| Abd paracentesis w/imaging (49083) |
$908.80 |
$1,136 |
1.1× |
| Acne Surgery (10040) |
$141.60 |
$177 |
0.8× |
| Adding Walker Previously Applied Cast (29440) |
$90.40 |
$113 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,099.20 |
$1,374 |
0.6× |
| Amniocentesis diagnostic (59000) |
$396.80 |
$496 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$432 |
$540 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$767.20 |
$959 |
0.3× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$642.40 |
$803 |
0.2× |
| Anoscopy Ablation Lesion (46615) |
$156.40 |
$195.50 |
0.1× |
| Anoscopy control bleeding (46614) |
$112.80 |
$141 |
0.1× |
| Anoscopy diagnostic (46600) |
$63.20 |
$79 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$337.60 |
$422 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$110.40 |
$138 |
0.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$825.60 |
$1,032 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,004.40 |
$1,255.50 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$116 |
$145 |
0.8× |
| Application cast elbow finger short arm (29075) |
$96 |
$120 |
0.4× |
| Application Cast Finger (29086) |
$90.40 |
$113 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$129.20 |
$161.50 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$121.20 |
$151.50 |
0.5× |
| Application finger splint static (29130) |
$219.20 |
$274 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$130.40 |
$163 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$170.40 |
$213 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$48.80 |
$61 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$74.40 |
$93 |
0.6× |
| Application short leg splint calf foot (29515) |
$80 |
$100 |
0.5× |
| Apply patella tendon bearing cast (29435) |
$186.40 |
$233 |
0.7× |
| Apply short leg cast (29405) |
$190.80 |
$238.50 |
0.7× |
| Apply short leg cast (29425) |
$201.20 |
$251.50 |
0.8× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$614.40 |
$768 |
0.2× |
| Arterial puncture (36600) |
$119.60 |
$149.50 |
1.0× |
Artery-vein autograft (36825)
unusually low: confirm this is the full procedure |
$1,944 |
$2,430 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$52.80 |
$66 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$131.20 |
$164 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$123.20 |
$154 |
0.4× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$2,073.60 |
$2,592 |
0.2× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$717.60 |
$897 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$135.20 |
$169 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$185.60 |
$232 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$141.60 |
$177 |
0.8× |
| Biopsy Breast Open Incisional (19101) |
$337.60 |
$422 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$119.20 |
$149 |
0.1× |
| Biopsy of mouth lesion (40808) |
$223.20 |
$279 |
0.5× |
| Biopsy of uterus lining (58100) |
$171.20 |
$214 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$339.60 |
$424.50 |
0.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$232.80 |
$291 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$554 |
$692.50 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$142.40 |
$178 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$621.20 |
$776.50 |
0.2× |
| Bladder Irrigation Simple (51700) |
$165.60 |
$207 |
0.7× |
| Bladder Scan (51798) |
$78.40 |
$98 |
1.4× |
| Blood transfusion service (36430) |
$582.40 |
$728 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$1,297.60 |
$1,622 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$159.20 |
$199 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$161.60 |
$202 |
0.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$281.60 |
$352 |
1.0× |
| Chemical Cautery Tissue (17250) |
$101.60 |
$127 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$203.20 |
$254 |
0.7× |
| Chemodenervation internal anal sphincter (46505) |
$252.80 |
$316 |
0.2× |
| Chest tube placement (32551) |
$464.80 |
$581 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$77.60 |
$97 |
0.6× |
| Chromotubation of oviduct, including materials (58350) |
$229.60 |
$287 |
0.0× |
| Circumcision (54150) |
$278.40 |
$348 |
0.1× |
| Circumcision Neonate (54160) |
$250.40 |
$313 |
0.4× |
| Closed Rx Med Malleolus Fx (27760) |
$460 |
$575 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$472 |
$590 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$378.40 |
$473 |
1.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$519.20 |
$649 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$506.40 |
$633 |
2.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$756.80 |
$946 |
0.5× |
| Closed Rx Trimalleolar Fx (27816) |
$603.20 |
$754 |
2.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$223.20 |
$279 |
1.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$395.20 |
$494 |
1.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$395.20 |
$494 |
1.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$330.40 |
$413 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$506 |
$632.50 |
2.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$424 |
$530 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$518.40 |
$648 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,748 |
$2,185 |
7.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$252 |
$315 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$501.20 |
$626.50 |
2.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$384.80 |
$481 |
1.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$348.80 |
$436 |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$348 |
$435 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$517.60 |
$647 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$361.60 |
$452 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$378.40 |
$473 |
1.7× |
| Closure of gastrostomy surgical (43870) |
$713.60 |
$892 |
0.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$296 |
$370 |
1.4× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$369.60 |
$462 |
0.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$306.40 |
$383 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$234.40 |
$293 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$408 |
$510 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$352 |
$440 |
1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$856 |
$1,070 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$403.20 |
$504 |
1.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$519.20 |
$649 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$280.80 |
$351 |
1.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$577.60 |
$722 |
0.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$323.20 |
$404 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$389.60 |
$487 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$196 |
$245 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$348 |
$435 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$619.20 |
$774 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$777.60 |
$972 |
3.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$237.60 |
$297 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$189.60 |
$237 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$203.20 |
$254 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$395.20 |
$494 |
1.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$158.40 |
$198 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$123.20 |
$154 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$356.80 |
$446 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$424 |
$530 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$274.40 |
$343 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$450.40 |
$563 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$341.20 |
$426.50 |
1.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$133.20 |
$166.50 |
0.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$295.20 |
$369 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$373.60 |
$467 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$380 |
$475 |
1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$479.60 |
$599.50 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$116.80 |
$146 |
0.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$560.40 |
$700.50 |
0.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$491.20 |
$614 |
0.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$627.20 |
$784 |
2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$391.20 |
$489 |
0.3× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$1,411.20 |
$1,764 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$1,024.40 |
$1,280.50 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$307.20 |
$384 |
0.3× |
| Colonoscopy thru stoma (44388) |
$278.40 |
$348 |
0.3× |
| Colonoscopy w/ablation (45388) |
$1,163.60 |
$1,454.50 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$746.80 |
$933.50 |
0.7× |
| Colonoscopy w/resection (45390) |
$1,280.80 |
$1,601 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$334.40 |
$418 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$245.60 |
$307 |
1.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$557.60 |
$697 |
0.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$144.80 |
$181 |
0.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,413.20 |
$1,766.50 |
1.3× |
| Complex Drainage, Wound (10180) |
$280 |
$350 |
0.1× |
| Conization of cervix (57520) |
$572 |
$715 |
0.2× |
| Conization of cervix (57522) |
$373.60 |
$467 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$185.60 |
$232 |
1.5× |
| Create eardrum opening (69436) |
$162 |
$202.50 |
0.1× |
| Cryotherapy of skin (17340) |
$108 |
$135 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$92 |
$115 |
0.8× |
| Cystourethroscopy (52000) |
$251.20 |
$314 |
0.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$406 |
$507.50 |
0.2× |
| Debride nail 1-5 (11720) |
$46.40 |
$58 |
0.9× |
| Debride nail 6 or more (11721) |
$73.60 |
$92 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$170.80 |
$213.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$302.40 |
$378 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$352 |
$440 |
0.2× |
| Delivery placenta separate procedure (59414) |
$645.60 |
$807 |
0.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$392 |
$490 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$247.20 |
$309 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$113.60 |
$142 |
0.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$160.80 |
$201 |
0.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$108 |
$135 |
0.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$60.80 |
$76 |
0.2× |
| Destruction Lesions Vulva Extensive (56515) |
$387.20 |
$484 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$167.60 |
$209.50 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$186.40 |
$233 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$228 |
$285 |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$250.40 |
$313 |
1.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$277.60 |
$347 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$215.20 |
$269 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$118.40 |
$148 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$136 |
$170 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$199.20 |
$249 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$173.60 |
$217 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$105.60 |
$132 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$414.40 |
$518 |
0.1× |
| Destruction vaginal lesions simple (57061) |
$202.40 |
$253 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$264.80 |
$331 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$193.60 |
$242 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$127.60 |
$159.50 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$326 |
$407.50 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$188.80 |
$236 |
0.1× |
| Draw blood off venous device (36591) |
$66 |
$82.50 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$351.20 |
$439 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$195.20 |
$244 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$103.20 |
$129 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$32 |
$40 |
1.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$194.40 |
$243 |
1.1× |
| Dstrj lesion anus simple surg excision (46922) |
$320.80 |
$401 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$227.20 |
$284 |
0.6× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$729.60 |
$912 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,068.40 |
$1,335.50 |
0.6× |
| Egd flexible foreign body removal (43247) |
$380 |
$475 |
0.5× |
| Egd place gastrostomy tube (43246) |
$212.40 |
$265.50 |
0.1× |
| Egd rem tumr/polyp forcep (43250) |
$542.80 |
$678.50 |
0.3× |
| Egd remove lesion snare (43251) |
$542.80 |
$678.50 |
0.3× |
| Endocervical Curettage (57505) |
$193.60 |
$242 |
0.2× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$670.80 |
$838.50 |
0.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$109.20 |
$136.50 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$49.60 |
$62 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$570.40 |
$713 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$232.80 |
$291 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$200 |
$250 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$182.40 |
$228 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$293.60 |
$367 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$437.20 |
$546.50 |
0.3× |
| Exc forearm les sc < 3 cm (25075) |
$626.40 |
$783 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$923.20 |
$1,154 |
0.6× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$720 |
$900 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$106.40 |
$133 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$199.20 |
$249 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$246.40 |
$308 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$311.20 |
$389 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$414.40 |
$518 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$290 |
$362.50 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$447.20 |
$559 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$381.60 |
$477 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$422.40 |
$528 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$432 |
$540 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$355.20 |
$444 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$188.40 |
$235.50 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$271.20 |
$339 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$567.20 |
$709 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$525.60 |
$657 |
0.3× |
| Excise excess skin & tissue (15839) |
$956 |
$1,195 |
0.4× |
| Excision Breast Lesion (19125) |
$864 |
$1,080 |
0.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$314.40 |
$393 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$271.20 |
$339 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$275.60 |
$344.50 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$326 |
$407.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$437.60 |
$547 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$455.20 |
$569 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$250.40 |
$313 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$394.40 |
$493 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$460 |
$575 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$699.60 |
$874.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$256.80 |
$321 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$262.40 |
$328 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$412 |
$515 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$450 |
$562.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$598.40 |
$748 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$291.20 |
$364 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$249.60 |
$312 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$274.80 |
$343.50 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$360.80 |
$451 |
0.1× |
| Excision of lesion of tongue without closure (41110) |
$187.20 |
$234 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$240.80 |
$301 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$155.20 |
$194 |
0.1× |
| Excision of nail fold toe (11765) |
$139.60 |
$174.50 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$419.60 |
$524.50 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$82 |
$102.50 |
0.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$262.80 |
$328.50 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$219.60 |
$274.50 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$876.80 |
$1,096 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,147.60 |
$1,434.50 |
0.4× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$903.60 |
$1,129.50 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$501.20 |
$626.50 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$527.40 |
$659.25 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$598.40 |
$748 |
0.4× |
| Explore limb vessels (35860) |
$826.40 |
$1,033 |
0.3× |
| Explore/treat hand joint (26070) |
$656 |
$820 |
0.4× |
| Fetal non-stress test (59025) |
$93.60 |
$117 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$408 |
$510 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$408 |
$510 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$151.20 |
$189 |
0.4× |
| Fitting of diaphragm/cap (57170) |
$114.40 |
$143 |
0.6× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,416 |
$1,770 |
0.4× |
| Hemorrhoidectomy (46255) |
$610.40 |
$763 |
0.2× |
| Hemorrhoidectomy external complete (46250) |
$497.60 |
$622 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$904.80 |
$1,131 |
0.4× |
| Hysteroscopy ablation (58563) |
$673.20 |
$841.50 |
0.1× |
| Hysteroscopy biopsy (58558) |
$471.60 |
$589.50 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$369.20 |
$461.50 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$447.60 |
$559.50 |
0.2× |
| I&d abscess simple (10060) |
$161.60 |
$202 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$512 |
$640 |
0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$336.80 |
$421 |
0.1× |
| I&d perianal abscess superficial (46050) |
$187.20 |
$234 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$133.60 |
$167 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$367.20 |
$459 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$349.60 |
$437 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$570.40 |
$713 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$204.40 |
$255.50 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$293.60 |
$367 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$140 |
$175 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$192 |
$240 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$131.20 |
$164 |
0.5× |
| Incision of lingual frenum (41010) |
$193.60 |
$242 |
0.1× |
| Incision of rectal abscess (46045) |
$604.80 |
$756 |
0.2× |
| Incision of rectal abscess (46040) |
$1,650.40 |
$2,063 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$204 |
$255 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$161.20 |
$201.50 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$108.80 |
$136 |
0.6× |
| Inj dupuytren cord w/enzyme (20527) |
$101.60 |
$127 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$128 |
$160 |
0.5× |
| Inject Nerv Blck,Pudendal (64430) |
$320.40 |
$400.50 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$136 |
$170 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$123.20 |
$154 |
0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$51.20 |
$64 |
0.3× |
| Insert cervical dilator (59200) |
$116 |
$145 |
0.4× |
| Insert Drug Implant Device (11981) |
$259.20 |
$324 |
2.1× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$233.20 |
$291.50 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$215.20 |
$269 |
0.1× |
| Insert pessary/other device (57160) |
$93.60 |
$117 |
0.5× |
| Insert picc cath (36569) |
$395.20 |
$494 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$70.40 |
$88 |
0.6× |
| Insert tunneled cv cath (36561) |
$1,553.60 |
$1,942 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$136 |
$170 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,569.60 |
$1,962 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$262.40 |
$328 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$301.60 |
$377 |
1.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$443.70 |
$554.62 |
0.1× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure |
$579.60 |
$724.50 |
0.1× |
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 |
$573.60 |
$717 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,044 |
$1,305 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$357.20 |
$446.50 |
0.1× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$580.80 |
$726 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,084.80 |
$1,356 |
0.2× |
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 |
$448.40 |
$560.50 |
0.0× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$2,142 |
$2,677.50 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$1,064 |
$1,330 |
0.2× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$1,064 |
$1,330 |
0.2× |
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure |
$1,976.40 |
$2,470.50 |
0.4× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$612 |
$765 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$956.70 |
$1,195.88 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,818 |
$2,272.50 |
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 |
$1,659.20 |
$2,074 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$1,600.80 |
$2,001 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,525.60 |
$1,907 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge, not the full procedure |
$1,895.60 |
$2,369.50 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,369.60 |
$1,712 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$565.20 |
$706.50 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,156.80 |
$1,446 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$1,584 |
$1,980 |
0.4× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$1,578 |
$1,972.50 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$522 |
$652.50 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$377.20 |
$471.50 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,674 |
$2,092.50 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure |
$2,258.40 |
$2,823 |
0.4× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$1,460 |
$1,825 |
0.3× |
| Late closure of wound (13160) |
$828 |
$1,035 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$635.20 |
$794 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$322.40 |
$403 |
0.2× |
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure |
$1,424 |
$1,780 |
0.1× |
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure |
$1,604 |
$2,005 |
0.2× |
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure |
$1,737.20 |
$2,171.50 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,054 |
$2,567.50 |
0.3× |
| Mastectomy gynecomastia (19300) |
$585.20 |
$731.50 |
0.2× |
| Mastectomy partial (19301) |
$672.40 |
$840.50 |
0.2× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$909.60 |
$1,137 |
0.1× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$990 |
$1,237.50 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32 |
$40 |
1.2× |
| Nipple exploration (19110) |
$496 |
$620 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$692 |
$865 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,142.40 |
$1,428 |
1.8× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$916.80 |
$1,146 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$627.60 |
$784.50 |
0.2× |
| Ovarian cystectomy (58925) |
$1,111.60 |
$1,389.50 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,228.80 |
$1,536 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$621.60 |
$777 |
0.2× |
| Pelvic exam under anesthesia (57410) |
$154 |
$192.50 |
0.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$551.20 |
$689 |
0.8× |
| Peritoneal Lavage (49084) |
$198 |
$247.50 |
0.2× |
| Perq device breast 1st imag (19281) |
$334.40 |
$418 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$229.60 |
$287 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$400 |
$500 |
0.6× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$1,555.20 |
$1,944 |
0.3× |
| Placement of seton (46020) |
$285.30 |
$356.62 |
0.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$876.80 |
$1,096 |
0.5× |
| Preputial Stretching (54450) |
$144.80 |
$181 |
0.6× |
| Proctosigmoidoscopy w/bx (45305) |
$136.80 |
$171 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$93.60 |
$117 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$52.80 |
$66 |
0.1× |
| Puncture Aspiration (10160) |
$134 |
$167.50 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$241.20 |
$301.50 |
0.4× |
| Removal fb intranasal (30300) |
$213.60 |
$267 |
1.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$614.80 |
$768.50 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$213.60 |
$267 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$294.40 |
$368 |
0.2× |
| Removal foreign body pharynx (42809) |
$140 |
$175 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$14.40 |
$18 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55.20 |
$69 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$259.20 |
$324 |
0.4× |
| Removal of anal fissure (46200) |
$560 |
$700 |
0.2× |
| Removal of arm foreign body (24200) |
$316.40 |
$395.50 |
0.2× |
| Removal of bone lesion (23140) |
$913.60 |
$1,142 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$155.20 |
$194 |
0.6× |
| Removal of nail bed (11750) |
$283.20 |
$354 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$119.20 |
$149 |
0.6× |
| Removal of sperm cord lesion (55520) |
$469.60 |
$587 |
0.1× |
| Remove anal fist subq (46270) |
$672.40 |
$840.50 |
0.3× |
| Remove by ligat int hem grp (46945) |
$297.20 |
$371.50 |
0.1× |
| Remove by ligat int hem grps (46946) |
$314.40 |
$393 |
0.1× |
| Remove drug implant device (11982) |
$185.60 |
$232 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$176.80 |
$221 |
0.6× |
| Remove foreign body from eye (65210) |
$144 |
$180 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$496.80 |
$621 |
0.2× |
| Remove in/ex hem grps w/fist (46262) |
$578.80 |
$723.50 |
0.2× |
| Remove Peritoneal Foreign Body (49402) |
$712.80 |
$891 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$714.80 |
$893.50 |
0.3× |
| Remove shoulder foreign body (23330) |
$430.40 |
$538 |
0.3× |
| Remove wrist tendon lesion (25111) |
$570 |
$712.50 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$116.80 |
$146 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$112 |
$140 |
0.9× |
Repair blood vessel with graft other than vein; upper extremity (35266)
likely a partial charge, not the full procedure |
$343.80 |
$429.75 |
0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$524.80 |
$656 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$608.40 |
$760.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$388.80 |
$486 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$653.60 |
$817 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$365.60 |
$457 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$393.60 |
$492 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$431.20 |
$539 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$479.20 |
$599 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$652.80 |
$816 |
0.2× |
| Repair hallux rigidus (28289) |
$621.20 |
$776.50 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$878.40 |
$1,098 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$579.60 |
$724.50 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$829.20 |
$1,036.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$274.40 |
$343 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$396 |
$495 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$381.60 |
$477 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$345.60 |
$432 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$415.60 |
$519.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$258.40 |
$323 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$304 |
$380 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$333.60 |
$417 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$415.20 |
$519 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$217.60 |
$272 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$325.60 |
$407 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$449.60 |
$562 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$307.20 |
$384 |
0.8× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$491.20 |
$614 |
0.1× |
| Repair of nail bed (11760) |
$197.20 |
$246.50 |
0.3× |
| Repair of vagina (57260) |
$1,168.40 |
$1,460.50 |
0.3× |
| Repair rectum & vagina (57250) |
$876 |
$1,095 |
0.2× |
| Repair Tongue Laceration (41250) |
$175.20 |
$219 |
0.4× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$741.60 |
$927 |
0.1× |
| Rerepair ing hernia reduce (49520) |
$1,090.80 |
$1,363.50 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$800 |
$1,000 |
0.4× |
| Revision of cervix (57700) |
$901.20 |
$1,126.50 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$176.80 |
$221 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$99.20 |
$124 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$354.80 |
$443.50 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$540 |
$675 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$333.20 |
$416.50 |
0.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$432 |
$540 |
1.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$735.20 |
$919 |
0.1× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$565.20 |
$706.50 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$468.80 |
$586 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$337.20 |
$421.50 |
0.1× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$563.60 |
$704.50 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$406 |
$507.50 |
0.1× |
| Rpr blood vessel direct lower extremity (35226) |
$1,183.20 |
$1,479 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$150.40 |
$188 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$214.40 |
$268 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$132 |
$165 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$160 |
$200 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$158.40 |
$198 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$213.60 |
$267 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$122.40 |
$153 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$177.60 |
$222 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$145.20 |
$181.50 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$152 |
$190 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$185.60 |
$232 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$158.40 |
$198 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$328.80 |
$411 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$404.80 |
$506 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$256.80 |
$321 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$300.80 |
$376 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$285.60 |
$357 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$329.60 |
$412 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$212 |
$265 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$254.40 |
$318 |
1.4× |
| Skin splt grft trnk/arm/leg (15100) |
$1,417.60 |
$1,772 |
0.7× |
| Skin Tissue Procedure (17999) |
$864 |
$1,080 |
4.7× |
| Skin tissue rearrangement (14040) |
$1,167.60 |
$1,459.50 |
0.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$592.40 |
$740.50 |
0.1× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$170.40 |
$213 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$256.80 |
$321 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$302.40 |
$378 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$439.20 |
$549 |
1.2× |
| Sphincterotomy (46080) |
$291.60 |
$364.50 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$152 |
$190 |
0.2× |
| Strapping ankle (29540) |
$91.20 |
$114 |
0.6× |
| Strapping hand/finger (29280) |
$79.20 |
$99 |
1.5× |
| Strapping knee (29530) |
$20.80 |
$26 |
0.2× |
| Strapping unna boot (29580) |
$105.60 |
$132 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$225.60 |
$282 |
0.4× |
| Thyroid biopsy (60100) |
$383.20 |
$479 |
0.6× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$1,676 |
$2,095 |
0.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$334 |
$417.50 |
1.5× |
| Tracheostomy planned (31600) |
$960 |
$1,200 |
0.3× |
| Treat finger dislocation (26775) |
$451.60 |
$564.50 |
1.8× |
| Treat Fracture Radius & Ulna (25560) |
$295.20 |
$369 |
1.3× |
| Treat humerus fracture (24500) |
$392 |
$490 |
1.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$573.60 |
$717 |
0.4× |
| Treat wrist bone fracture (25622) |
$373.60 |
$467 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$520.80 |
$651 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$469.60 |
$587 |
2.1× |
| Trim skin lesion (11055) |
$74.40 |
$93 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$98.40 |
$123 |
0.5× |
| Trim skin lesions over 4 (11057) |
$121.60 |
$152 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$38.40 |
$48 |
0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$645.60 |
$807 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$596 |
$745 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$371.20 |
$464 |
0.5× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$103.60 |
$129.50 |
0.0× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$386.10 |
$482.62 |
0.1× |
| Unlisted procedure anus (46999) |
$305.20 |
$381.50 |
0.4× |
| Unlisted procedure, stomach (43999) |
$498.80 |
$623.50 |
0.6× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$1,916.40 |
$2,395.50 |
0.3× |
| Vaginal delivery only (59409) |
$1,800 |
$2,250 |
0.6× |
| Vaginal hysterectomy (58260) |
$1,608.40 |
$2,010.50 |
0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,696.80 |
$2,121 |
0.4× |
| Vbac delivery only (59612) |
$2,701.20 |
$3,376.50 |
0.9× |
| Venipuncture (36415) |
$27.20 |
$34 |
2.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$357.30 |
$446.62 |
0.5× |