| Abd paracentesis (49082) |
$1,155.90 |
$1,359.88 |
1.2× |
| Abd paracentesis w/imaging (49083) |
$1,337.78 |
$1,573.86 |
1.4× |
| Acne surgery (10040) |
$185.30 |
$218 |
0.9× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$2,470.10 |
$2,906 |
0.7× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$5,159.50 |
$6,070 |
1.4× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,747.60 |
$2,056 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,710.20 |
$2,012 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$2,040 |
$2,400 |
1.0× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$1,180.65 |
$1,389 |
0.6× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,655.80 |
$1,948 |
0.8× |
Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs»… (20693) likely a partial charge — not the full procedure |
$1,146.65 |
$1,349 |
0.2× |
| Amniocentesis diagnostic (59000) |
$880.82 |
$1,036.26 |
0.9× |
| Amnioinfusion (59070) |
$378.25 |
$445 |
1.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,674.50 |
$1,970 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,657.50 |
$1,950 |
0.5× |
| Amputation of toe (28820) |
$1,033.60 |
$1,216 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$1,810.50 |
$2,130 |
0.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$3,363.45 |
$3,957 |
1.0× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$408 |
$480 |
1.3× |
| Anoplasty, plastic operation for stricture; adult Age Under 21 (46700) |
$5,196.05 |
$6,113 |
1.8× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$280.50 |
$330 |
0.1× |
| Anoscopy and biopsy (46606) |
$427.55 |
$503 |
0.3× |
| Anoscopy diagnostic (46600) |
$218.45 |
$257 |
1.6× |
| Anoscopy remove for body (46608) |
$1,004.70 |
$1,182 |
1.1× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$950.30 |
$1,118 |
0.8× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) |
$1,181.50 |
$1,390 |
1.0× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (46611) |
$855.10 |
$1,006 |
0.9× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) unusually low — confirm this is the full procedure |
$1,579.30 |
$1,858 |
0.3× |
| Anterior tibial tubercleplasty (27418) |
$4,536.45 |
$5,337 |
0.6× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,384.65 |
$1,629 |
1.8× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$2,295.85 |
$2,701 |
1.1× |
| Appendectomy (44950) |
$3,904.90 |
$4,594 |
0.6× |
| Application finger splint static (29130) |
$174.25 |
$205 |
1.3× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) likely a partial charge — not the full procedure |
$2,934.20 |
$3,452 |
0.2× |
| Application of long leg cast (thigh to toes); (29345) |
$310.25 |
$365 |
1.1× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$167.45 |
$197 |
1.0× |
| Application of short arm splint (forearm to hand); static (29125) |
$194.65 |
$229 |
1.4× |
| Application of short leg cast (below knee to toes); (29405) |
$312.80 |
$368 |
1.1× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$300.90 |
$354 |
1.1× |
| Application of short leg splint (calf to foot) (29515) |
$170 |
$200 |
1.0× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,840.25 |
$2,165 |
0.9× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$186 |
$218.82 |
1.1× |
| Application rigid total contact leg cast (29445) |
$702.95 |
$827 |
2.5× |
Application uniplane external fixation system (20690) likely a partial charge — not the full procedure |
$1,562.30 |
$1,838 |
0.2× |
| Application, cast; shoulder to hand (long arm) (29065) |
$259.25 |
$305 |
0.9× |
| Apply hand/wrist cast (29085) |
$247.35 |
$291 |
1.5× |
| Apply long arm splint (29105) |
$212.50 |
$250 |
1.3× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21 (36821) |
$4,005.20 |
$4,712 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$221 |
$260 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$136 |
$160 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$352.57 |
$414.79 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$312.80 |
$368 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$237.55 |
$279.47 |
0.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$210.80 |
$248 |
0.7× |
Arthrodesis, ankle, open Age Under 21 (27870) likely a partial charge — not the full procedure |
$2,667.30 |
$3,138 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge — not the full procedure |
$6,975.10 |
$8,206 |
0.3× |
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Age Under… (26844) likely a partial charge — not the full procedure |
$2,110.55 |
$2,483 |
0.3× |
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) unusually low — confirm this is the full procedure |
$2,522.80 |
$2,968 |
0.3× |
Arthrodesis, great toe; metatarsophalangeal joint (28750) unusually low — confirm this is the full procedure |
$2,278.85 |
$2,681 |
0.3× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$1,452.65 |
$1,709 |
0.4× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age… (26862) |
$1,866.60 |
$2,196 |
0.6× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850) likely a partial charge — not the full procedure |
$1,777.35 |
$2,091 |
0.2× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) likely a partial charge — not the full procedure |
$2,174.30 |
$2,558 |
0.3× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21 (28730) likely a partial charge — not the full procedure |
$1,910.80 |
$2,248 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740) likely a partial charge — not the full procedure |
$1,645.60 |
$1,936 |
0.2× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825) likely a partial charge — not the full procedure |
$2,052.75 |
$2,415 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810) likely a partial charge — not the full procedure |
$2,272.05 |
$2,673 |
0.2× |
Arthrodesis; subtalar (28725) likely a partial charge — not the full procedure |
$2,058.70 |
$2,422 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472) unusually low — confirm this is the full procedure |
$7,466.40 |
$8,784 |
0.4× |
Arthroplasty or replacement of wrist bone, one wrist bone (trapezium bone) (25445) likely a partial charge — not the full procedure |
$1,819.85 |
$2,141 |
0.2× |
Arthroplasty, ankle; with implant (total ankle) (27702) likely a partial charge — not the full procedure |
$4,682.65 |
$5,509 |
0.2× |
Arthroplasty, glenohumeral joint; hemiarthroplasty (23470) unusually low — confirm this is the full procedure |
$5,383.90 |
$6,334 |
0.4× |
Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536) likely a partial charge — not the full procedure |
$1,892.95 |
$2,227 |
0.3× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) unusually low — confirm this is the full procedure |
$5,042.20 |
$5,932 |
0.4× |
Arthroplasty, metacarpophalangeal joint; each joint Age Under 21 (26530) likely a partial charge — not the full procedure |
$1,390.60 |
$1,636 |
0.2× |
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531) likely a partial charge — not the full procedure |
$1,634.55 |
$1,923 |
0.2× |
Arthroplasty, patella; with prosthesis Age Under 21 (27438) likely a partial charge — not the full procedure |
$2,176 |
$2,560 |
0.2× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21 (25332) |
$2,209.15 |
$2,599 |
0.7× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889) |
$10,741.45 |
$12,637 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$4,352 |
$5,120 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$1,140.70 |
$1,342 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$1,184.05 |
$1,393 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$2,851.75 |
$3,355 |
0.9× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,760.35 |
$2,071 |
0.5× |
| Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29830) |
$1,195.95 |
$1,407 |
0.4× |
| Arthroscopy, elbow, surgical; synovectomy, partial Age Under 21 (29835) |
$1,332.80 |
$1,568 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$1,290.30 |
$1,518 |
0.4× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Age Under 21 (29860) likely a partial charge — not the full procedure |
$2,126.70 |
$2,502 |
0.3× |
| Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21 (29915) |
$5,513.10 |
$6,486 |
0.7× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) unusually low — confirm this is the full procedure |
$3,126.30 |
$3,678 |
0.4× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914) |
$4,866.25 |
$5,725 |
0.7× |
| Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916) |
$5,003.95 |
$5,887 |
0.7× |
Arthroscopy, hip, surgical; with removal of loose body or foreign body Age Under 21 (29861) unusually low — confirm this is the full procedure |
$2,933.35 |
$3,451 |
0.4× |
| Arthroscopy, hip, surgical; with synovectomy Age Under 21 (29863) |
$2,505.80 |
$2,948 |
0.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$5,085.55 |
$5,983 |
1.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$5,981.45 |
$7,037 |
1.8× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$5,451.90 |
$6,414 |
1.6× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Age Under 21 (29886) |
$5,623.60 |
$6,616 |
1.7× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$4,515.20 |
$5,312 |
1.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$2,564.45 |
$3,017 |
0.8× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$1,240.15 |
$1,459 |
4.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$4,340.95 |
$5,107 |
1.3× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$5,384.75 |
$6,335 |
1.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$5,054.95 |
$5,947 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$7,418.80 |
$8,728 |
2.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$6,159.10 |
$7,246 |
1.8× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$247.35 |
$291 |
0.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$5,376.25 |
$6,325 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$3,036.20 |
$3,572 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$2,302.65 |
$2,709 |
0.7× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$3,188.35 |
$3,751 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$5,150.15 |
$6,059 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21 (29821) |
$2,363.85 |
$2,781 |
0.7× |
Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820) unusually low — confirm this is the full procedure |
$2,251.65 |
$2,649 |
0.3× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$1,511.30 |
$1,778 |
0.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$2,518.55 |
$2,963 |
0.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$5,326.10 |
$6,266 |
0.7× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29800) |
$3,541.95 |
$4,167 |
1.1× |
| Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29840) |
$1,156.85 |
$1,361 |
0.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$1,370.20 |
$1,612 |
0.4× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Age Under 21 (29843) |
$3,364.30 |
$3,958 |
1.0× |
| Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21 (29844) |
$1,309.85 |
$1,541 |
0.4× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) |
$2,096.95 |
$2,467 |
0.6× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403) likely a partial charge — not the full procedure |
$1,676.20 |
$1,972 |
0.2× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Age… (23044) |
$1,481.55 |
$1,743 |
0.4× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$1,184.05 |
$1,393 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$1,229.95 |
$1,447 |
0.4× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$2,023 |
$2,380 |
0.6× |
| Arthrotomy, elbow; with synovectomy Age Under 21 (24102) |
$1,616.70 |
$1,902 |
0.5× |
Arthrotomy, hip, with drainage (eg, infection) (27030) unusually low — confirm this is the full procedure |
$2,453.10 |
$2,886 |
0.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$949.45 |
$1,117 |
0.3× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$2,137.75 |
$2,515 |
0.6× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21 (25040) |
$1,457.75 |
$1,715 |
0.4× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$873.80 |
$1,028 |
0.3× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21 (27626) |
$1,558.05 |
$1,833 |
0.5× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$1,053.15 |
$1,239 |
0.3× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$8,389.50 |
$9,870 |
0.6× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$2,190.45 |
$2,577 |
0.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,025.10 |
$1,206 |
0.6× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$2,708.95 |
$3,187 |
0.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$792.20 |
$932 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,229.95 |
$1,447 |
0.4× |
| Aspirate pleura w/o imaging (32554) |
$1,262.25 |
$1,485 |
2.0× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$818.55 |
$963 |
1.1× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$164.05 |
$193 |
0.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$270.30 |
$318 |
0.4× |
| Aspiration bladder needle (51100) |
$171.70 |
$202 |
0.7× |
| Autochondrocyte implant knee (27412) |
$6,822.10 |
$8,026 |
0.9× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$381.65 |
$449 |
1.9× |
| Axillary lymphadenectomy; complete Age Under 21 (38745) |
$4,308.65 |
$5,069 |
0.7× |
| Biopsy bone open superficial (20240) |
$672.35 |
$791 |
0.2× |
| Biopsy external auditory canal (69105) |
$375.70 |
$442 |
0.2× |
| Biopsy external ear (69100) |
$375.70 |
$442 |
1.6× |
| Biopsy lip (40490) |
$221 |
$260 |
0.9× |
| Biopsy liver needle percutaneous (47000) |
$1,089.28 |
$1,281.50 |
0.6× |
| Biopsy lymph node (38505) |
$1,014.48 |
$1,193.50 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$843.84 |
$992.75 |
0.5× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$634.10 |
$746 |
0.4× |
| Biopsy of cervix (57500) |
$192.95 |
$227 |
0.2× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$2,024.70 |
$2,382 |
1.7× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$555.90 |
$654 |
0.6× |
| Biopsy of uterus lining (58100) |
$164.05 |
$193 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,065.50 |
$2,430 |
0.5× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$2,418.25 |
$2,845 |
0.6× |
| Biopsy roof of mouth (42100) |
$423.30 |
$498 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$850 |
$1,000 |
0.5× |
| Biopsy thyroid percutaneous core needle (60100) |
$628.15 |
$739 |
0.9× |
| Biopsy vaginal mucosa simple (57100) |
$169.15 |
$199 |
0.2× |
| Biopsy vulva/perineum 1 lesion (56605) |
$152.15 |
$179 |
0.2× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,190 |
$1,400 |
0.7× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$919.70 |
$1,082 |
0.3× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21 (25066) |
$940.10 |
$1,106 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$2,677.50 |
$3,150 |
0.7× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$243.95 |
$287 |
0.8× |
Bone graft, any donor area; major or large Age Under 21 (20902) likely a partial charge — not the full procedure |
$2,181.95 |
$2,567 |
0.3× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900) likely a partial charge — not the full procedure |
$1,295.40 |
$1,524 |
0.2× |
| Bone marrow harvesting for transplantation; autologous Age Under 21 (38232) |
$517.65 |
$609 |
0.1× |
| Brain canal shunt procedure (61070) |
$957.95 |
$1,127 |
1.3× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$1,101.60 |
$1,296 |
0.3× |
| Bronch foreign body removal (31635) |
$1,126.25 |
$1,325 |
0.6× |
| Bronchoscopy w biopsy (31625) |
$910.35 |
$1,071 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,129.65 |
$1,329 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,184.05 |
$1,393 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$4,360.09 |
$5,129.52 |
2.6× |
| Bx breast 1st lesion us imag (19083) |
$1,901.45 |
$2,237 |
1.1× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$3,094.85 |
$3,641 |
0.8× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$1,244.40 |
$1,464 |
4.9× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$1,730.60 |
$2,036 |
0.5× |
| Capsulodesis, metacarpophalangeal joint; single digit Age Under 21 (26516) |
$1,801.15 |
$2,119 |
0.5× |
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) unusually low — confirm this is the full procedure |
$2,578.05 |
$3,033 |
0.3× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462) |
$5,174.80 |
$6,088 |
0.7× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$1,052.30 |
$1,238 |
0.3× |
| Care of miscarriage (59820) |
$981.75 |
$1,155 |
0.3× |
| Carpectomy with capitate implant resurfacing (hemi-arthroplasty) (25999) |
$2,040.85 |
$2,401 |
8.1× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$1,592.90 |
$1,874 |
0.5× |
| Cartilage graft; nasal septum Age Under 21 (20912) |
$1,568.25 |
$1,845 |
0.4× |
| Cast short arm (29075) |
$210.80 |
$248 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$252.45 |
$297 |
1.0× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$356.15 |
$419 |
0.5× |
| Change of windpipe airway (31502) |
$385.90 |
$454 |
1.6× |
| Chemical cauterization of granulation tissue (17250) |
$300.46 |
$353.48 |
1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$309.40 |
$364 |
0.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$282.20 |
$332 |
0.4× |
| Chemodenervation Internal Anal Sphincter (46505) |
$793.05 |
$933 |
0.6× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$322.15 |
$379 |
1.0× |
| Chest tube placement (32551) |
$785.44 |
$924.05 |
0.5× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350) likely a partial charge — not the full procedure |
$240.55 |
$283 |
0.0× |
| Circumcision, Newborn (54150) |
$284.56 |
$334.77 |
0.1× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$372.30 |
$438 |
0.5× |
| Claviculectomy; partial Age Under 21 (23120) |
$2,002.60 |
$2,356 |
0.6× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,373.60 |
$1,616 |
0.8× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$613.70 |
$722 |
2.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$646.85 |
$761 |
2.6× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$804.95 |
$947 |
3.2× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$810.90 |
$954 |
3.2× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$819.40 |
$964 |
3.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$588.20 |
$692 |
2.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,097.35 |
$1,291 |
4.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$878.05 |
$1,033 |
3.5× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$495.55 |
$583 |
2.0× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,004.30 |
$2,358 |
1.2× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$368.05 |
$433 |
1.5× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$312.80 |
$368 |
1.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,849.20 |
$3,352 |
1.7× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$951.15 |
$1,119 |
3.8× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$2,499.85 |
$2,941 |
1.5× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,649 |
$1,940 |
1.0× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$856.80 |
$1,008 |
3.4× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,135.60 |
$1,336 |
0.7× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$874.65 |
$1,029 |
3.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$894.20 |
$1,052 |
3.5× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$793.90 |
$934 |
3.2× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,114.35 |
$1,311 |
0.7× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$2,099.50 |
$2,470 |
1.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$855.95 |
$1,007 |
3.4× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$874.65 |
$1,029 |
3.5× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$530.40 |
$624 |
2.1× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,504.50 |
$1,770 |
0.9× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,042.10 |
$1,226 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$772.65 |
$909 |
3.1× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,116.05 |
$1,313 |
0.7× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$877.20 |
$1,032 |
3.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$765 |
$900 |
3.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$696.15 |
$819 |
2.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$444.55 |
$523 |
1.8× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$749.70 |
$882 |
3.0× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,071 |
$1,260 |
4.2× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,038.70 |
$1,222 |
0.6× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$875.50 |
$1,030 |
3.5× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$965.60 |
$1,136 |
0.6× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$810.05 |
$953 |
3.2× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$770.95 |
$907 |
3.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$697 |
$820 |
2.8× |
| Closed treatment of ulnar styloid fracture (25650) |
$870.40 |
$1,024 |
3.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,229.10 |
$1,446 |
4.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,215.50 |
$1,430 |
0.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$970.70 |
$1,142 |
3.9× |
| Closed tx femoral fracture prox head w/manj (27268) |
$1,413.55 |
$1,663 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$532.95 |
$627 |
2.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,233.35 |
$1,451 |
4.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$669.80 |
$788 |
2.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,186.60 |
$1,396 |
0.7× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,203.60 |
$1,416 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$617.10 |
$726 |
2.4× |
| Closed tx septal&nose fx (21337) |
$1,228.25 |
$1,445 |
0.4× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$1,006.40 |
$1,184 |
4.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$568.65 |
$669 |
2.3× |
| Closure of surgically created opening from stomach to skin (43870) |
$3,547.90 |
$4,174 |
0.9× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$704.65 |
$829 |
0.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$1,126.25 |
$1,325 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,313.25 |
$1,545 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,157.70 |
$1,362 |
0.7× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$687.65 |
$809 |
2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$891.65 |
$1,049 |
3.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,414 |
$2,840 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,325.15 |
$1,559 |
5.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$424.15 |
$499 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$832.15 |
$979 |
3.3× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$714 |
$840 |
2.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,412.70 |
$1,662 |
5.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,878.50 |
$2,210 |
1.1× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$238 |
$280 |
0.9× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$687.65 |
$809 |
2.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,020 |
$1,200 |
4.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,170.45 |
$1,377 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,603.95 |
$1,887 |
1.0× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,275.85 |
$1,501 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$830.45 |
$977 |
3.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,817.30 |
$2,138 |
1.1× |
| Collect blood from catheter venous nos (36592) |
$70.45 |
$82.88 |
0.5× |
| Collect blood from implant venous access device (36591) |
$104.52 |
$122.96 |
0.8× |
| Colonoscopy flexible with decompression (45393) |
$3,749.35 |
$4,411 |
3.1× |
| Colonoscopy w/ablation (45388) |
$1,847.05 |
$2,173 |
1.5× |
| Colonoscopy w/control bleed (45382) |
$1,719.55 |
$2,023 |
1.4× |
| Colonoscopy w/fb removal (45379) |
$1,504.50 |
$1,770 |
1.2× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,827.50 |
$2,150 |
1.5× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,590.35 |
$1,871 |
1.3× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$850.85 |
$1,001 |
0.3× |
| Colposcopy cervix (57452) |
$233.75 |
$275 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$232.90 |
$274 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$280.50 |
$330 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$344.25 |
$405 |
1.1× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$660.45 |
$777 |
0.7× |
| Colposcopy w/endocervical curettage (57456) |
$260.10 |
$306 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,724.65 |
$2,029 |
1.4× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260) unusually low — confirm this is the full procedure |
$2,011.10 |
$2,366 |
0.4× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265) unusually low — confirm this is the full procedure |
$2,254.20 |
$2,652 |
0.4× |
| Complete replacement picc rs&i (36584) |
$2,894.08 |
$3,404.80 |
1.8× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$657.05 |
$773 |
0.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$765.94 |
$901.10 |
3.1× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$649.90 |
$764.59 |
3.0× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$410.55 |
$483 |
3.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$277.10 |
$326 |
2.0× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$9,927.15 |
$11,679 |
0.8× |
| Conz of cervix w/scope leep (57461) |
$474.30 |
$558 |
0.1× |
Coracoacromial ligament release, with or without acromioplasty Age Under 21 (23415) likely a partial charge — not the full procedure |
$1,827.50 |
$2,150 |
0.2× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,039.55 |
$1,223 |
0.6× |
| Correction of bunion (28292) |
$2,230.40 |
$2,624 |
0.7× |
| Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Age Under 21 (28286) |
$1,138.15 |
$1,339 |
0.3× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299) likely a partial charge — not the full procedure |
$1,533.40 |
$1,804 |
0.2× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) likely a partial charge — not the full procedure |
$1,586.95 |
$1,867 |
0.1× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$2,744.65 |
$3,229 |
0.8× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) unusually low — confirm this is the full procedure |
$2,244 |
$2,640 |
0.3× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$1,234.20 |
$1,452 |
0.4× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$2,247.40 |
$2,644 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$742.90 |
$874 |
5.5× |
| Curettage postpartum (59160) |
$478.55 |
$563 |
0.1× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) likely a partial charge — not the full procedure |
$1,915.05 |
$2,253 |
0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$797.30 |
$938 |
1.1× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,263.95 |
$1,487 |
0.4× |
| Deb skin bone at fx site (11012) |
$1,105 |
$1,300 |
0.4× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$205.70 |
$242 |
0.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$174.25 |
$205 |
2.9× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$174.25 |
$205 |
2.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$596.29 |
$701.52 |
1.4× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,594.20 |
$3,052 |
1.5× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,494.49 |
$1,758.22 |
2.0× |
| Declot vascular device (36593) |
$265.42 |
$312.26 |
0.8× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$1,926.10 |
$2,266 |
1.2× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$2,227 |
$2,620 |
0.7× |
| Deep muscle biopsy (20205) |
$761.60 |
$896 |
0.3× |
| Delivery of placenta (59414) |
$232.05 |
$273 |
0.1× |
| Destroy vulva lesion/s compl (56515) |
$714.85 |
$841 |
0.3× |
| Destruct lesion 15 or more (17111) |
$214.20 |
$252 |
1.0× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$138.55 |
$163 |
0.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$260.10 |
$306 |
0.6× |
| Destruction benign lesions up to 14 (17110) |
$158.95 |
$187 |
0.8× |
| Destruction lesions vulva simple (56501) |
$336.60 |
$396 |
0.2× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$1,798.60 |
$2,116 |
0.6× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$477.70 |
$562 |
0.1× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$291.55 |
$343 |
0.1× |
| Diagnostic bone marrow aspirations (38220) |
$505.75 |
$595 |
0.3× |
| Diagnostic bone marrow biopsies (38221) |
$621.35 |
$731 |
0.4× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$205.70 |
$242 |
0.1× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$391 |
$460 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,133.90 |
$1,334 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$504.90 |
$594 |
0.5× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$123.25 |
$145 |
0.6× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$598.40 |
$704 |
0.2× |
| Dilation of anal sphincter (separate procedure) under anesthesia other than local Age Under 21 (45905) |
$2,231.25 |
$2,625 |
1.8× |
| Dilation of rectal stricture (separate procedure) under anesthesia other than local Age Under 21 (45910) |
$731 |
$860 |
0.6× |
| Drain lower leg lesion (27603) |
$1,014.05 |
$1,193 |
0.3× |
| Drain neck/chest lesion (21501) |
$2,097.80 |
$2,468 |
0.7× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$662.15 |
$779 |
2.7× |
| Drainage external auditory canal, abscess (69020) |
$363.80 |
$428 |
0.5× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$944.35 |
$1,111 |
0.6× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$369.75 |
$435 |
0.5× |
| Drainage finger abscess simple (26010) |
$345.95 |
$407 |
1.7× |
| Drainage of abscess of palate, uvula (42000) |
$417.35 |
$491 |
1.7× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$1,082.05 |
$1,273 |
2.0× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$260.95 |
$307 |
0.4× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,071 |
$1,260 |
0.6× |
| Drainage of hydrocele (55000) |
$333.20 |
$392 |
0.5× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21 (58805) |
$1,041.25 |
$1,225 |
0.3× |
| Drainage of palmar bursa single bursa (26025) |
$1,045.50 |
$1,230 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$572.05 |
$673 |
0.3× |
| Drainage of scrotum (54700) |
$748.85 |
$881 |
0.4× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$1,462.85 |
$1,721 |
0.4× |
| Drainage of tonsil abscess (42700) |
$579.70 |
$682 |
2.4× |
| Dressing change (for other than burns) under anesthesia (other than local) (15852) |
$196.35 |
$231 |
0.3× |
| Dry needling (20999) |
$1,948.20 |
$2,292 |
7.7× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,560.58 |
$3,012.45 |
1.3× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,961.88 |
$2,308.09 |
1.0× |
| Dx bronchoscope/lavage (31624) |
$855.10 |
$1,006 |
0.5× |
| Dx laryngoscopy excl nb (31525) |
$919.70 |
$1,082 |
0.5× |
| Ed proc insert intraosseous IV (36680) |
$545.70 |
$642 |
1.2× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$203.15 |
$239 |
1.5× |
| Ed proc remve fb nasal- hospital (30300) |
$312.80 |
$368 |
2.3× |
| Ed prof arthrocentesis sm - hospital (20551) |
$244.99 |
$288.22 |
0.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$112.24 |
$132.04 |
0.8× |
| Ed prof burn - large - hospital (16030) |
$685.95 |
$807 |
1.7× |
| Ed prof burn medium - hospital (16025) |
$392.70 |
$462 |
1.9× |
| Ed prof burn small - hospital (16020) |
$347.96 |
$409.37 |
1.7× |
| Ed prof catheterization/straight (51701) |
$64.60 |
$76 |
0.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,412.70 |
$1,662 |
5.6× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,153.45 |
$1,357 |
0.7× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,145.80 |
$1,348 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$422.45 |
$497 |
3.1× |
| Ed prof insert foley cath simple (51702) |
$210.80 |
$248 |
1.6× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$570.41 |
$671.07 |
0.2× |
Ed prof insertion of heart electr (33210) unusually low — confirm this is the full procedure |
$3,639.70 |
$4,282 |
0.4× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$765 |
$900 |
1.8× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$478.55 |
$563 |
1.2× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$687.65 |
$809 |
2.7× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$289.85 |
$341 |
0.6× |
Egd endoscopic stent place (43266) likely a partial charge — not the full procedure |
$895.05 |
$1,053 |
0.1× |
| Egd injection varices (43243) |
$1,949.05 |
$2,293 |
1.0× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,043.59 |
$2,404.22 |
1.0× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,428.85 |
$1,681 |
0.7× |
| Egd transoral control bleeding any method (43255) |
$1,515.55 |
$1,783 |
0.8× |
| Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Outpatient (20974) |
$129.20 |
$152 |
— |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201) |
$6,591.75 |
$7,755 |
1.2× |
| Endocervical curettage (57505) |
$275.40 |
$324 |
0.3× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$1,793.50 |
$2,110 |
1.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$1,428.85 |
$1,681 |
0.4× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$2,187.05 |
$2,573 |
0.6× |
| Endoscopy upper small intestine (44360) |
$1,648.15 |
$1,939 |
0.8× |
| Episiotomy or vaginal repair (59300) |
$374 |
$440 |
0.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$488.75 |
$575 |
0.7× |
Ercp duct stent placement (43274) likely a partial charge — not the full procedure |
$1,852.15 |
$2,179 |
0.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,381.70 |
$2,802 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$1,256.30 |
$1,478 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,852.15 |
$2,179 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,411.85 |
$1,661 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,147.50 |
$1,350 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,299.65 |
$1,529 |
1.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,401.65 |
$1,649 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$952.85 |
$1,121 |
1.0× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,971.15 |
$2,319 |
1.0× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,169.60 |
$1,376 |
0.6× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$624.75 |
$735 |
0.3× |
| Evac subungual hematoma (11740) |
$153 |
$180 |
1.1× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,414.40 |
$1,664 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,084.60 |
$1,276 |
0.6× |
| Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) |
$5,017.55 |
$5,903 |
1.5× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$910.35 |
$1,071 |
1.7× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$1,037.85 |
$1,221 |
1.4× |
| Exc face les sbq 2 cm/> (21012) |
$853.40 |
$1,004 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$1,110.10 |
$1,306 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$243.95 |
$287 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$386.75 |
$455 |
0.5× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$461.55 |
$543 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$801.55 |
$943 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,346.40 |
$1,584 |
0.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$249.05 |
$293 |
0.3× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$413.10 |
$486 |
0.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,362.55 |
$1,603 |
0.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$868.70 |
$1,022 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,695.75 |
$1,995 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$1,719.55 |
$2,023 |
0.6× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$1,457.75 |
$1,715 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,121.15 |
$1,319 |
0.7× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$826.20 |
$972 |
0.5× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,759.50 |
$2,070 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,181.50 |
$1,390 |
0.7× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,531.70 |
$1,802 |
0.5× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$1,793.50 |
$2,110 |
0.6× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$1,124.55 |
$1,323 |
0.3× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,629.45 |
$1,917 |
1.0× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$1,173 |
$1,380 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$353.60 |
$416 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$655.35 |
$771 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$584.80 |
$688 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$803.25 |
$945 |
1.1× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$1,587.80 |
$1,868 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$448.80 |
$528 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$477.70 |
$562 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$629 |
$740 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$791.35 |
$931 |
0.5× |
| Excision multiple external papillae/tags anus (46230) |
$1,121.15 |
$1,319 |
0.4× |
| Excision of bartholin's gland or cyst (56740) |
$804.10 |
$946 |
0.2× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$2,540.65 |
$2,989 |
0.6× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Age Under 21 (60200) |
$3,224.90 |
$3,794 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$1,013.20 |
$1,192 |
0.6× |
| Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age Under 21 (55500) |
$1,848.75 |
$2,175 |
0.5× |
| Excision of lactiferous duct fistula Age Under 21 (19112) |
$1,657.50 |
$1,950 |
0.4× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$432.65 |
$509 |
0.4× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$1,592.90 |
$1,874 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$944.35 |
$1,111 |
0.3× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,515.55 |
$1,783 |
0.9× |
| Excision of lip; transverse wedge excision with primary closure Age Under 21 (40510) |
$2,002.60 |
$2,356 |
0.6× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$1,200.20 |
$1,412 |
0.6× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$1,204.45 |
$1,417 |
0.6× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$1,220.60 |
$1,436 |
0.4× |
Excision of rib, partial Age Under 21 (21600) unusually low — confirm this is the full procedure |
$2,339.20 |
$2,752 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$495.55 |
$583 |
0.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$2,234.65 |
$2,629 |
0.8× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21 (26170) |
$1,056.55 |
$1,243 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$495.55 |
$583 |
0.4× |
| Excision of tongue fold (41115) |
$376.55 |
$443 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$481.10 |
$566 |
0.1× |
| Excision of vaginal septum (57130) |
$597.55 |
$703 |
0.2× |
| Excision olecranon bursa (24105) |
$1,394 |
$1,640 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21 (25130) |
$1,167.05 |
$1,373 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age Under 21 (23140) |
$1,367.65 |
$1,609 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$1,559.75 |
$1,835 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age Under 21 (24120) |
$1,385.50 |
$1,630 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$1,164.50 |
$1,370 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) |
$1,476.45 |
$1,737 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,304.75 |
$1,535 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, humerus; Age Under 21 (24110) |
$1,539.35 |
$1,811 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$759.05 |
$893 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$1,518.10 |
$1,786 |
0.5× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Age Under 21 (28103) likely a partial charge — not the full procedure |
$1,027.65 |
$1,209 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$1,518.10 |
$1,786 |
0.5× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age Under 21 (27638) likely a partial charge — not the full procedure |
$2,004.30 |
$2,358 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,157.30 |
$2,538 |
0.7× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,126.25 |
$1,325 |
0.4× |
| Excision tendon finger flexor/extensor each (26180) |
$1,168.75 |
$1,375 |
0.7× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$3,451.85 |
$4,061 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,830.90 |
$2,154 |
1.1× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,399.95 |
$1,647 |
0.8× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$893.35 |
$1,051 |
0.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$691.05 |
$813 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,289.45 |
$1,517 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,577.20 |
$3,032 |
1.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$651.10 |
$766 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$870.40 |
$1,024 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$948.60 |
$1,116 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$287.30 |
$338 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,134.75 |
$1,335 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$702.95 |
$827 |
1.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,207.85 |
$1,421 |
0.7× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Age Under 21 (15922) |
$3,071.05 |
$3,613 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$4,979.30 |
$5,858 |
0.7× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$967.30 |
$1,138 |
0.6× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$491.30 |
$578 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$595.85 |
$701 |
0.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$870.40 |
$1,024 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$1,214.65 |
$1,429 |
0.7× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,467.10 |
$1,726 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$419.05 |
$493 |
0.6× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,261.40 |
$1,484 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$497.25 |
$585 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$419.05 |
$493 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$662.15 |
$779 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$286.45 |
$337 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$529.55 |
$623 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$1,098.20 |
$1,292 |
0.4× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$3,216.40 |
$3,784 |
1.1× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$1,372.75 |
$1,615 |
0.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$1,330.25 |
$1,565 |
0.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$1,341.30 |
$1,578 |
0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$1,065.90 |
$1,254 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) |
$3,284.40 |
$3,864 |
1.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$1,471.35 |
$1,731 |
0.5× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,521.50 |
$1,790 |
0.9× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$3,356.65 |
$3,949 |
1.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,949.05 |
$2,293 |
0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$883.15 |
$1,039 |
0.5× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$1,970.30 |
$2,318 |
0.7× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$1,564 |
$1,840 |
0.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,416.10 |
$1,666 |
0.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$1,824.10 |
$2,146 |
0.6× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,176.40 |
$1,384 |
0.7× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$2,613.75 |
$3,075 |
0.9× |
| Exploration for undescended testis (inguinal or scrotal area) Age Under 21 (54550) |
$2,087.60 |
$2,456 |
0.6× |
Exploration of neck for bleeding, blood clot, or infection after surgery (35800) unusually low — confirm this is the full procedure |
$2,834.75 |
$3,335 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,762.05 |
$2,073 |
1.0× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$1,069.30 |
$1,258 |
0.7× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) unusually low — confirm this is the full procedure |
$3,292.90 |
$3,874 |
0.5× |
| Explore wound abdomen (20102) |
$1,754.40 |
$2,064 |
0.8× |
| Explore wound chest (20101) |
$555.05 |
$653 |
0.3× |
| Explore wound neck (20100) |
$1,939.70 |
$2,282 |
3.5× |
| Explore/treat ankle joint (27610) |
$1,647.30 |
$1,938 |
0.5× |
| Explore/treat hand joint (26070) |
$841.50 |
$990 |
0.5× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$1,496 |
$1,760 |
0.4× |
| Fasciotomy, iliotibial (tenotomy), open Age Under 21 (27305) |
$2,178.55 |
$2,563 |
0.7× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$1,229.10 |
$1,446 |
0.4× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$2,172.60 |
$2,556 |
0.6× |
| Fetal contraction stress test (59020) |
$253.11 |
$297.78 |
1.2× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$297.50 |
$350 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$308.12 |
$362.50 |
0.4× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$2,681.75 |
$3,155 |
0.8× |
| Fixation of contralateral testis (separate procedure) Age Under 21 (54620) |
$1,187.45 |
$1,397 |
0.3× |
| Fluid pressure muscle (20950) |
$674.90 |
$794 |
0.9× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$3,054.05 |
$3,593 |
0.8× |
| Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age Under 21 (15576) |
$2,680.05 |
$3,153 |
1.3× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$2,075.70 |
$2,442 |
1.0× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$4,522 |
$5,320 |
2.1× |
Fusion of 3 bones of ankle|RIGHT SIDE (28715) likely a partial charge — not the full procedure |
$2,483.70 |
$2,922 |
0.2× |
Fusion of all bones of ankle and hindfoot (28705) likely a partial charge — not the full procedure |
$2,983.50 |
$3,510 |
0.2× |
Fusion of thumb (26841) likely a partial charge — not the full procedure |
$2,019.60 |
$2,376 |
0.3× |
Fusion of wrist joint (25800) likely a partial charge — not the full procedure |
$1,918.45 |
$2,257 |
0.3× |
| Ganglion impar nerve block (64999) |
$380.80 |
$448 |
1.2× |
| Gastric lavage (43753) |
$313.65 |
$369 |
1.4× |
| Gastrocnemius recession (27687) |
$997.05 |
$1,173 |
0.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$4,612.95 |
$5,427 |
1.2× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$3,335.40 |
$3,924 |
1.7× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$1,940.55 |
$2,283 |
0.6× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge — not the full procedure |
$1,266.50 |
$1,490 |
0.2× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125) unusually low — confirm this is the full procedure |
$4,961.45 |
$5,837 |
0.4× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$645.15 |
$759 |
0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,980.50 |
$2,330 |
0.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,732.30 |
$2,038 |
0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,584.40 |
$1,864 |
0.6× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$788.80 |
$928 |
0.3× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$2,475.20 |
$2,912 |
0.9× |
| Hysteroscopy biopsy (58558) |
$594.15 |
$699 |
0.2× |
Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560) likely a partial charge — not the full procedure |
$807.50 |
$950 |
0.2× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) likely a partial charge — not the full procedure |
$634.10 |
$746 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$571.20 |
$672 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561) likely a partial charge — not the full procedure |
$921.40 |
$1,084 |
0.2× |
Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) (59100) likely a partial charge — not the full procedure |
$1,493.45 |
$1,757 |
0.3× |
| I&d abscess simple/single (10060) |
$564.89 |
$664.58 |
2.8× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,524.90 |
$1,794 |
0.5× |
| I&d hematoma/seroma/fluid (10140) |
$1,725.58 |
$2,030.10 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$1,030.20 |
$1,212 |
1.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$556.75 |
$655 |
0.2× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$482.80 |
$568 |
0.5× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$243.95 |
$287 |
1.0× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$4,108.05 |
$4,833 |
2.4× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,283.95 |
$2,687 |
1.4× |
| Implant subq hormone pellet (11980) |
$297.50 |
$350 |
0.7× |
Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415) unusually low — confirm this is the full procedure |
$5,781.70 |
$6,802 |
0.4× |
| Incise & drain bladder (51040) |
$1,754.40 |
$2,064 |
0.8× |
| Incise external hemorrhoid (46083) |
$467.50 |
$550 |
1.8× |
| Incise finger tendon sheath (26055) |
$1,677.05 |
$1,973 |
1.0× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$487.90 |
$574 |
1.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$282.20 |
$332 |
1.4× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$1,889.55 |
$2,223 |
0.7× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$1,483.25 |
$1,745 |
0.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$3,349.85 |
$3,941 |
1.2× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,184.90 |
$1,394 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$323 |
$380 |
1.0× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$4,122.92 |
$4,850.50 |
1.4× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$1,388.05 |
$1,633 |
0.4× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) unusually low — confirm this is the full procedure |
$2,508.35 |
$2,951 |
0.3× |
| Incision and drainage, perianal abscess, superficial (46050) |
$715.70 |
$842 |
0.8× |
| Incision and drainage, shoulder area; infected bursa Age Under 21 (23031) |
$1,281.80 |
$1,508 |
0.4× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$408 |
$480 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,335.80 |
$2,748 |
1.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$627.30 |
$738 |
1.5× |
| Incision bone cortex hand/finger (26034) |
$1,422.05 |
$1,673 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$884 |
$1,040 |
0.5× |
| Incision of connective tissue of foot and/or toe (28008) |
$773.50 |
$910 |
0.2× |
| Incision of eyelid fold (67715) |
$283.90 |
$334 |
0.1× |
| Incision of foot tendon(s) (28230) |
$860.20 |
$1,012 |
0.5× |
| Incision of knee joint with removal of cartilage of front or back of knee (27334) |
$1,779.05 |
$2,093 |
0.5× |
| Incision of labial frenum (frenotomy) Age Under 21 (40806) |
$247.35 |
$291 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$521.05 |
$613 |
0.3× |
| Incision of rectal abscess (46040) |
$1,615.85 |
$1,901 |
1.3× |
| Incision of windpipe (31600) |
$1,739.95 |
$2,047 |
0.5× |
| Incision of windpipe (31603) |
$1,820.70 |
$2,142 |
1.1× |
Incision or partial removal of forearm bone on small finger side (25360) likely a partial charge — not the full procedure |
$1,715.30 |
$2,018 |
0.2× |
Incision or partial removal of forearm bone on thumb side near hand (25350) likely a partial charge — not the full procedure |
$1,763.75 |
$2,075 |
0.2× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) (26992) |
$2,535.55 |
$2,983 |
0.8× |
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21 (25035) likely a partial charge — not the full procedure |
$1,607.35 |
$1,891 |
0.2× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Age Under 21 (23935) |
$1,340.45 |
$1,577 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$545.28 |
$641.50 |
0.7× |
| Induced abortion by d&c (59840) |
$566.10 |
$666 |
0.2× |
| Induced abortion dilation & evacuation (59841) |
$951.15 |
$1,119 |
0.3× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$969.97 |
$1,141.14 |
2.3× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$571.20 |
$672 |
1.7× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$120.70 |
$142 |
0.6× |
| Inj epidural blood or clot patch (62273) |
$1,074.76 |
$1,264.43 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$758.20 |
$892 |
0.8× |
| Inj paravert f jnt l/s 1 lev (64493) |
$726.75 |
$855 |
0.8× |
| Inj tx nerve (64640) |
$1,192.50 |
$1,402.94 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$782 |
$920 |
1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$782 |
$920 |
0.9× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$782 |
$920 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$685.95 |
$807 |
1.0× |
| Injection aa&/strd greater occipital nerve (64405) |
$576.72 |
$678.50 |
1.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,200.20 |
$1,412 |
1.7× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,014.48 |
$1,193.50 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$782 |
$920 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$729.30 |
$858 |
2.3× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$213.35 |
$251 |
0.2× |
| Injection for identification of sentinel node (38792) |
$455.66 |
$536.07 |
1.1× |
| Injection sclerosant multiple incmptnt veins (36471) |
$660.45 |
$777 |
1.6× |
| Injection sclerosant single incmptnt vein (36470) |
$497.25 |
$585 |
1.2× |
| Injection sclerosing solution hemorrhoids (46500) |
$768.40 |
$904 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$150.45 |
$177 |
0.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$194.65 |
$229 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$210.80 |
$248 |
0.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$179.35 |
$211 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$68.85 |
$81 |
0.3× |
| Ins cath ren art 1st bilat (36252) |
$2,148.80 |
$2,528 |
0.7× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$3,946.55 |
$4,643 |
0.7× |
Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) likely a partial charge — not the full procedure |
$1,478.15 |
$1,739 |
0.0× |
| Insert cervical dilator (59200) |
$153.42 |
$180.50 |
0.5× |
| Insert drug implant device (11981) |
$447.10 |
$526 |
3.3× |
Insert heart pm atrial (33206) likely a partial charge — not the full procedure |
$1,204.45 |
$1,417 |
0.1× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$1,695.75 |
$1,995 |
0.5× |
| Insert pessary/other device (57160) |
$119.85 |
$141 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,207 |
$1,420 |
0.3× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$7,193.55 |
$8,463 |
0.7× |
Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) unusually low — confirm this is the full procedure |
$5,094.05 |
$5,993 |
0.5× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$5,949.15 |
$6,999 |
0.7× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$926.50 |
$1,090 |
0.6× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$279.74 |
$329.11 |
1.3× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$2,443.75 |
$2,875 |
0.8× |
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) likely a partial charge — not the full procedure |
$1,030.20 |
$1,212 |
0.1× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$678.30 |
$798 |
0.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,177.45 |
$1,385.24 |
0.7× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285) likely a partial charge — not the full procedure |
$815.58 |
$959.50 |
0.1× |
Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) likely a partial charge — not the full procedure |
$986.85 |
$1,161 |
0.1× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) likely a partial charge — not the full procedure |
$969 |
$1,140 |
0.1× |
Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) likely a partial charge — not the full procedure |
$1,376.15 |
$1,619 |
0.1× |
| Insj intraperitoneal catheter w/img guid (49418) |
$1,666 |
$1,960 |
0.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,547.45 |
$2,997 |
0.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,166.65 |
$2,549 |
0.7× |
| Insj Tunneled Ctr Vad W/Subq Pump (36563) |
$2,912.95 |
$3,427 |
0.5× |
Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) likely a partial charge — not the full procedure |
$6,042.65 |
$7,109 |
0.2× |
Insrt heart pm atrial & vent (33208) likely a partial charge — not the full procedure |
$1,527.45 |
$1,797 |
0.1× |
Insrt pulse gen w/dual leads (33230) likely a partial charge — not the full procedure |
$1,003 |
$1,180 |
0.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$725.05 |
$853 |
0.2× |
| Intubation endotracheal (31500) |
$517.27 |
$608.55 |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$592.45 |
$697 |
2.3× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366) likely a partial charge — not the full procedure |
$1,765.45 |
$2,077 |
0.1× |
| Knee arthroscopy/surgery (29876) |
$5,771.50 |
$6,790 |
1.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$6,344.40 |
$7,464 |
0.9× |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
$3,349.85 |
$3,941 |
0.5× |
| Laparoscopic Surgical Splenectomy (38120) |
$6,462.55 |
$7,603 |
0.6× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151) unusually low — confirm this is the full procedure |
$1,975.40 |
$2,324 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150) unusually low — confirm this is the full procedure |
$1,895.50 |
$2,230 |
0.3× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,226.20 |
$4,972 |
0.7× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) unusually low — confirm this is the full procedure |
$2,541.50 |
$2,990 |
0.4× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) likely a partial charge — not the full procedure |
$848.30 |
$998 |
0.1× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$3,524.95 |
$4,147 |
0.6× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$5,393.25 |
$6,345 |
1.4× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only (43772) |
$5,321.85 |
$6,261 |
1.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) unusually low — confirm this is the full procedure |
$3,914.25 |
$4,605 |
0.4× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550) unusually low — confirm this is the full procedure |
$2,280.55 |
$2,683 |
0.4× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) likely a partial charge — not the full procedure |
$2,536.40 |
$2,984 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553) likely a partial charge — not the full procedure |
$2,901.90 |
$3,414 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) unusually low — confirm this is the full procedure |
$3,377.90 |
$3,974 |
0.3× |
Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979) likely a partial charge — not the full procedure |
$1,557.20 |
$1,832 |
0.3× |
| Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579) |
$5,750.25 |
$6,765 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$5,260.65 |
$6,189 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564) |
$5,786.80 |
$6,808 |
0.5× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321) unusually low — confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.4× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) likely a partial charge — not the full procedure |
$962.20 |
$1,132 |
0.2× |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) likely a partial charge — not the full procedure |
$1,839.40 |
$2,164 |
0.3× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660) likely a partial charge — not the full procedure |
$1,755.25 |
$2,065 |
0.3× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) likely a partial charge — not the full procedure |
$1,683.85 |
$1,981 |
0.3× |
| Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570) |
$6,103.85 |
$7,181 |
1.0× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281) unusually low — confirm this is the full procedure |
$4,960.60 |
$5,836 |
0.5× |
Laps Surg Esopg/Gstr Fundoplasty (43280) unusually low — confirm this is the full procedure |
$4,087.65 |
$4,809 |
0.4× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651) unusually low — confirm this is the full procedure |
$2,850.05 |
$3,353 |
0.5× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge — not the full procedure |
$967.30 |
$1,138 |
0.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$1,105.85 |
$1,301 |
0.6× |
| Laryngoscopy flex diagnostic (31575) |
$173.40 |
$204 |
0.9× |
| Laryngoscopy indirect diagnostic (31505) |
$334.05 |
$393 |
1.6× |
| Laryngoscopy w stroboscopy (31579) |
$1,125.40 |
$1,324 |
2.8× |
| Laryngoscopy w/biopsy (31535) |
$1,679.60 |
$1,976 |
0.4× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$1,604.80 |
$1,888 |
0.4× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21 (31540) |
$1,606.50 |
$1,890 |
0.4× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$1,917.60 |
$2,256 |
0.5× |
| Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope Age Under 21 (31531) |
$1,604.80 |
$1,888 |
0.4× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$1,765.45 |
$2,077 |
0.5× |
| Lateral retinacular release open (27425) |
$2,674.95 |
$3,147 |
0.8× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$1,216.35 |
$1,431 |
0.4× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge — not the full procedure |
$1,873.40 |
$2,204 |
0.3× |
Ligamentous reconstruction knee intra-articular (27428) unusually low — confirm this is the full procedure |
$5,119.55 |
$6,023 |
0.4× |
| Ligation of abdomen artery (37617) |
$3,511.35 |
$4,131 |
0.6× |
| Ligation or biopsy, temporal artery (37609) |
$1,228.25 |
$1,445 |
0.7× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$930.75 |
$1,095 |
0.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) |
$1,438.20 |
$1,692 |
0.4× |
| Ligation, major artery (eg, post-traumatic, rupture); neck (37615) |
$1,657.50 |
$1,950 |
0.5× |
| Long gi tube placement (44500) |
$243.10 |
$286 |
0.3× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$1,269.05 |
$1,493 |
5.0× |
| Lumbar puncture (62270) |
$650.25 |
$765 |
0.9× |
| Lysis of labial adhesions (56441) |
$464.95 |
$547 |
0.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$197.20 |
$232 |
0.8× |
| Manipulation finger joint under anes each joint (26340) |
$908.65 |
$1,069 |
0.6× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$699.55 |
$823 |
0.4× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$885.70 |
$1,042 |
0.5× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$1,100.75 |
$1,295 |
0.7× |
| Manipulation, hip joint, requiring general anesthesia Age Under 21 (27275) |
$474.30 |
$558 |
0.3× |
| Mastectomy gynecomastia (19300) |
$2,206.60 |
$2,596 |
0.6× |
| Mastectomy partial (19301) |
$2,037.45 |
$2,397 |
0.5× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$3,655 |
$4,300 |
0.5× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$4,618.90 |
$5,434 |
0.7× |
| Mastotomy expl drg absc dp (19020) |
$1,330.25 |
$1,565 |
0.8× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$27.20 |
$32 |
0.5× |
| Muscle transfer, any type, shoulder or upper arm; single Age Under 21 (23395) |
$5,596.40 |
$6,584 |
0.8× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$680.43 |
$800.50 |
0.8× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$928.68 |
$1,092.56 |
1.2× |
| Myelography via lumbar injection rs&i cervical (62302) |
$677.33 |
$796.86 |
0.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$914.90 |
$1,076.35 |
1.1× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$1,405.05 |
$1,653 |
0.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,338.75 |
$1,575 |
0.8× |
Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21 (64912) likely a partial charge — not the full procedure |
$2,389.35 |
$2,811 |
0.3× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$2,792.25 |
$3,285 |
1.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$3,208.75 |
$3,775 |
1.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) |
$1,496.85 |
$1,761 |
0.8× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$672.35 |
$791 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$334.05 |
$393 |
0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$256.70 |
$302 |
0.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,717.42 |
$2,020.50 |
2.4× |
| Non stress test (59025) |
$376.96 |
$443.48 |
1.8× |
| Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255) |
$3,315 |
$3,900 |
0.5× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$1,086.30 |
$1,278 |
0.3× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge — not the full procedure |
$1,997.50 |
$2,350 |
0.3× |
Open treatment bimalleolar ankle fracture (27814) unusually low — confirm this is the full procedure |
$3,324.35 |
$3,911 |
0.4× |
Open treatment calcaneal fracture (28415) unusually low — confirm this is the full procedure |
$3,471.40 |
$4,084 |
0.5× |
Open Treatment Distal Fracture (25608) unusually low — confirm this is the full procedure |
$2,394.45 |
$2,817 |
0.3× |
Open treatment fracture distal tibia only (27827) unusually low — confirm this is the full procedure |
$4,071.50 |
$4,790 |
0.3× |
Open treatment medial malleolus fracture (27766) likely a partial charge — not the full procedure |
$1,586.95 |
$1,867 |
0.2× |
Open treatment metatarsal fracture each (28485) likely a partial charge — not the full procedure |
$1,334.50 |
$1,570 |
0.2× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both… (27228) |
$7,875.25 |
$9,265 |
1.1× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$6,929.20 |
$8,152 |
0.9× |
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) likely a partial charge — not the full procedure |
$1,870.85 |
$2,201 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552) likely a partial charge — not the full procedure |
$1,711.90 |
$2,014 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) unusually low — confirm this is the full procedure |
$3,114.40 |
$3,664 |
0.4× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) unusually low — confirm this is the full procedure |
$2,287.35 |
$2,691 |
0.3× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$2,089.30 |
$2,458 |
0.6× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$1,422.90 |
$1,674 |
0.4× |
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628) unusually low — confirm this is the full procedure |
$2,295.85 |
$2,701 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) likely a partial charge — not the full procedure |
$2,201.50 |
$2,590 |
0.3× |
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Age Under 21 (21356) unusually low — confirm this is the full procedure |
$2,042.55 |
$2,403 |
0.3× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) unusually low — confirm this is the full procedure |
$3,676.25 |
$4,325 |
0.5× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) likely a partial charge — not the full procedure |
$2,219.35 |
$2,611 |
0.3× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) unusually low — confirm this is the full procedure |
$3,963.55 |
$4,663 |
0.3× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed (27269) |
$5,438.30 |
$6,398 |
0.7× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$4,979.30 |
$5,858 |
0.7× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$5,366.90 |
$6,314 |
0.7× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) unusually low — confirm this is the full procedure |
$5,182.45 |
$6,097 |
0.4× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) unusually low — confirm this is the full procedure |
$2,913.80 |
$3,428 |
0.4× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) unusually low — confirm this is the full procedure |
$4,623.15 |
$5,439 |
0.4× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$1,306.45 |
$1,537 |
0.4× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630) unusually low — confirm this is the full procedure |
$2,408.90 |
$2,834 |
0.3× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) unusually low — confirm this is the full procedure |
$3,089.75 |
$3,635 |
0.4× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$5,451.05 |
$6,413 |
0.7× |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
$4,771.05 |
$5,613 |
1.4× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579) likely a partial charge — not the full procedure |
$2,165.80 |
$2,548 |
0.2× |
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) likely a partial charge — not the full procedure |
$1,915.05 |
$2,253 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) likely a partial charge — not the full procedure |
$2,402.10 |
$2,826 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) unusually low — confirm this is the full procedure |
$3,101.65 |
$3,649 |
0.4× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair (27557) |
$5,063.45 |
$5,957 |
0.7× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$5,096.60 |
$5,996 |
0.7× |
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) unusually low — confirm this is the full procedure |
$3,462.90 |
$4,074 |
0.5× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635) likely a partial charge — not the full procedure |
$1,749.30 |
$2,058 |
0.2× |
| Open treatment of nasal fracture; uncomplicated Age Under 21 (21325) |
$1,674.50 |
$1,970 |
0.5× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21 (27566) unusually low — confirm this is the full procedure |
$3,663.50 |
$4,310 |
0.5× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) unusually low — confirm this is the full procedure |
$3,025.15 |
$3,559 |
0.4× |
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587) likely a partial charge — not the full procedure |
$2,764.20 |
$3,252 |
0.2× |
| Open treatment of posterior or anterior acetabular wall fracture, with internal fixation (27226) |
$4,402.15 |
$5,179 |
0.6× |
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784) likely a partial charge — not the full procedure |
$2,018.75 |
$2,375 |
0.3× |
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) likely a partial charge — not the full procedure |
$1,280.95 |
$1,507 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) unusually low — confirm this is the full procedure |
$2,333.25 |
$2,745 |
0.3× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574) likely a partial charge — not the full procedure |
$1,751.85 |
$2,061 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge — not the full procedure |
$2,696.20 |
$3,172 |
0.2× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585) unusually low — confirm this is the full procedure |
$2,392.75 |
$2,815 |
0.3× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) unusually low — confirm this is the full procedure |
$2,874.70 |
$3,382 |
0.4× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) likely a partial charge — not the full procedure |
$3,315.85 |
$3,901 |
0.3× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age Under 21 (28555) likely a partial charge — not the full procedure |
$1,861.50 |
$2,190 |
0.3× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$5,032 |
$5,920 |
0.7× |
| Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535) |
$3,761.25 |
$4,425 |
0.5× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge — not the full procedure |
$3,196 |
$3,760 |
0.2× |
Open treatment of trans-scaphoperilunar type of fracture dislocation Age Under 21 (25685) likely a partial charge — not the full procedure |
$1,926.95 |
$2,267 |
0.3× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) unusually low — confirm this is the full procedure |
$3,530.05 |
$4,153 |
0.5× |
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) unusually low — confirm this is the full procedure |
$2,356.20 |
$2,772 |
0.3× |
Open treatment of ulnar shaft fracture (25545) likely a partial charge — not the full procedure |
$1,629.45 |
$1,917 |
0.2× |
Open treatment posterior malleolus fracture (27769) likely a partial charge — not the full procedure |
$1,909.95 |
$2,247 |
0.3× |
Open treatment radial shaft fracture (25515) likely a partial charge — not the full procedure |
$1,750.15 |
$2,059 |
0.2× |
Open treatment talus fracture (28445) unusually low — confirm this is the full procedure |
$3,237.65 |
$3,809 |
0.4× |
Open tx distal fibular fracture lat malleolus (27792) unusually low — confirm this is the full procedure |
$2,337.50 |
$2,750 |
0.3× |
| Open tx distal phalangeal fracture each (26765) |
$1,393.15 |
$1,639 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,154.30 |
$1,358 |
0.3× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$1,430.55 |
$1,683 |
0.4× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,926.10 |
$2,266 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,841.10 |
$2,166 |
0.6× |
Open tx prox humeral fx (23615) likely a partial charge — not the full procedure |
$2,786.30 |
$3,278 |
0.2× |
Open tx tarsal fracture xcp talus &calcaneus ea (28465) likely a partial charge — not the full procedure |
$2,096.95 |
$2,467 |
0.3× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$2,127.55 |
$2,503 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$1,253.75 |
$1,475 |
0.4× |
| Ostectomy, excision of tarsal coalition Age Under 21 (28116) |
$1,993.25 |
$2,345 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$1,173 |
$1,380 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$1,540.20 |
$1,812 |
0.5× |
| Osteochondral knee autograft (27416) |
$4,080 |
$4,800 |
0.6× |
Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) likely a partial charge — not the full procedure |
$1,994.10 |
$2,346 |
0.3× |
Osteotomy and transfer of greater trochanter of femur (separate procedure) (27140) unusually low — confirm this is the full procedure |
$2,921.45 |
$3,437 |
0.4× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) unusually low — confirm this is the full procedure |
$3,488.40 |
$4,104 |
0.5× |
| Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age Under 21 (28312) |
$1,364.25 |
$1,605 |
0.4× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304) likely a partial charge — not the full procedure |
$2,195.55 |
$2,583 |
0.3× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) Age… (28305) likely a partial charge — not the full procedure |
$1,748.45 |
$2,057 |
0.2× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$1,190.85 |
$1,401 |
0.4× |
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300) likely a partial charge — not the full procedure |
$1,719.55 |
$2,023 |
0.2× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$1,821.55 |
$2,143 |
0.5× |
| Other procedure on rectum using an endoscope (45499) |
$6,018.85 |
$7,081 |
1.0× |
Ovarian cystectomy, unilateral or bilateral (58925) unusually low — confirm this is the full procedure |
$1,975.40 |
$2,324 |
0.4× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$6,344.40 |
$7,464 |
1.0× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$303.88 |
$357.50 |
1.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$319.18 |
$375.50 |
1.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$280.50 |
$330 |
1.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$1,636.25 |
$1,925 |
0.5× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Age Under… (23184) likely a partial charge — not the full procedure |
$1,917.60 |
$2,256 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$3,619.30 |
$4,258 |
1.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,637.10 |
$1,926 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,035.75 |
$2,395 |
0.6× |
| Partial excision bone metacarpal (26230) |
$1,289.45 |
$1,517 |
0.4× |
| Partial excision distal phalanx finger (26236) |
$1,144.10 |
$1,346 |
0.7× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$521.90 |
$614 |
0.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$4,748.10 |
$5,586 |
0.8× |
| Partical excision bone phalanx toe (28124) |
$872.10 |
$1,026 |
0.3× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$271.15 |
$319 |
0.1× |
| Pelvis/hip joint surgery unlisted (27299) |
$2,628.20 |
$3,092 |
10.4× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$414.80 |
$488 |
0.6× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$1,428.85 |
$1,681 |
0.4× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$1,659.20 |
$1,952 |
0.5× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Age Under 21 (25671) |
$1,481.55 |
$1,743 |
0.4× |
Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509) unusually low — confirm this is the full procedure |
$2,294.15 |
$2,699 |
0.3× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,692.85 |
$5,521 |
0.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$634.10 |
$746 |
0.2× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Age Under 21 (24582) likely a partial charge — not the full procedure |
$2,011.10 |
$2,366 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,670.25 |
$1,965 |
0.5× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$1,272.45 |
$1,497 |
0.4× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Age Under 21 (28636) |
$769.25 |
$905 |
0.2× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) unusually low — confirm this is the full procedure |
$2,640.95 |
$3,107 |
0.4× |
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each (28456) likely a partial charge — not the full procedure |
$965.60 |
$1,136 |
0.1× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21 (28606) |
$1,437.35 |
$1,691 |
0.4× |
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756) unusually low — confirm this is the full procedure |
$2,261 |
$2,660 |
0.3× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$1,544.45 |
$1,817 |
0.5× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,708.92 |
$2,010.50 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$1,102.73 |
$1,297.33 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,469.50 |
$1,728.82 |
0.9× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,296.70 |
$2,702 |
1.4× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,310.70 |
$1,542 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$317.48 |
$373.50 |
1.2× |
| Pf-as amputation leg through tibia & fibula (27880) |
$4,204.10 |
$4,946 |
0.6× |
| Pin finger fracture each (26756) |
$1,166.20 |
$1,372 |
0.3× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$1,257.15 |
$1,479 |
0.4× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) (44300) |
$2,892.55 |
$3,403 |
1.5× |
Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Age Under 21 (57220) likely a partial charge — not the full procedure |
$889.95 |
$1,047 |
0.2× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$2,392.75 |
$2,815 |
3.3× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250) unusually low — confirm this is the full procedure |
$1,586.95 |
$1,867 |
0.3× |
| Preputial stretching (54450) |
$268.60 |
$316 |
1.1× |
| Prineoplasty rpr pr nonobal spx (56810) |
$697 |
$820 |
0.2× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (45309) |
$463.25 |
$545 |
0.4× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) unusually low — confirm this is the full procedure |
$2,574.65 |
$3,029 |
0.3× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Age Under 21 (25491) likely a partial charge — not the full procedure |
$1,937.15 |
$2,279 |
0.1× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$1,419.50 |
$1,670 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$569.76 |
$670.30 |
1.4× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$276.25 |
$325 |
0.7× |
| Puncture aspiration of cyst of breast (19000) |
$275.40 |
$324 |
0.4× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$98.60 |
$116 |
0.1× |
| Pvb thoracic single injection site w/img gid (64461) |
$782 |
$920 |
1.1× |
Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430) likely a partial charge — not the full procedure |
$1,831.75 |
$2,155 |
0.2× |
| Radiant-repair blood vessel direct neck (35201) |
$7,910.10 |
$9,306 |
1.4× |
| Radical resection of tumor; talus or calcaneus Age Under 21 (27647) |
$2,517.70 |
$2,962 |
0.8× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$1,670.25 |
$1,965 |
0.5× |
| Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455) |
$4,880.70 |
$5,742 |
0.7× |
| Reconstr mcp jnt col ligam w graft (26541) |
$2,002.60 |
$2,356 |
0.6× |
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238) likely a partial charge — not the full procedure |
$925.65 |
$1,089 |
0.1× |
| Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420) |
$4,606.15 |
$5,419 |
0.6× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$3,726.40 |
$4,384 |
0.5× |
| Reconstruction of polydactylous digit, soft tissue and bone Age Under 21 (26587) |
$2,724.25 |
$3,205 |
0.8× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$2,004.30 |
$2,358 |
0.6× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$922.25 |
$1,085 |
0.3× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)… (26542) |
$1,745.90 |
$2,054 |
0.5× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) unusually low — confirm this is the full procedure |
$3,537.70 |
$4,162 |
0.5× |
| Release i-p jt contracture (26525) |
$1,727.20 |
$2,032 |
1.1× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$4,584.90 |
$5,394 |
1.4× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$4,525.40 |
$5,324 |
0.6× |
| Release of thenar muscle(s) (eg, thumb contracture) Age Under 21 (26508) |
$1,770.55 |
$2,083 |
0.5× |
| Release palm contracture (26040) |
$1,133.05 |
$1,333 |
0.7× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$925.65 |
$1,089 |
0.5× |
| Relocate skin pocket implantable defibrillator (33223) |
$1,088.85 |
$1,281 |
0.5× |
| Removal foreign body foot complicated (28193) |
$1,353.20 |
$1,592 |
0.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$351.90 |
$414 |
0.5× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$1,101.60 |
$1,296 |
0.7× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,103.30 |
$1,298 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$114.32 |
$134.50 |
1.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$145.35 |
$171 |
2.4× |
| Removal implant deep (20680) |
$1,299.65 |
$1,529 |
0.4× |
| Removal implant from finger/hand (26320) |
$908.65 |
$1,069 |
0.5× |
| Removal implant superficial (20670) |
$382.50 |
$450 |
0.2× |
| Removal implantable contraceptive capsules (11976) |
$447.10 |
$526 |
0.6× |
| Removal implantable defib pulse generator only (33241) |
$561 |
$660 |
0.1× |
| Removal of anal fissure (46200) |
$1,427.15 |
$1,679 |
0.5× |
| Removal of appendix using an endoscope (44970) |
$4,331.60 |
$5,096 |
0.7× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$1,539.35 |
$1,811 |
0.5× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$884.85 |
$1,041 |
0.5× |
Removal of first and/or extra rib at neck (21615) unusually low — confirm this is the full procedure |
$2,583.15 |
$3,039 |
0.3× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$1,514.70 |
$1,782 |
0.5× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$807.50 |
$950 |
0.5× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$556.75 |
$655 |
0.3× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,559.75 |
$1,835 |
0.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$242.25 |
$285 |
1.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$259.25 |
$305 |
0.6× |
| Removal of foreign body, foot; deep (28192) |
$822.80 |
$968 |
0.5× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$1,225.70 |
$1,442 |
0.4× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$7,184.20 |
$8,452 |
0.5× |
| Removal of iud (58301) |
$302.60 |
$356 |
1.0× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$2,475.20 |
$2,912 |
0.9× |
| Removal of nail bed (11750) |
$678.30 |
$798 |
1.6× |
| Removal of neck muscle and extra rib at neck with release of nerves (21705) |
$4,824.60 |
$5,676 |
0.7× |
Removal of pm generator (33233) likely a partial charge — not the full procedure |
$1,882.75 |
$2,215 |
0.2× |
Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee (27488) unusually low — confirm this is the full procedure |
$4,758.30 |
$5,598 |
0.4× |
Removal of segmental stabilizing device from back of spine (22852) likely a partial charge — not the full procedure |
$1,847.05 |
$2,173 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$165.75 |
$195 |
0.8× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$141.95 |
$167 |
0.1× |
| Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225) |
$5,333.75 |
$6,275 |
0.9× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$1,659.20 |
$1,952 |
0.4× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$1,261.40 |
$1,484 |
0.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,484.55 |
$2,923 |
0.8× |
Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270) unusually low — confirm this is the full procedure |
$2,312.85 |
$2,721 |
0.5× |
| Removal of wrist bone (25210) |
$1,280.95 |
$1,507 |
0.4× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$178.50 |
$210 |
0.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$654.08 |
$769.50 |
0.9× |
| Removal tunneled cv cath (36590) |
$920.55 |
$1,083 |
0.6× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$464.95 |
$547 |
1.0× |
| Removal, non-biodegradable drug delivery implant (11982) |
$257.55 |
$303 |
0.6× |
| Removal/revision of cast (29700) |
$175.10 |
$206 |
0.6× |
| Remove foreign body from eye (65210) |
$329.80 |
$388 |
0.7× |
| Remove lung catheter (32552) |
$822.80 |
$968 |
1.3× |
| Remove vc lesion w/scope (31545) |
$2,331.55 |
$2,743 |
0.6× |
Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) likely a partial charge — not the full procedure |
$848.30 |
$998 |
0.1× |
Remvl perm pm pls gen w/repl plse gen mult lead (33229) likely a partial charge — not the full procedure |
$997.90 |
$1,174 |
0.1× |
Remvl perm pm plse gen w/repl plse gen sngl lead (33227) likely a partial charge — not the full procedure |
$900.15 |
$1,059 |
0.1× |
Repair achilles tendon (27650) likely a partial charge — not the full procedure |
$1,706.80 |
$2,008 |
0.2× |
| Repair blood vessel lesion (35226) |
$6,180.35 |
$7,271 |
8.5× |
| Repair blood vessel upper ext (35206) |
$6,393.70 |
$7,522 |
2.0× |
Repair blood vessel with vein graft; upper extremity (35236) unusually low — confirm this is the full procedure |
$2,633.30 |
$3,098 |
0.5× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$1,978.80 |
$2,328 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$975.80 |
$1,148 |
2.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,894.65 |
$2,229 |
4.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,281.80 |
$1,508 |
3.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$947.75 |
$1,115 |
1.3× |
| Repair elbow deb/attch open (24359) |
$1,656.65 |
$1,949 |
0.5× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,585.25 |
$1,865 |
1.0× |
Repair fibula nonunion/malunion w int fixation (27726) unusually low — confirm this is the full procedure |
$2,543.20 |
$2,992 |
0.3× |
| Repair finger tendon (26418) |
$2,036.60 |
$2,396 |
1.2× |
| Repair finger/hand tendon (26350) |
$1,967.75 |
$2,315 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$1,647.30 |
$1,938 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$3,176.45 |
$3,737 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$3,259.75 |
$3,835 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$584.80 |
$688 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$627.30 |
$738 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,014.05 |
$1,193 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,263.95 |
$1,487 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,001.30 |
$1,178 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$464.10 |
$546 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$551.65 |
$649 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$651.95 |
$767 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$372.30 |
$438 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$483.65 |
$569 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$726.75 |
$855 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$727.60 |
$856 |
1.8× |
| Repair intrinsic muscles hand each muscle (26591) |
$1,208.70 |
$1,422 |
0.4× |
| Repair lead pace-defib one (33218) |
$1,664.30 |
$1,958 |
0.4× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,001.30 |
$1,178 |
1.8× |
Repair lower leg tendons (27676) likely a partial charge — not the full procedure |
$1,550.40 |
$1,824 |
0.2× |
| Repair lumbar hernia Age Under 21 (49540) |
$3,303.95 |
$3,887 |
0.5× |
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345) likely a partial charge — not the full procedure |
$1,841.95 |
$2,167 |
0.2× |
Repair of ankle joint with revision of prosthesis (27703) likely a partial charge — not the full procedure |
$2,928.25 |
$3,445 |
0.2× |
Repair of biceps tendon at elbow (24340) likely a partial charge — not the full procedure |
$1,587.80 |
$1,868 |
0.2× |
| Repair of digit nerve (64831) |
$1,800.30 |
$2,118 |
0.9× |
Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268) likely a partial charge — not the full procedure |
$1,307.30 |
$1,538 |
0.3× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$692.75 |
$815 |
1.5× |
| Repair of leg tendon each (27658) |
$963.90 |
$1,134 |
0.3× |
| Repair of nail bed (11760) |
$522.75 |
$615 |
0.7× |
Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430) likely a partial charge — not the full procedure |
$2,768.45 |
$3,257 |
0.2× |
Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Age Under 21 (25415) unusually low — confirm this is the full procedure |
$2,341.75 |
$2,755 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) unusually low — confirm this is the full procedure |
$2,685.15 |
$3,159 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) likely a partial charge — not the full procedure |
$2,123.30 |
$2,498 |
0.3× |
Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) (27724) unusually low — confirm this is the full procedure |
$3,350.70 |
$3,942 |
0.5× |
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) likely a partial charge — not the full procedure |
$1,997.50 |
$2,350 |
0.3× |
| Repair of rectocele (separate procedure) Age Under 21 (45560) |
$2,450.55 |
$2,883 |
0.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$3,898.95 |
$4,587 |
0.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412) |
$4,522 |
$5,320 |
0.6× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$1,942.25 |
$2,285 |
0.6× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$2,058.70 |
$2,422 |
0.6× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$2,323.05 |
$2,733 |
0.7× |
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) likely a partial charge — not the full procedure |
$2,165.80 |
$2,548 |
0.3× |
| Repair recurrent femoral hernia; reducible Age Under 21 (49555) |
$2,859.40 |
$3,364 |
0.8× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521) |
$3,599.75 |
$4,235 |
0.5× |
| Repair wrist joints (25447) |
$2,147.95 |
$2,527 |
0.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,226.55 |
$1,443 |
1.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$2,396.15 |
$2,819 |
3.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$836.40 |
$984 |
2.0× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$529.55 |
$623 |
0.7× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$1,958.40 |
$2,304 |
0.6× |
Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664) likely a partial charge — not the full procedure |
$1,497.70 |
$1,762 |
0.2× |
Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659) likely a partial charge — not the full procedure |
$1,234.20 |
$1,452 |
0.2× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) unusually low — confirm this is the full procedure |
$3,204.50 |
$3,770 |
0.4× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322) likely a partial charge — not the full procedure |
$1,499.40 |
$1,764 |
0.2× |
Repair, nonunion or malunion; tarsal bones Age Under 21 (28320) likely a partial charge — not the full procedure |
$1,582.70 |
$1,862 |
0.1× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696) likely a partial charge — not the full procedure |
$1,476.45 |
$1,737 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) likely a partial charge — not the full procedure |
$1,236.75 |
$1,455 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) unusually low — confirm this is the full procedure |
$2,991.15 |
$3,519 |
0.4× |
Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654) unusually low — confirm this is the full procedure |
$2,729.35 |
$3,211 |
0.4× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) unusually low — confirm this is the full procedure |
$3,467.15 |
$4,079 |
0.5× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25272) |
$1,394.85 |
$1,641 |
0.4× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$2,584.85 |
$3,041 |
0.8× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25263) unusually low — confirm this is the full procedure |
$3,145.85 |
$3,701 |
0.4× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) likely a partial charge — not the full procedure |
$1,948.20 |
$2,292 |
0.3× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$829.60 |
$976 |
0.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$851.70 |
$1,002 |
0.3× |
Repair/graft achilles tendon (27652) unusually low — confirm this is the full procedure |
$3,502.85 |
$4,121 |
0.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$3,777.40 |
$4,444 |
4.1× |
| Replace tunneled cv cath (36582) |
$2,719.15 |
$3,199 |
0.8× |
| Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Age Under… (20822) |
$4,647.80 |
$5,468 |
2.8× |
| Reposition l ventric lead (33226) |
$1,322.60 |
$1,556 |
0.4× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$2,974.15 |
$3,499 |
0.8× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,856.40 |
$2,184 |
0.6× |
| Reset dislocated jaw (21480) |
$408.85 |
$481 |
1.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$8,273.90 |
$9,734 |
0.6× |
| Revise finger joint (26535) |
$1,138.15 |
$1,339 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$3,190.05 |
$3,753 |
1.6× |
| Revise ulnar nerve at wrist (64719) |
$1,906.55 |
$2,243 |
1.0× |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Age Under 21 (57426) likely a partial charge — not the full procedure |
$2,244.85 |
$2,641 |
0.3× |
Revision of arthroplasty, including removal of implant, wrist joint Age Under 21 (25449) unusually low — confirm this is the full procedure |
$2,714.05 |
$3,193 |
0.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) (44345) |
$3,470.55 |
$4,083 |
1.0× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft (27137) |
$9,116.25 |
$10,725 |
0.7× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$10,784.80 |
$12,688 |
0.8× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$7,313.40 |
$8,604 |
0.6× |
| Revision of total knee arthroplasty, with or without allograft; 1 component (27486) |
$7,180.80 |
$8,448 |
0.5× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487) |
$9,623.70 |
$11,322 |
0.5× |
| Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473) |
$7,891.40 |
$9,284 |
0.6× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$7,382.25 |
$8,685 |
1.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$275.40 |
$324 |
2.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$329.80 |
$388 |
2.4× |
Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) likely a partial charge — not the full procedure |
$2,339.20 |
$2,752 |
0.1× |
Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) likely a partial charge — not the full procedure |
$968.15 |
$1,139 |
0.0× |
Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) likely a partial charge — not the full procedure |
$1,010.65 |
$1,189 |
0.0× |
| Rmvl of access device (36589) |
$412.39 |
$485.16 |
0.6× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$2,237.20 |
$2,632 |
0.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$868.70 |
$1,022 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge — not the full procedure |
$1,778.20 |
$2,092 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593) likely a partial charge — not the full procedure |
$1,399.10 |
$1,646 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) likely a partial charge — not the full procedure |
$1,161.95 |
$1,367 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$837.25 |
$985 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge — not the full procedure |
$1,525.75 |
$1,795 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,447.55 |
$1,703 |
0.9× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$3,536 |
$4,160 |
1.0× |
Rpr non-union mtcrpl/phalanx (26546) unusually low — confirm this is the full procedure |
$2,563.60 |
$3,016 |
0.3× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$3,508.80 |
$4,128 |
1.0× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,270.75 |
$1,495 |
0.4× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$1,970.30 |
$2,318 |
0.6× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$3,070.20 |
$3,612 |
1.0× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$6,222 |
$7,320 |
1.9× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,671.95 |
$1,967 |
0.5× |
| Sesamoidectomy, thumb or finger (separate procedure) Age Under 21 (26185) |
$1,400.80 |
$1,648 |
0.9× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$174.25 |
$205 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$215.05 |
$253 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$224.40 |
$264 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$380.80 |
$448 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$195.50 |
$230 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$234.60 |
$276 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$272.85 |
$321 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$322.15 |
$379 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$263.50 |
$310 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$311.95 |
$367 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$311.95 |
$367 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$263.50 |
$310 |
1.3× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,203.60 |
$1,416 |
1.0× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$464.10 |
$546 |
0.4× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303) unusually low — confirm this is the full procedure |
$3,372.80 |
$3,968 |
0.5× |
| Simple partial removal of external female genitals (56620) |
$1,527.45 |
$1,797 |
0.5× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$393.55 |
$463 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$488.75 |
$575 |
2.4× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$582.25 |
$685 |
2.8× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$728.45 |
$857 |
3.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$313.65 |
$369 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$555.05 |
$653 |
2.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,139 |
$1,340 |
2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$506.60 |
$596 |
2.5× |
| Skin tissue procedure unlisted (17999) |
$214.20 |
$252 |
1.0× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$2,922.72 |
$3,438.50 |
0.9× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$375.70 |
$442 |
1.8× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$643.45 |
$757 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$634.10 |
$746 |
1.5× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$1,905.70 |
$2,242 |
0.7× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,276.70 |
$1,502 |
0.6× |
| Strapping elbow or wrist (29260) |
$75.65 |
$89 |
1.3× |
| Strapping unna boot (29580) |
$163.20 |
$192 |
1.0× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,384.65 |
$1,629 |
1.8× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$1,174.70 |
$1,382 |
0.3× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,004.70 |
$1,182 |
1.3× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$2,261 |
$2,660 |
5.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$1,637.95 |
$1,927 |
0.6× |
Suture of infrapatellar tendon; primary Age Under 21 (27380) likely a partial charge — not the full procedure |
$1,552.95 |
$1,827 |
0.2× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21 (27381) likely a partial charge — not the full procedure |
$2,122.45 |
$2,497 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) likely a partial charge — not the full procedure |
$1,511.30 |
$1,778 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386) likely a partial charge — not the full procedure |
$2,181.10 |
$2,566 |
0.3× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$4,338.40 |
$5,104 |
1.1× |
| Suture of tendon to joint of finger near top of finger (26474) |
$1,621.80 |
$1,908 |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$998.75 |
$1,175 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$518.08 |
$609.50 |
1.2× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924) likely a partial charge — not the full procedure |
$1,311.55 |
$1,543 |
0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$1,607.35 |
$1,891 |
0.5× |
Tenodesis long tendon biceps (23430) unusually low — confirm this is the full procedure |
$2,736.15 |
$3,219 |
0.4× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,536.80 |
$1,808 |
0.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,589.50 |
$1,870 |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,105.85 |
$1,301 |
0.3× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$1,369.35 |
$1,611 |
0.4× |
| Tenolysis, triceps Age Under 21 (24332) |
$1,581 |
$1,860 |
0.5× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$1,709.35 |
$2,011 |
0.5× |
| Tenotomy percutaneous toe single tendon (28010) |
$547.40 |
$644 |
0.3× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$1,371.90 |
$1,614 |
0.4× |
| Tenotomy, extensor, hand or finger, open, each tendon Age Under 21 (26460) |
$1,118.60 |
$1,316 |
0.7× |
| Tenotomy, flexor, finger, open, each tendon Age Under 21 (26455) |
$1,207 |
$1,420 |
0.7× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$693.60 |
$816 |
0.4× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Age Under 21 (27606) |
$708.90 |
$834 |
0.2× |
Tenotomy, shoulder area; single tendon Age Under 21 (23405) likely a partial charge — not the full procedure |
$1,607.35 |
$1,891 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,133.90 |
$1,334 |
1.6× |
| Therapeutic spinal puncture drainage csf (62272) |
$714.85 |
$841 |
1.0× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,631.80 |
$1,919.76 |
2.5× |
Thoracoscopy With Biopsyies of Pleura|LEFT SIDE (32609) likely a partial charge — not the full procedure |
$1,046.35 |
$1,231 |
0.2× |
Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy (32601) likely a partial charge — not the full procedure |
$1,645.60 |
$1,936 |
0.3× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy (32604) likely a partial charge — not the full procedure |
$2,468.40 |
$2,904 |
0.2× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875) |
$3,493.50 |
$4,110 |
0.6× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$5,428.10 |
$6,386 |
1.0× |
Thrombolysis arterial infusion icra rs&i init tx (37211) unusually low — confirm this is the full procedure |
$2,595.90 |
$3,054 |
0.5× |
| Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260) |
$5,208.80 |
$6,128 |
0.9× |
| Thyroidectomy, total or complete (60240) |
$5,934.70 |
$6,982 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$7,216.50 |
$8,490 |
1.2× |
| Total knee arthroplasty (27447) |
$8,436.25 |
$9,925 |
0.6× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$4,809.30 |
$5,658 |
0.8× |
| Tracheostoma revision; simple, without flap rotation Age Under 21 (31613) |
$1,494.30 |
$1,758 |
0.4× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$28,293.10 |
$33,286 |
116.9× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$1,478.15 |
$1,739 |
0.7× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) likely a partial charge — not the full procedure |
$1,971.15 |
$2,319 |
0.3× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$2,163.25 |
$2,545 |
0.6× |
| Transfusion, blood or blood components (36430) |
$737.23 |
$867.33 |
1.6× |
| Transplant hand tendon (26480) |
$2,000.05 |
$2,353 |
0.6× |
Treat elbow fracture (24586) likely a partial charge — not the full procedure |
$2,836.45 |
$3,337 |
0.2× |
| Treat finger dislocation (26775) |
$1,031.90 |
$1,214 |
3.6× |
| Treat fx distal radial (25606) |
$1,919.30 |
$2,258 |
0.6× |
Treat fx rad extra-articul (25607) unusually low — confirm this is the full procedure |
$2,224.45 |
$2,617 |
0.3× |
| Treat knee fracture (27532) |
$1,507.90 |
$1,774 |
0.5× |
| Treat lower leg fracture (27825) |
$1,293.70 |
$1,522 |
0.8× |
Treat radius fracture (24665) likely a partial charge — not the full procedure |
$2,209.15 |
$2,599 |
0.3× |
| Treat thumb fracture (26665) |
$1,623.50 |
$1,910 |
0.5× |
| Treat toe dislocation (28630) |
$402.90 |
$474 |
1.6× |
| Treat ulnar fracture (24675) |
$1,194.25 |
$1,405 |
0.7× |
| Treat vaginal bleeding (57180) |
$310.25 |
$365 |
1.5× |
| Treat wrist bone fracture (25635) |
$1,095.65 |
$1,289 |
0.7× |
| Treat wrist dislocation (25690) |
$1,083.75 |
$1,275 |
0.7× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,912.50 |
$2,250 |
1.2× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) unusually low — confirm this is the full procedure |
$3,337.95 |
$3,927 |
0.5× |
Treatment of ankle fracture (27822) unusually low — confirm this is the full procedure |
$2,980.10 |
$3,506 |
0.4× |
| Treatment of bladder lesion (51720) |
$873.80 |
$1,028 |
1.2× |
Treatment of broken base of forearm bone on small finger side at wrist (25652) likely a partial charge — not the full procedure |
$1,929.50 |
$2,270 |
0.3× |
| Treatment of broken lower jaw bone with placement of stabilizing device to teeth|BILATERAL PROCEDURE (21462) |
$4,247.45 |
$4,997 |
0.7× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515) likely a partial charge — not the full procedure |
$3,091.45 |
$3,637 |
0.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,093.10 |
$1,286 |
4.3× |
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516) likely a partial charge — not the full procedure |
$2,865.35 |
$3,371 |
0.2× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245) |
$5,386.45 |
$6,337 |
0.7× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,386.45 |
$6,337 |
0.7× |
| Treatment of miscarriage (59812) |
$788.80 |
$928 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$963.05 |
$1,133 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$549.10 |
$646 |
2.2× |
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) likely a partial charge — not the full procedure |
$3,696.65 |
$4,349 |
0.3× |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236) |
$5,278.50 |
$6,210 |
0.7× |
| Trimming of nondystrophic nails, any number (11719) |
$174.25 |
$205 |
2.9× |
Trlml balo angiop open/perq img s&i 1st art (37246) unusually low — confirm this is the full procedure |
$2,385.52 |
$2,806.50 |
0.4× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$3,846.68 |
$4,525.50 |
0.7× |
| Tx superficial wound dehiscence simple closure (12020) |
$586.50 |
$690 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$276.25 |
$325 |
0.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) |
$2,205.75 |
$2,595 |
0.6× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238) unusually low — confirm this is the full procedure |
$2,755.70 |
$3,242 |
0.4× |
| Unlisted procedure anus (46999) |
$469.20 |
$552 |
0.5× |
| Unlisted procedure leg/ankle (27899) |
$2,261 |
$2,660 |
9.0× |
| Unlisted procedure rectum (45999) |
$798.15 |
$939 |
0.8× |
| Unlisted procedure shoulder (23929) |
$556.75 |
$655 |
2.2× |
| Unlisted procedure, dentoalveolar structures (41899) |
$422.45 |
$497 |
1.7× |
| Unlisted procedure, hands or fingers (26989) |
$1,099.05 |
$1,293 |
4.4× |
| Unlisted procedure, liver (47399) |
$3,411.05 |
$4,013 |
4.7× |
Upgrade of pacemaker system (33214) likely a partial charge — not the full procedure |
$1,275 |
$1,500 |
0.1× |
| Upper arm/elbow surgery unlisted (24999) |
$1,714.45 |
$2,017 |
6.8× |
| Urology surgery procedure unlisted (53899) |
$396.10 |
$466 |
1.6× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$1,360 |
$1,600 |
0.4× |
| Vaginal delivery (59409) |
$2,052.75 |
$2,415 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260) unusually low — confirm this is the full procedure |
$2,170.05 |
$2,553 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262) unusually low — confirm this is the full procedure |
$2,397.85 |
$2,821 |
0.5× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$2,572.95 |
$3,027 |
0.5× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$9,531.48 |
$11,213.50 |
0.8× |
| Vasectomy (55250) |
$1,062.50 |
$1,250 |
0.5× |
| Vbac delivery only (59612) |
$2,312.85 |
$2,721 |
0.7× |
| Venipuncture (36415) |
$27.48 |
$32.34 |
2.9× |
| Version cephalic external (59412) |
$867.80 |
$1,020.94 |
0.3× |
| Wedge excision skin nail fold (11765) |
$253.30 |
$298 |
0.6× |