| Abd paracentesis w/imaging (49083) |
$1,275 |
$1,700 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$177 |
$236 |
0.2× |
| Ablate inf turbinate submuc (30802) |
$447.75 |
$597 |
0.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$18,825 |
$25,100 |
1.1× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$951.75 |
$1,269 |
0.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$878.25 |
$1,171 |
0.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$853.50 |
$1,138 |
0.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$711 |
$948 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$711 |
$948 |
0.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$807 |
$1,076 |
0.4× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) likely a partial charge, not the full procedure |
$972.75 |
$1,297 |
0.1× |
| Amniocentesis diagnostic (59000) |
$533.25 |
$711 |
0.6× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$1,915.50 |
$2,554 |
0.6× |
| Amputate Thigh,Re-Amputatn (27596) |
$9,843.75 |
$13,125 |
3.0× |
| Amputation Finger/Thumb (26951) |
$1,293 |
$1,724 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$738.75 |
$985 |
0.2× |
| Amputation of finger/thumb (26952) |
$853.50 |
$1,138 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,270.50 |
$1,694 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$2,472.38 |
$3,296.50 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,478.75 |
$3,305 |
0.8× |
| Amputation, foot; transmetatarsal (28805) |
$886.50 |
$1,182 |
0.3× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,458 |
$1,944 |
0.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$768 |
$1,024 |
0.2× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$4,095 |
$5,460 |
1.5× |
| Anoscopy (46611) |
$1,338.75 |
$1,785 |
1.4× |
| Anoscopy Ablation Lesion (46615) |
$4,095 |
$5,460 |
1.5× |
| Anoscopy control bleeding (46614) |
$1,338.75 |
$1,785 |
1.1× |
| Anoscopy diagnostic (46600) |
$492.75 |
$657 |
3.7× |
| Anoscopy w/rmvl lesion cautery (46610) |
$531.75 |
$709 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$690.75 |
$921 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,756.25 |
$3,675 |
1.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$4,153.88 |
$5,538.50 |
0.8× |
| Anterior Tibial Tubercleplasty (27418) |
$10,080 |
$13,440 |
1.4× |
| Appendectomy (44950) |
$5,591.25 |
$7,455 |
0.9× |
| Application cast elbow finger short arm (29075) |
$285.75 |
$381 |
1.0× |
| Application Cast Finger (29086) |
$232.50 |
$310 |
1.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$405.75 |
$541 |
2.5× |
| Application cast shoulder hand long arm (29065) |
$327 |
$436 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$185.25 |
$247 |
3.1× |
| Application finger splint static (29130) |
$80.25 |
$107 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$236.25 |
$315 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$236.25 |
$315 |
1.4× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$5,662.50 |
$7,550 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$177.75 |
$237 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$141 |
$188 |
1.1× |
| Application short leg splint calf foot (29515) |
$216.75 |
$289 |
1.3× |
| Apply short leg cast (29405) |
$138 |
$184 |
0.5× |
| Aqueous shunt to extraocular reservoir (66180) |
$3,150 |
$4,200 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$346.50 |
$462 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,417.50 |
$1,890 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$529.88 |
$706.50 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$626.25 |
$835 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$346.50 |
$462 |
1.1× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$409.50 |
$546 |
0.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$25,200 |
$33,600 |
1.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,906.25 |
$7,875 |
0.8× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$20,475 |
$27,300 |
1.2× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,100 |
$2,800 |
0.1× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) likely a partial charge, not the full procedure |
$1,501.12 |
$2,001.50 |
0.1× |
| Arthroplasty radial head w/implant (24366) |
$8,268.75 |
$11,025 |
0.6× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) |
$20,475 |
$27,300 |
1.6× |
| Arthroplasty, patella; without prosthesis (27437) |
$10,080 |
$13,440 |
1.4× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$10,080 |
$13,440 |
1.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,629 |
$2,172 |
0.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,209.75 |
$1,613 |
0.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,968.75 |
$2,625 |
0.6× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,815.50 |
$3,754 |
0.9× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$981.75 |
$1,309 |
0.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,092 |
$1,456 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,756.25 |
$3,675 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,029.75 |
$1,373 |
0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,260.75 |
$1,681 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,286.25 |
$1,715 |
0.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,968.75 |
$2,625 |
0.6× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,286.25 |
$1,715 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$3,543.75 |
$4,725 |
0.5× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$1,163.25 |
$1,551 |
0.7× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$1,814.25 |
$2,419 |
0.6× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$4,725 |
$6,300 |
1.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,283.75 |
$3,045 |
1.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$4,567.50 |
$6,090 |
1.4× |
| Arthrtomy w/bx interphalangeal joint (28054) |
$4,567.50 |
$6,090 |
1.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,653.75 |
$2,205 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$295.50 |
$394 |
1.5× |
Axillary lymphadenectomy superficial 38740 (38740) likely a partial charge, not the full procedure |
$807 |
$1,076 |
0.1× |
Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$807 |
$1,076 |
0.1× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,732.50 |
$2,310 |
1.4× |
| Biopsy bone open superficial (20240) |
$2,149.50 |
$2,866 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,164.75 |
$1,553 |
0.7× |
| Biopsy Breast Open Incisional (19101) |
$711 |
$948 |
0.2× |
| Biopsy external ear (69100) |
$414 |
$552 |
1.7× |
| Biopsy muscle deep (20205) |
$2,214 |
$2,952 |
0.8× |
| Biopsy of uterus lining (58100) |
$330 |
$440 |
1.6× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$533.25 |
$711 |
0.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,251 |
$1,668 |
0.3× |
| Biopsy Salivary Gland,Needle (42400) |
$1,005 |
$1,340 |
1.4× |
| Biopsy soft tissue neck/thorax (21550) |
$2,166 |
$2,888 |
1.3× |
| Biopsy soft tissue of back (21920) |
$2,166 |
$2,888 |
1.3× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$4,095 |
$5,460 |
1.4× |
| Biopsy tongue posterior one-third (41105) |
$2,205 |
$2,940 |
0.7× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$4,500 |
$6,000 |
1.4× |
| Biopsy/removal lymph nodes (38525) |
$1,412.62 |
$1,883.50 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$1,733.62 |
$2,311.50 |
0.4× |
| Bladder Irrigation Simple (51700) |
$512.25 |
$683 |
2.0× |
| Bladder Scan (51798) |
$213 |
$284 |
3.6× |
| Blepharoplasty upper eyelid (15822) |
$1,968.75 |
$2,625 |
0.9× |
| Blood patch (62273) |
$759.38 |
$1,012.50 |
1.1× |
| Blood transfusion service (36430) |
$618.75 |
$825 |
1.4× |
Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) likely a partial charge, not the full procedure |
$1,533 |
$2,044 |
0.2× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) likely a partial charge, not the full procedure |
$1,915.50 |
$2,554 |
0.3× |
| Bone Marrow Biopsy (38221) |
$622.12 |
$829.50 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,005.75 |
$1,341 |
0.6× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,005.75 |
$1,341 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$711 |
$948 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$711 |
$948 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$711 |
$948 |
0.4× |
| Bx breast 1st lesion us imag (19083) |
$1,741.12 |
$2,321.50 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,457.25 |
$1,943 |
0.9× |
| Bx vulva/perineum 1 lesion (56605) |
$1,200 |
$1,600 |
1.3× |
| Bx/exc lymph node needle superficial (38505) |
$533.25 |
$711 |
0.3× |
| Canthotomy Separate Procedure (67715) |
$1,968.75 |
$2,625 |
0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,567.50 |
$6,090 |
1.4× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$2,283.75 |
$3,045 |
1.4× |
| Cataract surgery complex (66982) |
$1,181.25 |
$1,575 |
0.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$557.25 |
$743 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$374.25 |
$499 |
1.5× |
| Chemical Cautery Tissue (17250) |
$195.75 |
$261 |
1.0× |
| Chest tube placement (32551) |
$1,416.75 |
$1,889 |
0.9× |
Chromotubation of oviduct, including materials (58350) likely a partial charge, not the full procedure |
$726.75 |
$969 |
0.1× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$3,331.50 |
$4,442 |
1.4× |
| Circum 28 days or older (54161) |
$2,925 |
$3,900 |
1.4× |
| Circumcision (54150) |
$1,558.88 |
$2,078.50 |
0.7× |
| Circumcision Neonate (54160) |
$603.75 |
$805 |
0.9× |
| Clearance of tear duct (68530) |
$591 |
$788 |
1.9× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$877.50 |
$1,170 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$583.50 |
$778 |
2.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$786.75 |
$1,049 |
3.2× |
| Closed Rx Med Malleolus Fx (27760) |
$685.50 |
$914 |
2.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,007.25 |
$1,343 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,181.25 |
$1,575 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$458.62 |
$611.50 |
1.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$875.25 |
$1,167 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$722.25 |
$963 |
2.9× |
| Closed Rx Trimalleolar Fx (27816) |
$656.25 |
$875 |
2.6× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$4,567.50 |
$6,090 |
1.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$469.50 |
$626 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,019.25 |
$1,359 |
4.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,362.50 |
$3,150 |
1.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$591 |
$788 |
2.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$688.50 |
$918 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$568.12 |
$757.50 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,362.50 |
$3,150 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$684 |
$912 |
2.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$511.50 |
$682 |
2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$453 |
$604 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$455.25 |
$607 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$886.50 |
$1,182 |
0.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$138.75 |
$185 |
0.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$534 |
$712 |
2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$453 |
$604 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,181.25 |
$1,575 |
0.7× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$892.50 |
$1,190 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$330.75 |
$441 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$477.75 |
$637 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$544.50 |
$726 |
2.2× |
| Closure cystostomy separate procedure (51880) |
$872.25 |
$1,163 |
0.2× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$950.25 |
$1,267 |
0.3× |
Closure of vagina (57120) unusually low: confirm this is the full procedure |
$2,266.88 |
$3,022.50 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$513 |
$684 |
2.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$292.50 |
$390 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$892.50 |
$1,190 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$591 |
$788 |
2.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$910.50 |
$1,214 |
3.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,362.50 |
$3,150 |
1.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$626.25 |
$835 |
0.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$643.50 |
$858 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$330.75 |
$441 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$426 |
$568 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$687 |
$916 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,653.75 |
$2,205 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$277.50 |
$370 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$374.25 |
$499 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$310.88 |
$414.50 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$683.25 |
$911 |
2.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$392.25 |
$523 |
1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$166.50 |
$222 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$354.75 |
$473 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$339 |
$452 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$667.50 |
$890 |
2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$642.75 |
$857 |
2.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$877.50 |
$1,170 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$465 |
$620 |
1.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,296.75 |
$1,729 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$682.50 |
$910 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$423.75 |
$565 |
1.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,717.50 |
$2,290 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$337.50 |
$450 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$354.75 |
$473 |
1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,260.50 |
$3,014 |
1.4× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$4,402.50 |
$5,870 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$825 |
$1,100 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,732.50 |
$2,310 |
1.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,968.75 |
$2,625 |
1.6× |
| Colonoscopy stoma w/biopsy (44389) |
$611.62 |
$815.50 |
0.5× |
| Colonoscopy stoma w/snare (44394) |
$1,968.75 |
$2,625 |
1.6× |
| Colonoscopy thru stoma (44388) |
$866.25 |
$1,155 |
0.9× |
| Colonoscopy w/ablation (45388) |
$866.25 |
$1,155 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,575 |
$2,100 |
1.3× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$5,919.75 |
$7,893 |
0.8× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$6,069.38 |
$8,092.50 |
0.8× |
| Colporrhaphy suture injury vagina (57200) |
$4,500 |
$6,000 |
1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$533.25 |
$711 |
1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$575.25 |
$767 |
2.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$743.62 |
$991.50 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$409.50 |
$546 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$562.50 |
$750 |
1.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$807 |
$1,076 |
2.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$492.75 |
$657 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$866.25 |
$1,155 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$866.25 |
$1,155 |
0.7× |
| Complex Cystometrogram (51726) |
$414.56 |
$552.75 |
1.7× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$196.88 |
$262.50 |
0.3× |
| Complex Drainage, Wound (10180) |
$1,572.38 |
$2,096.50 |
0.5× |
| Complex Uroflowmetry (51741) |
$172.50 |
$230 |
0.8× |
| Conization of cervix (57520) |
$1,488 |
$1,984 |
0.5× |
| Conization of cervix (57522) |
$2,457 |
$3,276 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$177.75 |
$237 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$365.25 |
$487 |
2.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$104.25 |
$139 |
0.2× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) likely a partial charge, not the full procedure |
$2,181 |
$2,908 |
0.2× |
| Correct lid retraction (67911) |
$3,228.75 |
$4,305 |
1.4× |
| Correction hammertoe (28285) |
$2,706 |
$3,608 |
0.8× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
| Correction of bunion (28292) |
$4,567.50 |
$6,090 |
1.4× |
Correction of bunion (28299) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
| Correction of bunion (28297) |
$10,237.50 |
$13,650 |
0.8× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$1,417.50 |
$1,890 |
1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,567.50 |
$6,090 |
1.4× |
| Create eardrum opening (69436) |
$1,102.50 |
$1,470 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$197.25 |
$263 |
1.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$252 |
$336 |
1.1× |
| Curettage postpartum (59160) |
$611.62 |
$815.50 |
0.2× |
| Curette/treat cornea (65435) |
$877.50 |
$1,170 |
0.9× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$7,425 |
$9,900 |
1.4× |
| Cysto w/destruction of lesions (52214) |
$2,756.25 |
$3,675 |
0.8× |
| Cysto w/removal of tumors small (52234) |
$2,756.25 |
$3,675 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,925 |
$3,900 |
1.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$7,425 |
$9,900 |
1.4× |
| Cysto/uretero w/lithotripsy (52356) |
$7,500 |
$10,000 |
1.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$7,425 |
$9,900 |
1.4× |
| Cystometrogram w/vp (51728) |
$196.88 |
$262.50 |
0.3× |
| Cystometrogram W/Vp&Up (51729) |
$572.06 |
$762.75 |
0.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) likely a partial charge, not the full procedure |
$2,568.75 |
$3,425 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,157.25 |
$1,543 |
0.6× |
| Cystoscopy,insert ureteral stent (52332) |
$5,025 |
$6,700 |
1.4× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$1,653.75 |
$2,205 |
0.8× |
| Cystourethroscopy (52000) |
$1,145.62 |
$1,527.50 |
1.6× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,925 |
$3,900 |
1.4× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$1,794 |
$2,392 |
0.5× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$547.50 |
$730 |
0.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,653.75 |
$2,205 |
0.8× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$2,756.25 |
$3,675 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$531.75 |
$709 |
1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,498.25 |
$3,331 |
0.9× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$1,416.75 |
$1,889 |
0.4× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$4,567.50 |
$6,090 |
1.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,034.25 |
$1,379 |
0.3× |
| Dcmprn fasct leg post compartment only (27601) |
$967.50 |
$1,290 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$773.25 |
$1,031 |
1.1× |
| Debride nail 1-5 (11720) |
$591 |
$788 |
10.0× |
| Debride skin musc at fx site (11011) |
$793.50 |
$1,058 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$453.75 |
$605 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$600 |
$800 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$953.25 |
$1,271 |
0.6× |
| Declot vascular device (36593) |
$91.50 |
$122 |
0.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$650.25 |
$867 |
0.4× |
| Decompress forearm 1 space (25023) |
$1,933.50 |
$2,578 |
0.6× |
| Decompression of leg (27892) |
$4,567.50 |
$6,090 |
1.4× |
| Decompression of tibia nerve (28035) |
$2,835 |
$3,780 |
1.4× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$1,417.50 |
$1,890 |
0.7× |
| Derma-fat-fascia graft (15770) |
$575.25 |
$767 |
0.2× |
| Destr penis lesn,simpl,laser surg (54057) |
$2,625 |
$3,500 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$2,205 |
$2,940 |
1.1× |
| Destroy internal hemorrhoids (46930) |
$729 |
$972 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,677.50 |
$3,570 |
1.4× |
| Destruction anal lesion(s) (46924) |
$409.50 |
$546 |
0.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$249 |
$332 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,181.25 |
$1,575 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,299.75 |
$1,733 |
1.5× |
| Destruction Lesions Vulva Extensive (56515) |
$2,625 |
$3,500 |
1.3× |
| Destruction Lesions Vulva Simple (56501) |
$1,434.75 |
$1,913 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$409.50 |
$546 |
2.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,677.50 |
$3,570 |
1.4× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$1,181.25 |
$1,575 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$456 |
$608 |
2.3× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,425.12 |
$3,233.50 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$1,338.75 |
$1,785 |
1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,353.88 |
$3,138.50 |
0.7× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$525 |
$700 |
4.1× |
Dissection, deep jugular node(s) (38542) likely a partial charge, not the full procedure |
$575.25 |
$767 |
0.1× |
| Division of fallopian tube (58600) |
$778.12 |
$1,037.50 |
0.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,142.25 |
$1,523 |
0.7× |
| Drain hand tendon sheath (26020) |
$726.38 |
$968.50 |
0.2× |
| Drain penis lesion (54015) |
$2,325 |
$3,100 |
1.4× |
| Drain/inj small joint/bursa w/us (20604) |
$420 |
$560 |
1.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$533.25 |
$711 |
2.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$669.75 |
$893 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$533.25 |
$711 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$414 |
$552 |
2.1× |
| Drainage of deep rectal abscess (45020) |
$2,756.25 |
$3,675 |
1.0× |
| Drainage of eye (65815) |
$877.50 |
$1,170 |
0.4× |
| Drainage of eye (65810) |
$945 |
$1,260 |
0.4× |
| Drainage of eye (65800) |
$965.25 |
$1,287 |
0.4× |
| Drainage of eyelid abscess (67700) |
$512.25 |
$683 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$2,205 |
$2,940 |
1.3× |
| Drainage of hydrocele (55000) |
$1,125 |
$1,500 |
1.6× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$626.25 |
$835 |
0.2× |
| Drainage of ovarian cyst(s) (58800) |
$529.50 |
$706 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$2,325 |
$3,100 |
1.4× |
| Dressing change under anesthesia (15852) |
$118.50 |
$158 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$354.75 |
$473 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$354.75 |
$473 |
1.8× |
| Dry Needling 3+ Muscles (20561) |
$52.50 |
$70 |
1.8× |
| Dstrj lesion anus simple cryosurgery (46916) |
$498.75 |
$665 |
2.5× |
| Dstrj lesion anus simple surg excision (46922) |
$1,845.38 |
$2,460.50 |
0.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$711 |
$948 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,732.50 |
$2,310 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,299.75 |
$1,733 |
0.7× |
| Egd flexible foreign body removal (43247) |
$1,312.50 |
$1,750 |
1.4× |
| Egd place gastrostomy tube (43246) |
$2,619 |
$3,492 |
1.4× |
| Egd rem tumr/polyp forcep (43250) |
$1,732.50 |
$2,310 |
0.9× |
| Egd remove lesion snare (43251) |
$1,732.50 |
$2,310 |
0.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$280.12 |
$373.50 |
2.2× |
| Endocervical Curettage (57505) |
$575.25 |
$767 |
0.6× |
Endometrial abltj thermal w/o hysteroscopic guid (58353) likely a partial charge, not the full procedure |
$853.50 |
$1,138 |
0.2× |
| Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) |
$2,955 |
$3,940 |
0.6× |
| Endoscopic Injection/Implant (51715) |
$2,756.25 |
$3,675 |
0.8× |
| Endoscopic Plantar Fasciotomy (29893) |
$815.62 |
$1,087.50 |
0.2× |
| Epidural lysis on single day (62264) |
$1,299.75 |
$1,733 |
1.5× |
| Episiotomy or vaginal repair (59300) |
$238.50 |
$318 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$669.75 |
$893 |
0.7× |
| Esophagoscopy flex biopsy (43202) |
$1,299.75 |
$1,733 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,299.75 |
$1,733 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$669.75 |
$893 |
0.7× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,299.75 |
$1,733 |
0.7× |
| Evacuate mole of uterus (59870) |
$1,327.50 |
$1,770 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$87 |
$116 |
0.7× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,283.75 |
$3,045 |
1.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,325 |
$3,100 |
1.4× |
| Exc abd les sc 3 cm/> (22903) |
$4,095 |
$5,460 |
1.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$709.50 |
$946 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,464.75 |
$1,953 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,283.75 |
$3,045 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,283.75 |
$3,045 |
1.4× |
| Exc back les sc < 3 cm (21930) |
$1,481.62 |
$1,975.50 |
0.9× |
| Exc back tum deep < 5 cm (21932) |
$3,622.50 |
$4,830 |
1.2× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) likely a partial charge, not the full procedure |
$533.25 |
$711 |
0.1× |
| Exc face les sbq 2 cm/> (21012) |
$2,166 |
$2,888 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,023.75 |
$1,365 |
1.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,254.38 |
$1,672.50 |
0.8× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,450.50 |
$1,934 |
0.9× |
| Exc forearm les sc 3 cm/> (25071) |
$2,205 |
$2,940 |
1.3× |
| Exc forearm les sc < 3 cm (25075) |
$575.25 |
$767 |
0.3× |
| Exc frenum labial/buccal (40819) |
$336.75 |
$449 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$1,508.62 |
$2,011.50 |
0.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$5,025 |
$6,700 |
1.4× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$492.75 |
$657 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,283.75 |
$3,045 |
1.4× |
| Exc neck tum deep < 5 cm (21556) |
$3,622.50 |
$4,830 |
1.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$575.25 |
$767 |
0.3× |
| Exc Rect Tum Transanal Full (45172) |
$4,095 |
$5,460 |
1.5× |
| Exc rect tum transanal part (45171) |
$2,756.25 |
$3,675 |
1.0× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$2,756.25 |
$3,675 |
1.3× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,468.50 |
$1,958 |
0.9× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,095 |
$5,460 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,023.75 |
$1,365 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$355.50 |
$474 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,023.75 |
$1,365 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,023.75 |
$1,365 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,283.75 |
$3,045 |
1.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,283.75 |
$3,045 |
1.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,283.75 |
$3,045 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,543.75 |
$4,725 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,383.38 |
$1,844.50 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,283.75 |
$3,045 |
1.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$965.25 |
$1,287 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,283.75 |
$3,045 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,362.50 |
$3,150 |
1.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,937.50 |
$5,250 |
1.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,370.25 |
$1,827 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,732.50 |
$2,310 |
1.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,023.75 |
$1,365 |
1.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,622.50 |
$4,830 |
1.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$490.50 |
$654 |
0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$575.25 |
$767 |
0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$711 |
$948 |
0.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,095 |
$5,460 |
1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,362.50 |
$3,150 |
1.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,937.50 |
$5,250 |
1.3× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$3,937.50 |
$5,250 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,622.50 |
$4,830 |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,622.50 |
$4,830 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,166 |
$2,888 |
1.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$803.25 |
$1,071 |
0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,050 |
$5,400 |
1.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,567.50 |
$6,090 |
1.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,283.75 |
$3,045 |
1.4× |
| Exchange intraocular lens (66986) |
$965.25 |
$1,287 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$975 |
$1,300 |
0.5× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$1,653.75 |
$2,205 |
0.7× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,491.75 |
$1,989 |
0.9× |
| Excise cutaneous neurofibroma (64788) |
$705 |
$940 |
0.4× |
| Excise excess skin & tissue (15839) |
$1,401.75 |
$1,869 |
0.5× |
Excise parotid gland/lesion (42410) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
| Excise/repair mouth lesion (40812) |
$1,890 |
$2,520 |
1.2× |
| Excision Breast Lesion (19125) |
$5,433.75 |
$7,245 |
1.4× |
| Excision Chalazion Single (67800) |
$512.25 |
$683 |
1.6× |
| Excision external ear partial simple repair (69110) |
$1,890 |
$2,520 |
0.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$3,780 |
$5,040 |
1.3× |
| Excision hidradenitis axillary complex repair (11451) |
$3,780 |
$5,040 |
1.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$4,050 |
$5,400 |
1.4× |
| Excision hydrocele bilateral (55041) |
$4,875 |
$6,500 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$288.38 |
$384.50 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$756 |
$1,008 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,181.25 |
$1,575 |
1.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$591 |
$788 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,181.25 |
$1,575 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,181.25 |
$1,575 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,023.75 |
$1,365 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,023.75 |
$1,365 |
1.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,023.75 |
$1,365 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,283.75 |
$3,045 |
1.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,181.25 |
$1,575 |
1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,181.25 |
$1,575 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,283.75 |
$3,045 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,283.75 |
$3,045 |
1.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,756.25 |
$3,675 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$2,522.25 |
$3,363 |
0.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,023.75 |
$1,365 |
1.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$609.75 |
$813 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,575 |
$2,100 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$4,875 |
$6,500 |
1.4× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$866.25 |
$1,155 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,290 |
$1,720 |
0.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,283.75 |
$3,045 |
1.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,367.62 |
$1,823.50 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,780 |
$5,040 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$1,968.75 |
$2,625 |
1.6× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,780 |
$5,040 |
1.3× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,925 |
$3,900 |
1.4× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,163.25 |
$1,551 |
0.7× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$4,331.25 |
$5,775 |
0.7× |
| Excision olecranon bursa (24105) |
$2,682.38 |
$3,576.50 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$999 |
$1,332 |
0.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,780 |
$5,040 |
1.3× |
| Excision Prepatellar Bursa (27340) |
$2,383.12 |
$3,177.50 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,166 |
$2,888 |
1.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,526.62 |
$2,035.50 |
0.9× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,283.75 |
$3,045 |
1.4× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$575.25 |
$767 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$4,095 |
$5,460 |
1.4× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$414 |
$552 |
0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$531.75 |
$709 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$750 |
$1,000 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$3,937.50 |
$5,250 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$897.75 |
$1,197 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$3,937.50 |
$5,250 |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,205 |
$2,940 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$711 |
$948 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$729 |
$972 |
0.2× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$4,567.50 |
$6,090 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,756.25 |
$3,675 |
1.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,968.75 |
$2,625 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$2,362.50 |
$3,150 |
1.4× |
| Exploration of knee joint (27310) |
$2,954.25 |
$3,939 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,754.62 |
$2,339.50 |
1.1× |
Explore parathyroid glands (60500) likely a partial charge, not the full procedure |
$430.50 |
$574 |
0.1× |
| Explore/irrigate tear ducts (68840) |
$591 |
$788 |
1.9× |
| Explore/treat ankle joint (27610) |
$1,180.50 |
$1,574 |
0.4× |
| External Cephalic Version (59412) |
$408.75 |
$545 |
0.1× |
| Extraction of lens (66940) |
$1,968.75 |
$2,625 |
0.8× |
| Eye surgery procedure (66999) |
$1,968.75 |
$2,625 |
0.8× |
| Fasciotomy palmar percutaneous (26040) |
$1,175.25 |
$1,567 |
0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,567.50 |
$6,090 |
1.4× |
| Fetal non-stress test (59025) |
$100.50 |
$134 |
0.5× |
| Filleted finger/toe flap (14350) |
$1,709.25 |
$2,279 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$975 |
$1,300 |
1.4× |
| Fine needle aspiration orbital contents (67415) |
$2,677.50 |
$3,570 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$384.38 |
$512.50 |
0.9× |
| Fix ectropion,entensv lid repair (67917) |
$2,756.25 |
$3,675 |
1.2× |
| Fixation of knee joint (27570) |
$1,349.62 |
$1,799.50 |
0.8× |
| Fixation of shoulder (23700) |
$422.25 |
$563 |
0.3× |
| Follow-up surgery of eye (66250) |
$1,968.75 |
$2,625 |
0.8× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$706.50 |
$942 |
0.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,625 |
$3,500 |
1.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$547.50 |
$730 |
0.3× |
| Fusion Finger Joint (26860) |
$774.75 |
$1,033 |
0.2× |
| Fusion of finger tendons (26474) |
$2,283.75 |
$3,045 |
1.4× |
| Fusion of foot bones (28735) |
$20,553.75 |
$27,405 |
1.6× |
| Fusion of foot bones (28740) |
$5,906.25 |
$7,875 |
0.8× |
| Fusion of toes (28280) |
$4,567.50 |
$6,090 |
1.4× |
| Glaucoma surgery (66160) |
$965.25 |
$1,287 |
0.4× |
| Glaucoma surgery (66170) |
$965.25 |
$1,287 |
0.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,237.50 |
$13,650 |
1.4× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$4,567.50 |
$6,090 |
1.4× |
| Hemorrhoidectomy (46255) |
$2,756.25 |
$3,675 |
1.0× |
| Hemorrhoidectomy external complete (46250) |
$4,095 |
$5,460 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$2,756.25 |
$3,675 |
1.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,756.25 |
$3,675 |
1.0× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$4,095 |
$5,460 |
1.5× |
| Hysteroscopy ablation (58563) |
$3,516.38 |
$4,688.50 |
0.7× |
| Hysteroscopy biopsy (58558) |
$1,857.75 |
$2,477 |
0.6× |
| Hysteroscopy dx sep proc (58555) |
$2,383.12 |
$3,177.50 |
0.7× |
Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$807.75 |
$1,077 |
0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$855.75 |
$1,141 |
0.3× |
Hysteroscopy, surgical; with removal of leiomyomata (58561) likely a partial charge, not the full procedure |
$958.12 |
$1,277.50 |
0.2× |
| I&d abscess simple (10060) |
$236.25 |
$315 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,525.62 |
$3,367.50 |
0.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$533.25 |
$711 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,925 |
$3,900 |
1.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,163.25 |
$1,551 |
0.4× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,590 |
$2,120 |
0.5× |
| I&d perianal abscess superficial (46050) |
$1,338.75 |
$1,785 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$561.38 |
$748.50 |
0.8× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$3,937.50 |
$5,250 |
1.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$547.50 |
$730 |
0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$547.50 |
$730 |
0.2× |
| Implant neuroelectrodes (63650) |
$8,268.75 |
$11,025 |
1.3× |
| Incise finger tendon sheath (26055) |
$1,464.38 |
$1,952.50 |
0.9× |
| Incise inner eye adhesions (65865) |
$886.50 |
$1,182 |
0.4× |
| Incise/drain eyelid lining (68020) |
$669.75 |
$893 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$354.75 |
$473 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,807.12 |
$2,409.50 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$461.25 |
$615 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,083 |
$1,444 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$404.62 |
$539.50 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$276 |
$368 |
1.4× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$305.25 |
$407 |
0.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$498 |
$664 |
1.6× |
| Incision bone cortex foot (28005) |
$2,885.62 |
$3,847.50 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$669 |
$892 |
0.4× |
| Incision labial frenum frenotomy (40806) |
$322.88 |
$430.50 |
0.6× |
| Incision of eardrum (69421) |
$1,280.62 |
$1,707.50 |
0.4× |
| Incision of eardrum (69420) |
$433.50 |
$578 |
1.8× |
| Incision of lingual frenum (41010) |
$652.50 |
$870 |
0.4× |
| Incision of metatarsal (28308) |
$4,567.50 |
$6,090 |
1.4× |
| Incision of rectal abscess (46040) |
$1,968.75 |
$2,625 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$537.75 |
$717 |
2.1× |
| Incision&drainage bursa foot (28001) |
$1,393.50 |
$1,858 |
0.8× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) likely a partial charge, not the full procedure |
$807.75 |
$1,077 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$354.75 |
$473 |
1.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,299.75 |
$1,733 |
1.5× |
| Inj tendon sheath/ligament (20550) |
$433.50 |
$578 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,312.50 |
$1,750 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$866.25 |
$1,155 |
1.0× |
| Inject Intravitreal Pharmcologic (67028) |
$591 |
$788 |
1.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$984.75 |
$1,313 |
1.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,023.75 |
$1,365 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$994.50 |
$1,326 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$866.25 |
$1,155 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$984.75 |
$1,313 |
1.1× |
| Inject Nerv Blck,Pudendal (64430) |
$1,299.75 |
$1,733 |
1.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,181.25 |
$1,575 |
1.3× |
| Inject scleros soln in hemorrhoids (46500) |
$1,299.75 |
$1,733 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$984.75 |
$1,313 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$984.75 |
$1,313 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$984.75 |
$1,313 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$984.75 |
$1,313 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$413.62 |
$551.50 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$591 |
$788 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,181.25 |
$1,575 |
1.3× |
| Injection for identification of sentinel node (38792) |
$360 |
$480 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$328.50 |
$438 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$354.75 |
$473 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$414 |
$552 |
1.3× |
| Injection treatment of nerve (64600) |
$1,338.75 |
$1,785 |
1.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$130.50 |
$174 |
0.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$433.50 |
$578 |
1.4× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$3,150 |
$4,200 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$870 |
$1,160 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$787.50 |
$1,050 |
0.2× |
| Insert picc cath (36569) |
$2,208.75 |
$2,945 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$198.75 |
$265 |
1.5× |
| Insert tunneled cv cath (36561) |
$2,756.25 |
$3,675 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$187.50 |
$250 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,457.25 |
$1,943 |
0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,325 |
$3,100 |
1.5× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$984.75 |
$1,313 |
0.4× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$512.25 |
$683 |
0.2× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$18,900 |
$25,200 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$711 |
$948 |
0.2× |
| Insrt/redo spine n generator (63685) |
$21,471 |
$28,628 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$239.25 |
$319 |
1.0× |
| Knee arthroscopy/surgery (29876) |
$1,437.38 |
$1,916.50 |
0.4× |
| Lap ing hernia repair init (49650) |
$4,331.25 |
$5,775 |
0.7× |
Lap jejunostomy (44186) likely a partial charge, not the full procedure |
$730.50 |
$974 |
0.1× |
| Laparo ligate spermatic vein (55550) |
$8,250 |
$11,000 |
1.4× |
| Laparo sling operation (51992) |
$4,331.25 |
$5,775 |
0.7× |
Laparo-myomectomy complex (58546) likely a partial charge, not the full procedure |
$1,505.25 |
$2,007 |
0.1× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) likely a partial charge, not the full procedure |
$2,238.75 |
$2,985 |
0.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) likely a partial charge, not the full procedure |
$1,760.25 |
$2,347 |
0.2× |
| Laparoscopy appendectomy (44970) |
$8,268.75 |
$11,025 |
1.4× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$1,024.50 |
$1,366 |
0.2× |
| Laparoscopy Remove Adnexa (58661) |
$3,819.75 |
$5,093 |
0.6× |
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 |
$1,377.75 |
$1,837 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$4,270.12 |
$5,693.50 |
0.4× |
Laparoscopy tubal block (58671) likely a partial charge, not the full procedure |
$706.88 |
$942.50 |
0.1× |
Laparoscopy Tubal Cautery (58670) unusually low: confirm this is the full procedure |
$2,517 |
$3,356 |
0.4× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,214.88 |
$4,286.50 |
0.5× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,578.38 |
$6,104.50 |
0.8× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) unusually low: confirm this is the full procedure |
$4,228.88 |
$5,638.50 |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$8,250 |
$11,000 |
1.4× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) unusually low: confirm this is the full procedure |
$3,543.75 |
$4,725 |
0.3× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) likely a partial charge, not the full procedure |
$1,279.88 |
$1,706.50 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) likely a partial charge, not the full procedure |
$1,005.75 |
$1,341 |
0.1× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$6,693.75 |
$8,925 |
0.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$6,175.88 |
$8,234.50 |
0.6× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) unusually low: confirm this is the full procedure |
$4,111.88 |
$5,482.50 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,331.25 |
$5,775 |
0.7× |
| Laparoscopy, surgical; urethral suspension for stress incontinence (51990) |
$4,331.25 |
$5,775 |
0.7× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,294.50 |
$1,726 |
0.2× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$1,412.62 |
$1,883.50 |
0.1× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$855 |
$1,140 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$702 |
$936 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) unusually low: confirm this is the full procedure |
$4,533.38 |
$6,044.50 |
0.4× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,522.50 |
$2,030 |
0.3× |
Laps vaginal hysterectomy uterus 250 gm/< (58550) likely a partial charge, not the full procedure |
$855 |
$1,140 |
0.1× |
| Laser repair to improve eye fluid flow (65855) |
$765 |
$1,020 |
1.4× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$787.50 |
$1,050 |
1.4× |
| Late closure of wound (13160) |
$1,717.12 |
$2,289.50 |
0.5× |
| Lengthen metacarpal/finger (26568) |
$10,237.50 |
$13,650 |
1.4× |
| Ligation of a-v fistula (37607) |
$711 |
$948 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$994.50 |
$1,326 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$1,417.50 |
$1,890 |
0.9× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,797.75 |
$2,397 |
0.6× |
| Lithotripsy (50590) |
$5,025 |
$6,700 |
1.4× |
| Liver Biopsy (47000) |
$433.50 |
$578 |
0.3× |
Lsh uterus 250 g or less (58541) likely a partial charge, not the full procedure |
$1,164.75 |
$1,553 |
0.1× |
Lsh uterus above 250 g (58543) likely a partial charge, not the full procedure |
$1,414.12 |
$1,885.50 |
0.1× |
Lsh w/t/o uterus above 250 g (58544) likely a partial charge, not the full procedure |
$1,990.50 |
$2,654 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,925 |
$3,900 |
1.4× |
| Mast mod rad (19307) |
$4,410 |
$5,880 |
0.7× |
| Mastectomy gynecomastia (19300) |
$2,520 |
$3,360 |
0.6× |
| Mastectomy partial (19301) |
$5,118.75 |
$6,825 |
1.3× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$4,410 |
$5,880 |
0.7× |
| Mastectomy simple complete (19303) |
$4,410 |
$5,880 |
0.7× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$5,118.75 |
$6,825 |
1.4× |
| Metatarsectomy (28140) |
$4,567.50 |
$6,090 |
1.4× |
| Musculoskeletal surgery (20999) |
$414 |
$552 |
1.7× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$855.75 |
$1,141 |
0.3× |
| Myringoplasty (69620) |
$2,205 |
$2,940 |
0.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$506.25 |
$675 |
2.5× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) likely a partial charge, not the full procedure |
$626.25 |
$835 |
0.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$447.75 |
$597 |
0.1× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) likely a partial charge, not the full procedure |
$447.75 |
$597 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) likely a partial charge, not the full procedure |
$663 |
$884 |
0.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$829.50 |
$1,106 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$374.25 |
$499 |
0.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$705 |
$940 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$37.50 |
$50 |
1.3× |
| Neuroplasty; nerve of hand or foot (64704) |
$1,123.50 |
$1,498 |
0.6× |
| Nipple exploration (19110) |
$807 |
$1,076 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,023.75 |
$1,365 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,299.75 |
$1,733 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$984.75 |
$1,313 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$984.75 |
$1,313 |
1.4× |
Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,003.50 |
$1,338 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,764.75 |
$6,353 |
1.2× |
Open rx distal radius fx, intra-articular, 2 frag (25608) likely a partial charge, not the full procedure |
$676.50 |
$902 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,398.75 |
$1,865 |
0.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,596.50 |
$7,462 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$5,555.62 |
$7,407.50 |
0.8× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) likely a partial charge, not the full procedure |
$1,052.25 |
$1,403 |
0.1× |
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) likely a partial charge, not the full procedure |
$1,893 |
$2,524 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,320.75 |
$1,761 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) likely a partial charge, not the full procedure |
$1,561.12 |
$2,081.50 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) likely a partial charge, not the full procedure |
$1,584.75 |
$2,113 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$1,630.12 |
$2,173.50 |
0.1× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) likely a partial charge, not the full procedure |
$978.75 |
$1,305 |
0.1× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) likely a partial charge, not the full procedure |
$1,610.25 |
$2,147 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) likely a partial charge, not the full procedure |
$1,378.50 |
$1,838 |
0.2× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
$1,514.62 |
$2,019.50 |
0.5× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) likely a partial charge, not the full procedure |
$1,554.38 |
$2,072.50 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) likely a partial charge, not the full procedure |
$1,632 |
$2,176 |
0.2× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) likely a partial charge, not the full procedure |
$1,472.25 |
$1,963 |
0.1× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) likely a partial charge, not the full procedure |
$1,149 |
$1,532 |
0.2× |
Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,230 |
$1,640 |
0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$807.75 |
$1,077 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,737.75 |
$2,317 |
0.5× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) likely a partial charge, not the full procedure |
$1,539 |
$2,052 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,166 |
$2,888 |
0.7× |
Open Tx Humeral Epicondylar Fracture (24575) unusually low: confirm this is the full procedure |
$5,646.75 |
$7,529 |
0.4× |
| Open tx interphalangeal joint dislocation (26785) |
$804.75 |
$1,073 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$957.38 |
$1,276.50 |
0.3× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,915.50 |
$2,554 |
0.6× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) likely a partial charge, not the full procedure |
$1,296.75 |
$1,729 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,567.50 |
$6,090 |
1.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) likely a partial charge, not the full procedure |
$1,290.75 |
$1,721 |
0.1× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$3,972.75 |
$5,297 |
0.5× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666) likely a partial charge, not the full procedure |
$853.50 |
$1,138 |
0.1× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$571.50 |
$762 |
0.1× |
Optx fem shft fx w/insj imed implt w/wo screw (27506) likely a partial charge, not the full procedure |
$1,750.88 |
$2,334.50 |
0.2× |
Optx hum fx w/ntrcndylr xtn (24546) likely a partial charge, not the full procedure |
$1,512 |
$2,016 |
0.1× |
Optx hum fx wo ntrcndylr xtn (24545) likely a partial charge, not the full procedure |
$1,692.75 |
$2,257 |
0.1× |
| Optx post ankle fx (27769) |
$10,200 |
$13,600 |
1.4× |
| Orbitotomy w/o bone flap w/removal lesion (67412) |
$1,653.75 |
$2,205 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$4,567.50 |
$6,090 |
1.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,567.50 |
$6,090 |
1.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,567.50 |
$6,090 |
1.4× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$789.75 |
$1,053 |
0.1× |
| Osteotomy Metacarpal Each (26565) |
$4,567.50 |
$6,090 |
1.4× |
Ovarian cystectomy (58925) likely a partial charge, not the full procedure |
$975.75 |
$1,301 |
0.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$4,567.50 |
$6,090 |
1.4× |
| Partial excision bone talus/calcaneus (28120) |
$4,567.50 |
$6,090 |
1.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,283.75 |
$3,045 |
1.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,567.50 |
$6,090 |
1.4× |
| Partial Removal Foot Fascia (28060) |
$4,567.50 |
$6,090 |
1.4× |
Partial removal of thyroid (60220) unusually low: confirm this is the full procedure |
$2,520 |
$3,360 |
0.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,197.25 |
$4,263 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,649.75 |
$3,533 |
0.8× |
| Pelvic exam under anesthesia (57410) |
$4,500 |
$6,000 |
1.4× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) likely a partial charge, not the full procedure |
$1,652.25 |
$2,203 |
0.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$1,163.25 |
$1,551 |
0.4× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,068 |
$1,424 |
0.3× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$4,331.25 |
$5,775 |
1.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$2,502 |
$3,336 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$768 |
$1,024 |
1.1× |
| Perq device breast 1st imag (19281) |
$984.75 |
$1,313 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$316.12 |
$421.50 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$10,237.50 |
$13,650 |
1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,268.75 |
$11,025 |
1.1× |
| Phalangectomy toe each toe (28150) |
$4,567.50 |
$6,090 |
1.4× |
| Pin finger fracture each (26756) |
$943.50 |
$1,258 |
0.3× |
| Pin radioulnar dislocation (25671) |
$2,812.50 |
$3,750 |
0.9× |
Placement of implants to block fallopian tubes using an endoscope (58565) unusually low: confirm this is the full procedure |
$2,161.88 |
$2,882.50 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$433.50 |
$578 |
1.0× |
| Placement of seton (46020) |
$1,653.75 |
$2,205 |
0.6× |
| Plastic repair of canaliculi (68700) |
$3,337.50 |
$4,450 |
1.4× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$7,087.50 |
$9,450 |
0.7× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$3,386.25 |
$4,515 |
1.5× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$3,543.75 |
$4,725 |
0.6× |
| Preputial Stretching (54450) |
$525 |
$700 |
2.1× |
| Probe nasolacrimal duct (68810) |
$433.50 |
$578 |
1.4× |
| Probe nasolacrimal duct (68815) |
$1,653.75 |
$2,205 |
0.7× |
| Probe nasolacrimal duct (68811) |
$1,653.75 |
$2,205 |
0.7× |
| Proctosigmoidoscopy w/bx (45305) |
$533.25 |
$711 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$468.75 |
$625 |
0.5× |
| Prostatectomy (turp) (52601) |
$7,425 |
$9,900 |
1.4× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$3,677.62 |
$4,903.50 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$551.25 |
$735 |
1.3× |
| Puncture Aspiration (10160) |
$444 |
$592 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$984.75 |
$1,313 |
1.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$492.75 |
$657 |
0.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,677.50 |
$3,570 |
1.4× |
| Reattachment of part of cutoff finger (20822) |
$571.50 |
$762 |
0.4× |
| Reconstr disloc patella w mscl adv (27422) |
$9,922.50 |
$13,230 |
1.4× |
| Reconstruc toe deform,soft tissue (28313) |
$1,163.25 |
$1,551 |
0.4× |
| Reconstruct extra finger (26587) |
$1,024.50 |
$1,366 |
0.3× |
| Reconstruct head of radius (24365) |
$8,268.75 |
$11,025 |
0.6× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$3,972.75 |
$5,297 |
0.5× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$10,080 |
$13,440 |
1.4× |
| Reconstruction tongue fold (41520) |
$730.50 |
$974 |
0.2× |
| Reconstruction, knee (27429) |
$20,475 |
$27,300 |
1.6× |
| Reinforce/graft eye wall (67255) |
$1,653.75 |
$2,205 |
0.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$4,488.75 |
$5,985 |
0.6× |
| Release elbow joint (24006) |
$1,305.75 |
$1,741 |
0.4× |
| Release of eye fluid (67015) |
$1,968.75 |
$2,625 |
0.8× |
| Relieve inner eye pressure (65820) |
$571.50 |
$762 |
0.1× |
| Removal fb intranasal (30300) |
$177.75 |
$237 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,937.50 |
$5,250 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,181.25 |
$1,575 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,732.50 |
$2,310 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$967.12 |
$1,289.50 |
1.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$711 |
$948 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$157.50 |
$210 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80.25 |
$107 |
1.4× |
| Removal Implant Deep (20680) |
$918 |
$1,224 |
0.3× |
| Removal Implant From Finger/Hand (26320) |
$592.50 |
$790 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,137 |
$1,516 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$298.88 |
$398.50 |
0.4× |
| Removal of adenoids (42831) |
$600 |
$800 |
0.2× |
| Removal of adenoids (42830) |
$717 |
$956 |
0.2× |
| Removal of anal fissure (46200) |
$2,756.25 |
$3,675 |
1.0× |
| Removal of ankle implant (27704) |
$2,779.12 |
$3,705.50 |
0.8× |
Removal of arm artery clot (34111) likely a partial charge, not the full procedure |
$529.50 |
$706 |
0.1× |
| Removal of arm foreign body (24200) |
$711 |
$948 |
0.4× |
| Removal of cervix (57530) |
$3,973.12 |
$5,297.50 |
0.8× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$956.25 |
$1,275 |
0.6× |
| Removal of eye lesion (65400) |
$567 |
$756 |
0.6× |
| Removal of finger lesion (26210) |
$2,283.75 |
$3,045 |
1.4× |
| Removal of Head of Radius (24130) |
$645 |
$860 |
0.2× |
| Removal of heel spur (28119) |
$4,567.50 |
$6,090 |
1.4× |
| Removal of implanted material, anterior segment of eye (65920) |
$1,395 |
$1,860 |
0.6× |
| Removal of intrauterine device (iud) (58301) |
$414 |
$552 |
1.4× |
| Removal of iris (66625) |
$1,968.75 |
$2,625 |
0.8× |
| Removal of knee cartilage (27332) |
$4,567.50 |
$6,090 |
1.4× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) likely a partial charge, not the full procedure |
$1,571.25 |
$2,095 |
0.1× |
| Removal of lens lesion (66830) |
$1,968.75 |
$2,625 |
0.8× |
| Removal of lens material (66840) |
$3,386.25 |
$4,515 |
1.5× |
| Removal of nail bed (11750) |
$385.50 |
$514 |
0.9× |
| Removal of ocular implant (65175) |
$862.50 |
$1,150 |
0.2× |
| Removal of palm tendon each (26170) |
$2,283.75 |
$3,045 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$329.25 |
$439 |
1.6× |
| Removal of sperm cord lesion (55520) |
$5,025 |
$6,700 |
1.4× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,135.50 |
$1,514 |
0.6× |
Removal of tonsils (42825) likely a partial charge, not the full procedure |
$717 |
$956 |
0.1× |
| Removal of tonsils (42826) |
$717 |
$956 |
0.2× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,417.50 |
$1,890 |
0.6× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$1,968.75 |
$2,625 |
0.8× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,247.25 |
$1,663 |
0.4× |
| Removal,Blood Clot,Ant Segment,Eye (65930) |
$711 |
$948 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$374.25 |
$499 |
1.3× |
| Remove anal fist subq (46270) |
$2,756.25 |
$3,675 |
1.0× |
| Remove by ligat int hem grp (46945) |
$774.75 |
$1,033 |
0.3× |
| Remove by ligat int hem grps (46946) |
$1,328.25 |
$1,771 |
0.5× |
| Remove drug implant device (11982) |
$138 |
$184 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$380.25 |
$507 |
1.2× |
| Remove eyelid lesion(s) (67808) |
$1,653.75 |
$2,205 |
0.7× |
| Remove eyelid lesions (67801) |
$984.75 |
$1,313 |
1.0× |
| Remove foreign body from eye (65235) |
$1,102.50 |
$1,470 |
0.5× |
| Remove foreign body from eye (65210) |
$372.75 |
$497 |
0.8× |
| Remove in/ex hem groups 2+ (46260) |
$4,095 |
$5,460 |
1.5× |
| Remove knee cyst (27347) |
$969.75 |
$1,293 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$3,780 |
$5,040 |
1.3× |
| Remove skin nerve lesion (64774) |
$1,113.75 |
$1,485 |
0.6× |
Remove thyroid duct lesion (60280) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
Remove uterus lesion (59100) likely a partial charge, not the full procedure |
$1,234.50 |
$1,646 |
0.2× |
| Remove wrist tendon lesion (25111) |
$1,501.88 |
$2,002.50 |
0.9× |
| Remove/graft leg bone lesion (27637) |
$10,080 |
$13,440 |
1.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$683.62 |
$911.50 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$256.50 |
$342 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$275.25 |
$367 |
2.1× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$535.50 |
$714 |
0.2× |
| Repair achilles tendon (27650) |
$10,080 |
$13,440 |
1.4× |
| Repair arm tendon/muscle (24341) |
$4,488.75 |
$5,985 |
0.6× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,797 |
$2,396 |
0.6× |
Repair blood vessel lesion (35190) likely a partial charge, not the full procedure |
$740.25 |
$987 |
0.1× |
| Repair brow defect (67900) |
$3,228.75 |
$4,305 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$886.50 |
$1,182 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$896.25 |
$1,195 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$591 |
$788 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$748.50 |
$998 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$527.25 |
$703 |
0.7× |
| Repair elbow deb/attch open (24359) |
$1,216.50 |
$1,622 |
0.4× |
| Repair Entropion Suture (67921) |
$1,653.75 |
$2,205 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,283.75 |
$3,045 |
1.4× |
| Repair eyelid defect (67904) |
$2,756.25 |
$3,675 |
1.2× |
| Repair eyelid defect (67903) |
$3,228.75 |
$4,305 |
1.4× |
| Repair eyelid defect (67924) |
$1,653.75 |
$2,205 |
0.7× |
| Repair eyelid wound (67930) |
$1,653.75 |
$2,205 |
0.7× |
| Repair finger tendon (26432) |
$1,645.88 |
$2,194.50 |
1.0× |
| Repair finger/hand tendon (26350) |
$4,567.50 |
$6,090 |
1.4× |
| Repair finger/hand tendon (26373) |
$1,461.38 |
$1,948.50 |
0.4× |
| Repair finger/hand tendon (26370) |
$4,567.50 |
$6,090 |
1.4× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$4,567.50 |
$6,090 |
1.4× |
| Repair forearm tendon sheath (25275) |
$4,725 |
$6,300 |
1.4× |
| Repair forearm tendon/muscle (25260) |
$948.75 |
$1,265 |
0.3× |
| Repair hallux rigidus (28289) |
$4,567.50 |
$6,090 |
1.4× |
| Repair hand tendon (26410) |
$1,698 |
$2,264 |
1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,756.25 |
$3,675 |
0.8× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,756.25 |
$3,675 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,118.75 |
$6,825 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$433.50 |
$578 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$276 |
$368 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$401.25 |
$535 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$185.25 |
$247 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$340.12 |
$453.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$429.75 |
$573 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$451.12 |
$601.50 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$490.50 |
$654 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$226.50 |
$302 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$428.62 |
$571.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$502.50 |
$670 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,441.25 |
$3,255 |
1.2× |
| Repair iris & ciliary body (66682) |
$1,968.75 |
$2,625 |
0.8× |
| Repair iris & ciliary body (66680) |
$1,968.75 |
$2,625 |
0.8× |
Repair kneecap tendon (27380) likely a partial charge, not the full procedure |
$1,146 |
$1,528 |
0.2× |
| Repair of ankle ligament (27695) |
$5,572.88 |
$7,430.50 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$5,591.25 |
$7,455 |
0.9× |
| Repair of biceps tendon (24340) |
$4,488.75 |
$5,985 |
0.6× |
| Repair of eardrum structures (69631) |
$3,020.62 |
$4,027.50 |
0.5× |
Repair of eye wound (65280) likely a partial charge, not the full procedure |
$533.25 |
$711 |
0.1× |
| Repair of eye wound (65275) |
$2,362.50 |
$3,150 |
0.6× |
Repair of eye wound (65285) unusually low: confirm this is the full procedure |
$1,773 |
$2,364 |
0.3× |
Repair of fibula nonunion and/or malunion with internal fixation (27726) likely a partial charge, not the full procedure |
$1,746 |
$2,328 |
0.2× |
| Repair Of Foot Tendon (28208) |
$4,567.50 |
$6,090 |
1.4× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$1,539.75 |
$2,053 |
0.1× |
| Repair of hydrocele (55060) |
$5,025 |
$6,700 |
1.4× |
| Repair of nail bed (11760) |
$593.25 |
$791 |
0.8× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) likely a partial charge, not the full procedure |
$1,177.50 |
$1,570 |
0.2× |
| Repair of rectocele (45560) |
$2,756.25 |
$3,675 |
1.0× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) unusually low: confirm this is the full procedure |
$3,543.75 |
$4,725 |
0.5× |
Repair of shoulder (23420) likely a partial charge, not the full procedure |
$855 |
$1,140 |
0.1× |
Repair of thigh musc (27385) likely a partial charge, not the full procedure |
$1,116 |
$1,488 |
0.2× |
| Repair of tibia (27720) |
$10,080 |
$13,440 |
1.4× |
| Repair of vagina (57260) |
$4,306.88 |
$5,742.50 |
0.9× |
| Repair of vagina (56800) |
$4,500 |
$6,000 |
1.4× |
Repair paravag defect lap (57423) likely a partial charge, not the full procedure |
$729 |
$972 |
0.1× |
| Repair rectum & vagina (57250) |
$4,146 |
$5,528 |
0.8× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$1,005.75 |
$1,341 |
0.1× |
| Repair Tongue Laceration (41250) |
$141.75 |
$189 |
0.3× |
| Repair tympanic membrane (69610) |
$1,403.25 |
$1,871 |
0.9× |
| Repair webbed toe(s) (28345) |
$727.50 |
$970 |
0.5× |
| Repair wrist joints (25447) |
$1,915.50 |
$2,554 |
0.6× |
| Repair/graft eye lesion (66225) |
$3,150 |
$4,200 |
0.6× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
| Replace duod/jej tube perc (49451) |
$1,275 |
$1,700 |
1.4× |
| Replace g/c tube perc (49450) |
$1,170 |
$1,560 |
1.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,170 |
$1,560 |
1.3× |
| Repositioning io lens prosthesis req inc spx (66825) |
$1,968.75 |
$2,625 |
0.8× |
| Rerepair fem hernia blocked (49557) |
$2,756.25 |
$3,675 |
0.8× |
Rerepair ing hernia blocked (49521) unusually low: confirm this is the full procedure |
$2,756.25 |
$3,675 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$1,417.50 |
$1,890 |
0.4× |
| Resect shoulder tumor < 5 cm (23077) |
$4,095 |
$5,460 |
1.4× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$4,567.50 |
$6,090 |
1.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$4,567.50 |
$6,090 |
1.4× |
| Retrobulbar injection alcohol (67505) |
$393.75 |
$525 |
1.2× |
Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$5,646.75 |
$7,529 |
0.4× |
| Revise aqueous shunt eye (66185) |
$1,968.75 |
$2,625 |
0.8× |
| Revise arm/leg nerve (64708) |
$2,520 |
$3,360 |
1.3× |
| Revise finger joint (26535) |
$4,567.50 |
$6,090 |
1.4× |
| Revise median n/carpal tunnel surg (64721) |
$2,835 |
$3,780 |
1.4× |
| Revise ulnar nerve at elbow (64718) |
$1,104 |
$1,472 |
0.6× |
| Revise ulnar nerve at wrist (64719) |
$2,835 |
$3,780 |
1.4× |
| Revise vag graft via vagina (57295) |
$2,696.62 |
$3,595.50 |
0.8× |
| Revise/graft eyelid lining (68320) |
$1,653.75 |
$2,205 |
0.7× |
Revision of big toe (28310) likely a partial charge, not the full procedure |
$575.25 |
$767 |
0.1× |
| Revision of cervix (57700) |
$1,503 |
$2,004 |
0.5× |
| Revision of eyelid (67880) |
$1,653.75 |
$2,205 |
0.7× |
| Revision of eyelid (67961) |
$3,228.75 |
$4,305 |
1.4× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$2,756.25 |
$3,675 |
1.2× |
| Revision of iris (66761) |
$765 |
$1,020 |
1.4× |
| Revision of iris (66762) |
$764.25 |
$1,019 |
1.4× |
| Revision of toe (28312) |
$533.25 |
$711 |
0.2× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) likely a partial charge, not the full procedure |
$2,482.50 |
$3,310 |
0.2× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) likely a partial charge, not the full procedure |
$2,541 |
$3,388 |
0.1× |
Revision of total knee arthroplasty, with or without allograft; one component (27486) likely a partial charge, not the full procedure |
$1,835.25 |
$2,447 |
0.1× |
| Revision of upper eyelid (15823) |
$1,968.75 |
$2,625 |
0.9× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$2,520 |
$3,360 |
0.7× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$9,450 |
$12,600 |
1.5× |
Revj opn arven fstl w/o thrmbc dial grf (36832) likely a partial charge, not the full procedure |
$807 |
$1,076 |
0.1× |
| Revj shunt extraocular reservoir w/o graft (66184) |
$196,875 |
$262,500 |
84.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,299.75 |
$1,733 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$414 |
$552 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$177.75 |
$237 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,530.75 |
$2,041 |
1.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,159.62 |
$2,879.50 |
0.7× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$5,079.75 |
$6,773 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,968.75 |
$2,625 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$900 |
$1,200 |
1.4× |
| Rmvl vitreous ant appr partial removal (67005) |
$1,968.75 |
$2,625 |
0.8× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$1,968.75 |
$2,625 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$414 |
$552 |
0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,662.50 |
$11,550 |
1.4× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$5,670 |
$7,560 |
0.9× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$8,268.75 |
$11,025 |
1.4× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$4,950 |
$6,600 |
0.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$414 |
$552 |
0.3× |
| Rpr ing hernia baby blocked (49496) |
$768 |
$1,024 |
0.2× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$768 |
$1,024 |
0.2× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$533.25 |
$711 |
0.2× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$4,011 |
$5,348 |
0.6× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$10,080 |
$13,440 |
1.4× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$3,150 |
$4,200 |
0.8× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,567.50 |
$6,090 |
1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,868.75 |
$3,825 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,338.75 |
$1,785 |
1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,732.50 |
$2,310 |
1.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$591 |
$788 |
2.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$591 |
$788 |
2.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$591 |
$788 |
2.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$591 |
$788 |
1.4× |
| Shoulder arthroscopy (29805) |
$1,286.25 |
$1,715 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$591 |
$788 |
2.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$591 |
$788 |
2.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$591 |
$788 |
1.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,732.50 |
$2,310 |
1.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,338.75 |
$1,785 |
1.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,338.75 |
$1,785 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$512.25 |
$683 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$481.50 |
$642 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276 |
$368 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$276 |
$368 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$493.50 |
$658 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$481.50 |
$642 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276 |
$368 |
1.4× |
| Skin pinch graft (15050) |
$345 |
$460 |
0.5× |
| Skin splt grft trnk/arm/leg (15100) |
$711 |
$948 |
0.3× |
| Skin tissue rearrangement (14040) |
$1,299.75 |
$1,733 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$706.50 |
$942 |
0.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,514.25 |
$6,019 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$128.62 |
$171.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$512.25 |
$683 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$512.25 |
$683 |
1.3× |
| Snip incision lacrimal punctum (68440) |
$591 |
$788 |
1.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,004.25 |
$1,339 |
1.4× |
| Strapping shoulder (29240) |
$197.25 |
$263 |
1.5× |
| Strapping toes (29550) |
$99 |
$132 |
1.7× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$140.25 |
$187 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,756.25 |
$3,675 |
1.0× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,653.75 |
$2,205 |
0.7× |
| Suture of 1 nerve ulnar motor (64836) |
$1,487.25 |
$1,983 |
0.4× |
| Temporary Closure Eyelids Suture (67875) |
$1,500 |
$2,000 |
1.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,283.75 |
$3,045 |
1.4× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,914.75 |
$2,553 |
0.6× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,283.75 |
$3,045 |
1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,283.75 |
$3,045 |
1.4× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$1,641 |
$2,188 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,283.75 |
$3,045 |
1.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,283.75 |
$3,045 |
1.4× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$20,475 |
$27,300 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$526.88 |
$702.50 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$538.50 |
$718 |
0.9× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) likely a partial charge, not the full procedure |
$1,005.75 |
$1,341 |
0.2× |
Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$807 |
$1,076 |
0.1× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) likely a partial charge, not the full procedure |
$1,005.75 |
$1,341 |
0.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,890 |
$2,520 |
0.9× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,890 |
$2,520 |
0.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$774 |
$1,032 |
0.2× |
Total hip arthroplasty (27130) likely a partial charge, not the full procedure |
$1,865.25 |
$2,487 |
0.1× |
Total knee arthroplasty (27447) likely a partial charge, not the full procedure |
$1,863.75 |
$2,485 |
0.1× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$6,300 |
$8,400 |
1.5× |
| Transplant hand tendon (26480) |
$4,567.50 |
$6,090 |
1.4× |
| Treat clavicle dislocation (23552) |
$10,080 |
$13,440 |
1.4× |
Treat dislocation/fracture (23680) likely a partial charge, not the full procedure |
$1,697.25 |
$2,263 |
0.1× |
Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,636.88 |
$2,182.50 |
0.3× |
Treat elbow fracture (24635) likely a partial charge, not the full procedure |
$1,117.12 |
$1,489.50 |
0.2× |
| Treat finger dislocation (26775) |
$265.12 |
$353.50 |
0.9× |
| Treat Finger Fracture Each (26727) |
$2,715 |
$3,620 |
0.8× |
Treat fracture of radius (25526) likely a partial charge, not the full procedure |
$1,572.75 |
$2,097 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$468 |
$624 |
1.9× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,653.75 |
$2,205 |
0.2× |
| Treat fx distal radial (25606) |
$2,818.88 |
$3,758.50 |
0.9× |
| Treat fx rad extra-articul (25607) |
$4,213.12 |
$5,617.50 |
0.6× |
| Treat humerus fracture (24500) |
$747.75 |
$997 |
3.0× |
Treat humerus fracture (23616) likely a partial charge, not the full procedure |
$1,619.25 |
$2,159 |
0.1× |
| Treat humerus fracture (23600) |
$708 |
$944 |
2.9× |
Treat kneecap dislocation (27566) likely a partial charge, not the full procedure |
$1,240.50 |
$1,654 |
0.2× |
| Treat knuckle dislocation (26715) |
$1,682.25 |
$2,243 |
0.5× |
Treat lower leg fracture (27828) likely a partial charge, not the full procedure |
$1,937.25 |
$2,583 |
0.2× |
Treat Lower Leg Fracture (27827) likely a partial charge, not the full procedure |
$1,638 |
$2,184 |
0.1× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$965.25 |
$1,287 |
0.1× |
| Treat toe fracture (28525) |
$801.75 |
$1,069 |
0.2× |
Treat ulnar fracture (24685) likely a partial charge, not the full procedure |
$1,199.25 |
$1,599 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$844.88 |
$1,126.50 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$354.75 |
$473 |
1.4× |
| Treatment mouth roof lesion (42160) |
$722.25 |
$963 |
0.2× |
Treatment of ankle fracture (27822) likely a partial charge, not the full procedure |
$1,600.50 |
$2,134 |
0.2× |
| Treatment of ankle fracture (27792) |
$5,631.38 |
$7,508.50 |
0.8× |
| Treatment of bone cyst (20615) |
$591 |
$788 |
0.8× |
| Treatment of fibula fracture (27784) |
$10,200 |
$13,600 |
1.4× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) likely a partial charge, not the full procedure |
$1,783.12 |
$2,377.50 |
0.2× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) likely a partial charge, not the full procedure |
$1,785 |
$2,380 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,349.25 |
$1,799 |
0.4× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,968.75 |
$2,625 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$354.75 |
$473 |
1.4× |
Treatment of thigh fracture (27513) likely a partial charge, not the full procedure |
$1,795.50 |
$2,394 |
0.1× |
Treatment of tibia fracture (27759) likely a partial charge, not the full procedure |
$1,816.50 |
$2,422 |
0.1× |
Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$953.62 |
$1,271.50 |
0.1× |
| Trim skin lesion (11055) |
$310.12 |
$413.50 |
1.5× |
| Trurl rescj postop bladder neck contracture (52640) |
$5,025 |
$6,700 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,756.25 |
$3,675 |
1.0× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,569.75 |
$2,093 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,275 |
$1,700 |
0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,260.75 |
$1,681 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,362.50 |
$3,150 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$405 |
$540 |
0.5× |
| Tympanostomy (69433) |
$866.25 |
$1,155 |
1.6× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$711 |
$948 |
3.5× |
| Unlisted laparoscopic procedure liver (47379) |
$8,268.75 |
$11,025 |
1.4× |
| Unlisted laparoscopy procedure, appendix (44979) |
$8,268.75 |
$11,025 |
1.4× |
| Unlisted laparoscopy procedure, bladder (51999) |
$4,331.25 |
$5,775 |
0.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$8,268.75 |
$11,025 |
1.4× |
Unlisted laparoscopy procedure, uterus (58578) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
Unlisted laparoscopy px abd pertoneum & omentum (49329) likely a partial charge, not the full procedure |
$711 |
$948 |
0.1× |
| Unlisted procedure anus (46999) |
$1,338.75 |
$1,785 |
1.4× |
| Unlisted procedure colon (45399) |
$1,102.50 |
$1,470 |
1.2× |
| Unlisted procedure foot or toes (28899) |
$571.50 |
$762 |
2.3× |
| Unlisted procedure leg/ankle (27899) |
$591 |
$788 |
2.4× |
| Unlisted procedure maternity care & delivery (59899) |
$265.50 |
$354 |
1.3× |
| Unlisted Procedure Nervous System (64999) |
$591 |
$788 |
1.9× |
| Unlisted Procedure Rectum (45999) |
$1,338.75 |
$1,785 |
1.4× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$414 |
$552 |
1.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,260 |
$1,680 |
1.4× |
| Unlisted procedure, hands or fingers (26989) |
$492.75 |
$657 |
2.0× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$5,025 |
$6,700 |
1.4× |
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) unusually low: confirm this is the full procedure |
$2,465.25 |
$3,287 |
0.5× |
Vag hyst complex (58290) unusually low: confirm this is the full procedure |
$2,268 |
$3,024 |
0.3× |
| Vaginal delivery only (59409) |
$1,275.75 |
$1,701 |
0.4× |
Vaginal hysterectomy (58260) likely a partial charge, not the full procedure |
$1,204.12 |
$1,605.50 |
0.2× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) likely a partial charge, not the full procedure |
$1,203 |
$1,604 |
0.2× |
| Vasectomy (55250) |
$2,925 |
$3,900 |
1.4× |
| Vbac delivery only (59612) |
$1,516.50 |
$2,022 |
0.5× |
| Venipuncture (36415) |
$17.25 |
$23 |
1.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,311.75 |
$2,974.50 |
1.3× |
| Vermilionectomy (lip shave), with mucosal advancement (40500) |
$409.50 |
$546 |
0.1× |
| Vitrectomy mechanical pars plana (67036) |
$3,150 |
$4,200 |
0.8× |
| Vulvectomy simple partial (56620) |
$2,732.62 |
$3,643.50 |
0.8× |
| Vulvectomy simple; complete (56625) |
$1,083.75 |
$1,445 |
0.3× |