| Amputation toe interphalangeal joint (28825) |
$251 |
$251 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
unusually low: confirm this is the full procedure |
$1,648 |
$1,648 |
0.3× |
| Application cast shoulder hand long arm (29065) |
$98 |
$98 |
0.3× |
| Application finger splint static (29130) |
$72 |
$72 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$94.50 |
$94.50 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$97.50 |
$97.50 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$76 |
$76 |
0.6× |
| Arterial puncture (36600) |
$137 |
$137 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$80 |
$80 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$157 |
$157 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,335 |
$1,335 |
4.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,073 |
$1,073 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$442 |
$442 |
2.2× |
| Bladder Scan (51798) |
$28 |
$28 |
0.5× |
| Blood transfusion service (36430) |
$600 |
$600 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$4,634 |
$4,634 |
2.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$134 |
$134 |
1.0× |
| Circum 28 days or older (54161) |
$2,792.50 |
$2,792.50 |
1.3× |
| Circumcision (54150) |
$263.50 |
$263.50 |
0.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$215 |
$215 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$114 |
$114 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$1,886 |
$1,886 |
1.6× |
| Colonoscopy thru stoma (44388) |
$642 |
$642 |
0.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,011 |
$3,011 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$3,011 |
$3,011 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,379 |
$5,379 |
2.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,000 |
$2,000 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$5,044.50 |
$5,044.50 |
1.4× |
| Cystourethroscopy (52000) |
$994 |
$994 |
1.4× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$254 |
$254 |
0.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$563 |
$563 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$100 |
$100 |
0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$317 |
$317 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,207 |
$1,207 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$194 |
$194 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$500 |
$500 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,332.50 |
$1,332.50 |
1.5× |
| Division of fallopian tube (58600) |
$717 |
$717 |
0.2× |
| Draw blood off venous device (36591) |
$112 |
$112 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$104 |
$104 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$439 |
$439 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$270 |
$270 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$220 |
$220 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$301 |
$301 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$530 |
$530 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$400 |
$400 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$165 |
$165 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$336 |
$336 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$440 |
$440 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$316 |
$316 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$649 |
$649 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$319 |
$319 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$117 |
$117 |
0.1× |
| Excision of nail fold toe (11765) |
$223 |
$223 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$508 |
$508 |
0.2× |
| Fetal non-stress test (59025) |
$456 |
$456 |
2.3× |
| I&d abscess simple (10060) |
$141 |
$141 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$200 |
$200 |
0.5× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$5,139 |
$5,139 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$320 |
$320 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$115 |
$115 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$240.50 |
$240.50 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$142.50 |
$142.50 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$88 |
$88 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$100 |
$100 |
0.3× |
| Insert Drug Implant Device (11981) |
$145.33 |
$145.33 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$294.08 |
$294.08 |
2.2× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$28,061 |
$28,061 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$214 |
$214 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$5,031 |
$5,031 |
7.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$5,031 |
$5,031 |
7.1× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$5,213.50 |
$5,213.50 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$20 |
$20 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80 |
$80 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$277 |
$277 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$219 |
$219 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$148 |
$148 |
0.7× |
| Remove drug implant device (11982) |
$247 |
$247 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$100 |
$100 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$615.50 |
$615.50 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$375.50 |
$375.50 |
0.9× |
| Revise median n/carpal tunnel surg (64721) |
$625 |
$625 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,550 |
$1,550 |
1.0× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$410 |
$410 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$86 |
$86 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$136 |
$136 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$137 |
$137 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$146 |
$146 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$110 |
$110 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$146.50 |
$146.50 |
0.7× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$1,390 |
$1,390 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$146 |
$146 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$190.50 |
$190.50 |
0.5× |
| Strapping ankle (29540) |
$45 |
$45 |
0.3× |
| Strapping elbow/wrist (29260) |
$39 |
$39 |
0.7× |
| Strapping hand/finger (29280) |
$50 |
$50 |
0.8× |
| Strapping knee (29530) |
$47 |
$47 |
0.4× |
| Strapping unna boot (29580) |
$69 |
$69 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$841.50 |
$841.50 |
2.5× |
| Thyroid biopsy (60100) |
$1,234 |
$1,234 |
1.7× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$4,009 |
$4,009 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$749 |
$749 |
0.2× |
| Vaginal delivery only (59409) |
$1,250 |
$1,250 |
0.4× |
| Vasectomy (55250) |
$1,150 |
$1,150 |
0.5× |
| Venipuncture (36415) |
$9.50 |
$9.50 |
1.0× |