| Abd paracentesis w/imaging (49083) |
$817.23 |
$817.23 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$383.25 |
$383.25 |
0.5× |
| Ablate inf turbinate submuc (30802) |
$306.24 |
$306.24 |
0.2× |
| Acne Surgery (10040) |
$157.50 |
$157.50 |
0.9× |
| Amputate metacarpal bone (26910) |
$4,063.76 |
$4,063.76 |
1.4× |
| Amputation Finger/Thumb (26951) |
$3,774.75 |
$3,774.75 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$2,757.18 |
$2,757.18 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,973.62 |
$2,973.62 |
1.0× |
| Anoscopy (46611) |
$201.60 |
$201.60 |
0.2× |
| Anoscopy diagnostic (46600) |
$170.23 |
$170.23 |
1.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$415.34 |
$415.34 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$222.60 |
$222.60 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,230.10 |
$1,230.10 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$202.12 |
$202.12 |
1.4× |
| Application cast elbow finger short arm (29075) |
$262.50 |
$262.50 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$240.45 |
$240.45 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$163.94 |
$163.94 |
0.6× |
| Application finger splint static (29130) |
$68.90 |
$68.90 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$183.36 |
$183.36 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$79.28 |
$79.28 |
0.5× |
| Application of long leg cast (29345) |
$323.14 |
$323.14 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$353.32 |
$353.32 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$51.45 |
$51.45 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$179.55 |
$179.55 |
1.5× |
| Application short leg splint calf foot (29515) |
$131.25 |
$131.25 |
0.9× |
| Apply short leg cast (29405) |
$259.62 |
$259.62 |
1.0× |
| Apply short leg cast (29425) |
$162.73 |
$162.73 |
0.6× |
| Arterial puncture (36600) |
$76.65 |
$76.65 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,561.90 |
$1,561.90 |
0.5× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818)
likely a partial charge, not the full procedure |
$1,513.60 |
$1,513.60 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$161.20 |
$161.20 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$292.57 |
$292.57 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$601.27 |
$601.27 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$145.95 |
$145.95 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$11,780.36 |
$11,780.36 |
0.7× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$10,745.36 |
$10,745.36 |
0.9× |
Arthroplasty knee fc/tp (27442)
unusually low: confirm this is the full procedure |
$4,330.30 |
$4,330.30 |
0.4× |
Arthroplasty knee tibial plateau (27440)
likely a partial charge, not the full procedure |
$3,124.82 |
$3,124.82 |
0.3× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443)
unusually low: confirm this is the full procedure |
$4,299.10 |
$4,299.10 |
0.4× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441)
unusually low: confirm this is the full procedure |
$4,243.40 |
$4,243.40 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,301.24 |
$3,301.24 |
1.1× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,276.36 |
$1,276.36 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,962.20 |
$2,962.20 |
1.0× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,636.49 |
$1,636.49 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,161.77 |
$1,161.77 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,012.28 |
$3,012.28 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,742.63 |
$5,742.63 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$164.35 |
$164.35 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,230.34 |
$1,230.34 |
0.6× |
Av fistula revision (36833)
likely a partial charge, not the full procedure |
$1,463 |
$1,463 |
0.3× |
Av Fuse Uppr Arm Basilic (36819)
unusually low: confirm this is the full procedure |
$1,568 |
$1,568 |
0.3× |
Av fusion/forearm vein (36820)
unusually low: confirm this is the full procedure |
$1,607 |
$1,607 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$241.50 |
$241.50 |
1.3× |
| Biopsy bone trocar/needle deep (20225) |
$1,551.38 |
$1,551.38 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$939.22 |
$939.22 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$621.61 |
$621.61 |
0.2× |
| Biopsy of lip (40490) |
$337.13 |
$337.13 |
1.5× |
| Biopsy of mouth lesion (40808) |
$298.75 |
$298.75 |
0.6× |
| Biopsy of penis (54100) |
$272.50 |
$272.50 |
0.2× |
| Biopsy of uterus lining (58100) |
$238.35 |
$238.35 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$431.05 |
$431.05 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$180.20 |
$180.20 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$780.70 |
$780.70 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$191.62 |
$191.62 |
0.3× |
| Bladder Irrigation Simple (51700) |
$171.15 |
$171.15 |
0.7× |
| Bladder Scan (51798) |
$76.65 |
$76.65 |
1.4× |
| Blood patch (62273) |
$687.76 |
$687.76 |
1.1× |
| Blood transfusion service (36430) |
$743.42 |
$743.42 |
1.8× |
| Bone marrow aspiration only (38220) |
$299.80 |
$299.80 |
0.2× |
| Bone Marrow Biopsy (38221) |
$363.85 |
$363.85 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$328.61 |
$328.61 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$380.66 |
$380.66 |
0.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$468 |
$468 |
0.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$543.32 |
$543.32 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$735.50 |
$735.50 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$401.76 |
$401.76 |
0.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$511.34 |
$511.34 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$312.69 |
$312.69 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$467.20 |
$467.20 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$1,127 |
$1,127 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$208.45 |
$208.45 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$173.25 |
$173.25 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$245.24 |
$245.24 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$91.35 |
$91.35 |
0.5× |
| Chemical Cautery Tissue (17250) |
$69.82 |
$69.82 |
0.4× |
| Chemodenervation internal anal sphincter (46505) |
$459.90 |
$459.90 |
0.4× |
| Chest tube placement (32551) |
$371.70 |
$371.70 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$164.19 |
$164.19 |
1.3× |
| Circum 28 days or older (54161) |
$376.08 |
$376.08 |
0.2× |
| Circumcision (54150) |
$394.30 |
$394.30 |
0.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$481.07 |
$481.07 |
2.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$711.90 |
$711.90 |
3.1× |
| Closed Rx Med Malleolus Fx (27760) |
$560.16 |
$560.16 |
2.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,386.52 |
$1,386.52 |
0.9× |
| Closed treat wrist dislocation (25660) |
$1,016.92 |
$1,016.92 |
4.5× |
| Closed treatment nasal fracture w/stabilization (21320) |
$433.32 |
$433.32 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$847.22 |
$847.22 |
3.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$681.45 |
$681.45 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$848.28 |
$848.28 |
0.6× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,420.12 |
$1,420.12 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$943.95 |
$943.95 |
4.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$374.53 |
$374.53 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$3,256.31 |
$3,256.31 |
14.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$648.90 |
$648.90 |
2.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$495.60 |
$495.60 |
2.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$436.48 |
$436.48 |
1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$597.71 |
$597.71 |
2.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$379.38 |
$379.38 |
1.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$209.45 |
$209.45 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,032.94 |
$1,032.94 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$618.98 |
$618.98 |
2.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$597.71 |
$597.71 |
2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,313.55 |
$1,313.55 |
5.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$534.12 |
$534.12 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$533.82 |
$533.82 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$328.65 |
$328.65 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$591.38 |
$591.38 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,050 |
$1,050 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$884.82 |
$884.82 |
3.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$243.28 |
$243.28 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$296.10 |
$296.10 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$563.85 |
$563.85 |
2.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$207.19 |
$207.19 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$426.30 |
$426.30 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$542.76 |
$542.76 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$456.02 |
$456.02 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$544.57 |
$544.57 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$322.84 |
$322.84 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$979.12 |
$979.12 |
4.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$515.45 |
$515.45 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,843.80 |
$1,843.80 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$174.30 |
$174.30 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,071 |
$1,071 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,165.50 |
$1,165.50 |
1.1× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$595.35 |
$595.35 |
0.5× |
| Colonoscopy stoma w/snare (44394) |
$558.20 |
$558.20 |
0.5× |
| Colonoscopy thru stoma (44388) |
$435.75 |
$435.75 |
0.5× |
| Colonoscopy w/ablation (45388) |
$712.97 |
$712.97 |
0.6× |
| Colpocentesis (57020) |
$456.22 |
$456.22 |
0.1× |
| Colporrhaphy suture injury vagina (57200) |
$2,521.31 |
$2,521.31 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$399 |
$399 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$229.15 |
$229.15 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$341.25 |
$341.25 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$641.55 |
$641.55 |
0.6× |
| Complex Drainage, Wound (10180) |
$2,461.30 |
$2,461.30 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$200.55 |
$200.55 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$117.40 |
$117.40 |
1.0× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$330.75 |
$330.75 |
0.7× |
| Create eardrum opening (69436) |
$343.50 |
$343.50 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$182.70 |
$182.70 |
1.5× |
| Curettage postpartum (59160) |
$423.75 |
$423.75 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$338.03 |
$338.03 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,085.16 |
$2,085.16 |
0.6× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$1,104.89 |
$1,104.89 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$2,089.24 |
$2,089.24 |
0.6× |
| Cysto w/removal of tumors small (52234) |
$553.20 |
$553.20 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$558.72 |
$558.72 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$666.83 |
$666.83 |
0.3× |
| Cystourethroscopy (52000) |
$395.53 |
$395.53 |
0.6× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$575.28 |
$575.28 |
0.3× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$466.85 |
$466.85 |
0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$407.23 |
$407.23 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$381.78 |
$381.78 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$780.10 |
$780.10 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$179.05 |
$179.05 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$822.76 |
$822.76 |
1.3× |
| Debride nail 1-5 (11720) |
$193.75 |
$193.75 |
3.6× |
| Debride nail 6 or more (11721) |
$241 |
$241 |
4.4× |
| Debride skin musc at fx site (11011) |
$616.35 |
$616.35 |
0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$160.58 |
$160.58 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$301.10 |
$301.10 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$369.10 |
$369.10 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,176.75 |
$1,176.75 |
0.8× |
| Declot vascular device (36593) |
$506.62 |
$506.62 |
1.7× |
| Delivery placenta separate procedure (59414) |
$210 |
$210 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,865.15 |
$1,865.15 |
1.0× |
| Destroy internal hemorrhoids (46930) |
$333.40 |
$333.40 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$1,874.08 |
$1,874.08 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$452 |
$452 |
1.2× |
| Destruction anal lesion(s) (46924) |
$233.65 |
$233.65 |
0.1× |
| Destruction benign lesions 15 or more (17111) |
$276.70 |
$276.70 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$210 |
$210 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$656 |
$656 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$317.65 |
$317.65 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$370.15 |
$370.15 |
2.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$424.75 |
$424.75 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$476.20 |
$476.20 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$247.30 |
$247.30 |
1.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$299.80 |
$299.80 |
1.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$341.80 |
$341.80 |
1.9× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$383.80 |
$383.80 |
1.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$458.35 |
$458.35 |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$309.25 |
$309.25 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$235.75 |
$235.75 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$292.45 |
$292.45 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$326.05 |
$326.05 |
1.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$207.40 |
$207.40 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,557.70 |
$1,557.70 |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$212.58 |
$212.58 |
1.2× |
| Destruction of skin lesions (17106) |
$575.40 |
$575.40 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$132.05 |
$132.05 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$336 |
$336 |
0.4× |
| Dilation & curettage cervical stump (57558) |
$302.40 |
$302.40 |
0.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$197.72 |
$197.72 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$280.10 |
$280.10 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$320.14 |
$320.14 |
1.1× |
| Drainage abscess/hematoma nasal int approach (30000) |
$235.75 |
$235.75 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$291.11 |
$291.11 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$246.88 |
$246.88 |
1.3× |
| Drainage of eyelid abscess (67700) |
$583.80 |
$583.80 |
2.0× |
| Drainage of gum lesion (41800) |
$393.75 |
$393.75 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$238.35 |
$238.35 |
0.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$284.05 |
$284.05 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$586.45 |
$586.45 |
0.4× |
| Draw blood off venous device (36591) |
$114.45 |
$114.45 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$467.78 |
$467.78 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$237.30 |
$237.30 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$186.64 |
$186.64 |
1.0× |
| Dry Needling 3+ Muscles (20561) |
$60 |
$60 |
2.3× |
| Dstrj lesion anus simple surg excision (46922) |
$216.85 |
$216.85 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$218.95 |
$218.95 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$426.30 |
$426.30 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,283.75 |
$2,283.75 |
1.3× |
| Egd flexible foreign body removal (43247) |
$520.80 |
$520.80 |
0.6× |
| Egd place gastrostomy tube (43246) |
$653.65 |
$653.65 |
0.4× |
| Egd remove lesion snare (43251) |
$1,074.15 |
$1,074.15 |
0.6× |
| Endoscopic Injection/Implant (51715) |
$573.73 |
$573.73 |
0.2× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$3,407.25 |
$3,407.25 |
1.8× |
| Epididymectomy unilateral (54860) |
$817.31 |
$817.31 |
0.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,407.25 |
$3,407.25 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$2,521.31 |
$2,521.31 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$374.85 |
$374.85 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$178.50 |
$178.50 |
1.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$779.47 |
$779.47 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$932.95 |
$932.95 |
0.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$894 |
$894 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$800 |
$800 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$527.65 |
$527.65 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$688.30 |
$688.30 |
0.5× |
| Exc back tum deep < 5 cm (21932) |
$1,425.40 |
$1,425.40 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$716.65 |
$716.65 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$268.30 |
$268.30 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$579.10 |
$579.10 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$908 |
$908 |
0.6× |
| Exc forearm les sc < 3 cm (25075) |
$560.20 |
$560.20 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$849.22 |
$849.22 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$824.50 |
$824.50 |
0.3× |
| Exc rect tum transanal part (45171) |
$1,273.15 |
$1,273.15 |
0.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$750 |
$750 |
0.5× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,424.20 |
$1,424.20 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$289.30 |
$289.30 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$277.75 |
$277.75 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$340.75 |
$340.75 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$434.20 |
$434.20 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$294.55 |
$294.55 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$668.35 |
$668.35 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$685.15 |
$685.15 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$843.70 |
$843.70 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$494.05 |
$494.05 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$887.80 |
$887.80 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$196.35 |
$196.35 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$235.75 |
$235.75 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,496.66 |
$1,496.66 |
0.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$980 |
$980 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$944.90 |
$944.90 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$687.25 |
$687.25 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$595.90 |
$595.90 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,487.70 |
$1,487.70 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$952.90 |
$952.90 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$103.45 |
$103.45 |
0.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$445 |
$445 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,728.32 |
$1,728.32 |
1.2× |
| Excise/repair mouth lesion (40812) |
$417.49 |
$417.49 |
0.3× |
| Excision Breast Lesion (19125) |
$848.95 |
$848.95 |
0.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$423.70 |
$423.70 |
0.2× |
| Excision Lactiferous Duct Fistula (19112) |
$512.05 |
$512.05 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$325 |
$325 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$377.50 |
$377.50 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$426.85 |
$426.85 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$493 |
$493 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$603.25 |
$603.25 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$393.25 |
$393.25 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$494.05 |
$494.05 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$593.80 |
$593.80 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$776.50 |
$776.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$389.05 |
$389.05 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$430 |
$430 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$496.15 |
$496.15 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$587.50 |
$587.50 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$671.50 |
$671.50 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$281.95 |
$281.95 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$351.25 |
$351.25 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$465.70 |
$465.70 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$735.07 |
$735.07 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$337.13 |
$337.13 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$356.75 |
$356.75 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$227.35 |
$227.35 |
0.1× |
| Excision of nail fold toe (11765) |
$72.45 |
$72.45 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$481.45 |
$481.45 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$216.85 |
$216.85 |
0.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$397.45 |
$397.45 |
0.1× |
| Excision of Umbilicus (49250) |
$1,008.06 |
$1,008.06 |
0.3× |
| Excision olecranon bursa (24105) |
$1,873.64 |
$1,873.64 |
0.6× |
| Excision or fulguration; urethral caruncle (53265) |
$427.64 |
$427.64 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$995.95 |
$995.95 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$557.05 |
$557.05 |
0.4× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,104.10 |
$1,104.10 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$507.14 |
$507.14 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$888 |
$888 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$993.85 |
$993.85 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$584.35 |
$584.35 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$950 |
$950 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$466.75 |
$466.75 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$925.84 |
$925.84 |
0.6× |
| Fetal non-stress test (59025) |
$134.01 |
$134.01 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$223.48 |
$223.48 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$139.16 |
$139.16 |
0.4× |
| Fixation of knee joint (27570) |
$939.98 |
$939.98 |
0.6× |
| Fixation of shoulder (23700) |
$425 |
$425 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$50.40 |
$50.40 |
0.3× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only (43886) |
$270.40 |
$270.40 |
0.1× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,334.05 |
$1,334.05 |
0.8× |
| Hemorrhoidectomy (46255) |
$676.75 |
$676.75 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$557.05 |
$557.05 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$302.03 |
$302.03 |
1.4× |
| I&d abscess simple (10060) |
$218.40 |
$218.40 |
1.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,134 |
$1,134 |
0.4× |
| I&d perianal abscess superficial (46050) |
$173.80 |
$173.80 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$182.45 |
$182.45 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$266 |
$266 |
0.2× |
| Incise finger tendon sheath (26055) |
$1,330.45 |
$1,330.45 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$436.80 |
$436.80 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$955 |
$955 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$466.22 |
$466.22 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$398.48 |
$398.48 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$265.65 |
$265.65 |
0.7× |
| Incision and drainage of abscess of pelvis (57010) |
$834.75 |
$834.75 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$250.70 |
$250.70 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$229.70 |
$229.70 |
0.8× |
| Incision drainage of lacrimal sac (68420) |
$430 |
$430 |
0.2× |
| Incision of eardrum (69421) |
$256.42 |
$256.42 |
0.1× |
| Incision of eardrum (69420) |
$288.04 |
$288.04 |
1.3× |
| Incision of lingual frenum (41010) |
$325 |
$325 |
0.2× |
| Incision of rectal abscess (46040) |
$720.85 |
$720.85 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$256.20 |
$256.20 |
1.1× |
| Incision&drainage bursa foot (28001) |
$1,615.42 |
$1,615.42 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$381.70 |
$381.70 |
0.6× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$420 |
$420 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$117.08 |
$117.08 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$933.89 |
$933.89 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$147.55 |
$147.55 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$127.78 |
$127.78 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,022.62 |
$1,022.62 |
1.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$358.08 |
$358.08 |
0.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$590.90 |
$590.90 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$652.85 |
$652.85 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$240.20 |
$240.20 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$355.70 |
$355.70 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$168.52 |
$168.52 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$622.15 |
$622.15 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$622.15 |
$622.15 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$358.08 |
$358.08 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$250.95 |
$250.95 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$221.55 |
$221.55 |
0.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$813.25 |
$813.25 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$155.66 |
$155.66 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$181.15 |
$181.15 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$347.04 |
$347.04 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$437.93 |
$437.93 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,114.60 |
$1,114.60 |
3.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$83.50 |
$83.50 |
0.5× |
| Insert Drug Implant Device (11981) |
$283 |
$283 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$530.80 |
$530.80 |
0.2× |
| Insert pessary/other device (57160) |
$140.57 |
$140.57 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$202.91 |
$202.91 |
1.7× |
| Insert tun ip cath perc (49418) |
$537 |
$537 |
0.2× |
| Insert tunneled cv cath (36561) |
$1,157.65 |
$1,157.65 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$107.23 |
$107.23 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$712.95 |
$712.95 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$954.84 |
$954.84 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$737.65 |
$737.65 |
0.3× |
| Intro Gastrointestinal Tube (44500) |
$355.16 |
$355.16 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$392.96 |
$392.96 |
1.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$838.45 |
$838.45 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,151.35 |
$1,151.35 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$705.10 |
$705.10 |
0.1× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$1,100.95 |
$1,100.95 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,801.30 |
$1,801.30 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,180.35 |
$2,180.35 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
unusually low: confirm this is the full procedure |
$3,707.05 |
$3,707.05 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$3,296.50 |
$3,296.50 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,481.05 |
$1,481.05 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,009.20 |
$2,009.20 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,074.70 |
$1,074.70 |
0.2× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,658 |
$3,658 |
0.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$258.74 |
$258.74 |
1.4× |
| Ligation of a-v fistula (37607) |
$769.15 |
$769.15 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$348 |
$348 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$400.60 |
$400.60 |
0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$336.30 |
$336.30 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,259.10 |
$2,259.10 |
0.4× |
| Mastectomy partial (19301) |
$1,015.90 |
$1,015.90 |
0.3× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,821.25 |
$1,821.25 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,726.75 |
$1,726.75 |
0.3× |
| Muscle-skin graft trunk (15734) |
$2,814.55 |
$2,814.55 |
0.9× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$351.79 |
$351.79 |
1.9× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$3,872.40 |
$3,872.40 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$532.56 |
$532.56 |
0.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$90.30 |
$90.30 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$60 |
$60 |
2.3× |
| Neuroeltrd stim post tibial (64566) |
$204.94 |
$204.94 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$367.50 |
$367.50 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$477.94 |
$477.94 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$933.89 |
$933.89 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,176.54 |
$1,176.54 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$834.37 |
$834.37 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$857.47 |
$857.47 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$997.64 |
$997.64 |
1.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$874.15 |
$874.15 |
0.2× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$38,832 |
$38,832 |
1.4× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,629.46 |
$1,629.46 |
0.2× |
| Ovarian cystectomy (58925) |
$1,444.30 |
$1,444.30 |
0.3× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,504.15 |
$1,504.15 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,454.80 |
$1,454.80 |
0.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,111.95 |
$1,111.95 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$377.25 |
$377.25 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$83.75 |
$83.75 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$148.05 |
$148.05 |
0.4× |
| Placement of seton (46020) |
$505.54 |
$505.54 |
0.2× |
| Preputial Stretching (54450) |
$139.80 |
$139.80 |
0.6× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$229.95 |
$229.95 |
0.1× |
| Proctosigmoidoscopy w/bx (45305) |
$311.29 |
$311.29 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$134 |
$134 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$230.50 |
$230.50 |
0.6× |
| Puncture Aspiration (10160) |
$227.85 |
$227.85 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$246.25 |
$246.25 |
0.4× |
| Pvb thoracic single inj site (64461) |
$344.90 |
$344.90 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,557.70 |
$1,557.70 |
0.9× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$2,245.37 |
$2,245.37 |
0.2× |
| Removal fb intranasal (30300) |
$239.69 |
$239.69 |
2.0× |
| Removal foreign body foot deep (28192) |
$547.85 |
$547.85 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$275.10 |
$275.10 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$329.70 |
$329.70 |
0.2× |
| Removal foreign body pharynx (42809) |
$239.40 |
$239.40 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,070.74 |
$1,070.74 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$16.28 |
$16.28 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81.92 |
$81.92 |
1.5× |
| Removal Implant Deep (20680) |
$2,188.27 |
$2,188.27 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$960.75 |
$960.75 |
0.6× |
| Removal of adenoids (42831) |
$410.46 |
$410.46 |
0.1× |
| Removal of adenoids (42830) |
$383.17 |
$383.17 |
0.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$351.06 |
$351.06 |
0.6× |
| Removal of intrauterine device (iud) (58301) |
$175.35 |
$175.35 |
0.6× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
unusually low: confirm this is the full procedure |
$5,640.50 |
$5,640.50 |
0.5× |
| Removal of nail bed (11750) |
$412.40 |
$412.40 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$145.70 |
$145.70 |
0.8× |
| Removal of sperm cord lesion (55520) |
$818.45 |
$818.45 |
0.3× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$496.93 |
$496.93 |
0.1× |
| Removal of tonsils (42826) |
$512.39 |
$512.39 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$43.05 |
$43.05 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$169.05 |
$169.05 |
0.7× |
| Remove anal fist subq (46270) |
$625.30 |
$625.30 |
0.2× |
| Remove by ligat int hem grps (46946) |
$556 |
$556 |
0.2× |
| Remove drug implant device (11982) |
$267.25 |
$267.25 |
0.7× |
| Remove foreign body from eye (65235) |
$1,117.99 |
$1,117.99 |
0.5× |
| Remove foreign body from eye (65210) |
$323.40 |
$323.40 |
0.8× |
| Remove in/ex hem groups 2+ (46260) |
$992.80 |
$992.80 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$862.60 |
$862.60 |
0.3× |
| Remove wrist tendon lesion (25111) |
$1,687.73 |
$1,687.73 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$175.97 |
$175.97 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$110 |
$110 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$92.66 |
$92.66 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,598.65 |
$1,598.65 |
0.6× |
Repair blood vessel lesion (35190)
unusually low: confirm this is the full procedure |
$2,013.40 |
$2,013.40 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$665.18 |
$665.18 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$792.75 |
$792.75 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$442.58 |
$442.58 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$710.85 |
$710.85 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$494.55 |
$494.55 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$522.90 |
$522.90 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$469.10 |
$469.10 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,169.70 |
$1,169.70 |
0.8× |
| Repair incomplete circumcision (54163) |
$427.94 |
$427.94 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,199.65 |
$1,199.65 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$611.62 |
$611.62 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$790.39 |
$790.39 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$455.70 |
$455.70 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$584.33 |
$584.33 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$560.70 |
$560.70 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$284.02 |
$284.02 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$374.58 |
$374.58 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$427.35 |
$427.35 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$462.55 |
$462.55 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$435.76 |
$435.76 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$560.98 |
$560.98 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$533.40 |
$533.40 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$635.54 |
$635.54 |
1.7× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,441.96 |
$1,441.96 |
0.2× |
| Repair of nail bed (11760) |
$238.35 |
$238.35 |
0.4× |
| Repair of nasal septum (30520) |
$1,160.09 |
$1,160.09 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,715.08 |
$1,715.08 |
0.3× |
| Repair rotator cuff acute (23410) |
$4,834.92 |
$4,834.92 |
0.7× |
| Repair Tongue Laceration (41250) |
$163.80 |
$163.80 |
0.4× |
| Repair tympanic membrane (69610) |
$577.03 |
$577.03 |
0.4× |
| Repair wrist joints (25447) |
$2,865.62 |
$2,865.62 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$1,209.10 |
$1,209.10 |
0.4× |
| Resect Inferior Turbinate (30140) |
$527.75 |
$527.75 |
0.2× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$2,862.91 |
$2,862.91 |
0.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$13,369.24 |
$13,369.24 |
1.1× |
| Revise median n/carpal tunnel surg (64721) |
$1,420.94 |
$1,420.94 |
0.8× |
| Revise ulnar nerve at elbow (64718) |
$2,036.51 |
$2,036.51 |
1.1× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
unusually low: confirm this is the full procedure |
$7,827.78 |
$7,827.78 |
0.5× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$6,604.36 |
$6,604.36 |
0.6× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
likely a partial charge, not the full procedure |
$1,406 |
$1,406 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$218.15 |
$218.15 |
0.1× |
Rhinoplasty, Primary; Including Major Septal Repair (30420)
unusually low: confirm this is the full procedure |
$2,512.10 |
$2,512.10 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$141.75 |
$141.75 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$141.75 |
$141.75 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$114.19 |
$114.19 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$346 |
$346 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$685 |
$685 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$405.85 |
$405.85 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$241 |
$241 |
0.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$498.25 |
$498.25 |
1.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$416.35 |
$416.35 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,713.10 |
$1,713.10 |
0.6× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$875.20 |
$875.20 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,395.08 |
$1,395.08 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,074.49 |
$1,074.49 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$893.18 |
$893.18 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$644.98 |
$644.98 |
0.2× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$1,197.91 |
$1,197.91 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,071.74 |
$1,071.74 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$793.89 |
$793.89 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$1,771.90 |
$1,771.90 |
2.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$382.75 |
$382.75 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,153.95 |
$1,153.95 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$306.60 |
$306.60 |
1.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,080.97 |
$1,080.97 |
5.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$225.96 |
$225.96 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$347.55 |
$347.55 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$172.20 |
$172.20 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$296.10 |
$296.10 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$150.15 |
$150.15 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$182.70 |
$182.70 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$214.20 |
$214.20 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$246.75 |
$246.75 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$139.65 |
$139.65 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$201.60 |
$201.60 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$236.25 |
$236.25 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$183.75 |
$183.75 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$244.65 |
$244.65 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$203.70 |
$203.70 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$409.50 |
$409.50 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$567 |
$567 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$630 |
$630 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$366.45 |
$366.45 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$392.18 |
$392.18 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$263.16 |
$263.16 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$198.45 |
$198.45 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$302.40 |
$302.40 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$261.06 |
$261.06 |
1.4× |
| Sinus endo w/balloon dil (31296) |
$4,107.40 |
$4,107.40 |
0.6× |
| Sinus endo w/balloon dil (31297) |
$3,998.76 |
$3,998.76 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,422.25 |
$1,422.25 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$1,043.70 |
$1,043.70 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,043.70 |
$1,043.70 |
1.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,407.25 |
$3,407.25 |
1.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,538.50 |
$3,538.50 |
1.1× |
| Skn sub grft f/n/hf/g child (15277) |
$1,043.70 |
$1,043.70 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$366.45 |
$366.45 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$438.11 |
$438.11 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,033.72 |
$1,033.72 |
2.8× |
| Sphincterotomy (46080) |
$291.40 |
$291.40 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$484.31 |
$484.31 |
0.7× |
| Strapping ankle (29540) |
$289.80 |
$289.80 |
1.9× |
| Strapping elbow/wrist (29260) |
$289.80 |
$289.80 |
5.3× |
| Strapping hand/finger (29280) |
$289.80 |
$289.80 |
5.3× |
| Strapping knee (29530) |
$100.28 |
$100.28 |
0.8× |
| Strapping shoulder (29240) |
$119.96 |
$119.96 |
1.0× |
| Strapping toes (29550) |
$289.80 |
$289.80 |
5.3× |
| Strapping unna boot (29580) |
$80.32 |
$80.32 |
0.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$187.13 |
$187.13 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,051.60 |
$1,051.60 |
0.4× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$769.44 |
$769.44 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$183.25 |
$183.25 |
0.5× |
| Tenodesis long tendon biceps (23430) |
$5,468.74 |
$5,468.74 |
0.8× |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,143 |
$3,143 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,635.90 |
$1,635.90 |
1.1× |
| Therapeutic pneumothorax (32960) |
$514.76 |
$514.76 |
0.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$241.50 |
$241.50 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$872.55 |
$872.55 |
1.5× |
| Thrombolytic Therapy, Stroke (37195) |
$807.45 |
$807.45 |
2.7× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,179.70 |
$1,179.70 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$611.75 |
$611.75 |
0.2× |
| Total knee arthroplasty (27447) |
$11,738.71 |
$11,738.71 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$489.47 |
$489.47 |
2.2× |
| Transurethral resection of bladder neck (52500) |
$1,021.52 |
$1,021.52 |
0.3× |
| Treat finger dislocation (26775) |
$707.70 |
$707.70 |
2.8× |
| Treat humerus fracture (23600) |
$569.42 |
$569.42 |
2.5× |
| Treat Vaginal Bleeding (57180) |
$456.22 |
$456.22 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,303.05 |
$1,303.05 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$844.99 |
$844.99 |
3.7× |
| Treatment of gum lesion (41850) |
$80.85 |
$80.85 |
0.1× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,275 |
$1,275 |
0.4× |
| Trim skin lesion (11055) |
$139.65 |
$139.65 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$182.20 |
$182.20 |
1.0× |
| Trim skin lesions over 4 (11057) |
$234.15 |
$234.15 |
1.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$894.29 |
$894.29 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,025 |
$1,025 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,115 |
$1,115 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$504 |
$504 |
0.7× |
| Tympanostomy (69433) |
$446.40 |
$446.40 |
0.9× |
Unlisted laparoscopy procedure, esophagus (43289)
unusually low: confirm this is the full procedure |
$1,900 |
$1,900 |
0.3× |
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure |
$766 |
$766 |
0.1× |
| Unlisted Procedure Nervous System (64999) |
$825.30 |
$825.30 |
2.9× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$558.10 |
$558.10 |
2.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$955 |
$955 |
1.1× |
| Urine Flow Measurement (51736) |
$47.58 |
$47.58 |
0.4× |
| Vaginal delivery only (59409) |
$2,100 |
$2,100 |
0.7× |
| Vasectomy (55250) |
$1,046.35 |
$1,046.35 |
0.5× |
| Venipuncture (36415) |
$14.70 |
$14.70 |
1.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$277.88 |
$277.88 |
0.1× |