| Abd paracentesis w/imaging (49083) |
$1,337.78 |
$1,573.86 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,155.90 |
$1,359.88 |
1.2× |
| Abortion (59841) |
$951.15 |
$1,119 |
0.3× |
| Acne Surgery (10040) |
$185.30 |
$218 |
0.9× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$2,470.10 |
$2,906 |
0.7× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,655.80 |
$1,948 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,159.50 |
$6,070 |
1.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,747.60 |
$2,056 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,040 |
$2,400 |
1.0× |
Adjustment/Revj Xtrnl Fixation System Req Anes (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× |
| Amputation Finger/Thumb (26951) |
$1,674.50 |
$1,970 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,657.50 |
$1,950 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,810.50 |
$2,130 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,033.60 |
$1,216 |
0.3× |
| Amputation, leg, through tibia and fibula; (27880) |
$4,204.10 |
$4,946 |
0.6× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$3,363.45 |
$3,957 |
1.0× |
| Ankle arthroscopy/surgery (29894) |
$2,851.75 |
$3,355 |
0.9× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,760.35 |
$2,071 |
0.5× |
| Ankle scope,part synovectomy (29895) |
$1,184.05 |
$1,393 |
0.4× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$5,196.05 |
$6,113 |
1.8× |
| Anoscopy (46611) |
$855.10 |
$1,006 |
0.9× |
| Anoscopy control bleeding (46614) |
$950.30 |
$1,118 |
0.8× |
| Anoscopy diagnostic (46600) |
$218.45 |
$257 |
1.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,004.70 |
$1,182 |
1.1× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,181.50 |
$1,390 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$427.55 |
$503 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$280.50 |
$330 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (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× |
| Appendectomy (44950) |
$3,904.90 |
$4,594 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$186 |
$218.82 |
1.1× |
| Application cast elbow finger short arm (29075) |
$210.80 |
$248 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$247.35 |
$291 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$259.25 |
$305 |
0.9× |
| Application finger splint static (29130) |
$174.25 |
$205 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$212.50 |
$250 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$167.45 |
$197 |
1.0× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$2,934.20 |
$3,452 |
0.2× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$1,562.30 |
$1,838 |
0.2× |
| Application of long leg cast (29345) |
$310.25 |
$365 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$702.95 |
$827 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$194.65 |
$229 |
1.4× |
| Application short leg splint calf foot (29515) |
$170 |
$200 |
1.0× |
| Apply short leg cast (29405) |
$312.80 |
$368 |
1.1× |
| Apply short leg cast (29425) |
$300.90 |
$354 |
1.1× |
| Arterial puncture (36600) |
$112.24 |
$132.04 |
0.8× |
| Arteriovenous Anastomosis Open Direct (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× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,667.30 |
$3,138 |
0.2× |
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure |
$2,983.50 |
$3,510 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal deskectomy 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) Other… (26844)
likely a partial charge, not the full procedure |
$2,110.55 |
$2,483 |
0.3× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,278.85 |
$2,681 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (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 ankle revision total ankle (27703)
likely a partial charge, not the full procedure |
$2,928.25 |
$3,445 |
0.2× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$4,682.65 |
$5,509 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$7,466.40 |
$8,784 |
0.4× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
unusually low: confirm this is the full procedure |
$5,042.20 |
$5,932 |
0.4× |
Arthroplasty radial head w/implant (24366)
likely a partial charge, not the full procedure |
$1,765.45 |
$2,077 |
0.1× |
Arthroplasty, patella; with prosthesis (27438)
likely a partial charge, not the full procedure |
$2,176 |
$2,560 |
0.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$10,741.45 |
$12,637 |
0.8× |
| Arthroscopy ankle; ext debridem (29898) |
$4,352 |
$5,120 |
1.3× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$2,505.80 |
$2,948 |
0.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$5,384.75 |
$6,335 |
1.6× |
| Arthroscopy of joint (29999) |
$1,240.15 |
$1,459 |
4.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,140.70 |
$1,342 |
0.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$1,290.30 |
$1,518 |
0.4× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860)
likely a partial charge, not the full procedure |
$2,126.70 |
$2,502 |
0.3× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$4,866.25 |
$5,725 |
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 or multiple drilling or microfracture (29879) |
$5,981.45 |
$7,037 |
1.8× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,451.90 |
$6,414 |
1.6× |
| 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 (29874) |
$2,564.45 |
$3,017 |
0.8× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,340.95 |
$5,107 |
1.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,584.90 |
$5,394 |
1.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,054.95 |
$5,947 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,159.10 |
$7,246 |
1.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,525.40 |
$5,324 |
0.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,376.25 |
$6,325 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,036.20 |
$3,572 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,302.65 |
$2,709 |
0.7× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,188.35 |
$3,751 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,150.15 |
$6,059 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$2,363.85 |
$2,781 |
0.7× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
unusually low: confirm this is the full procedure |
$2,251.65 |
$2,649 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$2,518.55 |
$2,963 |
0.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,326.10 |
$6,266 |
0.7× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) High… (29800) |
$3,541.95 |
$4,167 |
1.1× |
Arthrotomy hip w/drainage (27030)
unusually low: confirm this is the full procedure |
$2,453.10 |
$2,886 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,229.95 |
$1,447 |
0.4× |
| Arthrotomy, elbow; with synovectomy (24102) |
$1,616.70 |
$1,902 |
0.5× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$2,137.75 |
$2,515 |
0.6× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$1,779.05 |
$2,093 |
0.5× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$2,190.45 |
$2,577 |
0.7× |
Arthrs hip debridement/shaving articular crtlg (29862)
unusually low: confirm this is the full procedure |
$3,126.30 |
$3,678 |
0.4× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$1,457.75 |
$1,715 |
0.4× |
| 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× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,053.15 |
$1,239 |
0.3× |
| Aspir/inj thyroid cyst (60300) |
$270.30 |
$318 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$164.05 |
$193 |
0.5× |
| Aspiration bladder needle (51100) |
$171.70 |
$202 |
0.7× |
| Autochondrocyte implant knee (27412) |
$6,822.10 |
$8,026 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$381.65 |
$449 |
1.9× |
| Axillary lymphadenectomy; complete (38745) |
$4,308.65 |
$5,069 |
0.7× |
| Biopsy Bone Open Deep (20245) |
$919.70 |
$1,082 |
0.3× |
| Biopsy bone open superficial (20240) |
$672.35 |
$791 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$1,101.60 |
$1,296 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$192.95 |
$227 |
0.2× |
| Biopsy external auditory canal (69105) |
$375.70 |
$442 |
0.2× |
| Biopsy external ear (69100) |
$375.70 |
$442 |
1.6× |
| Biopsy muscle deep (20205) |
$761.60 |
$896 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$843.84 |
$992.75 |
0.5× |
| Biopsy of lip (40490) |
$221 |
$260 |
0.9× |
| Biopsy of palate, uvula (42100) |
$423.30 |
$498 |
0.3× |
| Biopsy of uterus lining (58100) |
$164.05 |
$193 |
0.8× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$3,094.85 |
$3,641 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,065.50 |
$2,430 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$850 |
$1,000 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$169.15 |
$199 |
0.2× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$940.10 |
$1,106 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$2,418.25 |
$2,845 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$2,677.50 |
$3,150 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$873.80 |
$1,028 |
1.2× |
| Bladder Scan (51798) |
$27.20 |
$32 |
0.5× |
| Blood patch (62273) |
$1,074.76 |
$1,264.43 |
1.5× |
| Blood transfusion service (36430) |
$737.23 |
$867.33 |
1.6× |
Bone graft, any donor area; major or large (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) (20900)
likely a partial charge, not the full procedure |
$1,295.40 |
$1,524 |
0.2× |
| Bone marrow aspiration only (38220) |
$505.75 |
$595 |
0.3× |
| Bone Marrow Biopsy (38221) |
$621.35 |
$731 |
0.4× |
| Bone Marrow Harvest Autolog (38232) |
$517.65 |
$609 |
0.1× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$957.95 |
$1,127 |
1.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,184.05 |
$1,393 |
0.7× |
| Bronchoscopy W/Biopsy(S) (31625) |
$910.35 |
$1,071 |
0.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,126.25 |
$1,325 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,129.65 |
$1,329 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$855.10 |
$1,006 |
0.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,190 |
$1,400 |
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 breast needle core w/o imaging guidance spx (19100) |
$634.10 |
$746 |
0.4× |
| Bx vulva/perineum 1 lesion (56605) |
$152.15 |
$179 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,014.48 |
$1,193.50 |
0.6× |
| Canthotomy Separate Procedure (67715) |
$283.90 |
$334 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,052.30 |
$1,238 |
0.3× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,730.60 |
$2,036 |
0.5× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$4,880.70 |
$5,742 |
0.7× |
| Carpectomy All Bones Proximal Row (25215) |
$1,592.90 |
$1,874 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$279.74 |
$329.11 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$356.15 |
$419 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$252.45 |
$297 |
1.0× |
| Chemical Cautery 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× |
| Chemodenerv Musc Migraine (64615) |
$322.15 |
$379 |
1.0× |
| Chemodenervation internal anal sphincter (46505) |
$793.05 |
$933 |
0.6× |
| Chest tube placement (32551) |
$785.44 |
$924.05 |
0.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$70.45 |
$82.88 |
0.5× |
Chromotubation of oviduct, including materials (58350)
likely a partial charge, not the full procedure |
$240.55 |
$283 |
0.0× |
| Circumcision (54150) |
$284.56 |
$334.77 |
0.1× |
| Circumcision Neonate (54160) |
$372.30 |
$438 |
0.5× |
| Claviculectomy; partial (23120) |
$2,002.60 |
$2,356 |
0.6× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,157.70 |
$1,362 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$714 |
$840 |
2.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,373.60 |
$1,616 |
0.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,006.40 |
$1,184 |
4.0× |
| Closed Rx Med Malleolus Fx (27760) |
$874.65 |
$1,029 |
3.5× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,135.60 |
$1,336 |
0.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,878.50 |
$2,210 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,203.60 |
$1,416 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$749.70 |
$882 |
3.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,038.70 |
$1,222 |
0.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$830.45 |
$977 |
3.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$810.05 |
$953 |
3.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,849.20 |
$3,352 |
1.7× |
| Closed treat wrist dislocation (25660) |
$1,071 |
$1,260 |
4.2× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,126.25 |
$1,325 |
0.3× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$568.65 |
$669 |
2.3× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,153.45 |
$1,357 |
0.7× |
| Closed Treatment 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 Manip (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 calcaneal fracture w/o manipulation (28400) |
$646.85 |
$761 |
2.6× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,413.55 |
$1,663 |
0.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,649 |
$1,940 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$856.80 |
$1,008 |
3.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,083.75 |
$1,275 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$532.95 |
$627 |
2.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,099.50 |
$2,470 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$704.65 |
$829 |
0.4× |
| 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 patellar fracture w/o manipulation (27520) |
$855.95 |
$1,007 |
3.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,145.80 |
$1,348 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$696.15 |
$819 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,186.60 |
$1,396 |
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 Talus Fracture W/Manipulation (28435) |
$965.60 |
$1,136 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$408.85 |
$481 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,194.25 |
$1,405 |
0.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$770.95 |
$907 |
3.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$697 |
$820 |
2.8× |
| Closure of gastrostomy surgical (43870) |
$3,547.90 |
$4,174 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$588.20 |
$692 |
2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,313.25 |
$1,545 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$875.50 |
$1,030 |
3.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$613.70 |
$722 |
2.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$819.40 |
$964 |
3.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,097.35 |
$1,291 |
4.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$878.05 |
$1,033 |
3.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$687.65 |
$809 |
2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$495.55 |
$583 |
2.0× |
| 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 fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,004.30 |
$2,358 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$368.05 |
$433 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$424.15 |
$499 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$312.80 |
$368 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,293.70 |
$1,522 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$832.15 |
$979 |
3.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,412.70 |
$1,662 |
5.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$238 |
$280 |
0.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,499.85 |
$2,941 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$687.65 |
$809 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$894.20 |
$1,052 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$793.90 |
$934 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,114.35 |
$1,311 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$687.65 |
$809 |
2.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$402.90 |
$474 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$874.65 |
$1,029 |
3.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$530.40 |
$624 |
2.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,504.50 |
$1,770 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,412.70 |
$1,662 |
5.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,042.10 |
$1,226 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$772.65 |
$909 |
3.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,116.05 |
$1,313 |
0.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,020 |
$1,200 |
4.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$444.55 |
$523 |
1.8× |
| 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 (27752) |
$1,275.85 |
$1,501 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,817.30 |
$2,138 |
1.1× |
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure |
$2,254.20 |
$2,652 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,827.50 |
$2,150 |
1.5× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$3,749.35 |
$4,411 |
3.1× |
| Colonoscopy stoma w/biopsy (44389) |
$2,024.70 |
$2,382 |
1.7× |
| Colonoscopy w/ablation (45388) |
$1,847.05 |
$2,173 |
1.5× |
| Colonoscopy w/fb removal (45379) |
$1,504.50 |
$1,770 |
1.2× |
| Colporrhaphy suture injury vagina (57200) |
$850.85 |
$1,001 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$344.25 |
$405 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$233.75 |
$275 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$474.30 |
$558 |
0.1× |
| 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 (57455) |
$280.50 |
$330 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$260.10 |
$306 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$660.45 |
$777 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,719.55 |
$2,023 |
1.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,590.35 |
$1,871 |
1.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,724.65 |
$2,029 |
1.4× |
| Complete replacement picc rs&i (36584) |
$2,894.08 |
$3,404.80 |
1.8× |
| Complex Drainage, Wound (10180) |
$4,122.92 |
$4,850.50 |
1.4× |
| Conization of cervix (57522) |
$657.05 |
$773 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$649.90 |
$764.59 |
3.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$410.55 |
$483 |
3.0× |
| Control Nasal Hemorrhage Anterior Simple (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× |
Coracoacromial ligament release, with or without acromioplasty (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 hammertoe (28285) |
$1,234.20 |
$1,452 |
0.4× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,244 |
$2,640 |
0.3× |
| Correction of bunion (28292) |
$2,230.40 |
$2,624 |
0.7× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$1,533.40 |
$1,804 |
0.2× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$1,586.95 |
$1,867 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,247.40 |
$2,644 |
0.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,744.65 |
$3,229 |
0.8× |
| 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× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,754.40 |
$2,064 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$205.70 |
$242 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,105 |
$1,300 |
0.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,263.95 |
$1,487 |
0.4× |
| Debride nail 1-5 (11720) |
$174.25 |
$205 |
2.9× |
| Debride nail 6 or more (11721) |
$174.25 |
$205 |
2.9× |
| Debride skin musc at fx site (11011) |
$797.30 |
$938 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$596.29 |
$701.52 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,494.49 |
$1,758.22 |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,594.20 |
$3,052 |
1.5× |
| Declot vascular device (36593) |
$265.42 |
$312.26 |
0.8× |
| Decomp forearm,1 compart,w/o debride (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× |
| Decompression of tibia nerve (28035) |
$925.65 |
$1,089 |
0.5× |
| Delivery placenta separate procedure (59414) |
$232.05 |
$273 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,560.58 |
$3,012.45 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$1,961.88 |
$2,308.09 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$260.10 |
$306 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$214.20 |
$252 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$158.95 |
$187 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,192.50 |
$1,402.94 |
1.3× |
| Destruction Lesions Vulva Extensive (56515) |
$714.85 |
$841 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$336.60 |
$396 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$138.55 |
$163 |
0.7× |
| Destruction Vaginal Lesions Extensive (57065) |
$477.70 |
$562 |
0.1× |
| Destruction vaginal lesions simple (57061) |
$291.55 |
$343 |
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× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$731 |
$860 |
0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$598.40 |
$704 |
0.2× |
| Dilation of anal sphincter (45905) |
$2,231.25 |
$2,625 |
1.8× |
| Division of fallopian tube (58600) |
$930.75 |
$1,095 |
0.3× |
| Division of scalenus anticus; with resection of cervical rib (21705) |
$4,824.60 |
$5,676 |
0.7× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$944.35 |
$1,111 |
0.6× |
| Drain hand tendon sheath (26020) |
$1,462.85 |
$1,721 |
0.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$260.95 |
$307 |
0.4× |
| Drain outer ear canal lesion (69020) |
$363.80 |
$428 |
0.5× |
| Drain shoulder bursa (23031) |
$1,281.80 |
$1,508 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$210.80 |
$248 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$662.15 |
$779 |
2.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$369.75 |
$435 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,071 |
$1,260 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$345.95 |
$407 |
1.7× |
| Drainage mouth roof lesion (42000) |
$417.35 |
$491 |
1.7× |
| Drainage of bone lesion (26992) |
$2,535.55 |
$2,983 |
0.8× |
| Drainage of deep rectal abscess (45020) |
$1,889.55 |
$2,223 |
0.7× |
| Drainage of eyelid abscess (67700) |
$243.95 |
$287 |
0.8× |
| Drainage of gum lesion (41800) |
$422.45 |
$497 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$1,725.58 |
$2,030.10 |
1.0× |
| Drainage of hydrocele (55000) |
$333.20 |
$392 |
0.5× |
| 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 Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,041.25 |
$1,225 |
0.3× |
| Draw blood off venous device (36591) |
$104.52 |
$122.96 |
0.8× |
| Dressing change under anesthesia (15852) |
$196.35 |
$231 |
0.3× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$1,082.05 |
$1,273 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$685.95 |
$807 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$392.70 |
$462 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$347.96 |
$409.37 |
1.7× |
| Dstrj lesion anus simple surg excision (46922) |
$1,798.60 |
$2,116 |
0.6× |
| Dx bone marrow bx & aspir (38222) |
$205.70 |
$242 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,256.30 |
$1,478 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,411.85 |
$1,661 |
0.7× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$895.05 |
$1,053 |
0.1× |
| Egd flexible foreign body removal (43247) |
$1,299.65 |
$1,529 |
1.4× |
| Egd guide wire insertion (43248) |
$1,147.50 |
$1,350 |
1.2× |
| Egd injection varices (43243) |
$1,949.05 |
$2,293 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,043.59 |
$2,404.22 |
1.0× |
| Egd remove lesion snare (43251) |
$1,428.85 |
$1,681 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,515.55 |
$1,783 |
0.8× |
| Egd Varices Ligation (43244) |
$1,852.15 |
$2,179 |
0.9× |
| Elbow arthroscopy (29830) |
$1,195.95 |
$1,407 |
0.4× |
| Elbow arthroscopy/surgery (29838) |
$1,539.35 |
$1,811 |
0.5× |
| Elbow arthroscopy/surgery (29835) |
$1,332.80 |
$1,568 |
0.4× |
| Electrical stimulation bone healing noninvasive (20974) |
$129.20 |
$152 |
1.4× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$6,591.75 |
$7,755 |
1.2× |
| Endocervical Curettage (57505) |
$275.40 |
$324 |
0.3× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,648.15 |
$1,939 |
0.8× |
| Enterorrhaphy single perforation (44602) |
$4,338.40 |
$5,104 |
1.1× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,088.85 |
$1,281 |
0.5× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,237.20 |
$2,632 |
0.6× |
| Episiotomy or vaginal repair (59300) |
$374 |
$440 |
0.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,852.15 |
$2,179 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,428.85 |
$1,681 |
0.4× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,381.70 |
$2,802 |
0.6× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,187.05 |
$2,573 |
0.6× |
| Esophagoscopy flex biopsy (43202) |
$1,971.15 |
$2,319 |
1.0× |
| 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, rigid, transoral; with removal of foreign body(s) (43194) |
$624.75 |
$735 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,169.60 |
$1,376 |
0.6× |
| Evacuate mole of uterus (59870) |
$1,360 |
$1,600 |
0.4× |
| Evacuation of 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× |
| Exc abd les sc 3 cm/> (22903) |
$1,098.20 |
$1,292 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,793.50 |
$2,110 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,416.10 |
$1,666 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$651.10 |
$766 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$948.60 |
$1,116 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$1,399.95 |
$1,647 |
0.8× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$1,476.45 |
$1,737 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$853.40 |
$1,004 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$286.45 |
$337 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$529.55 |
$623 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$691.05 |
$813 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,110.10 |
$1,306 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$826.20 |
$972 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$868.70 |
$1,022 |
0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,848.75 |
$2,175 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,346.40 |
$1,584 |
0.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,289.45 |
$1,517 |
0.8× |
| Exc skin abd (15830) |
$4,979.30 |
$5,858 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$386.75 |
$455 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$287.30 |
$338 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$413.10 |
$486 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$702.95 |
$827 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$662.15 |
$779 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,134.75 |
$1,335 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$870.40 |
$1,024 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,207.85 |
$1,421 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$870.40 |
$1,024 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,587.80 |
$1,868 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,467.10 |
$1,726 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,261.40 |
$1,484 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,613.75 |
$3,075 |
0.9× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,970.30 |
$2,318 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$495.55 |
$583 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$249.05 |
$293 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,362.55 |
$1,603 |
0.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,216.40 |
$3,784 |
1.1× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,341.30 |
$1,578 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,695.75 |
$1,995 |
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 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 Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,356.65 |
$3,949 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,471.35 |
$1,731 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,521.50 |
$1,790 |
0.9× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,531.70 |
$1,802 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,564 |
$1,840 |
0.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$759.05 |
$893 |
0.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,515.55 |
$1,783 |
0.9× |
| Excision Breast Lesion (19125) |
$2,540.65 |
$2,989 |
0.6× |
| Excision Distal Ulna Partial/Complete (25240) |
$1,124.55 |
$1,323 |
0.3× |
Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615)
unusually low: confirm this is the full procedure |
$2,583.15 |
$3,039 |
0.3× |
| Excision hidradenitis axillary complex repair (11451) |
$2,234.65 |
$2,629 |
0.8× |
| Excision Lactiferous Duct Fistula (19112) |
$1,657.50 |
$1,950 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$376.55 |
$443 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$419.05 |
$493 |
0.6× |
| 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 0.5 cm/< (11640) |
$491.30 |
$578 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$595.85 |
$701 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,037.85 |
$1,221 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,214.65 |
$1,429 |
0.7× |
| 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 benign lesion other than skin tag 0.6-1.0 cm (11441) |
$419.05 |
$493 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$497.25 |
$585 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,013.20 |
$1,192 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$432.65 |
$509 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$944.35 |
$1,111 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$461.55 |
$543 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$243.95 |
$287 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$801.55 |
$943 |
0.5× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$2,002.60 |
$2,356 |
0.6× |
| Excision of nail fold toe (11765) |
$253.30 |
$298 |
0.6× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$1,204.45 |
$1,417 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,220.60 |
$1,436 |
0.4× |
Excision of rib partial (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/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,173 |
$1,380 |
0.4× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,168.75 |
$1,375 |
0.7× |
| Excision of Umbilicus (49250) |
$2,205.75 |
$2,595 |
0.6× |
| 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 metacarpal; (26200) |
$1,176.40 |
$1,384 |
0.7× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,518.10 |
$1,786 |
0.5× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (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 Prepatellar Bursa (27340) |
$1,514.70 |
$1,782 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,830.90 |
$2,154 |
1.1× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,577.20 |
$3,032 |
1.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$967.30 |
$1,138 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,719.55 |
$2,023 |
0.6× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,372.75 |
$1,615 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$893.35 |
$1,051 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,330.25 |
$1,565 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,065.90 |
$1,254 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$3,284.40 |
$3,864 |
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 (23075) |
$883.15 |
$1,039 |
0.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,824.10 |
$2,146 |
0.6× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,167.05 |
$1,373 |
0.3× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$1,304.75 |
$1,535 |
0.4× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$1,518.10 |
$1,786 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,754.40 |
$2,064 |
0.8× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure |
$2,834.75 |
$3,335 |
0.5× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$3,292.90 |
$3,874 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,069.30 |
$1,258 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$1,330.25 |
$1,565 |
0.8× |
| Explor ankle jt+tenosynovectomy (27626) |
$1,558.05 |
$1,833 |
0.5× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$2,087.60 |
$2,456 |
0.6× |
| Exploration Of Foot Joint (28020) |
$949.45 |
$1,117 |
0.3× |
| Exploration of knee joint (27310) |
$2,708.95 |
$3,187 |
0.8× |
| Exploration penetrating wound spx chest (20101) |
$555.05 |
$653 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,762.05 |
$2,073 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,939.70 |
$2,282 |
3.5× |
| Exploratory shoulder surgery (23044) |
$1,481.55 |
$1,743 |
0.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$873.80 |
$1,028 |
0.3× |
| Explore parathyroid glands (60500) |
$6,344.40 |
$7,464 |
1.0× |
| Explore/treat ankle joint (27620) |
$1,184.05 |
$1,393 |
0.4× |
| Explore/treat ankle joint (27610) |
$1,647.30 |
$1,938 |
0.5× |
| Explore/treat elbow joint (24101) |
$2,023 |
$2,380 |
0.6× |
| Explore/treat hand joint (26070) |
$841.50 |
$990 |
0.5× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,025.10 |
$1,206 |
0.6× |
| Extensive ankle/heel surgery (27647) |
$2,517.70 |
$2,962 |
0.8× |
| External Cephalic Version (59412) |
$867.80 |
$1,020.94 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$773.50 |
$910 |
0.2× |
| Fasciotomy Iliotibial Open (27305) |
$2,178.55 |
$2,563 |
0.7× |
| Fasciotomy palmar open partial (26045) |
$1,229.10 |
$1,446 |
0.4× |
| Fasciotomy palmar percutaneous (26040) |
$1,133.05 |
$1,333 |
0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,172.60 |
$2,556 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$253.11 |
$297.78 |
1.2× |
| Fetal non-stress test (59025) |
$376.96 |
$443.48 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$308.12 |
$362.50 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$297.50 |
$350 |
0.7× |
| Fitting of diaphragm/cap (57170) |
$123.25 |
$145 |
0.6× |
| Fixation of knee joint (27570) |
$699.55 |
$823 |
0.4× |
| Fixation of shoulder (23700) |
$885.70 |
$1,042 |
0.5× |
| Fluid pressure muscle (20950) |
$674.90 |
$794 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$765.94 |
$901.10 |
3.1× |
| Forehead flap w/vasc pedicle (15731) |
$3,054.05 |
$3,593 |
0.8× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$2,680.05 |
$3,153 |
1.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,075.70 |
$2,442 |
1.0× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$4,522 |
$5,320 |
2.1× |
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure |
$2,052.75 |
$2,415 |
0.3× |
| Fusion Finger Joint (26860) |
$1,452.65 |
$1,709 |
0.4× |
| Fusion of finger tendons (26474) |
$1,621.80 |
$1,908 |
1.0× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$2,483.70 |
$2,922 |
0.2× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$1,910.80 |
$2,248 |
0.1× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,645.60 |
$1,936 |
0.2× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$1,777.35 |
$2,091 |
0.2× |
| Fusion of knuckle joint (26516) |
$1,801.15 |
$2,119 |
0.5× |
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure |
$2,174.30 |
$2,558 |
0.3× |
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× |
Fusion radioulnar jnt/ulna (25830)
unusually low: confirm this is the full procedure |
$2,522.80 |
$2,968 |
0.3× |
| Fusion/graft of finger joint (26862) |
$1,866.60 |
$2,196 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (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 opn w/o constj gstr tube spx (43830) |
$3,335.40 |
$3,924 |
1.7× |
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× |
| Hand tendon reconstruction (26502) |
$2,004.30 |
$2,358 |
0.6× |
Hemiarthroplasty Hip Partial (27125)
unusually low: confirm this is the full procedure |
$4,961.45 |
$5,837 |
0.4× |
| Hemorrhoidectomy (46255) |
$1,980.50 |
$2,330 |
0.7× |
| Hemorrhoidectomy external complete (46250) |
$1,732.30 |
$2,038 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$2,475.20 |
$2,912 |
0.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,584.40 |
$1,864 |
0.6× |
| Hip arthro acetabuloplasty (29915) |
$5,513.10 |
$6,486 |
0.7× |
Hip arthro w/fb removal (29861)
unusually low: confirm this is the full procedure |
$2,933.35 |
$3,451 |
0.4× |
| Hip arthro w/labral repair (29916) |
$5,003.95 |
$5,887 |
0.7× |
Hysteroscopy ablation (58563)
likely a partial charge, not the full procedure |
$634.10 |
$746 |
0.1× |
| Hysteroscopy biopsy (58558) |
$594.15 |
$699 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$391 |
$460 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$571.20 |
$672 |
0.2× |
Hysteroscopy resect septum (58560)
likely a partial charge, not the full procedure |
$807.50 |
$950 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure |
$921.40 |
$1,084 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$579.70 |
$682 |
2.4× |
| I&d abscess simple (10060) |
$564.89 |
$664.58 |
2.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,524.90 |
$1,794 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,097.80 |
$2,468 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$748.85 |
$881 |
0.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,388.05 |
$1,633 |
0.4× |
| I&d perianal abscess superficial (46050) |
$715.70 |
$842 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$1,030.20 |
$1,212 |
1.4× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$3,349.85 |
$3,941 |
1.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$408 |
$480 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$556.75 |
$655 |
0.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$482.80 |
$568 |
0.5× |
| Image Cath Fluid Colxn Visc (49405) |
$4,108.05 |
$4,833 |
2.4× |
| Image Cath Fluid Peri/Retro (49406) |
$2,283.95 |
$2,687 |
1.4× |
| Incis Deep Arm/Elbow Bone Lesion (23935) |
$1,340.45 |
$1,577 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,677.05 |
$1,973 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$487.90 |
$574 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,014.05 |
$1,193 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,184.90 |
$1,394 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,335.80 |
$2,748 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$627.30 |
$738 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$282.20 |
$332 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$323 |
$380 |
1.0× |
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 bone cortex hand/finger (26034) |
$1,422.05 |
$1,673 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$884 |
$1,040 |
0.5× |
| Incision labial frenum frenotomy (40806) |
$247.35 |
$291 |
0.4× |
Incision of heel bone (28300)
likely a partial charge, not the full procedure |
$1,719.55 |
$2,023 |
0.2× |
| Incision of lingual frenum (41010) |
$521.05 |
$613 |
0.3× |
| Incision of metatarsal (28308) |
$1,190.85 |
$1,401 |
0.4× |
| Incision of rectal abscess (46045) |
$1,483.25 |
$1,745 |
0.5× |
| Incision of rectal abscess (46040) |
$1,615.85 |
$1,901 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$467.50 |
$550 |
1.8× |
| Incisional biopsy skin single lesion (11106) |
$545.28 |
$641.50 |
0.7× |
| Induced abortion by d&c (59840) |
$566.10 |
$666 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$120.70 |
$142 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$758.20 |
$892 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$179.35 |
$211 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$782 |
$920 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$782 |
$920 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$672.35 |
$791 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$408 |
$480 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$782 |
$920 |
0.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,200.20 |
$1,412 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,014.48 |
$1,193.50 |
1.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$213.35 |
$251 |
0.2× |
| Inject scleros soln in hemorrhoids (46500) |
$768.40 |
$904 |
0.8× |
| Inject Tendon Origin/Insert (20551) |
$244.99 |
$288.22 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$685.95 |
$807 |
1.0× |
| 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 other peripheral nerve/branch (64450) |
$488.75 |
$575 |
0.7× |
| Injection for identification of sentinel node (38792) |
$455.66 |
$536.07 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$194.65 |
$229 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$210.80 |
$248 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$150.45 |
$177 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$576.72 |
$678.50 |
1.8× |
| 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 endovas vena cava filtr (37191) |
$3,946.55 |
$4,643 |
0.7× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$7,193.55 |
$8,463 |
0.7× |
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206)
likely a partial charge, not the full procedure |
$1,204.45 |
$1,417 |
0.1× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$1,527.45 |
$1,797 |
0.1× |
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213)
unusually low: confirm this is the full procedure |
$5,094.05 |
$5,993 |
0.5× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$5,949.15 |
$6,999 |
0.7× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$1,478.15 |
$1,739 |
0.0× |
Insert 1 electrode pm-defib (33216)
likely a partial charge, not the full procedure |
$986.85 |
$1,161 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$203.15 |
$239 |
1.5× |
| Insert cervical dilator (59200) |
$153.42 |
$180.50 |
0.5× |
| Insert Drug Implant Device (11981) |
$447.10 |
$526 |
3.3× |
| Insert non-tunnel cv cath (36556) |
$570.41 |
$671.07 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,695.75 |
$1,995 |
0.5× |
Insert pacing lead & connect (33224)
likely a partial charge, not the full procedure |
$1,376.15 |
$1,619 |
0.1× |
| Insert pessary/other device (57160) |
$119.85 |
$141 |
0.6× |
| Insert picc cath (36569) |
$678.30 |
$798 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$926.50 |
$1,090 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$210.80 |
$248 |
1.6× |
| Insert tun ip cath perc (49418) |
$1,666 |
$1,960 |
0.5× |
| Insert tunneled cv cath (36561) |
$2,443.75 |
$2,875 |
0.8× |
| Insert Tunneled Cv Cath With Pump (36563) |
$2,912.95 |
$3,427 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$64.60 |
$76 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,207 |
$1,420 |
0.3× |
| 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 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge, not the full procedure |
$969 |
$1,140 |
0.1× |
| 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/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$6,042.65 |
$7,109 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,639.70 |
$4,282 |
0.4× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$1,030.20 |
$1,212 |
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× |
| Intro Gastrointestinal Tube (44500) |
$243.10 |
$286 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$517.27 |
$608.55 |
2.1× |
| Irrigate corpora cavernosa for priapism (54220) |
$592.45 |
$697 |
2.3× |
| Knee arthroscopy/surgery (29883) |
$7,418.80 |
$8,728 |
2.2× |
| Knee arthroscopy/surgery (29876) |
$5,771.50 |
$6,790 |
1.7× |
| Knee arthroscopy/surgery (29886) |
$5,623.60 |
$6,616 |
1.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$6,344.40 |
$7,464 |
0.9× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,541.50 |
$2,990 |
0.4× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (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 grams; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure |
$3,377.90 |
$3,974 |
0.3× |
| Laparoscopy appendectomy (44970) |
$4,331.60 |
$5,096 |
0.7× |
Laparoscopy biopsy (49321)
unusually low: confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.4× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,683.85 |
$1,981 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,536.40 |
$2,984 |
0.2× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$962.20 |
$1,132 |
0.2× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,755.25 |
$2,065 |
0.3× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$848.30 |
$998 |
0.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,226.20 |
$4,972 |
0.7× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$4,087.65 |
$4,809 |
0.4× |
| 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, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$4,960.60 |
$5,836 |
0.5× |
| Laparoscopy, surgical, splenectomy (38120) |
$6,462.55 |
$7,603 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,260.65 |
$6,189 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$5,786.80 |
$6,808 |
0.5× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$2,850.05 |
$3,353 |
0.5× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,839.40 |
$2,164 |
0.3× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$5,393.25 |
$6,345 |
1.4× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,103.85 |
$7,181 |
1.0× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$967.30 |
$1,138 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure |
$1,895.50 |
$2,230 |
0.3× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$2,280.55 |
$2,683 |
0.4× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$1,765.45 |
$2,077 |
0.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$173.40 |
$204 |
0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,125.40 |
$1,324 |
2.8× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$334.05 |
$393 |
1.6× |
| Laryngoscopy w/biopsy (31535) |
$1,679.60 |
$1,976 |
0.4× |
| Laryngoscopy w/bx op scope (31536) |
$1,604.80 |
$1,888 |
0.4× |
| Laryngoscopy w/exc of tumor (31540) |
$1,606.50 |
$1,890 |
0.4× |
| Laryngoscopy w/fb & op scope (31531) |
$1,604.80 |
$1,888 |
0.4× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,105.85 |
$1,301 |
0.6× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$919.70 |
$1,082 |
0.5× |
| Larynscop w/tumr exc + scope (31541) |
$1,917.60 |
$2,256 |
0.5× |
| Late closure of wound (13160) |
$1,671.95 |
$1,967 |
0.5× |
| Lateral retinacular release open (27425) |
$2,674.95 |
$3,147 |
0.8× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,873.40 |
$2,204 |
0.3× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (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 of hemorrhoid(s) (46221) |
$645.15 |
$759 |
0.7× |
| Ligation Of Neck Artery (37615) |
$1,657.50 |
$1,950 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$1,228.25 |
$1,445 |
0.7× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,438.20 |
$1,692 |
0.4× |
| Liver Biopsy (47000) |
$1,089.28 |
$1,281.50 |
0.6× |
| 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, elbow, under anesthesia (24300) |
$1,100.75 |
$1,295 |
0.7× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$474.30 |
$558 |
0.3× |
| Mast mod rad (19307) |
$4,618.90 |
$5,434 |
0.7× |
| 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 simple complete (19303)
unusually low: confirm this is the full procedure |
$3,372.80 |
$3,968 |
0.5× |
| Muscle transfer shoulder/arm (23395) |
$5,596.40 |
$6,584 |
0.8× |
| Musculoskeletal surgery (20999) |
$1,948.20 |
$2,292 |
7.7× |
| Myelography Lumbar Injection (62305) |
$928.68 |
$1,092.56 |
1.2× |
| Myelography Lumbar Injection (62304) |
$680.43 |
$800.50 |
0.8× |
| 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 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,405.05 |
$1,653 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$289.85 |
$341 |
0.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,793.50 |
$2,110 |
1.9× |
| 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) (64912)
likely a partial charge, not the full procedure |
$2,389.35 |
$2,811 |
0.3× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$1,496.85 |
$1,761 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$969.97 |
$1,141.14 |
2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$726.75 |
$855 |
0.8× |
| 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× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$497.25 |
$585 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$660.45 |
$777 |
1.6× |
| Omntc Epiploectomy Rescj Omentum Spx (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 rx carpal bone fx,each bone (25645) |
$1,422.90 |
$1,674 |
0.4× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,394.45 |
$2,817 |
0.3× |
| Open rx mandible fx+dental fix (21462) |
$4,247.45 |
$4,997 |
0.7× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$3,324.35 |
$3,911 |
0.4× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$2,165.80 |
$2,548 |
0.2× |
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; (23550)
likely a partial charge, not the full procedure |
$1,870.85 |
$2,201 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$2,201.50 |
$2,590 |
0.3× |
Open treatment of depressed zygomatic arch fracture (eg, gilles approach) (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 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, neck, internal fixation or prosthetic replacement (27236) |
$5,278.50 |
$6,210 |
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 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 shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$3,091.45 |
$3,637 |
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 patellar fracture, with internal fixation and/or patellectomy (27524)
unusually low: confirm this is the full procedure |
$3,025.15 |
$3,559 |
0.4× |
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 tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$5,032 |
$5,920 |
0.7× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$3,761.25 |
$4,425 |
0.5× |
Open treatment of tibial shaft 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 trimalleolar ankle fracture; with fixation of posterior lip (27823)
unusually low: confirm this is the full procedure |
$3,530.05 |
$4,153 |
0.5× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,629.45 |
$1,917 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,929.50 |
$2,270 |
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 Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure |
$1,861.50 |
$2,190 |
0.3× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,089.30 |
$2,458 |
0.6× |
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure |
$2,295.85 |
$2,701 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,393.15 |
$1,639 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$3,337.95 |
$3,927 |
0.5× |
| Open Tx Femoral Fracture Proximal End He (27269) |
$5,438.30 |
$6,398 |
0.7× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,306.45 |
$1,537 |
0.4× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,915.05 |
$2,253 |
0.1× |
| Open tx interphalangeal joint dislocation (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 nose fx uncomplicatd (21325) |
$1,674.50 |
$1,970 |
0.5× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$2,219.35 |
$2,611 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,841.10 |
$2,166 |
0.6× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$2,786.30 |
$3,278 |
0.2× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$1,751.85 |
$2,061 |
0.2× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$2,696.20 |
$3,172 |
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× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$5,366.90 |
$6,314 |
0.7× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$2,402.10 |
$2,826 |
0.2× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$1,909.95 |
$2,247 |
0.3× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$4,402.15 |
$5,179 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,253.75 |
$1,475 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,173 |
$1,380 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,540.20 |
$1,812 |
0.5× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$5,781.70 |
$6,802 |
0.4× |
| Osteochondral knee autograft (27416) |
$4,080 |
$4,800 |
0.6× |
Osteoplasty, radius OR ulna; shortening (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 midtarsal,autograft (28305)
likely a partial charge, not the full procedure |
$1,748.45 |
$2,057 |
0.2× |
| Osteotomy Phalanx Finger Each (26567) |
$1,821.55 |
$2,143 |
0.5× |
Osteotomy Radius Distal Third (25350)
likely a partial charge, not the full procedure |
$1,763.75 |
$2,075 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure |
$2,195.55 |
$2,583 |
0.3× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,975.40 |
$2,324 |
0.4× |
| Partial Excision Bone Fibula (27641) |
$3,619.30 |
$4,258 |
1.1× |
| Partial excision bone metacarpal (26230) |
$1,289.45 |
$1,517 |
0.4× |
| Partial Excision Bone Olecranon Process (24147) |
$1,636.25 |
$1,925 |
0.5× |
Partial excision bone proximal humerus (23184)
likely a partial charge, not the full procedure |
$1,917.60 |
$2,256 |
0.3× |
| Partial excision bone talus/calcaneus (28120) |
$1,637.10 |
$1,926 |
0.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,144.10 |
$1,346 |
0.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,035.75 |
$2,395 |
0.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$521.90 |
$614 |
0.2× |
| Partial removal of thyroid (60220) |
$4,809.30 |
$5,658 |
0.8× |
| 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 exam under anesthesia (57410) |
$271.15 |
$319 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,272.45 |
$1,497 |
0.4× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,692.85 |
$5,521 |
0.6× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$1,419.50 |
$1,670 |
0.4× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,670.25 |
$1,965 |
0.5× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$1,437.35 |
$1,691 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,257.15 |
$1,479 |
0.4× |
| Pericardiocentesis W/Imaging (33016) |
$1,708.92 |
$2,010.50 |
1.1× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$697 |
$820 |
0.2× |
| 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× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$2,392.75 |
$2,815 |
3.3× |
| Pin finger fracture each (26756) |
$1,166.20 |
$1,372 |
0.3× |
| Pin hand dislocation (26676) |
$1,428.85 |
$1,681 |
0.4× |
| Pin radioulnar dislocation (25671) |
$1,481.55 |
$1,743 |
0.4× |
| Place Cath Subclavian Art (36225) |
$2,922.72 |
$3,438.50 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$545.70 |
$642 |
1.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$2,892.55 |
$3,403 |
1.5× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$708.90 |
$834 |
0.2× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$2,755.70 |
$3,242 |
0.4× |
| Preputial Stretching (54450) |
$268.60 |
$316 |
1.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$463.25 |
$545 |
0.4× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187)
unusually low: confirm this is the full procedure |
$2,574.65 |
$3,029 |
0.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$414.80 |
$488 |
0.6× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$634.10 |
$746 |
0.2× |
Prq skel fixj humrl cndylr fx medial/lat w/manj (24582)
likely a partial charge, not the full procedure |
$2,011.10 |
$2,366 |
0.3× |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
$769.25 |
$905 |
0.2× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
unusually low: confirm this is the full procedure |
$2,640.95 |
$3,107 |
0.4× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
unusually low: confirm this is the full procedure |
$2,294.15 |
$2,699 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$569.76 |
$670.30 |
1.4× |
| Puncture Aspiration (10160) |
$276.25 |
$325 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$275.40 |
$324 |
0.4× |
| Pvb thoracic single inj site (64461) |
$782 |
$920 |
1.1× |
Quadricepsplasty (eg, Bennett or Thompson type) (27430)
likely a partial charge, not the full procedure |
$1,831.75 |
$2,155 |
0.2× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$925.65 |
$1,089 |
0.1× |
| Realignment extensor tendon hand each tendon (26437) |
$1,670.25 |
$1,965 |
0.5× |
Realignment of knee (27457)
unusually low: confirm this is the full procedure |
$3,488.40 |
$4,104 |
0.5× |
| Reattachment of part of cutoff finger (20822) |
$4,647.80 |
$5,468 |
2.8× |
| Reconstr disloc patella w mscl adv (27422) |
$3,726.40 |
$4,384 |
0.5× |
| Reconstruc toe deform,soft tissue (28313) |
$922.25 |
$1,085 |
0.3× |
| Reconstruct extra finger (26587) |
$2,724.25 |
$3,205 |
0.8× |
Reconstruct Shoulder Joint (23470)
unusually low: confirm this is the full procedure |
$5,383.90 |
$6,334 |
0.4× |
Reconstruct wrist joint (25445)
likely a partial charge, not the full procedure |
$1,819.85 |
$2,141 |
0.2× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$2,002.60 |
$2,356 |
0.6× |
| Reforearm tend/musc,exten,second (25272) |
$1,394.85 |
$1,641 |
0.4× |
Reinforce ulna (25491)
likely a partial charge, not the full procedure |
$1,937.15 |
$2,279 |
0.1× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
unusually low: confirm this is the full procedure |
$3,537.70 |
$4,162 |
0.5× |
| Release elbow joint (24006) |
$2,096.95 |
$2,467 |
0.6× |
| Release i-p jt contracture (26525) |
$1,727.20 |
$2,032 |
1.1× |
| Release palm contracture (26121) |
$1,496 |
$1,760 |
0.4× |
| Release thumb contracture (26508) |
$1,770.55 |
$2,083 |
0.5× |
| Release wrist/forearm tendon (25295) |
$1,369.35 |
$1,611 |
0.4× |
| Rem endovas vena cava filter (37193) |
$6,222 |
$7,320 |
1.9× |
| Removal fb intranasal (30300) |
$312.80 |
$368 |
2.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,559.75 |
$1,835 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,353.20 |
$1,592 |
0.8× |
| Removal foreign body foot deep (28192) |
$822.80 |
$968 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$351.90 |
$414 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$807.50 |
$950 |
0.5× |
| 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 Separate Procedure (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 arm foreign body (24200) |
$556.75 |
$655 |
0.3× |
| Removal of bone lesion (23140) |
$1,367.65 |
$1,609 |
0.4× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$884.85 |
$1,041 |
0.5× |
| Removal of finger lesion (26210) |
$1,164.50 |
$1,370 |
0.7× |
| 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 indwelling tunneled pleural catheter with cuff (32552) |
$822.80 |
$968 |
1.3× |
| Removal of intrauterine device (iud) (58301) |
$302.60 |
$356 |
1.0× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
unusually low: confirm this is the full procedure |
$4,758.30 |
$5,598 |
0.4× |
| Removal of nail bed (11750) |
$678.30 |
$798 |
1.6× |
| Removal of palm tendon each (26170) |
$1,056.55 |
$1,243 |
0.6× |
Removal of posterior segmental instrumentation (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 sperm cord lesion (55520) |
$1,592.90 |
$1,874 |
0.4× |
| Removal of tail bone ulcer (15922) |
$3,071.05 |
$3,613 |
0.8× |
| Removal of testis (54520) |
$2,127.55 |
$2,503 |
0.6× |
| Removal of thyroid lesion (60200) |
$3,224.90 |
$3,794 |
0.5× |
| Removal of wrist bone (25210) |
$1,280.95 |
$1,507 |
0.4× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$1,882.75 |
$2,215 |
0.2× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,225.70 |
$1,442 |
0.4× |
| Removal subq cardiac rhythm monitor (33286) |
$654.08 |
$769.50 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$141.95 |
$167 |
0.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,484.55 |
$2,923 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$178.50 |
$210 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$175.10 |
$206 |
0.6× |
| Remove anal fist subq (46270) |
$1,637.95 |
$1,927 |
0.6× |
| Remove by ligat int hem grp (46945) |
$788.80 |
$928 |
0.3× |
| Remove drug implant device (11982) |
$257.55 |
$303 |
0.6× |
| Remove elbow lesion (24120) |
$1,385.50 |
$1,630 |
0.4× |
| Remove femur lesion (27355) |
$1,559.75 |
$1,835 |
0.5× |
| Remove finger bone (26185) |
$1,400.80 |
$1,648 |
0.9× |
| Remove foreign body from eye (65210) |
$329.80 |
$388 |
0.7× |
| Remove humerus lesion (24110) |
$1,539.35 |
$1,811 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$2,475.20 |
$2,912 |
0.9× |
| Remove Pilonidal Cyst Exten (11771) |
$1,126.25 |
$1,325 |
0.4× |
| Remove skin nerve lesion (64774) |
$1,200.20 |
$1,412 |
0.6× |
| Remove thyroid duct lesion (60280) |
$3,451.85 |
$4,061 |
0.6× |
Remove uterus lesion (59100)
likely a partial charge, not the full procedure |
$1,493.45 |
$1,757 |
0.3× |
| Remove vc lesion w/scope (31545) |
$2,331.55 |
$2,743 |
0.6× |
Remove wrist joint implant (25449)
unusually low: confirm this is the full procedure |
$2,714.05 |
$3,193 |
0.4× |
| Remove wrist tendon lesion (25111) |
$1,629.45 |
$1,917 |
1.0× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$900.15 |
$1,059 |
0.1× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$1,027.65 |
$1,209 |
0.1× |
| Remv cartilage for graft nasal (20912) |
$1,568.25 |
$1,845 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,101.60 |
$1,296 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$275.40 |
$324 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$242.25 |
$285 |
1.8× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$1,010.65 |
$1,189 |
0.0× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$2,339.20 |
$2,752 |
0.1× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$968.15 |
$1,139 |
0.0× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$848.30 |
$998 |
0.1× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$997.90 |
$1,174 |
0.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,706.80 |
$2,008 |
0.2× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$1,970.30 |
$2,318 |
0.6× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,948.20 |
$2,292 |
0.3× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,978.80 |
$2,328 |
0.6× |
| Repair blood vessel direct neck (35201) |
$7,910.10 |
$9,306 |
1.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$6,393.70 |
$7,522 |
2.0× |
Repair blood vessel lesion (35236)
unusually low: confirm this is the full procedure |
$2,633.30 |
$3,098 |
0.5× |
Repair collat ankle ligmnt,secondary (27698)
unusually low: confirm this is the full procedure |
$3,467.15 |
$4,079 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,226.55 |
$1,443 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,396.15 |
$2,819 |
3.2× |
| 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 (13132) |
$1,894.65 |
$2,229 |
4.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$836.40 |
$984 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,281.80 |
$1,508 |
3.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$529.55 |
$623 |
0.7× |
| 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 elbow perc (24357) |
$1,709.35 |
$2,011 |
0.5× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$1,958.40 |
$2,304 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,036.60 |
$2,396 |
1.2× |
| Repair finger/hand tendon (26350) |
$1,967.75 |
$2,315 |
0.6× |
| Repair finger/hand tendon (26370) |
$1,942.25 |
$2,285 |
0.6× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$2,323.05 |
$2,733 |
0.7× |
| Repair forearm tendon/muscle (25270) |
$1,270.75 |
$1,495 |
0.4× |
| Repair forearm tendon/muscle (25274) |
$2,584.85 |
$3,041 |
0.8× |
| Repair forearm tendon/muscle (25260) |
$1,647.30 |
$1,938 |
0.5× |
| Repair hallux rigidus (28289) |
$1,940.55 |
$2,283 |
0.6× |
| Repair hand joint with graft (26542) |
$1,745.90 |
$2,054 |
0.5× |
| Repair hand tendon (26410) |
$1,585.25 |
$1,865 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,536 |
$4,160 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,176.45 |
$3,737 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,259.75 |
$3,835 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,263.95 |
$1,487 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$584.80 |
$688 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$627.30 |
$738 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$727.60 |
$856 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,014.05 |
$1,193 |
2.4× |
| 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 12.6-20.0cm (12035) |
$765 |
$900 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$372.30 |
$438 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$483.65 |
$569 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$726.75 |
$855 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$478.55 |
$563 |
1.2× |
| Repair intrinsic muscles of hand (26591) |
$1,208.70 |
$1,422 |
0.4× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$1,552.95 |
$1,827 |
0.2× |
| Repair lead pace-defib one (33218) |
$1,664.30 |
$1,958 |
0.4× |
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure |
$1,550.40 |
$1,824 |
0.2× |
| Repair lumbar hernia (49540) |
$3,303.95 |
$3,887 |
0.5× |
Repair medial collateral ligament, elbow w/local tissue (24345)
likely a partial charge, not the full procedure |
$1,841.95 |
$2,167 |
0.2× |
Repair nonunion hand (26546)
unusually low: confirm this is the full procedure |
$2,563.60 |
$3,016 |
0.3× |
Repair nonunion radius/ulna w autogrft (25405)
unusually low: confirm this is the full procedure |
$2,685.15 |
$3,159 |
0.4× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$1,236.75 |
$1,455 |
0.2× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$1,587.80 |
$1,868 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure |
$1,307.30 |
$1,538 |
0.3× |
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure |
$2,543.20 |
$2,992 |
0.3× |
Repair of foot bones (28320)
likely a partial charge, not the full procedure |
$1,582.70 |
$1,862 |
0.1× |
| Repair Of Foot Tendon (28208) |
$829.60 |
$976 |
0.2× |
| Repair of hammertoe (28286) |
$1,138.15 |
$1,339 |
0.3× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$2,768.45 |
$3,257 |
0.2× |
Repair of knee cartilage (27403)
likely a partial charge, not the full procedure |
$1,676.20 |
$1,972 |
0.2× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,497.70 |
$1,762 |
0.2× |
| 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, radius OR ulna; without graft (eg, compression technique) (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 autogenous bone graft (includes obtaining graft) (27724)
unusually low: confirm this is the full procedure |
$3,350.70 |
$3,942 |
0.5× |
| Repair of rectocele (45560) |
$2,450.55 |
$2,883 |
0.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$4,522 |
$5,320 |
0.6× |
| Repair of shoulder (23420) |
$4,606.15 |
$5,419 |
0.6× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,511.30 |
$1,778 |
0.2× |
Repair of vagina (57260)
unusually low: confirm this is the full procedure |
$2,011.10 |
$2,366 |
0.4× |
Repair radius & ulna (25415)
unusually low: confirm this is the full procedure |
$2,341.75 |
$2,755 |
0.3× |
Repair rectum & vagina (57250)
unusually low: confirm this is the full procedure |
$1,586.95 |
$1,867 |
0.3× |
| Repair rotator cuff acute (23410) |
$3,898.95 |
$4,587 |
0.5× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$2,729.35 |
$3,211 |
0.4× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$5,174.80 |
$6,088 |
0.7× |
| Repair Tongue Laceration (41250) |
$692.75 |
$815 |
1.5× |
| Repair wrist joints (25447) |
$2,147.95 |
$2,527 |
0.6× |
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, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$2,991.15 |
$3,519 |
0.4× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (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× |
Repair/graft hand tendon (26352)
likely a partial charge, not the full procedure |
$2,165.80 |
$2,548 |
0.3× |
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure |
$1,997.50 |
$2,350 |
0.3× |
Repair/revise wrist joint (25320)
unusually low: confirm this is the full procedure |
$2,578.05 |
$3,033 |
0.3× |
| Replace g/c tube perc (49450) |
$3,777.40 |
$4,444 |
4.1× |
| Reposition pacing-defib lead (33215) |
$3,070.20 |
$3,612 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,856.40 |
$2,184 |
0.6× |
| Rerepair fem hernia reduce (49555) |
$2,859.40 |
$3,364 |
0.8× |
| Rerepair ing hernia blocked (49521) |
$3,599.75 |
$4,235 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$3,508.80 |
$4,128 |
1.0× |
| Revis reconst shoulder joint (23473) |
$7,891.40 |
$9,284 |
0.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$8,273.90 |
$9,734 |
0.6× |
| Revise arm/leg nerve (64708) |
$3,208.75 |
$3,775 |
1.6× |
| Revise finger joint (26535) |
$1,138.15 |
$1,339 |
0.3× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$1,390.60 |
$1,636 |
0.2× |
Revise knuckle with implant (26531)
likely a partial charge, not the full procedure |
$1,634.55 |
$1,923 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,792.25 |
$3,285 |
1.4× |
Revise prosth vag graft lap (57426)
likely a partial charge, not the full procedure |
$2,244.85 |
$2,641 |
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× |
| Revise wrist joint (25332) |
$2,209.15 |
$2,599 |
0.7× |
Revise/implant finger joint (26536)
likely a partial charge, not the full procedure |
$1,892.95 |
$2,227 |
0.3× |
| Revision of foot (28116) |
$1,993.25 |
$2,345 |
0.6× |
| Revision of lower leg tendon (27685) |
$1,216.35 |
$1,431 |
0.4× |
| Revision of toe (28312) |
$1,364.25 |
$1,605 |
0.4× |
| 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 autograft or allograft (27138) |
$7,313.40 |
$8,604 |
0.6× |
| 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 knee arthroplasty, with or without allograft; one component (27486) |
$7,180.80 |
$8,448 |
0.5× |
Revision of ulna (25360)
likely a partial charge, not the full procedure |
$1,715.30 |
$2,018 |
0.2× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$889.95 |
$1,047 |
0.2× |
| Revj clst comp rcnstj in-depth spx (44345) |
$3,470.55 |
$4,083 |
1.0× |
| Revj Fem Anast Bpg Grn Opn W/Nonautog Patch Grf (35883) |
$7,382.25 |
$8,685 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$259.25 |
$305 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$329.80 |
$388 |
2.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$1,261.40 |
$1,484 |
0.3× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$1,659.20 |
$1,952 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$920.55 |
$1,083 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$412.39 |
$485.16 |
0.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$464.95 |
$547 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$868.70 |
$1,022 |
0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,719.15 |
$3,199 |
0.8× |
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 blood vessel direct lower extremity (35226) |
$6,180.35 |
$7,271 |
8.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,681.75 |
$3,155 |
0.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,447.55 |
$1,703 |
0.9× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$1,234.20 |
$1,452 |
0.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,001.30 |
$1,178 |
1.8× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$1,499.40 |
$1,764 |
0.2× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure |
$1,476.45 |
$1,737 |
0.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,058.70 |
$2,422 |
0.6× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,322.60 |
$1,556 |
0.4× |
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263)
unusually low: confirm this is the full procedure |
$3,145.85 |
$3,701 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,203.60 |
$1,416 |
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× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$174.25 |
$205 |
0.4× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,511.30 |
$1,778 |
0.5× |
| Shoulder arthroscopy (29805) |
$247.35 |
$291 |
0.1× |
| 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 0.6-1.0 Cm (11301) |
$215.05 |
$253 |
1.0× |
| 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 Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$464.10 |
$546 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$555.90 |
$654 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,139 |
$1,340 |
2.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$393.55 |
$463 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$488.75 |
$575 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$582.25 |
$685 |
2.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$728.45 |
$857 |
3.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$313.65 |
$369 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$555.05 |
$653 |
2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$506.60 |
$596 |
2.5× |
| Skin splt grft trnk/arm/leg (15100) |
$1,276.70 |
$1,502 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,384.65 |
$1,629 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,384.65 |
$1,629 |
1.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,295.85 |
$2,701 |
1.1× |
| Skin Tissue Procedure (17999) |
$214.20 |
$252 |
1.0× |
| Skin tissue rearrangement (14040) |
$1,710.20 |
$2,012 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,840.25 |
$2,165 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$375.70 |
$442 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$643.45 |
$757 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$634.10 |
$746 |
1.5× |
| Sphincterotomy (46080) |
$1,905.70 |
$2,242 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$650.25 |
$765 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$714.85 |
$841 |
1.0× |
| Strapping elbow/wrist (29260) |
$75.65 |
$89 |
1.3× |
| Strapping unna boot (29580) |
$163.20 |
$192 |
1.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$297.50 |
$350 |
0.7× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$1,174.70 |
$1,382 |
0.3× |
| Suspension of testis (54640) |
$2,974.15 |
$3,499 |
0.8× |
| Suspension of testis (54620) |
$1,187.45 |
$1,397 |
0.3× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386)
likely a partial charge, not the full procedure |
$2,181.10 |
$2,566 |
0.3× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$1,800.30 |
$2,118 |
0.9× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381)
likely a partial charge, not the full procedure |
$2,122.45 |
$2,497 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$998.75 |
$1,175 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$518.08 |
$609.50 |
1.2× |
Tendon graft, from a distance (20924)
likely a partial charge, not the full procedure |
$1,311.55 |
$1,543 |
0.2× |
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 Triceps (24332) |
$1,581 |
$1,860 |
0.5× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$1,105.85 |
$1,301 |
0.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,371.90 |
$1,614 |
0.4× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$693.60 |
$816 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$547.40 |
$644 |
0.3× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,607.35 |
$1,891 |
0.2× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$1,118.60 |
$1,316 |
0.7× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$1,207 |
$1,420 |
0.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,133.90 |
$1,334 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,631.80 |
$1,919.76 |
2.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,262.25 |
$1,485 |
2.0× |
Thoracoscopy dx pericardial sac w/biopsy spx (32604)
likely a partial charge, not the full procedure |
$2,468.40 |
$2,904 |
0.2× |
Thoracoscopy w/bx pleura (32609)
likely a partial charge, not the full procedure |
$1,046.35 |
$1,231 |
0.2× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure |
$1,645.60 |
$1,936 |
0.3× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$3,493.50 |
$4,110 |
0.6× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$5,428.10 |
$6,386 |
1.0× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,595.90 |
$3,054 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$571.20 |
$672 |
1.7× |
| Thyroid biopsy (60100) |
$628.15 |
$739 |
0.9× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (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× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,180.65 |
$1,389 |
0.6× |
| Total hip arthroplasty (27130) |
$8,389.50 |
$9,870 |
0.6× |
| Total knee arthroplasty (27447) |
$8,436.25 |
$9,925 |
0.6× |
| Total thyroid lobectomy unilateral (60225) |
$5,333.75 |
$6,275 |
0.9× |
| Trach Tube Change (31502) |
$385.90 |
$454 |
1.6× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$910.35 |
$1,071 |
1.7× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$1,494.30 |
$1,758 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$28,293.10 |
$33,286 |
116.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,820.70 |
$2,142 |
1.1× |
| Tracheostomy planned (31600) |
$1,739.95 |
$2,047 |
0.5× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$378.25 |
$445 |
1.2× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,478.15 |
$1,739 |
0.7× |
| Transplant forearm tendon (25310) |
$1,607.35 |
$1,891 |
0.5× |
| Transplant hand tendon (26480) |
$2,000.05 |
$2,353 |
0.6× |
| Transplant/graft hand tendon (26483) |
$2,163.25 |
$2,545 |
0.6× |
Treat ankle dislocation (27848)
unusually low: confirm this is the full procedure |
$3,114.40 |
$3,664 |
0.4× |
Treat ankle dislocation (27846)
unusually low: confirm this is the full procedure |
$2,287.35 |
$2,691 |
0.3× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$1,711.90 |
$2,014 |
0.2× |
Treat dislocation/fracture (23670)
unusually low: confirm this is the full procedure |
$2,874.70 |
$3,382 |
0.4× |
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure |
$3,315.85 |
$3,901 |
0.3× |
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure |
$1,975.40 |
$2,324 |
0.3× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,836.45 |
$3,337 |
0.2× |
Treat elbow fracture (24635)
likely a partial charge, not the full procedure |
$1,749.30 |
$2,058 |
0.2× |
Treat elbow fracture (24587)
likely a partial charge, not the full procedure |
$2,764.20 |
$3,252 |
0.2× |
| Treat finger dislocation (26775) |
$1,031.90 |
$1,214 |
3.6× |
| Treat Finger Fracture Each (26727) |
$1,544.45 |
$1,817 |
0.5× |
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure |
$1,607.35 |
$1,891 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$765 |
$900 |
3.0× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$2,333.25 |
$2,745 |
0.3× |
| 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 heel fracture (28415)
unusually low: confirm this is the full procedure |
$3,471.40 |
$4,084 |
0.5× |
Treat humerus fracture (23630)
unusually low: confirm this is the full procedure |
$2,408.90 |
$2,834 |
0.3× |
| Treat humerus fracture (24500) |
$951.15 |
$1,119 |
3.8× |
| Treat humerus fracture (23600) |
$877.20 |
$1,032 |
3.5× |
| Treat knee fracture (27532) |
$1,507.90 |
$1,774 |
0.5× |
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure |
$3,663.50 |
$4,310 |
0.5× |
Treat lower leg fracture (27826)
unusually low: confirm this is the full procedure |
$2,913.80 |
$3,428 |
0.4× |
Treat lower leg fracture (27828)
unusually low: confirm this is the full procedure |
$4,623.15 |
$5,439 |
0.4× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$4,071.50 |
$4,790 |
0.3× |
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure |
$965.60 |
$1,136 |
0.1× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$2,209.15 |
$2,599 |
0.3× |
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure |
$2,392.75 |
$2,815 |
0.3× |
| Treat thumb fracture (26650) |
$1,659.20 |
$1,952 |
0.5× |
| Treat thumb fracture (26665) |
$1,623.50 |
$1,910 |
0.5× |
| Treat toe fracture (28525) |
$1,154.30 |
$1,358 |
0.3× |
Treat ulnar fracture (24685)
unusually low: confirm this is the full procedure |
$2,356.20 |
$2,772 |
0.3× |
| Treat Vaginal Bleeding (57180) |
$310.25 |
$365 |
1.5× |
| Treat wrist bone fracture (25635) |
$1,095.65 |
$1,289 |
0.7× |
| Treat wrist bone fracture (25622) |
$810.90 |
$954 |
3.2× |
| Treat Wrist Bone Fracture (25630) |
$804.95 |
$947 |
3.2× |
Treat wrist fracture (25685)
likely a partial charge, not the full procedure |
$1,926.95 |
$2,267 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,912.50 |
$2,250 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,093.10 |
$1,286 |
4.3× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$2,980.10 |
$3,506 |
0.4× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$2,337.50 |
$2,750 |
0.3× |
| Treatment of bone cyst (20615) |
$818.55 |
$963 |
1.1× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$2,018.75 |
$2,375 |
0.3× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$5,386.45 |
$6,337 |
0.7× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,386.45 |
$6,337 |
0.7× |
| Treatment of missed abortion, completed surgically; second trimester (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 thigh fracture (27513)
unusually low: confirm this is the full procedure |
$5,182.45 |
$6,097 |
0.4× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$3,696.65 |
$4,349 |
0.3× |
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure |
$2,261 |
$2,660 |
0.3× |
| Trim skin lesion (11055) |
$280.50 |
$330 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$303.88 |
$357.50 |
1.5× |
| Trim skin lesions over 4 (11057) |
$319.18 |
$375.50 |
1.6× |
| 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 humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$2,865.35 |
$3,371 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$788.80 |
$928 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$981.75 |
$1,155 |
0.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$860.20 |
$1,012 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$586.50 |
$690 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$276.25 |
$325 |
0.7× |
| Unlisted laparoscopic procedure liver (47379) |
$3,349.85 |
$3,941 |
0.5× |
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure |
$1,557.20 |
$1,832 |
0.3× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$5,750.25 |
$6,765 |
0.9× |
| Unlisted laparoscopy procedure, rectum (45499) |
$6,018.85 |
$7,081 |
1.0× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$3,524.95 |
$4,147 |
0.6× |
| Unlisted procedure anus (46999) |
$469.20 |
$552 |
0.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$422.45 |
$497 |
1.7× |
| Unlisted procedure femur or knee (27599) |
$243.95 |
$287 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$1,244.40 |
$1,464 |
4.9× |
| Unlisted procedure humerus/elbow (24999) |
$1,714.45 |
$2,017 |
6.8× |
| Unlisted procedure leg/ankle (27899) |
$2,261 |
$2,660 |
9.0× |
| Unlisted procedure liver (47399) |
$3,411.05 |
$4,013 |
4.7× |
| Unlisted Procedure Nervous System (64999) |
$380.80 |
$448 |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,628.20 |
$3,092 |
10.4× |
| Unlisted Procedure Rectum (45999) |
$798.15 |
$939 |
0.8× |
| Unlisted procedure shoulder (23929) |
$556.75 |
$655 |
2.2× |
| Unlisted Procedure Small Intestine (44799) |
$98.60 |
$116 |
0.1× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$1,269.05 |
$1,493 |
5.0× |
| Unlisted procedure, forearm or wrist (25999) |
$2,040.85 |
$2,401 |
8.1× |
| Unlisted procedure, hands or fingers (26989) |
$1,099.05 |
$1,293 |
4.4× |
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214)
likely a partial charge, not the full procedure |
$1,275 |
$1,500 |
0.1× |
| Urology Surgery Procedure (53899) |
$396.10 |
$466 |
1.6× |
Vag hyst w/enterocele repair (58270)
unusually low: confirm this is the full procedure |
$2,312.85 |
$2,721 |
0.5× |
| Vaginal delivery only (59409) |
$2,052.75 |
$2,415 |
0.6× |
Vaginal hysterectomy (58260)
unusually low: confirm this is the full procedure |
$2,170.05 |
$2,553 |
0.4× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,397.85 |
$2,821 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$2,572.95 |
$3,027 |
0.5× |
| Vasc embolize/occlude organ (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× |
| Vulvectomy simple partial (56620) |
$1,527.45 |
$1,797 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$2,261 |
$2,660 |
5.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,004.70 |
$1,182 |
1.3× |
| Wrist arthroscop,excis triang cart (29846) |
$1,370.20 |
$1,612 |
0.4× |
| Wrist arthroscop,part synovect (29844) |
$1,309.85 |
$1,541 |
0.4× |
| Wrist arthroscopy (29843) |
$3,364.30 |
$3,958 |
1.0× |
| Wrist arthroscopy (29840) |
$1,156.85 |
$1,361 |
0.3× |
Xfer single deep low leg tendon (27691)
likely a partial charge, not the full procedure |
$1,971.15 |
$2,319 |
0.3× |