| Abd paracentesis w/imaging (49083) |
$192 |
$256 |
0.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$132 |
$176 |
0.1× |
| Ablate inf turbinate submuc (30802) |
$289.50 |
$386 |
0.2× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$228.75 |
$305 |
0.1× |
| Acne surgery (10040) |
$91.50 |
$122 |
0.5× |
| Adding Walker Previously Applied Cast (29440) |
$45 |
$60 |
0.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$503.25 |
$671 |
0.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$642.75 |
$857 |
0.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$563.25 |
$751 |
0.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$762 |
$1,016 |
0.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$706.50 |
$942 |
0.3× |
| Amniocentesis diagnostic (59000) |
$118.50 |
$158 |
0.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,116 |
$1,488 |
0.3× |
| Amputation Finger/Thumb (26951) |
$670.50 |
$894 |
0.2× |
| Amputation metatarsal with toe single (28810) |
$757.50 |
$1,010 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,410 |
$1,880 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$729.75 |
$973 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$768.75 |
$1,025 |
0.2× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,616.25 |
$2,155 |
0.2× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$1,240.50 |
$1,654 |
0.4× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$1,157.25 |
$1,543 |
0.4× |
| Anoscopy Ablation Lesion (46615) |
$163.50 |
$218 |
0.1× |
| Anoscopy diagnostic (46600) |
$72 |
$96 |
0.5× |
| Anoscopy w/control bleeding (46614) |
$115.50 |
$154 |
0.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$149.25 |
$199 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$135.75 |
$181 |
0.1× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$118.50 |
$158 |
0.1× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$169.50 |
$226 |
0.1× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$144.75 |
$193 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$953.25 |
$1,271 |
0.2× |
| Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) |
$1,078.50 |
$1,438 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,136.25 |
$1,515 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$139.50 |
$186 |
0.9× |
| Application cast elbow finger short arm (29075) |
$90 |
$120 |
0.3× |
| Application Cast Finger (29086) |
$80.25 |
$107 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$100.50 |
$134 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$54.75 |
$73 |
0.9× |
| Application finger splint static (29130) |
$42.75 |
$57 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$95.25 |
$127 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$143.25 |
$191 |
0.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$129 |
$172 |
0.5× |
| Application of long leg cast (29345) |
$142.50 |
$190 |
0.5× |
| Application of rigid total contact leg cast (29445) |
$88.50 |
$118 |
0.3× |
| Application Short Arm Splint Dynamic (29126) |
$81 |
$108 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$68.25 |
$91 |
0.5× |
| Application, cast; figure-of-eight Facility (29049) |
$104.25 |
$139 |
0.4× |
| Apply Hand/Wrist Cast (29085) |
$99.75 |
$133 |
0.6× |
| Apply long leg splint (29505) |
$87 |
$116 |
0.5× |
| Apply short leg cast (29405) |
$84.75 |
$113 |
0.3× |
| Apply short leg cast (29425) |
$81.75 |
$109 |
0.3× |
| Apply short leg splint (29515) |
$74.25 |
$99 |
0.5× |
| Arterial puncture (36600) |
$50.25 |
$67 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$83.25 |
$111 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$74.25 |
$99 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$162.75 |
$217 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$85.50 |
$114 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$108.38 |
$144.50 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$685.50 |
$914 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$197.25 |
$263 |
0.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$59.25 |
$79 |
0.2× |
| Aspiration and injection for treatment of bone cyst (20615) |
$234 |
$312 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$90.75 |
$121 |
0.5× |
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure |
$1,356.75 |
$1,809 |
0.2× |
| Biopsy bone open superficial (20240) |
$269.25 |
$359 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$111 |
$148 |
0.1× |
| Biopsy external ear (69100) |
$78.75 |
$105 |
0.3× |
| Biopsy intranasal (30100) |
$135.75 |
$181 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$99.75 |
$133 |
0.1× |
| Biopsy Muscle Superficial (20200) |
$168.75 |
$225 |
0.1× |
| Biopsy Nail Unit Separate Procedure (11755) |
$96 |
$128 |
0.1× |
| Biopsy of breast; open, incisional (19101) |
$343.50 |
$458 |
0.1× |
| Biopsy of floor of mouth (41108) |
$159.75 |
$213 |
0.1× |
| Biopsy of lip (40490) |
$129.75 |
$173 |
0.6× |
| Biopsy of mouth lesion (40808) |
$192 |
$256 |
0.4× |
| Biopsy of palate, uvula (42100) |
$194.25 |
$259 |
0.1× |
| Biopsy of penis (54100) |
$104.25 |
$139 |
0.1× |
| Biopsy of tongue (41100) |
$191.25 |
$255 |
0.4× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$720 |
$960 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$393 |
$524 |
0.1× |
| Biopsy Oropharynx (42800) |
$195.75 |
$261 |
0.1× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$670.50 |
$894 |
0.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$287.25 |
$383 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$263.25 |
$351 |
0.2× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$351.75 |
$469 |
0.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$630 |
$840 |
0.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$294.75 |
$393 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$705 |
$940 |
0.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$314.25 |
$419 |
0.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$197.25 |
$263 |
0.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$124.50 |
$166 |
0.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$75 |
$100 |
0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$69 |
$92 |
0.1× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$423 |
$564 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$673.50 |
$898 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$651.75 |
$869 |
0.2× |
| Bladder Irrigation Simple (51700) |
$50.25 |
$67 |
0.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$498.75 |
$665 |
0.2× |
| Blepharoplasty, Upper Eyelid (15822) |
$365.25 |
$487 |
0.2× |
| Blepharotomy drain absc eyelid (67700) |
$213 |
$284 |
0.7× |
| Blood patch (62273) |
$200.25 |
$267 |
0.3× |
| Blood transfusion service (36430) |
$1,314.75 |
$1,753 |
3.0× |
| Bone marrow aspiration only (38220) |
$110.25 |
$147 |
0.1× |
| Bone Marrow Biopsy (38221) |
$96.75 |
$129 |
0.1× |
| Breast surgery procedure (19499) |
$452.25 |
$603 |
0.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$231 |
$308 |
0.1× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$311.25 |
$415 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$231.75 |
$309 |
0.1× |
| Bx anorectal wall anal approach (45100) |
$531 |
$708 |
0.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$108.75 |
$145 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$112.50 |
$150 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$510.75 |
$681 |
0.2× |
| Cauterization,cervix,electro/thermal (57510) |
$117.75 |
$157 |
0.0× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$138.75 |
$185 |
0.5× |
| Ceramides (0119U) |
$144.75 |
$193 |
1.7× |
| Change of cystostomy tube simple (51705) |
$46.50 |
$62 |
0.2× |
| Chemical cautery tissue (17250) |
$69.75 |
$93 |
0.4× |
| Circum 28 days or older (54161) |
$312 |
$416 |
0.2× |
| Circumcision (54150) |
$277.12 |
$369.50 |
0.1× |
| Circumcision Neonate (54160) |
$317.25 |
$423 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$203.25 |
$271 |
0.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$262.50 |
$350 |
1.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$388.50 |
$518 |
1.6× |
| Closed Rx Radial Shaft Fx (25500) |
$205.50 |
$274 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$354.75 |
$473 |
1.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$308.25 |
$411 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$543 |
$724 |
2.2× |
| Closed treat wrist dislocation (25660) |
$724.50 |
$966 |
3.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$183 |
$244 |
0.8× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$263.25 |
$351 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$257.25 |
$343 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$759 |
$1,012 |
3.1× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$661.50 |
$882 |
0.4× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,331.25 |
$1,775 |
0.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$562.50 |
$750 |
2.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$330.75 |
$441 |
1.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$278.25 |
$371 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$239.25 |
$319 |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$828.75 |
$1,105 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$850.50 |
$1,134 |
3.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$279.75 |
$373 |
1.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$121.50 |
$162 |
0.5× |
| Closed Treatment Sternum Fracture (21820) |
$253.50 |
$338 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$320.25 |
$427 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$649.50 |
$866 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$816 |
$1,088 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$342 |
$456 |
1.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$530.25 |
$707 |
2.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$516 |
$688 |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$225.75 |
$301 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$555.75 |
$741 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$263.25 |
$351 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$212.25 |
$283 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$606.75 |
$809 |
2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$767.25 |
$1,023 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$267 |
$356 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$870.75 |
$1,161 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$904.50 |
$1,206 |
0.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$243.75 |
$325 |
1.0× |
| Closed tx septal&nose fx (21337) |
$513 |
$684 |
0.2× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$645 |
$860 |
0.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$376.50 |
$502 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$57 |
$76 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$796.50 |
$1,062 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$297 |
$396 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$268.50 |
$358 |
1.1× |
| Closure of gastrostomy, surgical (43870) |
$1,255.50 |
$1,674 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$474.75 |
$633 |
2.0× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$920.25 |
$1,227 |
0.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$345.75 |
$461 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$220.50 |
$294 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$703.50 |
$938 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$316.50 |
$422 |
1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$630.75 |
$841 |
2.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$866.25 |
$1,155 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$648.75 |
$865 |
0.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$236.25 |
$315 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$345 |
$460 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$737.25 |
$983 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$323.25 |
$431 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$550.50 |
$734 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$186 |
$248 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$331.50 |
$442 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$556.50 |
$742 |
0.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$538.50 |
$718 |
2.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,310.25 |
$1,747 |
0.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$483 |
$644 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,334.25 |
$1,779 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$266.25 |
$355 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$155.25 |
$207 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$165.75 |
$221 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$129.75 |
$173 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$959.25 |
$1,279 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$318.75 |
$425 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$185.25 |
$247 |
0.8× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$342 |
$456 |
1.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$965.25 |
$1,287 |
0.6× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$869.25 |
$1,159 |
0.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$231.75 |
$309 |
0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$116.25 |
$155 |
0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$668.25 |
$891 |
2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$276 |
$368 |
1.1× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$557.25 |
$743 |
2.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$823.50 |
$1,098 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$323.25 |
$431 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$297.75 |
$397 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$664.50 |
$886 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$539.25 |
$719 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$163.50 |
$218 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$664.50 |
$886 |
2.7× |
| Cltx post ankle fx w/mnpj (27768) |
$774 |
$1,032 |
0.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,020.75 |
$1,361 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$700.50 |
$934 |
2.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$435 |
$580 |
0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$312.75 |
$417 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$468.75 |
$625 |
0.3× |
| Cltx prox tibfib jt dislc req anes (27831) |
$703.50 |
$938 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$96.75 |
$129 |
0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$431.25 |
$575 |
0.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$959.25 |
$1,279 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,082.25 |
$1,443 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,000.50 |
$1,334 |
0.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$517.50 |
$690 |
2.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$938.25 |
$1,251 |
0.6× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$915 |
$1,220 |
3.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$324 |
$432 |
1.3× |
| Colonoscopy flex w/blln dilat (45386) |
$381 |
$508 |
0.3× |
| Colonoscopy flex w/inj submuc (45381) |
$360.75 |
$481 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$411 |
$548 |
0.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$357.75 |
$477 |
0.3× |
| Colonoscopy stoma w/biopsy (44389) |
$309 |
$412 |
0.3× |
| Colonoscopy thru stoma (44388) |
$282.75 |
$377 |
0.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$406.50 |
$542 |
0.3× |
| Colonoscopy w/ablation (45388) |
$486.75 |
$649 |
0.4× |
| Colonoscopy w/fb removal (45379) |
$429.75 |
$573 |
0.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$555 |
$740 |
0.5× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$534 |
$712 |
0.2× |
| Colpocentesis (57020) |
$171 |
$228 |
0.0× |
| Colpoperineorrhaphy non ob (57210) |
$600 |
$800 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$824.25 |
$1,099 |
0.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$496.50 |
$662 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$122.25 |
$163 |
0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$95.25 |
$127 |
0.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$123.75 |
$165 |
0.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$528.75 |
$705 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$237.75 |
$317 |
0.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$115.50 |
$154 |
0.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$134.25 |
$179 |
0.1× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$1,368.75 |
$1,825 |
0.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$1,220.25 |
$1,627 |
0.2× |
| Conization of cervix (57520) |
$263.25 |
$351 |
0.1× |
| Conization of cervix (57522) |
$226.50 |
$302 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$185.25 |
$247 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$123 |
$164 |
0.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$297.75 |
$397 |
0.6× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$904.50 |
$1,206 |
0.3× |
| Correction hammertoe (28285) |
$550.50 |
$734 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$561.75 |
$749 |
4.3× |
| Curettage postpartum (59160) |
$366 |
$488 |
0.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$397.50 |
$530 |
0.2× |
| Cystourethroscopy (52000) |
$213.75 |
$285 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$46.50 |
$62 |
0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$551.25 |
$735 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$384.75 |
$513 |
0.5× |
| Debride nail 1-5 (11720) |
$26.25 |
$35 |
0.5× |
| Debride nail 6 or more (11721) |
$36.75 |
$49 |
0.6× |
| Debride skin musc at fx site (11011) |
$429.75 |
$573 |
0.6× |
| Debride tissue/muscle (11043) |
$187.50 |
$250 |
0.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$81 |
$108 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$102 |
$136 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$257.25 |
$343 |
0.2× |
| Delivery placenta separate procedure (59414) |
$139.50 |
$186 |
0.0× |
| Destroy internal hemorrhoids (46930) |
$259.50 |
$346 |
0.2× |
| Destruction anal lesion(s) (46924) |
$322.50 |
$430 |
0.1× |
| Destruction Benign Lesions 15/> (17111) |
$104.25 |
$139 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$88.50 |
$118 |
0.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$864 |
$1,152 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$372 |
$496 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$134.25 |
$179 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$144.75 |
$193 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$165.75 |
$221 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$190.50 |
$254 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$226.50 |
$302 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$294 |
$392 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$116.25 |
$155 |
0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$141 |
$188 |
0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$155.25 |
$207 |
0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$165.75 |
$221 |
0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$189 |
$252 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$111 |
$148 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$143.25 |
$191 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$167.25 |
$223 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$183.75 |
$245 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$170.25 |
$227 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$198.75 |
$265 |
0.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$79.50 |
$106 |
0.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$147 |
$196 |
0.1× |
| Destruction of skin lesions (17106) |
$278.25 |
$371 |
0.7× |
| Destruction Premalignant Lesion 15/> (17004) |
$134.25 |
$179 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$51.75 |
$69 |
0.3× |
| Destruction Vaginal Lesions Simple (57061) |
$116.25 |
$155 |
0.0× |
| Diagnostic sigmoidoscopy (45330) |
$163.50 |
$218 |
0.2× |
| Dil urethra,female,subsequent (53661) |
$36 |
$48 |
0.3× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$342 |
$456 |
0.3× |
| Dilate Urethra Stricture (53620) |
$139.50 |
$186 |
0.2× |
| Dilate urethra stricture (53621) |
$215.25 |
$287 |
0.9× |
| Dilate urethra stricture (53600) |
$102.75 |
$137 |
0.4× |
| Dilation and curettage (58120) |
$415.50 |
$554 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$249.75 |
$333 |
0.3× |
| Dilation of anal sphincter (45905) |
$300.75 |
$401 |
0.3× |
| Dilation of cervical canal (57800) |
$76.50 |
$102 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$36.75 |
$49 |
0.3× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$86.25 |
$115 |
0.7× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$334.50 |
$446 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$238.50 |
$318 |
0.3× |
| Drain shoulder bursa (23031) |
$381 |
$508 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$66 |
$88 |
0.2× |
| Drainage external auditory canal abscess (69020) |
$351.75 |
$469 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$149.25 |
$199 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$345 |
$460 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$253.50 |
$338 |
1.3× |
| Drainage Mouth Roof Lesion (42000) |
$180.75 |
$241 |
0.8× |
| Drainage of gum lesion (41800) |
$266.25 |
$355 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$136.50 |
$182 |
0.1× |
| Drainage of hydrocele (55000) |
$81.75 |
$109 |
0.1× |
| Drainage of ovarian abscess; vaginal approach, open Facility (58820) |
$512.25 |
$683 |
0.2× |
| Drainage of ovarian cyst(s) (58800) |
$483.75 |
$645 |
0.2× |
| Drainage of pelvic abscess (45000) |
$754.50 |
$1,006 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$179.25 |
$239 |
0.1× |
| Drainage of skene's gland abscess or cyst (53060) |
$131.25 |
$175 |
0.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$656.25 |
$875 |
0.2× |
| Dressing change under anesthesia (15852) |
$73.50 |
$98 |
0.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$393 |
$524 |
0.7× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$463.50 |
$618 |
0.2× |
| Drg privesical/prevesical space absc (51080) |
$561.75 |
$749 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$156.75 |
$209 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$121.50 |
$162 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$64.50 |
$86 |
0.3× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$363 |
$484 |
0.5× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$524.25 |
$699 |
0.3× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$465 |
$620 |
0.1× |
| Dstrj lesion anus simple chemical (46900) |
$425.25 |
$567 |
1.1× |
| Dstrj lesion anus simple cryosurgery (46916) |
$255 |
$340 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$240 |
$320 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$237.75 |
$317 |
0.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$164.25 |
$219 |
0.4× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$99.75 |
$133 |
0.5× |
| Dstrj lesion penis simple surg excision (54060) |
$228 |
$304 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$231.75 |
$309 |
0.6× |
| Dx Laryngoscopy Excl Nb (31525) |
$279.75 |
$373 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$276 |
$368 |
0.1× |
| Egd control bleeding any (43255) |
$360.75 |
$481 |
0.2× |
| Egd dilate stricture (43245) |
$318 |
$424 |
0.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$306.75 |
$409 |
0.2× |
| Egd flexible foreign body removal (43247) |
$320.25 |
$427 |
0.4× |
| Egd guide wire insertion (43248) |
$299.25 |
$399 |
0.3× |
| Egd place gastrostomy tube (43246) |
$361.50 |
$482 |
0.2× |
| Egd remove lesion snare (43251) |
$354.75 |
$473 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203)
likely a partial charge, not the full procedure |
$1,023 |
$1,364 |
0.2× |
| Endocervical Curettage (57505) |
$105.75 |
$141 |
0.1× |
| Endometrial Biopsy (58100) |
$74.25 |
$99 |
0.4× |
| Enterorrhaphy single perforation (44602) |
$2,499.75 |
$3,333 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$226.50 |
$302 |
0.1× |
| Esc i p ulcer w ostect & flap (15946) |
$2,526.75 |
$3,369 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$261.75 |
$349 |
0.3× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$212.25 |
$283 |
0.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$290.25 |
$387 |
0.2× |
| Esophagoscopy flexible guide wire dilation (43226) |
$234 |
$312 |
0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$156 |
$208 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$186.75 |
$249 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$255 |
$340 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$240.75 |
$321 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$45.75 |
$61 |
0.3× |
| Exc abdl tum deep 5 cm/> (22901) |
$997.50 |
$1,330 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$472.50 |
$630 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$98.25 |
$131 |
0.1× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$104.25 |
$139 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$167.25 |
$223 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$189 |
$252 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$134.25 |
$179 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$642.75 |
$857 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$609.75 |
$813 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$112.50 |
$150 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$181.50 |
$242 |
0.1× |
| Exc forearm les sc 3 cm/> (25071) |
$443.25 |
$591 |
0.3× |
| Exc Frenum Labial/Buccal (40819) |
$559.50 |
$746 |
0.4× |
| Exc ganglion wrist recurrent (25112) |
$680.25 |
$907 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$618 |
$824 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$645 |
$860 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$474 |
$632 |
0.3× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$218.25 |
$291 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$924 |
$1,232 |
0.3× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$879 |
$1,172 |
0.5× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$1,437.75 |
$1,917 |
0.5× |
| Exc rect tum transanal part (45171) |
$1,065 |
$1,420 |
0.4× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,822.50 |
$2,430 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$127.50 |
$170 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$121.50 |
$162 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$155.25 |
$207 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$228 |
$304 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$318 |
$424 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$248.25 |
$331 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$254.25 |
$339 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$417 |
$556 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$330.75 |
$441 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$363.75 |
$485 |
0.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$738 |
$984 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,452 |
$1,936 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$175.50 |
$234 |
0.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$585.75 |
$781 |
0.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$786.75 |
$1,049 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,300.50 |
$1,734 |
0.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$919.50 |
$1,226 |
0.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$863.25 |
$1,151 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$951 |
$1,268 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$957 |
$1,276 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$995.25 |
$1,327 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$837.75 |
$1,117 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$542.25 |
$723 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,286.25 |
$1,715 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$537.75 |
$717 |
0.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,074 |
$1,432 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$627 |
$836 |
0.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,222.50 |
$1,630 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,096.50 |
$1,462 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$457.50 |
$610 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$508.50 |
$678 |
0.3× |
| Exc/fulguration urethral caruncle (53265) |
$159.75 |
$213 |
0.1× |
| Excise excessive skin arm (15836) |
$641.25 |
$855 |
0.2× |
| Excise lesion testis (54512) |
$855 |
$1,140 |
0.2× |
| Excise pharynx lesion (42808) |
$283.50 |
$378 |
0.1× |
| Excise/repair mouth lesion (40812) |
$507.75 |
$677 |
0.3× |
| Excision Breast Lesion (19125) |
$707.25 |
$943 |
0.2× |
| Excision Chalazion Single (67800) |
$202.50 |
$270 |
0.6× |
| Excision external ear partial simple repair (69110) |
$360 |
$480 |
0.1× |
| Excision H/P/P/U Complex Repair (11471) |
$427.50 |
$570 |
0.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$360 |
$480 |
0.1× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$343.50 |
$458 |
0.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$334.50 |
$446 |
0.1× |
| Excision hydrocele bilateral (55041) |
$809.25 |
$1,079 |
0.2× |
| Excision interdigital morton neuroma single each (28080) |
$927.75 |
$1,237 |
0.6× |
| Excision lesion mouth roof (42104) |
$245.25 |
$327 |
0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$607.50 |
$810 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$255.75 |
$341 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$156 |
$208 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$183.75 |
$245 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$198.75 |
$265 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$227.25 |
$303 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$254.25 |
$339 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$158.25 |
$211 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$191.25 |
$255 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$218.25 |
$291 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$258 |
$344 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$319.50 |
$426 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$146.25 |
$195 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$183.75 |
$245 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$206.25 |
$275 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$243 |
$324 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$274.50 |
$366 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$306 |
$408 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$136.50 |
$182 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$140.25 |
$187 |
0.2× |
| Excision of chalazion; multiple, different lids (67805) |
$411 |
$548 |
1.3× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200)
likely a partial charge, not the full procedure |
$1,029 |
$1,372 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$327 |
$436 |
0.2× |
| Excision of hydrocele unilateral (55040) |
$533.25 |
$711 |
0.2× |
| Excision of lactiferous duct fistula Facility (19112) |
$483.75 |
$645 |
0.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$276 |
$368 |
0.3× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$702.75 |
$937 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$231.75 |
$309 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$144 |
$192 |
0.1× |
| Excision of local lesion of epididymis (54830) |
$588.75 |
$785 |
0.2× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$2,126.25 |
$2,835 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$291.75 |
$389 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$210 |
$280 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$413.25 |
$551 |
0.1× |
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure |
$627 |
$836 |
0.1× |
Excision of submandibular (submaxillary) gland Facility (42440)
likely a partial charge, not the full procedure |
$717.75 |
$957 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$196.50 |
$262 |
0.2× |
| Excision of tongue lesion (41112) |
$447 |
$596 |
0.1× |
| Excision of tonsil tags (42860) |
$326.25 |
$435 |
0.1× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500)
likely a partial charge, not the full procedure |
$876 |
$1,168 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$174.75 |
$233 |
0.1× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$555.75 |
$741 |
0.2× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$852 |
$1,136 |
0.2× |
| Excision olecranon bursa (24105) |
$615 |
$820 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$610.50 |
$814 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$829.50 |
$1,106 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$739.50 |
$986 |
0.5× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$576.75 |
$769 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$553.50 |
$738 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$717.75 |
$957 |
0.3× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$1,575 |
$2,100 |
0.8× |
| Excision, nasal polyp(s), simple Facility (30110) |
$393.75 |
$525 |
0.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$567.75 |
$757 |
0.2× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$498 |
$664 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$597 |
$796 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$597 |
$796 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$824.25 |
$1,099 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$467.25 |
$623 |
0.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$787.50 |
$1,050 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$885.75 |
$1,181 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$420 |
$560 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$475.50 |
$634 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$396.75 |
$529 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$614.25 |
$819 |
0.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$584.25 |
$779 |
0.2× |
| Explore for undescended testis (54550) |
$780.75 |
$1,041 |
0.2× |
| External cephalic version (59412) |
$159 |
$212 |
0.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,428.75 |
$1,905 |
0.4× |
| Fetal non-stress test (59025) |
$107.25 |
$143 |
0.5× |
| Filleted finger/toe flap (14350) |
$582 |
$776 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$111 |
$148 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$90 |
$120 |
0.2× |
| Fit/Insert Intravag Support Device (57160) |
$53.25 |
$71 |
0.3× |
| Fitting of diaphragm/cap (57170) |
$55.50 |
$74 |
0.3× |
| Fixation of shoulder (23700) |
$345 |
$460 |
0.2× |
| Foreskin manipulation (54450) |
$92.25 |
$123 |
0.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$626.25 |
$835 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$123.75 |
$165 |
0.6× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,405.25 |
$3,207 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,237.50 |
$1,650 |
0.7× |
| Hemorrhoidectomy (46255) |
$848.25 |
$1,131 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$841.50 |
$1,122 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$751.50 |
$1,002 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$586.50 |
$782 |
0.2× |
| Hysteroscopy biopsy (58558) |
$368.25 |
$491 |
0.1× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$499.50 |
$666 |
0.1× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$453.75 |
$605 |
0.1× |
| Hysteroscopy w endometrial ablation (58563) |
$391.50 |
$522 |
0.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$241.50 |
$322 |
0.1× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$687 |
$916 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$238.50 |
$318 |
1.0× |
| I&d abscess simple (10060) |
$98.25 |
$131 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$688.50 |
$918 |
0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$482.25 |
$643 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$354 |
$472 |
0.2× |
| I&d forearm/wrist bursa (25031) |
$351.75 |
$469 |
0.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,102.50 |
$1,470 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$209.25 |
$279 |
0.3× |
| I&d shoulder deep abscess/hematoma (23030) |
$453.75 |
$605 |
0.2× |
| I&d submucosal abscess rectum (45005) |
$485.25 |
$647 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$282.75 |
$377 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$102.75 |
$137 |
0.3× |
| Ileoscopy thru stoma (44380) |
$102.75 |
$137 |
0.1× |
| Incise external hemorrhoid (46083) |
$189 |
$252 |
0.8× |
| Incise finger tendon sheath (26055) |
$544.50 |
$726 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$168.75 |
$225 |
0.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$682.50 |
$910 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$272.25 |
$363 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$221.25 |
$295 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$120.75 |
$161 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$129 |
$172 |
0.6× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,017 |
$1,356 |
0.4× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$841.50 |
$1,122 |
0.3× |
| Incision and drainage perianal abscess superficial (46050) |
$172.50 |
$230 |
0.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$204.75 |
$273 |
0.1× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,242 |
$1,656 |
0.8× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$627 |
$836 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$591 |
$788 |
0.4× |
| Incision of labial frenum (frenotomy) (40806) |
$61.50 |
$82 |
0.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$191.25 |
$255 |
0.1× |
| Incision of rectal abscess (46040) |
$733.50 |
$978 |
0.6× |
| Incision of urethra (53020) |
$147.75 |
$197 |
0.1× |
| Incisional biopsy skin single lesion (11106) |
$115.50 |
$154 |
0.2× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
likely a partial charge, not the full procedure |
$1,300.50 |
$1,734 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$59.25 |
$79 |
0.3× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$78 |
$104 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$485.62 |
$647.50 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$89.25 |
$119 |
0.3× |
| Inj therapeutic carpal tunnel (20526) |
$89.25 |
$119 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$778.12 |
$1,037.50 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$408 |
$544 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$567 |
$756 |
0.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$167.25 |
$223 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$63 |
$84 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$166.50 |
$222 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$157.50 |
$210 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$315 |
$420 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$138 |
$184 |
0.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$375 |
$500 |
0.5× |
| Injection into skin lesions (11900) |
$45 |
$60 |
0.2× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$143.25 |
$191 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$91.50 |
$122 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$66 |
$88 |
0.2× |
| Injection(s) spider veins (36468) |
$76.50 |
$102 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$56.25 |
$75 |
0.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$670.12 |
$893.50 |
0.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$742.50 |
$990 |
0.8× |
| Insert and remove bone pin (20650) |
$210.75 |
$281 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$68.25 |
$91 |
0.5× |
| Insert cath pleura w/ image (32557) |
$277.50 |
$370 |
0.2× |
| Insert cath pleura w/o image (32556) |
$217.50 |
$290 |
0.1× |
| Insert cervical dilator (59200) |
$69.75 |
$93 |
0.2× |
| Insert Drug Implant Device (11981) |
$83.25 |
$111 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$446.62 |
$595.50 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$153 |
$204 |
0.0× |
| Insert Temp Bladder Cath (51702) |
$34.12 |
$45.50 |
0.3× |
| Insert tun ip cath perc (49418) |
$360.75 |
$481 |
0.1× |
| Insert tunneled cv cath (36561) |
$598.50 |
$798 |
0.2× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$561.75 |
$749 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$42.75 |
$57 |
0.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$369 |
$492 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$549.75 |
$733 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$463.50 |
$618 |
0.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$517.50 |
$690 |
0.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$286.50 |
$382 |
0.5× |
| Intro Gastrointestinal Tube (44500) |
$35.25 |
$47 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$307.12 |
$409.50 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$96.75 |
$129 |
0.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$757.50 |
$1,010 |
0.1× |
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure |
$3,072.75 |
$4,097 |
0.3× |
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure |
$2,094 |
$2,792 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
likely a partial charge, not the full procedure |
$1,170 |
$1,560 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$978 |
$1,304 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$611.25 |
$815 |
0.1× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$579 |
$772 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,023.75 |
$1,365 |
0.2× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure |
$1,125 |
$1,500 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,626.75 |
$2,169 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,913.25 |
$2,551 |
0.2× |
Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550)
likely a partial charge, not the full procedure |
$681 |
$908 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
likely a partial charge, not the full procedure |
$1,389.75 |
$1,853 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,263.75 |
$1,685 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$1,968 |
$2,624 |
0.2× |
Laparoscopy, surgical; orchiectomy Facility (54690)
likely a partial charge, not the full procedure |
$1,044.75 |
$1,393 |
0.2× |
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
likely a partial charge, not the full procedure |
$1,206 |
$1,608 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$981 |
$1,308 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)
likely a partial charge, not the full procedure |
$1,187.25 |
$1,583 |
0.2× |
Laparoscopy, surgical; with fimbrioplasty Facility (58672)
likely a partial charge, not the full procedure |
$1,158 |
$1,544 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$579 |
$772 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,064.25 |
$1,419 |
0.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673)
likely a partial charge, not the full procedure |
$1,259.25 |
$1,679 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$576.75 |
$769 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,119.75 |
$1,493 |
0.2× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge, not the full procedure |
$845.25 |
$1,127 |
0.1× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$800.25 |
$1,067 |
0.1× |
Laps Surg Trnsxj Vagus Nrv Truncal (43651)
likely a partial charge, not the full procedure |
$1,158 |
$1,544 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$654 |
$872 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$86.25 |
$115 |
0.4× |
| Laryngoscopy flexible diagnostic (31575) |
$117.75 |
$157 |
0.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$228.75 |
$305 |
1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$349.50 |
$466 |
0.2× |
| Late closure of wound (13160) |
$662.25 |
$883 |
0.2× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$437.25 |
$583 |
0.1× |
| Ligation of hemorrhoid(s) (46221) |
$336.75 |
$449 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$678.75 |
$905 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$461.25 |
$615 |
0.1× |
| Lip shave (40500) |
$639 |
$852 |
0.2× |
| Liver Biopsy (47000) |
$165.75 |
$221 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$384 |
$512 |
0.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$285.75 |
$381 |
0.1× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,855.50 |
$2,474 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$753.75 |
$1,005 |
0.2× |
| Mastectomy partial (19301) |
$1,011.75 |
$1,349 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,476.75 |
$1,969 |
0.2× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$1,201.50 |
$1,602 |
0.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$2,011.50 |
$2,682 |
0.6× |
| Muscle-skin graft trunk (15734) |
$2,333.25 |
$3,111 |
0.7× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$880.50 |
$1,174 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$306 |
$408 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$46.50 |
$62 |
0.2× |
| Nasal endoscopy dx (31231) |
$114 |
$152 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$74.25 |
$99 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$25.50 |
$34 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$39 |
$52 |
1.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$750.75 |
$1,001 |
0.4× |
| Nipple exploration (19110) |
$531 |
$708 |
0.1× |
| Njx aa&/strd sciatic nerve (64445) |
$294.75 |
$393 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$114.75 |
$153 |
0.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$109.50 |
$146 |
0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$558 |
$744 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$819.75 |
$1,093 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$819.75 |
$1,093 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$120.75 |
$161 |
0.3× |
| Occipital Nerve Block (64405) |
$220.50 |
$294 |
0.7× |
| Occlude fallopian tube(s) (58615) |
$392.25 |
$523 |
0.1× |
Omntc epiploectomy rescj omentum spx (49255)
likely a partial charge, not the full procedure |
$1,399.50 |
$1,866 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$381 |
$508 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,352.25 |
$1,803 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$1,005.75 |
$1,341 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure |
$2,187 |
$2,916 |
0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$779.25 |
$1,039 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$877.50 |
$1,170 |
0.3× |
| Open tx interphalangeal joint dislocation (26785) |
$960.75 |
$1,281 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$614.25 |
$819 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure |
$2,107.50 |
$2,810 |
0.3× |
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226)
likely a partial charge, not the full procedure |
$1,854.75 |
$2,473 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$803.25 |
$1,071 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,069.50 |
$1,426 |
0.3× |
| Ovarian cystectomy (58925) |
$1,187.25 |
$1,583 |
0.2× |
P-mastectomy w/ln removal (19302)
likely a partial charge, not the full procedure |
$1,389 |
$1,852 |
0.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$776.25 |
$1,035 |
0.2× |
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure |
$1,151.25 |
$1,535 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$774.75 |
$1,033 |
0.5× |
| Partial excision of lip (40520) |
$630 |
$840 |
0.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$865.50 |
$1,154 |
0.5× |
| Partial hymenectomy or revision (56700) |
$306.75 |
$409 |
0.1× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,097.25 |
$1,463 |
0.2× |
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60212)
likely a partial charge, not the full procedure |
$1,582.50 |
$2,110 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,096.50 |
$1,462 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$581.25 |
$775 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$168 |
$224 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,600.50 |
$2,134 |
0.2× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$420.75 |
$561 |
0.1× |
| Peritoneal Lavage (49084) |
$193.50 |
$258 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$68.25 |
$91 |
0.3× |
| Phalangectomy toe each toe (28150) |
$492 |
$656 |
0.2× |
| Picc line placement (36569) |
$657.75 |
$877 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$104.25 |
$139 |
0.2× |
| Placement of seton (46020) |
$414 |
$552 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,491 |
$1,988 |
0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$957 |
$1,276 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$97.50 |
$130 |
0.1× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$153 |
$204 |
0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$171.75 |
$229 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$131.25 |
$175 |
0.1× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$188.25 |
$251 |
0.2× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure |
$1,308.75 |
$1,745 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$87 |
$116 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$89.25 |
$119 |
0.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$105 |
$140 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$1,782 |
$2,376 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$1,243.50 |
$1,658 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$1,674.75 |
$2,233 |
0.6× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$373.50 |
$498 |
0.4× |
| Reconstruction of nail bed with graft (11762) |
$240.75 |
$321 |
0.1× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
likely a partial charge, not the full procedure |
$1,080 |
$1,440 |
0.2× |
| Reduce testis torsion (54600) |
$718.50 |
$958 |
0.2× |
| Release wrist/forearm tendon (25295) |
$921.75 |
$1,229 |
0.3× |
| Relieve pressure on nerve(s) (64722) |
$630 |
$840 |
0.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$707.25 |
$943 |
0.2× |
| Removal Foreign Body Foot Complicated (28193) |
$648.75 |
$865 |
0.4× |
| Removal foreign body foot deep (28192) |
$550.50 |
$734 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$237.75 |
$317 |
0.3× |
| Removal foreign body intranasal (30300) |
$158.25 |
$211 |
1.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$258.75 |
$345 |
0.2× |
| Removal foreign body pharynx (42809) |
$213.75 |
$285 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$563.25 |
$751 |
0.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$348 |
$464 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$11.25 |
$15 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$44.25 |
$59 |
0.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$266.25 |
$355 |
0.1× |
| Removal implant deep (20680) |
$627 |
$836 |
0.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$387.75 |
$517 |
0.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$117.75 |
$157 |
0.2× |
| Removal of adenoids (42831) |
$389.25 |
$519 |
0.1× |
| Removal of adenoids (42830) |
$360 |
$480 |
0.1× |
| Removal of anal fissure (46200) |
$576 |
$768 |
0.2× |
| Removal of arm foreign body (24200) |
$201.75 |
$269 |
0.1× |
| Removal of breast capsule (19371) |
$1,223.25 |
$1,631 |
0.3× |
| Removal of embedded foreign body, eyelid (67938) |
$204 |
$272 |
0.7× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$403.50 |
$538 |
0.3× |
| Removal of foreign body in scrotum (55120) |
$559.50 |
$746 |
0.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$58.50 |
$78 |
0.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$321.75 |
$429 |
0.5× |
| Removal of infusion pump (36262) |
$538.50 |
$718 |
0.1× |
| Removal of intranasal lesion (30118) |
$747 |
$996 |
0.2× |
| Removal of iud (58301) |
$78.75 |
$105 |
0.3× |
| Removal of nail bed (11750) |
$125.25 |
$167 |
0.3× |
| Removal of nose lesion (30124) |
$270 |
$360 |
0.2× |
| Removal of salivary stone (42330) |
$288.75 |
$385 |
0.1× |
| Removal Of Tendon Lesion (27630) |
$641.25 |
$855 |
0.2× |
| Removal of testis (54520) |
$515.25 |
$687 |
0.1× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$455.25 |
$607 |
0.1× |
| Removal of tonsils (42826) |
$437.25 |
$583 |
0.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$672 |
$896 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$72.75 |
$97 |
0.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$134.25 |
$179 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$162.75 |
$217 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$595.50 |
$794 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$70.50 |
$94 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$69.75 |
$93 |
0.3× |
| Remove anal fist subq (46270) |
$708.75 |
$945 |
0.3× |
| Remove drug implant device (11982) |
$95.25 |
$127 |
0.2× |
| Remove ext hem groups 2+ (46250) |
$557.25 |
$743 |
0.2× |
| Remove foreign body from eye (65235) |
$1,236.75 |
$1,649 |
0.5× |
| Remove Peritoneal Foreign Body (49402) |
$1,515.75 |
$2,021 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$496.50 |
$662 |
0.2× |
| Remove pulse generator (33241) |
$226.50 |
$302 |
0.1× |
| Remove Tendon Sheath Lesion (26160) |
$1,006.50 |
$1,342 |
0.6× |
| Remove vc lesion w/scope (31545) |
$632.25 |
$843 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$118.50 |
$158 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$151.50 |
$202 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$65.25 |
$87 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$77.25 |
$103 |
0.6× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,156.50 |
$1,542 |
0.2× |
| Repair blood vessel direct hand finger (35207) |
$1,333.50 |
$1,778 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,388.25 |
$1,851 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$342.75 |
$457 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$408.75 |
$545 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$312 |
$416 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$386.25 |
$515 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$283.50 |
$378 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$345.75 |
$461 |
0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$271.50 |
$362 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$320.25 |
$427 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,045.50 |
$1,394 |
0.7× |
| Repair eyelid wound (67930) |
$420 |
$560 |
0.2× |
| Repair forearm tendon/muscle (25260) |
$1,105.50 |
$1,474 |
0.3× |
| Repair hand tendon (26410) |
$1,016.25 |
$1,355 |
0.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,266 |
$1,688 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,116.75 |
$1,489 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,017 |
$1,356 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,035 |
$1,380 |
0.3× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$1,069.50 |
$1,426 |
0.3× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500)
likely a partial charge, not the full procedure |
$727.50 |
$970 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$393 |
$524 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$223.50 |
$298 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$249 |
$332 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$450 |
$600 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$284.25 |
$379 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$300.75 |
$401 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$480.75 |
$641 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$327 |
$436 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$209.25 |
$279 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$244.50 |
$326 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$297 |
$396 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$423.75 |
$565 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$303 |
$404 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$207.75 |
$277 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$239.25 |
$319 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$342.75 |
$457 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$262.50 |
$350 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$393 |
$524 |
0.2× |
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure |
$1,187.25 |
$1,583 |
0.2× |
| Repair Mouth Laceration (40831) |
$397.50 |
$530 |
0.7× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$1,113.75 |
$1,485 |
0.2× |
| Repair of hydrocele (55060) |
$601.50 |
$802 |
0.2× |
| Repair of nail bed (11760) |
$182.25 |
$243 |
0.2× |
| Repair of rectum (45500) |
$978.75 |
$1,305 |
0.4× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,227.75 |
$1,637 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,116.75 |
$1,489 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$548.25 |
$731 |
0.2× |
| Repair tongue laceration (41252) |
$373.50 |
$498 |
1.6× |
| Repair Tongue Laceration (41250) |
$273.75 |
$365 |
0.6× |
| Repeat control of nosebleed (30906) |
$584.25 |
$779 |
2.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,264.50 |
$1,686 |
1.4× |
| Reposition gastric feeding tube thru duodenum (43761) |
$196.50 |
$262 |
0.8× |
| Revision of colostomy simple (44340) |
$1,104 |
$1,472 |
0.3× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$1,863.75 |
$2,485 |
0.5× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$2,096.25 |
$2,795 |
0.6× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,779 |
$2,372 |
0.5× |
| Revision of leg vein (37780) |
$415.50 |
$554 |
0.1× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$2,598.75 |
$3,465 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$202.50 |
$270 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$118.50 |
$158 |
0.9× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$90.75 |
$121 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$435.75 |
$581 |
0.2× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$523.50 |
$698 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$337.50 |
$450 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$242.25 |
$323 |
0.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$514.50 |
$686 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,295.25 |
$1,727 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$595.50 |
$794 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,009.50 |
$1,346 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$826.50 |
$1,102 |
0.1× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,482.75 |
$1,977 |
2.1× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,138.50 |
$1,518 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$325.50 |
$434 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$387 |
$516 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$527.25 |
$703 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$564 |
$752 |
0.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$61.50 |
$82 |
0.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,233 |
$1,644 |
0.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,393.50 |
$1,858 |
0.4× |
| Sclerotx Fluid Collection (49185) |
$203.25 |
$271 |
0.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$153 |
$204 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$243.75 |
$325 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$80.25 |
$107 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$108 |
$144 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$90.75 |
$121 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$149.25 |
$199 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$123.75 |
$165 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$116.25 |
$155 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$125.25 |
$167 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$108.75 |
$145 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$126.75 |
$169 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$96 |
$128 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$123 |
$164 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$111.75 |
$149 |
0.6× |
| Sigmoidoscopy & decompress (45337) |
$231.75 |
$309 |
0.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$212.25 |
$283 |
0.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$139.50 |
$186 |
0.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$169.50 |
$226 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$163.50 |
$218 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$171.75 |
$229 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$86.25 |
$115 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$90.75 |
$121 |
0.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$130.50 |
$174 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$111.75 |
$149 |
0.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$134.25 |
$179 |
0.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$147.75 |
$197 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$72.75 |
$97 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$183.75 |
$245 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$102 |
$136 |
0.5× |
| Skin pinch graft (15050) |
$467.25 |
$623 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$699 |
$932 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$126.75 |
$169 |
0.2× |
| Skin sub graft trnk/arm/leg (15271) |
$165 |
$220 |
0.2× |
| Skin tissue rearrangement (14040) |
$618.75 |
$825 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,155.75 |
$1,541 |
0.2× |
| Slitting of prepuce (54001) |
$222 |
$296 |
0.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$445.50 |
$594 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$87.75 |
$117 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$138.75 |
$185 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$162 |
$216 |
0.4× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$1,326.75 |
$1,769 |
0.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$282.75 |
$377 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$438.75 |
$585 |
0.6× |
| Spinal Puncture Therapeutic (62272) |
$228.75 |
$305 |
0.3× |
| Strapping ankle (29540) |
$25.50 |
$34 |
0.2× |
| Strapping elbow or wrist (29260) |
$30 |
$40 |
0.5× |
| Strapping hand/finger (29280) |
$30.75 |
$41 |
0.5× |
| Strapping knee (29530) |
$29.25 |
$39 |
0.2× |
| Strapping shoulder (29240) |
$29.25 |
$39 |
0.2× |
| Strapping thorax (29200) |
$29.25 |
$39 |
0.2× |
| Strapping toes (29550) |
$19.50 |
$26 |
0.3× |
| Strapping unna boot (29580) |
$99.38 |
$132.50 |
0.6× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$77.25 |
$103 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$751.50 |
$1,002 |
0.3× |
| Suspension of testis (54640) |
$688.50 |
$918 |
0.2× |
| Suture pharynx for wound or injury Facility (42900) |
$589.50 |
$786 |
0.4× |
| Suture/repair testicular injury (54670) |
$645 |
$860 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$75.75 |
$101 |
0.2× |
| Temporary Closure Eyelids Suture (67875) |
$171 |
$228 |
0.2× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$428.25 |
$571 |
0.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$161.25 |
$215 |
0.3× |
| Thyroid biopsy (60100) |
$126 |
$168 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$523.50 |
$698 |
0.2× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure |
$1,447.50 |
$1,930 |
0.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$504 |
$672 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$589.50 |
$786 |
2.5× |
| Tracheostomy planned (31600) |
$568.50 |
$758 |
0.2× |
| Tracheotomy tube change (31502) |
$61.50 |
$82 |
0.3× |
| Transmetacarpal amputation; Facility (25927) |
$1,425 |
$1,900 |
0.4× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$1,308.75 |
$1,745 |
0.4× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$1,049.25 |
$1,399 |
0.5× |
| Treat Big Toe Fracture (28505) |
$879.75 |
$1,173 |
0.3× |
| Treat clavicle dislocation (23540) |
$227.25 |
$303 |
0.9× |
| Treat clavicle fracture (23505) |
$618 |
$824 |
0.4× |
| Treat humerus fracture (24500) |
$366 |
$488 |
1.5× |
| Treat humerus fracture (23600) |
$371.25 |
$495 |
1.5× |
| Treat knee fracture (27532) |
$631.50 |
$842 |
0.2× |
| Treat Knee Fracture(S) (27538) |
$683.25 |
$911 |
2.8× |
| Treat Metatarsal Fracture (28475) |
$258.75 |
$345 |
1.1× |
| Treat Thumb Dislocation (26641) |
$670.50 |
$894 |
2.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$751.50 |
$1,002 |
0.5× |
| Treat Vaginal Bleeding (57180) |
$139.50 |
$186 |
0.7× |
| Treat wrist bone fracture (25622) |
$312.75 |
$417 |
1.3× |
| Treat Wrist Bone Fracture (25630) |
$312.75 |
$417 |
1.3× |
| Treatment closed elbow dislocation req anes (24605) |
$825 |
$1,100 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$639.75 |
$853 |
2.6× |
| Treatment mouth roof lesion (42160) |
$258.75 |
$345 |
0.1× |
| Treatment of gum lesion (41850) |
$213.75 |
$285 |
0.1× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$567 |
$756 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$561 |
$748 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$223.50 |
$298 |
0.9× |
| Trim skin lesion (11055) |
$58.50 |
$78 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$67.50 |
$90 |
0.3× |
| Trim skin lesions over 4 (11057) |
$74.25 |
$99 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$12 |
$16 |
0.2× |
| Tubal ligation (58600) |
$578.25 |
$771 |
0.2× |
| Tube thoracostomy includes water seal (32551) |
$278.25 |
$371 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$830.25 |
$1,107 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$462.75 |
$617 |
0.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$642 |
$856 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$234.75 |
$313 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$140.25 |
$187 |
0.3× |
| Tympanostomy general anesthesia (69436) |
$243 |
$324 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,037.25 |
$1,383 |
0.3× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$366 |
$488 |
0.1× |
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure |
$366 |
$488 |
0.1× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure |
$1,626.75 |
$2,169 |
0.3× |
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure |
$1,064.25 |
$1,419 |
0.2× |
| Unlisted Procedure Male Genital System (55899) |
$120.75 |
$161 |
0.5× |
| Unlisted procedure nervous system (64999) |
$386.25 |
$515 |
1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$399 |
$532 |
0.4× |
| Unlisted procedure, maternity care and delivery (59899) |
$366 |
$488 |
1.8× |
| Unlisted procedure, stomach (43999) |
$1,255.50 |
$1,674 |
1.4× |
| Ureteral endoscopy via ureterostomy (50951) |
$516.75 |
$689 |
0.1× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$774 |
$1,032 |
0.2× |
| Uvulectomy excision of uvula (42140) |
$271.50 |
$362 |
0.1× |
| Vaginal delivery only (59409) |
$1,246.50 |
$1,662 |
0.4× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$1,397.25 |
$1,863 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$300 |
$400 |
0.1× |
| Venipuncture (36415) |
$20.62 |
$27.50 |
2.2× |
| Venipuncture, cutdown; age 1 or over (36425) |
$72 |
$96 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$94.50 |
$126 |
0.0× |
| Wedge excision skin nail fold (11765) |
$128.25 |
$171 |
0.3× |
Wedge resection or bisection of ovary, unilateral or bilateral Facility (58920)
likely a partial charge, not the full procedure |
$1,118.25 |
$1,491 |
0.2× |
| Wedging of cast (29740) |
$104.25 |
$139 |
0.4× |