$1,795 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,489.15 |
$2,291 |
1.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,101.10 |
$1,694 |
0.7× |
| Excision of nail fold toe (11765) |
$144.30 |
$222 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$2,659.15 |
$4,091 |
2.4× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$3,656.25 |
$5,625 |
1.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,724.15 |
$4,191 |
1.0× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$2,523.95 |
$3,883 |
1.7× |
| Excision, nasal polyp(s), simple (30110) |
$583.70 |
$898 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$632.45 |
$973 |
0.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,462.50 |
$2,250 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,258.75 |
$3,475 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,715.35 |
$2,639 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$4,387.50 |
$6,750 |
1.5× |
| Fetal non-stress test (59025) |
$68.90 |
$106 |
0.4× |
| Filleted finger/toe flap (14350) |
$975 |
$1,500 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$885.30 |
$1,362 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,462.50 |
$2,250 |
2.2× |
| Fine needle aspiration without imaging guidance (10021) |
$549.25 |
$845 |
1.5× |
| Fixation of knee joint (27570) |
$1,462.18 |
$2,249.50 |
1.0× |
| Fna bx w/mr gdn 1st les (10011) |
$885.30 |
$1,362 |
1.4× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,490.80 |
$3,832 |
1.3× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$2,193.75 |
$3,375 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$416 |
$640 |
1.9× |
| I&d abscess simple (10060) |
$337.35 |
$519 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,387.50 |
$6,750 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,450.15 |
$2,231 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$312 |
$480 |
0.5× |
| Incise finger tendon sheath (26055) |
$2,925 |
$4,500 |
2.0× |
| Incise wrist/forearm tendon (25290) |
$5,849.35 |
$8,999 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$523.58 |
$805.50 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,418.95 |
$2,183 |
2.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,850 |
$9,000 |
3.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$400.40 |
$616 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$99.45 |
$153 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$135.85 |
$209 |
0.5× |
| Incision labial frenum frenotomy (40806) |
$1,738.42 |
$2,674.50 |
3.5× |
| Incision of lingual frenum (41010) |
$747.50 |
$1,150 |
0.5× |
| Incision of metatarsal (28308) |
$2,923.70 |
$4,498 |
1.0× |
| Incision of rectal abscess (46040) |
$2,745.60 |
$4,224 |
2.5× |
| Incision thrombosed hemorrhoid external (46083) |
$325.32 |
$500.50 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$154.70 |
$238 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,543.45 |
$3,913 |
3.1× |
| Inj tendon sheath/ligament (20550) |
$243.75 |
$375 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$367.25 |
$565 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$688.35 |
$1,059 |
0.8× |
| Inject scleros soln in hemorrhoids (46500) |
$375.05 |
$577 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$139.10 |
$214 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$390 |
$600 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$688.35 |
$1,059 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$325 |
$500 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$1,511.25 |
$2,325 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$294.78 |
$453.50 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,233.38 |
$1,897.50 |
4.4× |
| Injection therapeutic carpal tunnel (20526) |
$155.35 |
$239 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$52 |
$80 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$92.30 |
$142 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$123.50 |
$190 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$130 |
$200 |
1.1× |
| Insert cervical dilator (59200) |
$579.80 |
$892 |
2.1× |
| Insert non-tunnel cv cath (36556) |
$1,658.80 |
$2,552 |
0.6× |
| Insert pessary/other device (57160) |
$117 |
$180 |
0.6× |
| Insert picc cath (36569) |
$2,148.25 |
$3,305 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$78.32 |
$120.50 |
0.6× |
| Insert tunneled cv cath (36561) |
$2,992.28 |
$4,603.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$64.35 |
$99 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,244.10 |
$1,914 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,925 |
$4,500 |
1.0× |
Insj tun vad req 2 cath 2 sits w/subq port (36566)
unusually low: confirm this is the full procedure |
$2,204.80 |
$3,392 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,748.20 |
$4,228 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$362.70 |
$558 |
1.7× |
| Lap ing hernia repair init (49650) |
$6,225.05 |
$9,577 |
1.1× |
| Laparoscopy appendectomy (44970) |
$4,975.42 |
$7,654.50 |
0.9× |
| Laparoscopy Remove Adnexa (58661) |
$4,387.50 |
$6,750 |
0.8× |
| Laparoscopy Tubal Cautery (58670) |
$4,387.50 |
$6,750 |
0.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$5,344.95 |
$8,223 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,174.30 |
$6,422 |
0.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$8,775 |
$13,500 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,595.55 |
$10,147 |
1.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$1,040 |
$1,600 |
5.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,040 |
$1,600 |
2.9× |
| Laryngoscopy with biopsy (31576) |
$963.30 |
$1,482 |
0.6× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,320.20 |
$5,108 |
2.0× |
| Ligation or biopsy temporal artery (37609) |
$4,387.50 |
$6,750 |
2.9× |
| Liver Biopsy (47000) |
$1,453.08 |
$2,235.50 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,361.75 |
$2,095 |
0.7× |
| Mast mod rad (19307) |
$5,595.85 |
$8,609 |
0.9× |
| Mastectomy gynecomastia (19300) |
$4,387.50 |
$6,750 |
1.2× |
| Mastectomy partial (19301) |
$5,118.75 |
$7,875 |
1.4× |
| Mastectomy simple complete (19303) |
$8,287.50 |
$12,750 |
1.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,040 |
$1,600 |
5.7× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$5,850 |
$9,000 |
0.9× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$2,925 |
$4,500 |
0.9× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$3,558.75 |
$5,475 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$592.15 |
$911 |
1.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,925 |
$4,500 |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,893.78 |
$2,913.50 |
2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,162.52 |
$1,788.50 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,020.50 |
$1,570 |
1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$437.45 |
$673 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,387.50 |
$6,750 |
0.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,387.50 |
$6,750 |
0.7× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$5,850 |
$9,000 |
0.9× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,462.50 |
$2,250 |
0.5× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$2,925 |
$4,500 |
0.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,462.50 |
$2,250 |
0.5× |
| Partial removal of thyroid (60220) |
$7,800 |
$12,000 |
1.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,850 |
$9,000 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$1,247.35 |
$1,919 |
1.9× |
| Perq device breast 1st imag (19281) |
$1,241.50 |
$1,910 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$493.35 |
$759 |
2.1× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
unusually low: confirm this is the full procedure |
$2,925 |
$4,500 |
0.4× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure |
$2,925 |
$4,500 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$193.70 |
$298 |
0.5× |
| Proctosigmoidoscopy (45303) |
$777.40 |
$1,196 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,112.15 |
$1,711 |
1.3× |
| Prostatectomy (turp) (52601) |
$5,850 |
$9,000 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$247.65 |
$381 |
0.7× |
| Puncture Aspiration (10160) |
$262.60 |
$404 |
0.7× |
| Reconstruction tongue fold (41520) |
$1,462.50 |
$2,250 |
0.5× |
| Release palm contracture (26121) |
$3,424.85 |
$5,269 |
1.1× |
| Removal fb intranasal (30300) |
$537.55 |
$827 |
4.4× |
| Removal foreign body foot deep (28192) |
$1,235 |
$1,900 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$2,032.88 |
$3,127.50 |
3.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$49.40 |
$76 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$261.95 |
$403 |
4.8× |
| Removal Implant Deep (20680) |
$2,925 |
$4,500 |
1.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$724.10 |
$1,114 |
0.5× |
| Removal of adenoids (42830) |
$2,925 |
$4,500 |
1.0× |
| Removal of heel spur (28119) |
$2,925 |
$4,500 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$151.12 |
$232.50 |
0.5× |
| Removal of nail bed (11750) |
$312 |
$480 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$737.75 |
$1,135 |
4.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$122.20 |
$188 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$89.70 |
$138 |
0.3× |
| Remove anal fist subq (46270) |
$2,343.90 |
$3,606 |
0.9× |
| Remove Eyelid Foreign Body (67938) |
$243.10 |
$374 |
0.8× |
| Remove femur lesion (27355) |
$4,387.50 |
$6,750 |
1.5× |
| Remove foreign body from eye (65235) |
$1,025.05 |
$1,577 |
0.5× |
| Remove foreign body from eye (65210) |
$217.75 |
$335 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$3,533.40 |
$5,436 |
1.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,757.60 |
$2,704 |
0.7× |
| Remove wrist tendon lesion (25111) |
$2,599.68 |
$3,999.50 |
1.8× |
| Remv Ext Canal Foreign Body (69200) |
$169 |
$260 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$253.18 |
$389.50 |
2.1× |
| Repair arm tendon/muscle (24341) |
$4,387.50 |
$6,750 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$595.72 |
$916.50 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,073.80 |
$1,652 |
2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$668.52 |
$1,028.50 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,166.75 |
$1,795 |
3.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,086.48 |
$1,671.50 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,818.05 |
$2,797 |
1.2× |
| Repair finger/hand tendon (26350) |
$3,077.75 |
$4,735 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$343.20 |
$528 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$469.95 |
$723 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$583.70 |
$898 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$625.30 |
$962 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$508.62 |
$782.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$572 |
$880 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$437.45 |
$673 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,376.05 |
$2,117 |
3.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$480.02 |
$738.50 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$561.28 |
$863.50 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$923 |
$1,420 |
2.5× |
| Repair of nail bed (11760) |
$332.80 |
$512 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,386.85 |
$6,749 |
0.7× |
| Repair Tongue Laceration (41250) |
$253.18 |
$389.50 |
0.6× |
| Resect Inferior Turbinate (30140) |
$4,386.85 |
$6,749 |
1.4× |
| Revise median n/carpal tunnel surg (64721) |
$2,310.75 |
$3,555 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$2,193.75 |
$3,375 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$321.10 |
$494 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$308.10 |
$474 |
2.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,495 |
$2,300 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,694.55 |
$2,607 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$958.75 |
$1,475 |
1.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$4,387.50 |
$6,750 |
0.7× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,387.50 |
$6,750 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,925 |
$4,500 |
0.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$339.63 |
$522.50 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,328.60 |
$2,044 |
1.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,558.70 |
$2,398 |
1.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$93.92 |
$144.50 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$260.65 |
$401 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$85.48 |
$131.50 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$144.30 |
$222 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$136.50 |
$210 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$260.65 |
$401 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$85.15 |
$131 |
0.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,386.85 |
$6,749 |
1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$134.55 |
$207 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$231.40 |
$356 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$104 |
$160 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$323.05 |
$497 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$150.15 |
$231 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$299.65 |
$461 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,115.08 |
$1,715.50 |
1.3× |
| Simple destruction of growth of penis using electric current (54055) |
$802.10 |
$1,234 |
0.4× |
| Simple drainage of abscess of saliva gland (42300) |
$2,652 |
$4,080 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,258.56 |
$1,936.25 |
3.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$268.78 |
$413.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$282.75 |
$435 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$309.40 |
$476 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$760.99 |
$1,170.75 |
4.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$231.40 |
$356 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$330.85 |
$509 |
1.8× |
| Skin splt grft trnk/arm/leg (15100) |
$3,145.35 |
$4,839 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$4,013.75 |
$6,175 |
5.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,727.05 |
$2,657 |
2.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,722.50 |
$2,650 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$2,925 |
$4,500 |
0.6× |
| Small bowel endoscopy (44376) |
$1,462.50 |
$2,250 |
0.8× |
| Small bowel endoscopy/biopsy (44377) |
$861.90 |
$1,326 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$264.55 |
$407 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$567.45 |
$873 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$584.35 |
$899 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$390 |
$600 |
0.6× |
| Strapping ankle (29540) |
$52.65 |
$81 |
0.4× |
| Strapping unna boot (29580) |
$228.15 |
$351 |
1.5× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,925 |
$4,500 |
2.0× |
| Tenotomy percutaneous single each digit (26060) |
$2,470 |
$3,800 |
1.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$877.50 |
$1,350 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,917.50 |
$2,950 |
1.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,795.30 |
$2,762 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,314.95 |
$2,023 |
2.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$434.20 |
$668 |
0.8× |
| Thyroidectomy, total or complete (60240) |
$8,735.35 |
$13,439 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,386.85 |
$6,749 |
1.4× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$5,850 |
$9,000 |
0.5× |
| Total knee arthroplasty (27447) |
$6,825 |
$10,500 |
0.6× |
| Treat Fracture Radius & Ulna (25560) |
$1,300 |
$2,000 |
5.7× |
| Treat fx distal radial (25606) |
$3,656.25 |
$5,625 |
1.2× |
| Treat fx rad extra-articul (25607) |
$5,118.42 |
$7,874.50 |
0.8× |
| Treat humerus fracture (24577) |
$1,020.50 |
$1,570 |
0.7× |
| Treat humerus fracture (23600) |
$1,361.75 |
$2,095 |
6.0× |
| Treat wrist bone fracture (25622) |
$1,300 |
$2,000 |
5.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$634.56 |
$976.25 |
2.8× |
| Trim skin lesion (11055) |
$47.29 |
$72.75 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$66.95 |
$103 |
0.4× |
| Trim skin lesions over 4 (11057) |
$64.35 |
$99 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,925 |
$4,500 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,924.35 |
$4,499 |
2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,607.45 |
$2,473 |
2.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$130 |
$200 |
0.3× |
| Tympanostomy (69433) |
$529.10 |
$814 |
1.1× |
| Unlisted Procedure Nervous System (64999) |
$1,072.50 |
$1,650 |
3.8× |
| Uvulectomy excision uvula (42140) |
$812.50 |
$1,250 |
0.3× |
| Vasectomy (55250) |
$666.25 |
$1,025 |
0.3× |
| Venipuncture (36415) |
$16.90 |
$26 |
1.8× |
| Wedging of cast (29740) |
$126.75 |
$195 |
0.5× |
| Windowing of cast (29730) |
$98.15 |
$151 |
0.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,578.85 |
$2,429 |
2.3× |