| Abd paracentesis w/imaging (49083) |
$1,553.56 |
$2,284.65 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$948.14 |
$1,394.32 |
1.1× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$3,217.15 |
$4,731.10 |
1.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,217.15 |
$4,731.10 |
1.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,780.79 |
$4,089.40 |
1.4× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$3,217.15 |
$4,731.10 |
1.6× |
| Amputation toe interphalangeal joint (28825) |
$3,716.06 |
$5,464.80 |
1.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,630.83 |
$5,339.45 |
1.1× |
| Amputation, foot; transmetatarsal (28805) |
$3,949.85 |
$5,808.60 |
1.2× |
| Ankle arthroscopy/surgery (29894) |
$5,057.16 |
$7,437 |
1.6× |
| Anoscopy Ablation Lesion (46615) |
$4,076.74 |
$5,995.20 |
1.5× |
| Anoscopy diagnostic (46600) |
$166.13 |
$244.31 |
1.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$364.22 |
$535.62 |
2.3× |
| Application cast elbow finger short arm (29075) |
$508.01 |
$747.07 |
1.9× |
| Application Cast Finger (29086) |
$123.76 |
$182 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$282.75 |
$415.81 |
1.8× |
| Application cast shoulder hand long arm (29065) |
$517.19 |
$760.57 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$364.22 |
$535.62 |
6.4× |
| Application finger splint static (29130) |
$364.22 |
$535.62 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$373.57 |
$549.37 |
2.4× |
| Application long leg splint thigh ankle/toes (29505) |
$364.22 |
$535.62 |
2.3× |
| Application of long leg cast (29345) |
$567.17 |
$834.07 |
2.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$828.34 |
$1,218.14 |
3.1× |
| Application Short Arm Splint Dynamic (29126) |
$364.22 |
$535.62 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$364.22 |
$535.62 |
2.8× |
| Application short leg splint calf foot (29515) |
$364.22 |
$535.62 |
2.3× |
| Application, cast; figure-of-eight (29049) |
$284.45 |
$418.31 |
1.0× |
| Apply short leg cast (29405) |
$181.56 |
$267 |
0.7× |
| Arterial puncture (36600) |
$87.60 |
$128.82 |
0.7× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$11,423.32 |
$16,799 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$248.20 |
$365 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$497.08 |
$731 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$118.32 |
$174 |
0.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$9,585.76 |
$14,096.70 |
1.4× |
| Arthrodesis; subtalar (28725) |
$14,570.88 |
$21,427.76 |
1.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$4,953.94 |
$7,285.20 |
1.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,871.08 |
$7,163.35 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,061.85 |
$7,443.90 |
1.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,871.04 |
$7,163.30 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,351.61 |
$7,870.02 |
1.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,991.24 |
$14,693 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,953.94 |
$7,285.20 |
1.6× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,871.08 |
$7,163.35 |
1.5× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$9,991.24 |
$14,693 |
1.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,365.23 |
$13,772.40 |
1.3× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$9,103.16 |
$13,387 |
1.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,765 |
$4,066.17 |
1.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$270.48 |
$397.76 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$284.31 |
$418.10 |
1.5× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$8,497.96 |
$12,497 |
1.4× |
| Axillary lymphadenectomy; complete (38745) |
$8,497.96 |
$12,497 |
1.4× |
| Biopsy Breast Open Incisional (19101) |
$4,193.83 |
$6,167.40 |
1.1× |
| Biopsy finger joint lining (26110) |
$1,969.39 |
$2,896.16 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,179.69 |
$6,146.60 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$4,179.69 |
$6,146.60 |
1.1× |
| Bladder Irrigation Simple (51700) |
$276.42 |
$406.50 |
1.1× |
| Blepharoplasty upper eyelid (15822) |
$3,504.11 |
$5,153.10 |
1.8× |
| Blood patch (62273) |
$1,387.88 |
$2,041 |
2.0× |
| Blood transfusion service (36430) |
$1,106.50 |
$1,627.20 |
2.6× |
| Bone Marrow Biopsy (38221) |
$1,152.60 |
$1,695 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,936.25 |
$4,318.02 |
1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,476.86 |
$2,171.86 |
0.9× |
| Cataract surgery complex (66982) |
$2,410.51 |
$3,544.86 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$170.57 |
$250.84 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$393.58 |
$578.80 |
1.6× |
| Chemical Cautery Tissue (17250) |
$423.26 |
$622.44 |
2.2× |
| Chest tube placement (32551) |
$1,153.22 |
$1,695.91 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$169.05 |
$248.60 |
1.3× |
| Circum 28 days or older (54161) |
$3,693.22 |
$5,431.20 |
1.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$740.68 |
$1,089.24 |
0.5× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$2,104.04 |
$3,094.18 |
8.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$620.04 |
$911.83 |
2.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$962.75 |
$1,415.81 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$750.67 |
$1,103.93 |
3.1× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,258 |
$1,850 |
0.8× |
| Closed Rx Med Malleolus Fx (27760) |
$693.81 |
$1,020.31 |
2.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,147.55 |
$4,628.75 |
2.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$916.64 |
$1,348.01 |
0.6× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,663.86 |
$2,446.85 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,644.38 |
$2,418.20 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$607.75 |
$893.75 |
2.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,644.38 |
$2,418.20 |
1.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1.36 |
$2 |
0.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$603.14 |
$886.97 |
2.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$712.25 |
$1,047.43 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$665.38 |
$978.50 |
2.8× |
| Closed Rx Trimalleolar Fx (27816) |
$665.38 |
$978.50 |
2.8× |
| Closed Treat Vert Body Fract (22310) |
$1,644.38 |
$2,418.20 |
6.9× |
| Closed treat wrist dislocation (25660) |
$850.56 |
$1,250.83 |
3.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$517.08 |
$760.41 |
2.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$901.28 |
$1,325.41 |
3.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$838.27 |
$1,232.75 |
3.5× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$689.97 |
$1,014.66 |
2.9× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$664.61 |
$977.37 |
2.8× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$3,169.45 |
$4,660.95 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$434.58 |
$639.08 |
1.8× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$521.69 |
$767.19 |
2.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$917.42 |
$1,349.14 |
3.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$394.12 |
$579.58 |
1.6× |
| Closed Treatment Sternum Fracture (21820) |
$454.98 |
$669.08 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$685.36 |
$1,007.88 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$790.63 |
$1,162.69 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$885.91 |
$1,302.81 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$886.73 |
$1,304.02 |
3.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$3.40 |
$5 |
0.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$580.09 |
$853.07 |
2.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,644.38 |
$2,418.20 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,644.38 |
$2,418.20 |
6.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,856 |
$4,200 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$929.71 |
$1,367.22 |
3.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,147.55 |
$4,628.75 |
2.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,453.81 |
$2,137.96 |
2.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$527.07 |
$775.10 |
2.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,558.10 |
$5,232.50 |
2.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,619 |
$2,380.88 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,870.35 |
$4,221.10 |
12.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$485.52 |
$714 |
2.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$677.68 |
$996.58 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,644.38 |
$2,418.20 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$593.92 |
$873.41 |
2.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,644.38 |
$2,418.20 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$593.15 |
$872.28 |
2.5× |
| Closed tx septal&nose fx (21337) |
$2,772.19 |
$4,076.75 |
0.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,644.38 |
$2,418.20 |
6.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$454.98 |
$669.08 |
1.9× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$3,147.55 |
$4,628.75 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$633.88 |
$932.17 |
0.4× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$666.15 |
$979.63 |
2.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$222.19 |
$326.75 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$863.62 |
$1,270.04 |
0.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$628.50 |
$924.26 |
2.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$779.33 |
$1,146.07 |
3.3× |
| Closure of gastrostomy surgical (43870) |
$4,523.84 |
$6,652.70 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$754.48 |
$1,109.52 |
3.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,385.23 |
$2,037.10 |
2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,644.38 |
$2,418.20 |
6.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$576.24 |
$847.42 |
2.4× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$3,147.55 |
$4,628.75 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$568.56 |
$836.12 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2.04 |
$3 |
0.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$663.08 |
$975.11 |
2.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$836.74 |
$1,230.50 |
0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$666.68 |
$980.42 |
2.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,311.94 |
$4,870.50 |
2.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$557.80 |
$820.30 |
2.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$736.08 |
$1,082.46 |
3.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$689.97 |
$1,014.66 |
2.9× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$948.15 |
$1,394.34 |
4.0× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,268.58 |
$1,865.55 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$821.36 |
$1,207.89 |
3.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$666.15 |
$979.63 |
2.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$649.24 |
$954.77 |
2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$512.47 |
$753.63 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$683.06 |
$1,004.49 |
2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,644.38 |
$2,418.20 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,288.55 |
$1,894.93 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$462.72 |
$680.46 |
1.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$945.08 |
$1,389.82 |
4.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,169.45 |
$4,660.95 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$468.58 |
$689.08 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$427.10 |
$628.08 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$454.24 |
$668 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$419.62 |
$617.08 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,147.55 |
$4,628.75 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$692.28 |
$1,018.05 |
2.9× |
| Cltx greater trochanteric fx w/o manj (27246) |
$1,644.38 |
$2,418.20 |
6.9× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$3,147.55 |
$4,628.75 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$539.36 |
$793.18 |
2.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,644.38 |
$2,418.20 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,635.78 |
$2,405.55 |
6.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$376.44 |
$553.58 |
1.6× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,042.62 |
$3,003.85 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$616.97 |
$907.31 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$675.37 |
$993.19 |
2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$645.40 |
$949.12 |
2.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$687.66 |
$1,011.27 |
2.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,641.22 |
$2,413.55 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$408.74 |
$601.08 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$695.35 |
$1,022.57 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$512.47 |
$753.63 |
2.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,607.53 |
$2,364.02 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$841.34 |
$1,237.27 |
3.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$6,185.62 |
$9,096.50 |
4.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$652.32 |
$959.29 |
2.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,147.55 |
$4,628.75 |
2.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,570 |
$5,250 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$761.43 |
$1,119.75 |
3.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$381.20 |
$560.58 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,644.38 |
$2,418.20 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$987.34 |
$1,451.97 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$915.88 |
$1,346.88 |
0.6× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,448.38 |
$2,129.97 |
0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$988.11 |
$1,453.10 |
4.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$4,298.65 |
$6,321.55 |
1.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$518.62 |
$762.67 |
2.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,147.55 |
$4,628.75 |
2.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$949.69 |
$1,396.60 |
4.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,644.38 |
$2,418.20 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,739.71 |
$2,558.40 |
1.5× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,095.08 |
$3,081 |
1.8× |
| Colonoscopy stoma w/biopsy (44389) |
$1,549.65 |
$2,278.90 |
1.3× |
| Colonoscopy stoma w/snare (44394) |
$1,633.09 |
$2,401.60 |
1.4× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$1,633.09 |
$2,401.60 |
1.8× |
| Colonoscopy thru stoma (44388) |
$1,549.65 |
$2,278.90 |
1.7× |
| Colonoscopy w/fb removal (45379) |
$1,739.71 |
$2,558.40 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$192.10 |
$282.50 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$230.52 |
$339 |
0.8× |
| Colposcopy vulva (56820) |
$153.68 |
$226 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,739.71 |
$2,558.40 |
1.5× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,739.71 |
$2,558.40 |
1.5× |
| Complete replacement picc rs&i (36584) |
$1,891.94 |
$2,782.27 |
1.2× |
| Complex Drainage, Wound (10180) |
$3,466.37 |
$5,097.60 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$297.33 |
$437.25 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$260.78 |
$383.50 |
2.0× |
| Correction hammertoe (28285) |
$4,514.85 |
$6,639.49 |
1.4× |
| Correction of bunion (28298) |
$8,000.73 |
$11,765.78 |
1.1× |
| Correction of bunion (28299) |
$6,681.36 |
$9,825.53 |
0.9× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,088 |
$4,541.18 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,016.48 |
$8,847.76 |
1.9× |
| Create eardrum opening (69436) |
$3,261.70 |
$4,796.62 |
2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$330.31 |
$485.75 |
2.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$378.22 |
$556.21 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,000.30 |
$4,412.20 |
1.5× |
| Cystoscopy w/biopsy (52204) |
$5,323.45 |
$7,828.60 |
2.6× |
| Cystourethroscopy (52000) |
$1,257.93 |
$1,849.90 |
1.9× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$3,247.82 |
$4,776.20 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$742.32 |
$1,091.65 |
1.1× |
| Debride nail 1-5 (11720) |
$284.24 |
$418 |
5.0× |
| Debride nail 6 or more (11721) |
$284.31 |
$418.10 |
5.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$287.98 |
$423.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$394.40 |
$580 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,799.56 |
$4,117 |
1.7× |
| Declot vascular device (36593) |
$743.78 |
$1,093.80 |
2.3× |
| Decompress fingers/hand (26037) |
$2,836.08 |
$4,170.71 |
0.9× |
| Decompression of tibia nerve (28035) |
$3,776.58 |
$5,553.80 |
2.0× |
| Decompression; plantar digital nerve (64726) |
$3,507.47 |
$5,158.05 |
1.9× |
| Delivery placenta separate procedure (59414) |
$3,833.02 |
$5,636.80 |
1.2× |
| Destroy internal hemorrhoids (46930) |
$1,157.90 |
$1,702.80 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$484.09 |
$711.90 |
1.2× |
| Destruction benign lesions 15 or more (17111) |
$268.94 |
$395.50 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$359.96 |
$529.35 |
1.8× |
| Destruction of skin lesions (17106) |
$1,234.05 |
$1,814.78 |
3.1× |
| Diagnostic sigmoidoscopy (45330) |
$1,157.16 |
$1,701.70 |
1.3× |
| Dil urethra,female,subsequent (53661) |
$358.07 |
$526.58 |
2.8× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$4,036.41 |
$5,935.90 |
3.5× |
| Dilate urethra stricture (53620) |
$3,796.78 |
$5,583.50 |
5.6× |
| Dilate urethra stricture (53621) |
$630.09 |
$926.60 |
2.6× |
| Dilate Urethra Stricture (53600) |
$592.28 |
$871 |
2.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,125.34 |
$3,125.50 |
2.4× |
| Dilation Esophagus Guide Wire (43453) |
$2,125.34 |
$3,125.50 |
1.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$358.07 |
$526.58 |
2.9× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$358.07 |
$526.58 |
2.8× |
| Drain lower leg bursa (27604) |
$5,461.94 |
$8,032.26 |
1.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$364.14 |
$535.50 |
0.5× |
| Drain outer ear canal lesion (69020) |
$448.62 |
$659.74 |
0.7× |
| Drain shoulder lesion (23030) |
$3,378.24 |
$4,968 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$411.90 |
$605.74 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,359.44 |
$1,999.17 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$457.64 |
$673 |
2.4× |
| Drainage of eyelid abscess (67700) |
$752.93 |
$1,107.25 |
2.4× |
| Drainage of gum lesion (41800) |
$446.58 |
$656.74 |
3.5× |
| Drainage of hematoma/fluid (10140) |
$1,354.40 |
$1,991.77 |
0.8× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$3,651.36 |
$5,369.65 |
2.3× |
| Draw blood off venous device (36591) |
$272.42 |
$400.62 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$443.32 |
$651.95 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$411.70 |
$605.45 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$323.68 |
$476 |
1.7× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$886.72 |
$1,304 |
0.3× |
| Dstrj lesion anus simple surg excision (46922) |
$3,713.62 |
$5,461.20 |
1.4× |
| Dx gastr intub w/asp spec (43754) |
$153.68 |
$226 |
0.7× |
| Dx gastr intub w/asp specs (43755) |
$239.68 |
$352.48 |
1.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,736.86 |
$4,024.80 |
1.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,349.67 |
$3,455.40 |
1.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,349.67 |
$3,455.40 |
1.3× |
| Egd flexible foreign body removal (43247) |
$1,569.10 |
$2,307.50 |
1.8× |
| Egd guide wire insertion (43248) |
$1,569.10 |
$2,307.50 |
1.8× |
| Egd injection varices (43243) |
$1,569.10 |
$2,307.50 |
0.8× |
| Egd place gastrostomy tube (43246) |
$2,349.67 |
$3,455.40 |
1.3× |
| Egd rem tumr/polyp forcep (43250) |
$2,349.67 |
$3,455.40 |
1.3× |
| Egd remove lesion snare (43251) |
$2,349.67 |
$3,455.40 |
1.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$4,084.76 |
$6,007 |
2.2× |
| Egd tube/cath insertion (43241) |
$1,569.10 |
$2,307.50 |
0.8× |
| Egd Varices Ligation (43244) |
$2,349.67 |
$3,455.40 |
1.3× |
Egd w/transmural drain cyst (43240)
unusually low: confirm this is the full procedure |
$2,349.67 |
$3,455.40 |
0.4× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,201.60 |
$3,237.64 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$2,323.86 |
$3,417.45 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,569.10 |
$2,307.50 |
1.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$169.46 |
$249.20 |
0.1× |
| Esophagoscopy Rigid Balloon (43195) |
$5,762.37 |
$8,474.07 |
1.5× |
| Esophagoscopy rigid trnso dx (43191) |
$3,026.03 |
$4,450.05 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$110.50 |
$162.50 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$3,896.67 |
$5,730.40 |
1.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,896.67 |
$5,730.40 |
1.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,689.26 |
$3,954.80 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,793.30 |
$4,107.80 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,666.27 |
$2,450.40 |
1.0× |
| Exc face les sbq 2 cm/> (21012) |
$1,686.40 |
$2,480 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$866.84 |
$1,274.77 |
1.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,359.12 |
$1,998.70 |
0.8× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$3,157.65 |
$4,643.60 |
2.0× |
| Exc forearm les sc 3 cm/> (25071) |
$4,279.85 |
$6,293.90 |
2.7× |
| Exc hand les sc < 1.5 cm (26115) |
$2,812.68 |
$4,136.30 |
1.8× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$4,551.79 |
$6,693.81 |
1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$4,514.79 |
$6,639.40 |
2.9× |
| Exc rect tum transanal part (45171) |
$4,321.47 |
$6,355.10 |
1.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$4,074.22 |
$5,991.50 |
2.5× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,851.71 |
$7,134.87 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,441.80 |
$2,120.30 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$869.21 |
$1,278.25 |
2.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$885.19 |
$1,301.75 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,181.84 |
$1,738 |
1.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,359.12 |
$1,998.70 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,638.73 |
$2,409.90 |
1.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,821.60 |
$5,620 |
1.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,851.71 |
$7,134.87 |
1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,793.30 |
$4,107.80 |
1.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,359.12 |
$1,998.70 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,821.60 |
$5,620 |
1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,821.60 |
$5,620 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,793.30 |
$4,107.80 |
1.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,309.64 |
$6,337.70 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,432.29 |
$3,576.90 |
2.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,027.48 |
$1,511 |
1.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,896.67 |
$5,730.40 |
1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,087.76 |
$1,599.65 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,146.77 |
$4,627.60 |
2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,730.54 |
$6,956.67 |
1.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,040.08 |
$4,470.70 |
1.1× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,759.44 |
$4,058 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,866.13 |
$4,214.90 |
1.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$4,074.22 |
$5,991.50 |
1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,631.40 |
$3,869.70 |
1.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,649.69 |
$3,896.60 |
0.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,620.80 |
$6,795.30 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$4,514.79 |
$6,639.40 |
2.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,643.30 |
$3,887.20 |
1.7× |
| Excise Inferior Turbinate (30130) |
$4,551.79 |
$6,693.81 |
1.4× |
| Excise parotid gland/lesion (42420) |
$9,025.43 |
$13,272.69 |
1.6× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$218.23 |
$320.92 |
0.1× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$3,896.67 |
$5,730.40 |
1.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,441.80 |
$2,120.30 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$836.40 |
$1,230 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,427.66 |
$2,099.50 |
3.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,441.80 |
$2,120.30 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,441.80 |
$2,120.30 |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$887.40 |
$1,305 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,040.40 |
$1,530 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,258 |
$1,850 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,793.30 |
$4,107.80 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,441.80 |
$2,120.30 |
0.9× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,427.66 |
$2,099.50 |
2.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,441.80 |
$2,120.30 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,793.30 |
$4,107.80 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,793.30 |
$4,107.80 |
1.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,182.82 |
$6,151.20 |
1.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,427.66 |
$2,099.50 |
2.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,359.12 |
$1,998.70 |
2.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$3,845.06 |
$5,654.50 |
2.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$3,720.69 |
$5,471.60 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$923.90 |
$1,358.68 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,441.80 |
$2,120.30 |
0.9× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$4,514.79 |
$6,639.40 |
2.9× |
| Excision of nail fold toe (11765) |
$284.24 |
$418 |
0.7× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,896.71 |
$5,730.45 |
1.4× |
| Excision of submandibular (submaxillary) gland (42440) |
$9,025.43 |
$13,272.69 |
1.6× |
| Excision olecranon bursa (24105) |
$3,648.81 |
$5,365.90 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,765.15 |
$4,066.40 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,806.02 |
$4,126.50 |
1.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,848.19 |
$5,659.10 |
2.4× |
| Excision, graft, extremity (35903) |
$6,678.28 |
$9,821 |
2.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$4,514.79 |
$6,639.40 |
2.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$570.15 |
$838.46 |
0.4× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$4,730.54 |
$6,956.67 |
1.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,998.33 |
$5,879.90 |
1.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,102.51 |
$6,033.10 |
1.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,689.26 |
$3,954.80 |
1.7× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$8,362.64 |
$12,298 |
1.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,551.79 |
$6,693.81 |
1.4× |
| Exploration of frontal sinus (31075) |
$9,025.43 |
$13,272.69 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$2,155.97 |
$3,170.55 |
1.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,954.46 |
$4,344.80 |
0.9× |
| Explore/treat ankle joint (27620) |
$6,200.92 |
$9,119 |
2.0× |
| Explore/treat hand joint (26070) |
$2.72 |
$4 |
0.0× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,954.46 |
$4,344.80 |
1.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,525.28 |
$9,596 |
2.1× |
| Fixation of shoulder (23700) |
$2,708.07 |
$3,982.45 |
1.7× |
| Fluid pressure muscle (20950) |
$365.66 |
$537.74 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,666.62 |
$3,921.50 |
1.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,301.60 |
$4,855.30 |
1.6× |
| Fusion Finger Joint (26860) |
$5,584.40 |
$8,212.35 |
1.8× |
| Fusion of foot bones (28715) |
$15,265.32 |
$22,449 |
1.2× |
| Fusion of foot bones (28730) |
$11,423.32 |
$16,799 |
0.9× |
| Fusion of foot bones (28735) |
$11,423.32 |
$16,799 |
0.9× |
| Fusion of foot bones (28740) |
$11,627.16 |
$17,098.77 |
1.7× |
Fusion of thumb (26841)
likely a partial charge, not the full procedure |
$801.58 |
$1,178.80 |
0.1× |
| Fusion of toes (28280) |
$5,351.61 |
$7,870.02 |
1.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$210.54 |
$309.62 |
1.0× |
| Gastrocnemius Recession (27687) |
$5,584.40 |
$8,212.35 |
1.8× |
| Glossectomy; less than one-half tongue (41120) |
$9,025.43 |
$13,272.69 |
1.6× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$6,073.67 |
$8,931.87 |
1.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,169.32 |
$14,954.88 |
1.4× |
| Hemorrhoidectomy (46255) |
$4,182.82 |
$6,151.20 |
1.6× |
| Hemorrhoidectomy external complete (46250) |
$4,674.05 |
$6,873.60 |
1.7× |
| I&D Abscess Peritonsillar (42700) |
$714.02 |
$1,050.02 |
3.1× |
| I&d abscess simple (10060) |
$457.80 |
$673.24 |
2.4× |
| I&d below fascia foot 1 bursal space (28002) |
$4,414.42 |
$6,491.80 |
2.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,277.41 |
$1,878.54 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,351.24 |
$3,457.70 |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$3,651.36 |
$5,369.65 |
1.2× |
| I&d perianal abscess superficial (46050) |
$662.12 |
$973.70 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$457.64 |
$673 |
0.7× |
| I&d submucosal abscess rectum (45005) |
$2,255.53 |
$3,316.96 |
1.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,927.46 |
$2,834.50 |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,014.16 |
$2,962 |
0.7× |
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure |
$1,850.96 |
$2,722 |
0.2× |
| Incise finger tendon sheath (26055) |
$2,836.08 |
$4,170.70 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$524.28 |
$771 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,570 |
$5,250 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$516.12 |
$759 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,428.96 |
$3,572 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$346.80 |
$510 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$396.64 |
$583.29 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$421.94 |
$620.50 |
1.4× |
| Incision of heel bone (28300) |
$12,203.18 |
$17,945.85 |
1.7× |
| Incision of metatarsal (28308) |
$4,514.85 |
$6,639.49 |
1.4× |
| Incision of metatarsals (28309) |
$11,919.68 |
$17,528.94 |
1.7× |
| Incision of rectal abscess (46040) |
$4,036.42 |
$5,935.91 |
3.5× |
| Incision thrombosed hemorrhoid external (46083) |
$630.09 |
$926.60 |
2.6× |
| Incision&drainage bursa foot (28001) |
$1,946.36 |
$2,862.30 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$212.84 |
$313 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$484.75 |
$712.87 |
1.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$133.28 |
$196 |
0.2× |
| Inject scleros soln in hemorrhoids (46500) |
$989.10 |
$1,454.55 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$127.84 |
$188 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$575.53 |
$846.37 |
1.9× |
| Injection anes other peripheral nerve/branch (64450) |
$724 |
$1,064.70 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$478.63 |
$703.87 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$486.45 |
$715.37 |
1.6× |
| Injection therapeutic carpal tunnel (20526) |
$507.87 |
$746.87 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$187.68 |
$276 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$239.36 |
$352 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$980.90 |
$1,442.50 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,299 |
$1,910.30 |
0.4× |
| Insert picc cath (36569) |
$284.24 |
$418 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$297.84 |
$438 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$161.16 |
$237 |
1.2× |
| Insert tunneled cv cath (36561) |
$3.06 |
$4.50 |
0.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$161.16 |
$237 |
1.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,189.60 |
$3,220 |
0.7× |
| Intraoral i&d tongue/floor lingual (41000) |
$271.14 |
$398.73 |
0.5× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$886.58 |
$1,303.79 |
3.9× |
| Intro Gastrointestinal Tube (44500) |
$75.48 |
$111 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$531.06 |
$780.97 |
2.3× |
| Lap ing hernia repair init (49650) |
$6,851 |
$10,075 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,257.12 |
$15,084 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,851 |
$10,075 |
1.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,073.28 |
$1,578.35 |
0.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$5,590.95 |
$8,221.98 |
1.5× |
| Laryngoscopy Direct Aspiration (31515) |
$1,923.92 |
$2,829.30 |
5.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$602.43 |
$885.92 |
3.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$2,066.98 |
$3,039.68 |
5.4× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$334.50 |
$491.91 |
1.7× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$501.82 |
$737.96 |
2.6× |
| Laryngoscopy w/bx op scope (31536) |
$5,590.95 |
$8,221.98 |
1.5× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$2,793.35 |
$4,107.87 |
1.6× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,001.44 |
$2,943.30 |
1.2× |
| Larynscop w/tumr exc + scope (31541) |
$5,590.95 |
$8,221.98 |
1.5× |
| Late closure of wound (13160) |
$3,600.33 |
$5,294.60 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$953.09 |
$1,401.60 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$2,963.30 |
$4,357.80 |
1.8× |
| Marsup Bartholin Gland Cyst (56440) |
$3,857.78 |
$5,673.20 |
1.2× |
| Mast mod rad (19307) |
$7,591.52 |
$11,164 |
1.2× |
| Mastectomy partial (19301) |
$4,189.14 |
$6,160.50 |
1.1× |
| Mastectomy simple complete (19303) |
$5,487.26 |
$8,069.50 |
0.9× |
| Mastoidectomy (69502) |
$9,025.43 |
$13,272.69 |
1.6× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$1,234.74 |
$1,815.80 |
0.2× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$10,501.04 |
$15,442.71 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$10,501.04 |
$15,442.71 |
1.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$5,590.95 |
$8,221.98 |
1.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,793.35 |
$4,107.87 |
1.6× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$10,501.04 |
$15,442.71 |
1.5× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$10,501.04 |
$15,442.71 |
1.5× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,793.35 |
$4,107.87 |
1.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$265.88 |
$391 |
0.6× |
| Nipple/areola reconstruction (19350) |
$977.50 |
$1,437.50 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,275.10 |
$1,875.15 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,275.10 |
$1,875.15 |
1.9× |
| Open nasoethmoid fx w/o fixj (21338) |
$4,092.21 |
$6,017.95 |
0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,199.27 |
$12,057.75 |
1.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,597.69 |
$6,761.31 |
1.4× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,198.76 |
$12,057 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$8,199.27 |
$12,057.75 |
1.2× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519)
unusually low: confirm this is the full procedure |
$3,379.60 |
$4,970 |
0.5× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$3,570 |
$5,250 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$3,038.25 |
$4,468.02 |
0.2× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum (21335) |
$4,551.79 |
$6,693.81 |
1.4× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
unusually low: confirm this is the full procedure |
$2,182.80 |
$3,210 |
0.3× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
unusually low: confirm this is the full procedure |
$2,482 |
$3,650 |
0.4× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$9,676.40 |
$14,230 |
0.8× |
| Open treatment talus fracture (28445) |
$8,199.27 |
$12,057.75 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,328.56 |
$6,365.53 |
1.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$4,298.62 |
$6,321.50 |
1.4× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$4.76 |
$7 |
0.0× |
| Open tx nose fx uncomplicatd (21325) |
$4,092.21 |
$6,017.95 |
1.3× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$8,199.27 |
$12,057.75 |
1.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$3,812.37 |
$5,606.42 |
0.5× |
| Open tx septal fx w/wo stabj (21336) |
$4,298.65 |
$6,321.55 |
1.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$5,584.40 |
$8,212.35 |
1.8× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$5,584.40 |
$8,212.35 |
1.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,514.85 |
$6,639.49 |
1.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,514.85 |
$6,639.49 |
1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$4,514.85 |
$6,639.49 |
0.6× |
| Osteotomy midtarsal,autograft (28305) |
$14,204.52 |
$20,889 |
2.0× |
| Partial Excision Bone Fibula (27641) |
$6,200.92 |
$9,119 |
2.0× |
| Partial excision bone talus/calcaneus (28120) |
$5,351.61 |
$7,870.02 |
1.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,514.79 |
$6,639.40 |
1.4× |
| Partial Removal Foot Fascia (28060) |
$4,514.85 |
$6,639.49 |
1.4× |
| Partial removal of lip (40530) |
$4,551.79 |
$6,693.81 |
1.4× |
| Partial removal of thyroid (60220) |
$9,375.53 |
$13,787.55 |
1.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,351.61 |
$7,870.02 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$519.48 |
$763.94 |
1.2× |
| Proctosigmoidoscopy w/bx (45305) |
$2,194.09 |
$3,226.60 |
1.9× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$3,239.86 |
$4,764.50 |
1.0× |
| Puncture Aspiration (10160) |
$457.64 |
$673 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,924.64 |
$2,830.36 |
2.8× |
| Reattachment of part of cutoff finger (20822) |
$4,846.84 |
$7,127.70 |
3.1× |
| Reconstruc toe deform,soft tissue (28313) |
$4,514.85 |
$6,639.49 |
1.4× |
| Reconstruction of nail bed with graft (11762) |
$2,750.29 |
$4,044.55 |
1.4× |
| Release of big toe (28240) |
$4,911.57 |
$7,222.90 |
1.5× |
| Removal fb intranasal (30300) |
$295.80 |
$435 |
2.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,869.86 |
$2,749.80 |
1.2× |
| Removal foreign body foot deep (28192) |
$2,041.66 |
$3,002.45 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$973.86 |
$1,432.15 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$712.64 |
$1,048 |
0.4× |
| Removal foreign body pharynx (42809) |
$309.02 |
$454.45 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$143.52 |
$211.05 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$210.54 |
$309.62 |
3.7× |
| Removal Implant Deep (20680) |
$3,821.60 |
$5,620 |
1.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,631.40 |
$3,869.70 |
1.6× |
| Removal of adenoids (42830) |
$4,551.79 |
$6,693.81 |
1.4× |
| Removal of arm foreign body (24200) |
$921.92 |
$1,355.77 |
0.6× |
| Removal of foot joint lining (28070) |
$4,911.57 |
$7,222.90 |
0.7× |
| Removal of heel bone (28118) |
$4,514.85 |
$6,639.49 |
1.4× |
| Removal of intrauterine device (iud) (58301) |
$414.80 |
$610 |
1.4× |
| Removal of nail bed (11750) |
$646.47 |
$950.69 |
1.6× |
| Removal of sesamoid bone (28315) |
$4,514.85 |
$6,639.49 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$250.58 |
$368.50 |
1.3× |
| Removal of sperm cord lesion (55520) |
$4,154.26 |
$6,109.20 |
1.2× |
| Removal of tonsils (42825) |
$9,025.43 |
$13,272.69 |
1.6× |
| Removal of tonsils (42826) |
$4,551.79 |
$6,693.81 |
1.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$253.51 |
$372.81 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$234.47 |
$344.81 |
0.9× |
| Remove Eyelid Foreign Body (67938) |
$501.08 |
$736.88 |
1.6× |
| Remove foreign body from eye (65235) |
$1,016.96 |
$1,495.53 |
0.5× |
| Remove foreign body from eye (65210) |
$252.18 |
$370.86 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$4,182.82 |
$6,151.20 |
1.6× |
| Remove Peritoneal Foreign Body (49402) |
$1,879.35 |
$2,763.75 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$3,821.60 |
$5,620 |
1.4× |
| Remove shoulder foreign body (23330) |
$952.34 |
$1,400.50 |
0.6× |
| Remove skin nerve lesion (64774) |
$3,388.03 |
$4,982.40 |
1.8× |
| Remove thyroid duct lesion (60280) |
$9,375.53 |
$13,787.55 |
1.6× |
| Remove wrist tendon lesion (25111) |
$3,626.10 |
$5,332.50 |
2.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,596.86 |
$5,289.50 |
2.2× |
| Remv Ext Canal Foreign Body (69200) |
$193.80 |
$285 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$236.54 |
$347.86 |
1.8× |
| Remv/revisn shldr/hip spica cast (29710) |
$534.19 |
$785.57 |
2.0× |
| Repair achilles tendon (27650) |
$8,000.73 |
$11,765.78 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,604.42 |
$2,359.44 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,604.42 |
$2,359.44 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,051.17 |
$1,545.84 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,604.42 |
$2,359.44 |
4.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$703.80 |
$1,035 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,021.98 |
$1,502.92 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,060.80 |
$1,560 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,604.42 |
$2,359.44 |
2.2× |
| Repair dislocated jaw (21490) |
$7,424.31 |
$10,918.10 |
2.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,843.45 |
$4,181.54 |
1.8× |
| Repair foot dislocation (28585) |
$8,447.79 |
$12,423.22 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$2,083.20 |
$3,063.52 |
0.7× |
| Repair hallux rigidus (28289) |
$4,514.85 |
$6,639.49 |
1.4× |
| Repair hand tendon (26410) |
$2,843.42 |
$4,181.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,051.17 |
$1,545.84 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$581.48 |
$855.12 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$546.06 |
$803.04 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,121.86 |
$1,649.80 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$788.54 |
$1,159.61 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$540.10 |
$794.26 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,220.22 |
$1,794.44 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,051.17 |
$1,545.84 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$429.42 |
$631.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$829.26 |
$1,219.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$849.94 |
$1,249.92 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,051.17 |
$1,545.84 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$465.12 |
$684 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$839.46 |
$1,234.50 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$821.38 |
$1,207.92 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,051.14 |
$1,545.80 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$837.70 |
$1,231.92 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,051.17 |
$1,545.84 |
0.5× |
| Repair nasal vestibular stenosis (30465) |
$9,025.43 |
$13,272.69 |
1.6× |
| Repair of ankle ligament (27695) |
$7,751.44 |
$11,399.18 |
1.1× |
| Repair of eardrum structures (69631) |
$9,025.43 |
$13,272.69 |
1.6× |
| Repair Of Foot Tendon (28208) |
$4,911.57 |
$7,222.90 |
1.5× |
| Repair of hammertoe (28286) |
$4,514.85 |
$6,639.49 |
1.4× |
| Repair of leg tendon each (27658) |
$3,945.36 |
$5,802 |
1.2× |
| Repair of nail bed (11760) |
$394.10 |
$579.56 |
0.5× |
| Repair of nasal septum (30520) |
$4,551.79 |
$6,693.81 |
1.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,000.73 |
$11,765.78 |
1.1× |
| Repair Spica/Body/Jacket Cast (29720) |
$146.54 |
$215.50 |
0.9× |
| Repair Tongue Laceration (41250) |
$403.58 |
$593.50 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$4,911.57 |
$7,222.90 |
1.5× |
| Repair/graft flex foot tendon (28202) |
$4,911.57 |
$7,222.90 |
0.7× |
| Rerepair ing hernia reduce (49520) |
$6,012.53 |
$8,841.96 |
1.7× |
| Resect Inferior Turbinate (30140) |
$5,689.74 |
$8,367.26 |
1.8× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$5,351.61 |
$7,870.02 |
1.7× |
| Revise median n/carpal tunnel surg (64721) |
$2,956.88 |
$4,348.35 |
1.6× |
| Revise middle ear & mastoid (69641) |
$9,025.43 |
$13,272.69 |
1.6× |
| Revision of ankle joint (27700) |
$7,516.04 |
$11,053 |
1.1× |
| Revision of big toe (28310) |
$4,911.57 |
$7,222.90 |
0.7× |
| Revision of foot (28116) |
$4,911.57 |
$7,222.90 |
1.5× |
| Revision of lower leg tendon (27685) |
$5,461.94 |
$8,032.26 |
1.7× |
| Revision of upper eyelid (15823) |
$2,363.02 |
$3,475.04 |
1.2× |
| Rhytidectomy forehead (15824) |
$1,309.88 |
$1,926.30 |
0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$185.98 |
$273.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$235.18 |
$345.86 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$258.98 |
$380.86 |
2.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,617.16 |
$2,378.17 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,821.60 |
$5,620 |
1.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$908 |
$1,335.30 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,005.52 |
$2,949.30 |
3.3× |
| Rpr blood vessel direct lower extremity (35226) |
$1,181.85 |
$1,738.02 |
1.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$8,000.73 |
$11,765.78 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,051.17 |
$1,545.84 |
1.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,019.36 |
$1,499.05 |
4.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,065.56 |
$1,567 |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,065.56 |
$1,567 |
2.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,065.56 |
$1,567 |
0.7× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$12,203.18 |
$17,945.85 |
1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,058.18 |
$1,556.15 |
1.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,157.16 |
$1,701.70 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,157.16 |
$1,701.70 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$208.12 |
$306.05 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$252.04 |
$370.64 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$193.50 |
$284.55 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$252.04 |
$370.64 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$252.04 |
$370.64 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$252.04 |
$370.64 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$284.31 |
$418.10 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$252.04 |
$370.64 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$252.04 |
$370.64 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$252.04 |
$370.64 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$462.58 |
$680.26 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$252.04 |
$370.64 |
1.3× |
| Sigmoidoscopy & decompress (45337) |
$1,157.16 |
$1,701.70 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,056.18 |
$3,023.80 |
1.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,157.16 |
$1,701.70 |
1.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,157.16 |
$1,701.70 |
1.3× |
| Sigmoidoscopy w/fb removal (45332) |
$1,157.16 |
$1,701.70 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$410.24 |
$603.29 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$285.69 |
$420.13 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$297.25 |
$437.13 |
1.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$442.51 |
$650.75 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$324.02 |
$476.50 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$354.96 |
$522 |
1.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$815.26 |
$1,198.92 |
4.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$268.01 |
$394.13 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$434.82 |
$639.45 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$314.16 |
$462 |
1.6× |
| Skin splt grft trnk/arm/leg (15100) |
$4,267.34 |
$6,275.50 |
2.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,051.14 |
$1,545.80 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,051.17 |
$1,545.84 |
1.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$866.10 |
$1,273.68 |
0.4× |
| Skin tissue rearrangement (14040) |
$2,780.79 |
$4,089.40 |
1.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$5,302.71 |
$7,798.10 |
1.5× |
| Skn sub grft f/n/hf/g child (15277) |
$866.10 |
$1,273.68 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$291.13 |
$428.13 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$355.05 |
$522.13 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$391.02 |
$575.04 |
1.0× |
| Sphincterotomy (46080) |
$3,391.91 |
$4,988.10 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$238 |
$350 |
0.3× |
| Strapping ankle (29540) |
$364.22 |
$535.62 |
2.3× |
| Strapping elbow/wrist (29260) |
$238.21 |
$350.31 |
4.2× |
| Strapping hand/finger (29280) |
$236.51 |
$347.81 |
4.1× |
| Strapping knee (29530) |
$238.89 |
$351.31 |
1.9× |
| Strapping shoulder (29240) |
$364.22 |
$535.62 |
2.8× |
| Strapping thorax (29200) |
$241.95 |
$355.81 |
1.5× |
| Strapping toes (29550) |
$110.50 |
$162.50 |
1.9× |
| Strapping unna boot (29580) |
$364.22 |
$535.62 |
2.3× |
| Suction assisted lipectomy head & neck (15876) |
$804.10 |
$1,182.50 |
0.2× |
| Suction assisted lipectomy lower extremity (15879) |
$1,462 |
$2,150 |
0.4× |
| Suction assisted lipectomy upper extremity (15878) |
$1,462 |
$2,150 |
0.7× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$5,584.40 |
$8,212.35 |
1.8× |
| Tenolysis flexor foot single tendon (28220) |
$4,911.57 |
$7,222.90 |
3.1× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$4,514.79 |
$6,639.40 |
2.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$252.59 |
$371.46 |
0.2× |
| Tenotomy shoulder area single tendon (23405) |
$5,323.07 |
$7,828.05 |
0.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$4,514.85 |
$6,639.49 |
2.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$861.70 |
$1,267.20 |
1.4× |
| Thrombolytic Therapy, Stroke (37195) |
$743.81 |
$1,093.84 |
2.3× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$9,025.43 |
$13,272.69 |
1.6× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$3,216.33 |
$4,729.90 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,689.74 |
$8,367.26 |
1.8× |
| Total thyroid lobectomy unilateral (60225) |
$9,375.53 |
$13,787.55 |
1.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,027.75 |
$1,511.40 |
4.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,918.01 |
$2,820.60 |
1.3× |
| Transfer Any Pedicle Flap Any Location (15650) |
$3,542.46 |
$5,209.50 |
1.8× |
| Treat clavicle dislocation (23530) |
$8,199.27 |
$12,057.75 |
1.2× |
| Treat elbow fracture (24635) |
$11,193.55 |
$16,461.10 |
1.6× |
| Treat finger dislocation (26775) |
$1,951.74 |
$2,870.20 |
7.2× |
| Treat Fracture Radius & Ulna (25560) |
$606.98 |
$892.62 |
2.5× |
| Treat heel fracture (28415) |
$12,203.18 |
$17,945.85 |
1.7× |
| Treat humerus fracture (24500) |
$720.70 |
$1,059.86 |
3.0× |
| Treat humerus fracture (24577) |
$984.26 |
$1,447.45 |
0.6× |
| Treat humerus fracture (23600) |
$689.20 |
$1,013.53 |
2.9× |
| Treat knee fracture (27532) |
$3,742.04 |
$5,503 |
1.2× |
| Treat knuckle dislocation (26715) |
$4,328.56 |
$6,365.53 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$590.08 |
$867.76 |
2.5× |
Treat sesamoid bone fracture (28531)
unusually low: confirm this is the full procedure |
$2,439 |
$3,586.78 |
0.3× |
Treat sternum fracture (21825)
unusually low: confirm this is the full procedure |
$2,466.56 |
$3,627.30 |
0.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,644.38 |
$2,418.20 |
1.1× |
| Treat toe fracture (28525) |
$4,298.65 |
$6,321.55 |
1.4× |
| Treat wrist bone fracture (25635) |
$848.26 |
$1,247.44 |
0.5× |
| Treat wrist bone fracture (25622) |
$649.24 |
$954.77 |
2.7× |
| Treat Wrist Bone Fracture (25630) |
$656.16 |
$964.94 |
2.7× |
| Treatment closed elbow dislocation req anes (24605) |
$3,061.29 |
$4,501.90 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$738.38 |
$1,085.85 |
3.1× |
| Treatment of ankle fracture (27822) |
$8,199.27 |
$12,057.75 |
1.2× |
| Treatment of ankle fracture (27792) |
$8,198.76 |
$12,057 |
1.2× |
| Treatment of fibula fracture (27784) |
$8,199.27 |
$12,057.75 |
1.2× |
| Treatment of foot infection (28003) |
$4,414.42 |
$6,491.80 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$529.38 |
$778.49 |
2.2× |
Treatment of thigh fracture (27513)
unusually low: confirm this is the full procedure |
$3,791.29 |
$5,575.42 |
0.3× |
| Trim skin lesion (11055) |
$284.24 |
$418 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$284.31 |
$418.10 |
1.5× |
| Trim skin lesions over 4 (11057) |
$484.09 |
$711.90 |
2.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$130.56 |
$192 |
2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,085.09 |
$1,595.72 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$391.88 |
$576.30 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$635.41 |
$934.43 |
0.4× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$5,569.20 |
$8,190 |
0.9× |
| Unlisted procedure anus (46999) |
$1,075.49 |
$1,581.60 |
1.2× |
| Unlisted procedure foot or toes (28899) |
$485.63 |
$714.16 |
2.0× |
| Unlisted procedure shoulder (23929) |
$4,953.94 |
$7,285.20 |
20.7× |
| Uvulectomy excision uvula (42140) |
$4,551.79 |
$6,693.81 |
1.4× |
| Vaginal delivery only (59409) |
$3,833.02 |
$5,636.80 |
1.2× |
| Vasectomy (55250) |
$4,248.10 |
$6,247.20 |
2.1× |
| Vbac delivery only (59612) |
$3,833.02 |
$5,636.80 |
1.2× |
| Venipuncture (36415) |
$29.20 |
$42.94 |
3.1× |
| Venipuncture, cutdown; age 1 or over (36425) |
$105.33 |
$154.90 |
0.2× |
| Wedging of cast (29740) |
$179.86 |
$264.50 |
0.7× |
| Wedging of clubfoot cast (29750) |
$197.54 |
$290.50 |
0.7× |
| Windowing of cast (29730) |
$148.92 |
$219 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,051.14 |
$1,545.80 |
2.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$866.05 |
$1,273.60 |
1.2× |
| Xfer single deep low leg tendon (27691) |
$8,000.73 |
$11,765.78 |
1.1× |