| Abd paracentesis (49082) |
$1,140.57 |
$2,001 |
1.2× |
| Abd paracentesis w/imaging (49083) |
$1,138.86 |
$1,998 |
1.2× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$1,330.67 |
$2,334.50 |
0.4× |
| Adenoidectomy, secondary; younger than age 12 Age Under 21 (42835) |
$1,330.67 |
$2,334.50 |
0.4× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$933.09 |
$1,637 |
0.4× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,004.34 |
$1,762 |
0.5× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,573.55 |
$4,515 |
0.8× |
| Amputation of finger/thumb (26952) |
$2,597.49 |
$4,557 |
0.8× |
| Amputation of toe (28820) |
$2,660.19 |
$4,667 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$2,831.19 |
$4,967 |
0.8× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$2,942.34 |
$5,162 |
0.9× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$319.20 |
$560 |
1.0× |
| Anoscopy diagnostic (46600) |
$86.64 |
$152 |
0.6× |
| Anoscopy remove for body (46608) |
$240.54 |
$422 |
0.3× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) |
$2,366.07 |
$4,151 |
0.8× |
Anterior tibial tubercleplasty (27418)
unusually low — confirm this is the full procedure |
$3,261.54 |
$5,722 |
0.4× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$313.22 |
$549.50 |
0.4× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$780.33 |
$1,369 |
0.4× |
| Appendectomy (44950) |
$4,565.13 |
$8,009 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$99.18 |
$174 |
1.6× |
| Application finger splint static (29130) |
$251.37 |
$441 |
1.8× |
| Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) (20660) |
$152.76 |
$268 |
0.1× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$306.09 |
$537 |
1.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$229.71 |
$403 |
1.7× |
| Application of short leg cast (below knee to toes); (29405) |
$114.57 |
$201 |
0.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$145.35 |
$255 |
0.5× |
| Application of short leg splint (calf to foot) (29515) |
$228.57 |
$401 |
1.4× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$76.95 |
$135 |
0.5× |
| Application, cast; shoulder to hand (long arm) (29065) |
$151.05 |
$265 |
0.5× |
| Apply hand/wrist cast (29085) |
$91.20 |
$160 |
0.5× |
| Apply long arm splint (29105) |
$300.39 |
$527 |
1.8× |
| Apply splint short arm dynamic (29126) |
$100.32 |
$176 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$187.53 |
$329 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$132.52 |
$232.50 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$358.96 |
$629.75 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$522.69 |
$917 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$261.35 |
$458.50 |
0.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$522.69 |
$917 |
1.7× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low — confirm this is the full procedure |
$11,408.55 |
$20,015 |
0.4× |
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551) |
$7,774.52 |
$13,639.50 |
0.6× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low — confirm this is the full procedure |
$9,625.02 |
$16,886 |
0.3× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,482.83 |
$9,619 |
0.7× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850)
likely a partial charge — not the full procedure |
$577.98 |
$1,014 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279)
unusually low — confirm this is the full procedure |
$8,132.76 |
$14,268 |
0.5× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low — confirm this is the full procedure |
$7,863.15 |
$13,795 |
0.4× |
Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age Under 21 (24363)
likely a partial charge — not the full procedure |
$971.85 |
$1,705 |
0.1× |
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531)
likely a partial charge — not the full procedure |
$504.62 |
$885.30 |
0.1× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21 (25332) |
$6,718.30 |
$11,786.50 |
2.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$6,322.44 |
$11,092 |
0.9× |
| Arthroscopy, elbow, surgical; synovectomy, complete Age Under 21 (29836) |
$4,219.71 |
$7,403 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$4,262.46 |
$7,478 |
1.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,363.50 |
$4,146.50 |
0.7× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$6,611.43 |
$11,599 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$3,846.93 |
$6,749 |
1.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21 (29901) |
$421.80 |
$740 |
0.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$6,414.21 |
$11,253 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$2,676.72 |
$4,696 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$3,017.01 |
$5,293 |
0.9× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$3,793.24 |
$6,654.80 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
likely a partial charge — not the full procedure |
$2,001.06 |
$3,510.62 |
0.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$3,862.89 |
$6,777 |
1.2× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$8,120.22 |
$14,246 |
0.6× |
| Aspirate pleura w/o imaging (32554) |
$601.92 |
$1,056 |
0.9× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$320.91 |
$563 |
1.0× |
| Aspiration bladder needle (51100) |
$447.45 |
$785 |
1.8× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$276.74 |
$485.50 |
1.4× |
| Biopsy external auditory canal (69105) |
$84.64 |
$148.50 |
0.1× |
| Biopsy nail unit (11755) |
$151.05 |
$265 |
0.2× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$288.42 |
$506 |
0.2× |
| Biopsy of cervix (57500) |
$363.09 |
$637 |
0.4× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$3,640.59 |
$6,387 |
3.8× |
| Biopsy of uterus lining (58100) |
$243.68 |
$427.50 |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,458.92 |
$2,559.50 |
0.9× |
| Biopsy thyroid percutaneous core needle (60100) |
$897.18 |
$1,574 |
1.2× |
| Biopsy vulva/perineum 1 lesion (56605) |
$176.98 |
$310.50 |
0.2× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$299.25 |
$525 |
0.2× |
| Biopsy, prostate, any approach, nonimaging-guided Age Under 21 (55705) |
$75.24 |
$132 |
0.0× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») (55709) |
$122.55 |
$215 |
0.0× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») (55707) |
$102.60 |
$180 |
0.0× |
| Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) |
$178.41 |
$313 |
0.1× |
| Bladder irrigation (51700) |
$247.95 |
$435 |
1.0× |
| Bladder pressure measurement during filling (51726) |
$661.77 |
$1,161 |
2.6× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$11.40 |
$20 |
0.0× |
Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170)
likely a partial charge — not the full procedure |
$901.17 |
$1,581 |
0.1× |
| Brain canal shunt procedure (61070) |
$522.69 |
$917 |
0.7× |
| Bronch foreign body removal (31635) |
$4,237.95 |
$7,435 |
2.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,625.42 |
$4,606 |
1.4× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$4,587.36 |
$8,048 |
11.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,640.18 |
$2,877.50 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$849.58 |
$1,490.50 |
0.5× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$3,258.12 |
$5,716 |
0.8× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$4,550.31 |
$7,983 |
0.6× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$1,322.51 |
$2,320.20 |
0.4× |
| Care of miscarriage (59820) |
$2,557.59 |
$4,487 |
0.8× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$4,501.86 |
$7,898 |
1.3× |
| Cast short arm (29075) |
$108.30 |
$190 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$203.49 |
$357 |
0.8× |
| Change of windpipe airway (31502) |
$194.94 |
$342 |
0.8× |
| Chemical cauterization of granulation tissue (17250) |
$58.14 |
$102 |
0.3× |
| Chemodenervation Internal Anal Sphincter (46505) |
$247.95 |
$435 |
0.2× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$119.70 |
$210 |
0.4× |
| Chest tube placement (32551) |
$1,059.63 |
$1,859 |
0.7× |
| Circumcision, Newborn (54150) |
$1,768.71 |
$3,103 |
0.8× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,536.72 |
$2,696 |
0.9× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$220.59 |
$387 |
0.9× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$2,467.24 |
$4,328.50 |
1.5× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$386.46 |
$678 |
1.5× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$658.92 |
$1,156 |
2.6× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$484.50 |
$850 |
1.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$564.87 |
$991 |
2.2× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$1,172.49 |
$2,057 |
0.7× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$600.21 |
$1,053 |
2.4× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$356.25 |
$625 |
1.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$600.21 |
$1,053 |
2.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$572.28 |
$1,004 |
2.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$336.87 |
$591 |
1.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$513 |
$900 |
0.3× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$176.70 |
$310 |
0.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,662.12 |
$2,916 |
1.0× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$788.31 |
$1,383 |
3.1× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,430.48 |
$4,264 |
1.5× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,583.46 |
$2,778 |
1.0× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$494.76 |
$868 |
2.0× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$413.82 |
$726 |
1.6× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$475.95 |
$835 |
0.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$568.86 |
$998 |
2.3× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$500.46 |
$878 |
2.0× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$418.38 |
$734 |
1.7× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$5,236.59 |
$9,187 |
3.2× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$468.54 |
$822 |
1.9× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$3,665.10 |
$6,430 |
2.2× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$371.92 |
$652.50 |
1.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$452.86 |
$794.50 |
1.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$611.04 |
$1,072 |
2.4× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$483.93 |
$849 |
1.9× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$443.46 |
$778 |
1.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$601.35 |
$1,055 |
2.4× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$821.94 |
$1,442 |
3.3× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$782.61 |
$1,373 |
3.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$457.71 |
$803 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$779.19 |
$1,367 |
3.1× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,192.44 |
$2,092 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$335.16 |
$588 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,329.24 |
$2,332 |
5.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$436.62 |
$766 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,659.27 |
$2,911 |
1.0× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,330.95 |
$2,335 |
0.8× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$771.21 |
$1,353 |
3.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,261.41 |
$2,213 |
0.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$179.55 |
$315 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$542.64 |
$952 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,423.86 |
$2,498 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$974.13 |
$1,709 |
3.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$300.96 |
$528 |
1.2× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$491.34 |
$862 |
1.9× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$786.60 |
$1,380 |
3.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$394.44 |
$692 |
1.6× |
| Cltx metar fx w/manj (28475) |
$527.82 |
$926 |
2.1× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,157.67 |
$2,031 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$700.53 |
$1,229 |
2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,446.09 |
$2,537 |
0.9× |
| Colonoscopy w/control bleed (45382) |
$1,495.61 |
$2,623.88 |
1.2× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$563.16 |
$988 |
0.5× |
| Colposcopy cervix (57452) |
$340.86 |
$598 |
1.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$309.51 |
$543 |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$444.03 |
$779 |
1.4× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$1,503.66 |
$2,638 |
4.8× |
| Colposcopy vulva w/biopsy (56821) |
$246.24 |
$432 |
0.8× |
| Colposcopy w/endocervical curettage (57456) |
$374.20 |
$656.50 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,039.82 |
$1,824.25 |
0.9× |
| Complex uroflowmetry (51741) |
$217.74 |
$382 |
1.0× |
| Conization of cervix (57520) |
$2,916.69 |
$5,117 |
0.9× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$2,302.23 |
$4,039 |
0.7× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$478.23 |
$839 |
2.2× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$368.22 |
$646 |
2.7× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$283.29 |
$497 |
2.1× |
| Conz of cervix w/scope leep (57461) |
$2,514.84 |
$4,412 |
0.8× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
likely a partial charge — not the full procedure |
$783.26 |
$1,374.14 |
0.1× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure |
$1,379.97 |
$2,421 |
0.2× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$1,351.24 |
$2,370.60 |
0.4× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$4,046.43 |
$7,099 |
1.2× |
| Csf shunt reprogram (62252) |
$430.92 |
$756 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$405.27 |
$711 |
3.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$110.01 |
$193 |
0.5× |
| Cylinder cast (29365) |
$57.57 |
$101 |
0.2× |
| Cystometrogram w/up (51727) |
$576.27 |
$1,011 |
0.8× |
| Cystourethroscopy (52000) |
$3,908.21 |
$6,856.50 |
5.5× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$123.69 |
$217 |
0.3× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$74.96 |
$131.50 |
1.2× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$41.61 |
$73 |
0.7× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$370.22 |
$649.50 |
0.9× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$779.19 |
$1,367 |
0.5× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21 (69222) |
$437.76 |
$768 |
0.8× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$2,848.29 |
$4,997 |
3.8× |
| Destruct lesion 15 or more (17111) |
$62.13 |
$109 |
0.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$62.70 |
$110 |
0.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$31.92 |
$56 |
0.1× |
| Destruction benign lesions up to 14 (17110) |
$58.71 |
$103 |
0.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$137.94 |
$242 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$107.16 |
$188 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$115.71 |
$203 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$84.36 |
$148 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$92.91 |
$163 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$372.78 |
$654 |
1.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$135.09 |
$237 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$103.17 |
$181 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$90.06 |
$158 |
0.4× |
| Diagnostic bone marrow biopsies (38221) |
$411.54 |
$722 |
0.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$488.49 |
$857 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$3,927.87 |
$6,891 |
4.1× |
| Drain lower leg lesion (27603) |
$874.38 |
$1,534 |
0.3× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$120.27 |
$211 |
0.5× |
| Drainage external auditory canal, abscess (69020) |
$1,424.43 |
$2,499 |
2.0× |
| Drainage finger abscess simple (26010) |
$47.31 |
$83 |
0.2× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$388.74 |
$682 |
0.2× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$188.67 |
$331 |
0.3× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$103.17 |
$181 |
0.1× |
| Drainage of nose lesion (30020) |
$104.88 |
$184 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$1,614.24 |
$2,832 |
1.0× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$860.51 |
$1,509.66 |
0.3× |
| Drainage of tonsil abscess (42700) |
$428.07 |
$751 |
1.8× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,292.48 |
$2,267.50 |
0.6× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,244.31 |
$2,183 |
0.6× |
| Dx bronchoscope/lavage (31624) |
$1,713.99 |
$3,007 |
0.9× |
| Dx laryngoscopy excl nb (31525) |
$1,283.07 |
$2,251 |
0.7× |
| Ed proc insert intraosseous IV (36680) |
$543.78 |
$954 |
1.2× |
| Ed proc remve fb nasal- hospital (30300) |
$234.27 |
$411 |
1.7× |
| Ed prof arthrocentesis sm - hospital (20551) |
$860.52 |
$1,509.68 |
2.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$94.62 |
$166 |
0.7× |
| Ed prof burn small - hospital (16020) |
$148.77 |
$261 |
0.7× |
| Ed prof catheterization/straight (51701) |
$246.24 |
$432 |
1.8× |
| Ed prof closed tx post hip arthroplasty (27265) |
$303.81 |
$533 |
1.2× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$910.86 |
$1,598 |
0.6× |
| Ed prof insert foley cath simple (51702) |
$108.87 |
$191 |
0.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,528.17 |
$2,681 |
0.5× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$434.91 |
$763 |
1.0× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$419.80 |
$736.50 |
1.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$339.72 |
$596 |
1.3× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$269.04 |
$472 |
0.6× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,820.30 |
$3,193.50 |
0.9× |
| Egd transoral control bleeding any method (43255) |
$669.75 |
$1,175 |
0.3× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision (34111) |
$4,818.21 |
$8,453 |
0.8× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$468.54 |
$822 |
3.6× |
| Endocervical curettage (57505) |
$267.90 |
$470 |
0.3× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$64.41 |
$113 |
0.1× |
| Esoph egd dilation <30 mm (43249) |
$959.31 |
$1,683 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,100.29 |
$1,930.34 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal… (43257) |
$3,527.16 |
$6,188 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,918.62 |
$3,366 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,787.52 |
$3,136 |
1.9× |
| Evac subungual hematoma (11740) |
$94.34 |
$165.50 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,414.46 |
$2,481.50 |
0.8× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$717.06 |
$1,258 |
1.3× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$421.23 |
$739 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$2,839.74 |
$4,982 |
1.7× |
| Exc face tum deep < 2 cm (21013) |
$348.27 |
$611 |
0.2× |
| Exc frenum labial/buccal (40819) |
$1,163.09 |
$2,040.50 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$212.96 |
$373.62 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$105.16 |
$184.50 |
0.1× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$153.33 |
$269 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$650.37 |
$1,141 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$921.69 |
$1,617 |
0.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$84.36 |
$148 |
0.1× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$144.21 |
$253 |
0.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,864.33 |
$3,270.75 |
1.1× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$780.33 |
$1,369 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,727.45 |
$4,785 |
1.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,414.46 |
$2,481.50 |
0.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,549.04 |
$4,472 |
1.5× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$1,965.93 |
$3,449 |
0.6× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,975.24 |
$3,465.33 |
1.2× |
| Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) |
$5,014.86 |
$8,798 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$198.36 |
$348 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$213.75 |
$375 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$242.82 |
$426 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$332.31 |
$583 |
0.5× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$685.14 |
$1,202 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$197.22 |
$346 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$253.65 |
$445 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$327.75 |
$575 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$391.59 |
$687 |
0.2× |
| Excision multiple external papillae/tags anus (46230) |
$649.80 |
$1,140 |
0.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$1,258.85 |
$2,208.50 |
0.4× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$860.51 |
$1,509.66 |
0.5× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$328.32 |
$576 |
0.1× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Age Under 21 (64788) |
$3,318.54 |
$5,822 |
1.7× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$282.72 |
$496 |
0.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415) |
$3,473.01 |
$6,093 |
0.6× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$673.74 |
$1,182 |
0.2× |
| Excision of sublingual salivary cyst (ranula) Age Under 21 (42408) |
$345.42 |
$606 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$466.26 |
$818 |
0.4× |
| Excision of tongue lesion (41112) |
$2,549.04 |
$4,472 |
0.8× |
| Excision of vaginal cyst or tumor (57135) |
$2,651.64 |
$4,652 |
0.8× |
| Excision olecranon bursa (24105) |
$2,733.15 |
$4,795 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,076.73 |
$1,889 |
0.4× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,657.84 |
$2,908.50 |
0.6× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$279.87 |
$491 |
0.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,773.84 |
$3,112 |
1.1× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$333.45 |
$585 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$1,314.71 |
$2,306.50 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$420.66 |
$738 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$301.53 |
$529 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$98.61 |
$173 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$288.42 |
$506 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$192.94 |
$338.50 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$367.65 |
$645 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$338.58 |
$594 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$473.67 |
$831 |
0.3× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$2,541.63 |
$4,459 |
0.9× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$401.85 |
$705 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$226.29 |
$397 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$151.05 |
$265 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$357.96 |
$628 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$108.30 |
$190 |
0.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$291.84 |
$512 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$931.38 |
$1,634 |
0.3× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$2,270.31 |
$3,983 |
0.8× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$2,501.73 |
$4,389 |
0.8× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$2,477.79 |
$4,347 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,523.39 |
$4,427 |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$2,525.67 |
$4,431 |
1.5× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$4,070.37 |
$7,141 |
1.4× |
| Exploration of arm or leg for bleeding, blood clot, or infection after surgery (35860) |
$963.69 |
$1,690.68 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,124.61 |
$1,973 |
0.7× |
| Explore wound abdomen (20102) |
$4,465.95 |
$7,835 |
2.1× |
| Explore wound neck (20100) |
$1,085.85 |
$1,905 |
2.0× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$2,758.52 |
$4,839.50 |
0.8× |
| Fasciectomy, plantar fascia; radical (separate procedure) Age Under 21 (28062) |
$1,598 |
$2,803.50 |
0.5× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$3,207.39 |
$5,627 |
1.0× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$2,771.34 |
$4,862 |
0.8× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$1,071.60 |
$1,880 |
2.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$943.92 |
$1,656 |
1.3× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$4,129.08 |
$7,244 |
1.2× |
| Ganglion impar nerve block (64999) |
$163.02 |
$286 |
0.5× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$429.78 |
$754 |
1.9× |
| Gastric lavage (43753) |
$309.51 |
$543 |
1.4× |
| Gastrocnemius recession (27687) |
$783.27 |
$1,374.16 |
0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,677.29 |
$4,697 |
0.9× |
| Hysteroscopy biopsy (58558) |
$2,645.37 |
$4,641 |
0.8× |
| Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560) |
$2,677.29 |
$4,697 |
0.5× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
unusually low — confirm this is the full procedure |
$2,540.49 |
$4,457 |
0.5× |
| I&d abscess simple/single (10060) |
$196.08 |
$344 |
1.0× |
| I&d hematoma/seroma/fluid (10140) |
$216.03 |
$379 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$576.84 |
$1,012 |
0.8× |
Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362)
likely a partial charge — not the full procedure |
$4,219.71 |
$7,403 |
0.2× |
| Incise external hemorrhoid (46083) |
$378.76 |
$664.50 |
1.5× |
| Incise finger tendon sheath (26055) |
$1,266.40 |
$2,221.75 |
0.8× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$501.60 |
$880 |
1.2× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$379.05 |
$665 |
0.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$253.65 |
$445 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$231.99 |
$407 |
0.7× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$479.94 |
$842 |
0.2× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$1,596 |
$2,800 |
0.5× |
| Incision and drainage, perianal abscess, superficial (46050) |
$755.82 |
$1,326 |
0.8× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$719.34 |
$1,262 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$414.96 |
$728 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$235.98 |
$414 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$914.85 |
$1,605 |
0.6× |
| Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) |
$572.85 |
$1,005 |
1.0× |
| Incision of eyelid fold (67715) |
$3,405.18 |
$5,974 |
1.4× |
| Incision of foot tendon(s) (28230) |
$456 |
$800 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$791.35 |
$1,388.34 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$1,615.38 |
$2,834 |
2.1× |
| Inj epidural blood or clot patch (62273) |
$991.52 |
$1,739.50 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$488.49 |
$857 |
0.5× |
| Inj paravert f jnt l/s 1 lev (64493) |
$488.49 |
$857 |
0.5× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$768.64 |
$1,348.50 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$147.63 |
$259 |
0.2× |
| Injection aa&/strd greater occipital nerve (64405) |
$80.37 |
$141 |
0.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$174.24 |
$305.68 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$226 |
$396.50 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$203.06 |
$356.25 |
0.6× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$123.69 |
$217 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$145.35 |
$255 |
0.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$261.35 |
$458.50 |
0.8× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$538.08 |
$944 |
1.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$51.30 |
$90 |
0.3× |
| Insert gastrostomy tube percutaneous (49440) |
$2,908.71 |
$5,103 |
1.5× |
| Insert pessary/other device (57160) |
$102.03 |
$179 |
0.5× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$144.21 |
$253 |
0.6× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$5,354.58 |
$9,394 |
1.7× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,644.45 |
$2,885 |
0.5× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge — not the full procedure |
$2,060.26 |
$3,614.50 |
0.1× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,352.90 |
$2,373.50 |
0.8× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$6,347.52 |
$11,136 |
0.2× |
| Intubation endotracheal (31500) |
$594.80 |
$1,043.50 |
2.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$452.58 |
$794 |
1.8× |
| Knee arthroscopy/surgery (29876) |
$1,967.36 |
$3,451.50 |
0.6× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) |
$120.27 |
$211 |
0.1× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
likely a partial charge — not the full procedure |
$1,625.78 |
$2,852.25 |
0.2× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655)
unusually low — confirm this is the full procedure |
$6,899.85 |
$12,105 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge — not the full procedure |
$1,799.60 |
$3,157.20 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
likely a partial charge — not the full procedure |
$782.61 |
$1,373 |
0.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$4,421.49 |
$7,757 |
0.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$4,578.52 |
$8,032.50 |
0.6× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
unusually low — confirm this is the full procedure |
$2,328.45 |
$4,085 |
0.4× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$420.38 |
$737.50 |
0.1× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$4,339.41 |
$7,613 |
0.7× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
unusually low — confirm this is the full procedure |
$3,908.21 |
$6,856.50 |
0.4× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure |
$1,326.68 |
$2,327.50 |
0.2× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$546.34 |
$958.50 |
0.1× |
| Laryngoscopy flex diagnostic (31575) |
$306.09 |
$537 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,242.58 |
$9,197.50 |
0.7× |
| Lumbar puncture (62270) |
$590.80 |
$1,036.50 |
0.8× |
| Lysis of labial adhesions (56441) |
$153.33 |
$269 |
0.0× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$1,309.29 |
$2,297 |
0.8× |
| Marsupialization of sublingual salivary cyst (ranula) Age Under 21 (42409) |
$230.85 |
$405 |
0.1× |
| Mastectomy gynecomastia (19300) |
$2,980.53 |
$5,229 |
0.7× |
| Mastectomy partial (19301) |
$3,243.87 |
$5,691 |
0.8× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$47.88 |
$84 |
0.8× |
| Middle ear exploration through postauricular or ear canal incision Age Under 21 (69440) |
$691.98 |
$1,214 |
0.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$1,159.95 |
$2,035 |
0.3× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$488.49 |
$857 |
0.6× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$488.49 |
$857 |
0.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$505.59 |
$887 |
0.6× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$157.04 |
$275.50 |
0.6× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$719.62 |
$1,262.50 |
0.2× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$122.26 |
$214.50 |
0.6× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$188.96 |
$331.50 |
0.5× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$6,181.08 |
$10,844 |
0.9× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$1,495.68 |
$2,624 |
0.8× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge — not the full procedure |
$957.71 |
$1,680.20 |
0.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$1,195.15 |
$2,096.75 |
0.3× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288)
likely a partial charge — not the full procedure |
$1,076.43 |
$1,888.48 |
0.1× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$1,285.06 |
$2,254.50 |
0.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$2,107.01 |
$3,696.50 |
1.2× |
Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259)
unusually low — confirm this is the full procedure |
$2,278.29 |
$3,997 |
0.3× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge — not the full procedure |
$957.71 |
$1,680.20 |
0.1× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$611.04 |
$1,072 |
2.4× |
| Neurology (Lazheimer disease), beta amyloid (AB40,AB42,AB42/40 ratio) and tau-protein (ptau217, np-tau217,… (0503U) |
$570 |
$1,000 |
0.8× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,146.27 |
$2,011 |
0.6× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$2,727.74 |
$4,785.50 |
1.4× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$505.59 |
$887 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$488.49 |
$857 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$522.69 |
$917 |
0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$488.49 |
$857 |
0.7× |
| Non stress test (59025) |
$360.52 |
$632.50 |
1.7× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64568)
likely a partial charge — not the full procedure |
$12,513.21 |
$21,953 |
0.3× |
| Open treatment bimalleolar ankle fracture (27814) |
$6,247.20 |
$10,960 |
0.8× |
| Open treatment medial malleolus fracture (27766) |
$6,626.25 |
$11,625 |
0.9× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$2,581.53 |
$4,529 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$4,322.31 |
$7,583 |
0.6× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$4,407.81 |
$7,733 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$4,963.56 |
$8,708 |
0.7× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$3,783.09 |
$6,637 |
0.5× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure |
$457.71 |
$803 |
0.1× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21 (27566)
unusually low — confirm this is the full procedure |
$3,292.89 |
$5,777 |
0.4× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$4,657.18 |
$8,170.50 |
0.6× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$4,570.26 |
$8,018 |
0.6× |
| Open tx distal fibular fracture lat malleolus (27792) |
$4,134.21 |
$7,253 |
0.6× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$4,142.19 |
$7,267 |
1.2× |
| Open tx metacarpal fracture single ea bone (26615) |
$3,982.59 |
$6,987 |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,672.59 |
$4,688.75 |
0.8× |
| Open tx prox humeral fx (23615) |
$6,968.25 |
$12,225 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$756.96 |
$1,328 |
0.2× |
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300)
likely a partial charge — not the full procedure |
$783.26 |
$1,374.14 |
0.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$29.64 |
$52 |
0.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$36.48 |
$64 |
0.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$531.81 |
$933 |
2.6× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,685.84 |
$4,712 |
0.8× |
| Partial excision bone metacarpal (26230) |
$391.02 |
$686 |
0.1× |
| Partial excision distal phalanx finger (26236) |
$1,556.24 |
$2,730.25 |
0.9× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
likely a partial charge — not the full procedure |
$673.74 |
$1,182 |
0.1× |
| Partical excision bone phalanx toe (28124) |
$750.69 |
$1,317 |
0.2× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
likely a partial charge — not the full procedure |
$391.88 |
$687.50 |
0.1× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Age Under 21 (24566) |
$2,280.86 |
$4,001.50 |
1.4× |
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
likely a partial charge — not the full procedure |
$450.30 |
$790 |
0.1× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$826.50 |
$1,450 |
3.3× |
| Pericardiocentesis w/img guidance when performed (33016) |
$531.24 |
$932 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$795.15 |
$1,395 |
1.1× |
| Perq device breast 1st imag (19281) |
$300.96 |
$528 |
0.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$992.37 |
$1,741 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$503.88 |
$884 |
2.0× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low — confirm this is the full procedure |
$3,404.04 |
$5,972 |
0.5× |
| Pin finger fracture each (26756) |
$1,429.38 |
$2,507.68 |
0.4× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$2,409.11 |
$4,226.50 |
0.7× |
Prq impltj nstim electrode array epidural (63650)
unusually low — confirm this is the full procedure |
$2,355.72 |
$4,132.83 |
0.4× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$2,685.27 |
$4,711 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$181.83 |
$319 |
0.4× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$136.80 |
$240 |
0.3× |
| Puncture aspiration of cyst of breast (19000) |
$750.69 |
$1,317 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,278.51 |
$2,243 |
0.6× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$504.61 |
$885.28 |
0.2× |
Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial Age Under 21 (21181)
likely a partial charge — not the full procedure |
$776.91 |
$1,363 |
0.1× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low — confirm this is the full procedure |
$3,600.41 |
$6,316.50 |
0.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$5,218.64 |
$9,155.50 |
0.7× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$3,292.89 |
$5,777 |
1.0× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
unusually low — confirm this is the full procedure |
$2,822.22 |
$4,951.25 |
0.4× |
| Release palm contracture (26040) |
$1,218.66 |
$2,138 |
0.7× |
| Relieve pressure on nerve(s) (64722) |
$2,985.09 |
$5,237 |
1.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$829.35 |
$1,455 |
1.1× |
| Removal foreign body shoulder subcutaneous (23330) |
$95.19 |
$167 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$37.62 |
$66 |
0.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$73.53 |
$129 |
1.2× |
| Removal implant deep (20680) |
$4,006.53 |
$7,029 |
1.4× |
| Removal implant superficial (20670) |
$707.94 |
$1,242 |
0.4× |
| Removal of anal fissure (46200) |
$312.93 |
$549 |
0.1× |
| Removal of appendix using an endoscope (44970) |
$3,878.85 |
$6,805 |
0.6× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$137.37 |
$241 |
0.4× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64570) |
$6,120.09 |
$10,737 |
1.8× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$2,613.45 |
$4,585 |
0.8× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$2,605.47 |
$4,571 |
0.8× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$288.42 |
$506 |
0.2× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$937.36 |
$1,644.50 |
0.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$194.94 |
$342 |
1.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$334.59 |
$587 |
0.7× |
| Removal of iud (58301) |
$1,335.80 |
$2,343.50 |
4.3× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$2,873.94 |
$5,042 |
1.0× |
| Removal of nail bed (11750) |
$484.22 |
$849.50 |
1.2× |
| Removal of salivary stone (42330) |
$152.76 |
$268 |
0.0× |
| Removal of scar tissue of tendon on bottom side of foot (28220) |
$959.31 |
$1,683 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$72.39 |
$127 |
0.4× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$2,860.83 |
$5,019 |
0.8× |
| Removal of wrist bone (25210) |
$1,962.51 |
$3,443 |
0.6× |
| Removal tunneled cv cath (36590) |
$1,032.27 |
$1,811 |
0.6× |
| Removal, non-biodegradable drug delivery implant (11982) |
$1,326.68 |
$2,327.50 |
2.9× |
| Repair blood vessel upper ext (35206) |
$519.84 |
$912 |
0.2× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$892.05 |
$1,565 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,220.37 |
$2,141 |
2.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$110.58 |
$194 |
0.1× |
| Repair elbow deb/attch open (24359) |
$1,476.30 |
$2,590 |
0.4× |
| Repair finger tendon (26418) |
$1,429.37 |
$2,507.66 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$478.80 |
$840 |
1.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$425.79 |
$747 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$509.58 |
$894 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$644.10 |
$1,130 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$280.44 |
$492 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$357.96 |
$628 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$400.42 |
$702.50 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$375.06 |
$658 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$357.96 |
$628 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$727.60 |
$1,276.50 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$514.14 |
$902 |
1.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$755.82 |
$1,326 |
1.8× |
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345)
unusually low — confirm this is the full procedure |
$2,258.63 |
$3,962.50 |
0.3× |
| Repair nasal septal perforations Age Under 21 (30630) |
$723.90 |
$1,270 |
0.2× |
| Repair of digit nerve (64831) |
$1,374.56 |
$2,411.50 |
0.7× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,008.33 |
$1,769 |
4.2× |
| Repair of nail bed (11760) |
$311.50 |
$546.50 |
0.4× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435)
unusually low — confirm this is the full procedure |
$5,006.31 |
$8,783 |
0.4× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) |
$5,314.11 |
$9,323 |
0.7× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$1,571.87 |
$2,757.66 |
0.5× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$2,951.37 |
$5,177.84 |
0.9× |
| Repair wrist joints (25447) |
$4,054.41 |
$7,113 |
1.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,303.02 |
$2,286 |
1.7× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$700.53 |
$1,229 |
1.7× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322)
unusually low — confirm this is the full procedure |
$2,477.51 |
$4,346.50 |
0.3× |
| Reset dislocated jaw (21480) |
$234.27 |
$411 |
0.9× |
| Revise ulnar nerve at elbow (64718) |
$3,172.48 |
$5,565.75 |
1.6× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861)
likely a partial charge — not the full procedure |
$1,466.04 |
$2,572 |
0.1× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862)
likely a partial charge — not the full procedure |
$1,771.56 |
$3,108 |
0.1× |
Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664)
likely a partial charge — not the full procedure |
$3,251.57 |
$5,704.50 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
unusually low — confirm this is the full procedure |
$8,314.59 |
$14,587 |
0.5× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$195.51 |
$343 |
1.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$169.58 |
$297.50 |
1.2× |
| Rmvl of access device (36589) |
$939.36 |
$1,648 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$532.38 |
$934 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low — confirm this is the full procedure |
$2,900.73 |
$5,089 |
0.4× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low — confirm this is the full procedure |
$2,605.47 |
$4,571 |
0.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,485.77 |
$4,361 |
0.7× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$2,597.49 |
$4,557 |
0.7× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$1,195.15 |
$2,096.75 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$70.40 |
$123.50 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$88.92 |
$156 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$92.91 |
$163 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$107.16 |
$188 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$121.41 |
$213 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$116.28 |
$204 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$123.69 |
$217 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$125.97 |
$221 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$150.48 |
$264 |
0.4× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$2,150.04 |
$3,772 |
1.8× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$471.96 |
$828 |
1.8× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$124.54 |
$218.50 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$330.60 |
$580 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$330.60 |
$580 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$377.34 |
$662 |
1.8× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$413.82 |
$726 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$343.71 |
$603 |
1.7× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$860.70 |
$1,510 |
2.1× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$445.17 |
$781 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$355.96 |
$624.50 |
1.7× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$171.57 |
$301 |
1.3× |
| Slitting of prepuce (54001) |
$135.66 |
$238 |
0.1× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$355.96 |
$624.50 |
1.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$353.97 |
$621 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$479.94 |
$842 |
1.2× |
| Strapping ankle (29540) |
$25.08 |
$44 |
0.2× |
| Strapping unna boot (29580) |
$42.75 |
$75 |
0.3× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$825.79 |
$1,448.75 |
1.1× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$1,195.15 |
$2,096.75 |
0.4× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge — not the full procedure |
$257.07 |
$451 |
0.0× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705)
likely a partial charge — not the full procedure |
$741.72 |
$1,301.25 |
0.1× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$390.45 |
$685 |
0.5× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$4,026.48 |
$7,064 |
0.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$3,980.31 |
$6,983 |
2.4× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,987.31 |
$3,486.50 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$357.68 |
$627.50 |
0.9× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$1,952.25 |
$3,425 |
0.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,259.13 |
$2,209 |
0.8× |
| Tenolysis, flexor, foot; multiple tendons Age Under 21 (28222) |
$472.53 |
$829 |
0.1× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$262.20 |
$460 |
0.2× |
| Tenotomy percutaneous toe single tendon (28010) |
$197.22 |
$346 |
0.1× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$4,142.19 |
$7,267 |
1.2× |
| Tenotomy, hip flexor(s), open (separate procedure) (27005) |
$489.63 |
$859 |
0.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$118.56 |
$208 |
0.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$488.49 |
$857 |
0.7× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,302.45 |
$2,285 |
1.8× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge — not the full procedure |
$2,637.39 |
$4,627 |
0.2× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,653.28 |
$2,900.50 |
2.6× |
| Thyroidectomy, total or complete (60240) |
$5,989.56 |
$10,508 |
1.0× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$2,717.19 |
$4,767 |
0.8× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
unusually low — confirm this is the full procedure |
$2,677.29 |
$4,697 |
0.4× |
| Total knee arthroplasty (27447) |
$8,546.58 |
$14,994 |
0.7× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,322.97 |
$2,321 |
5.5× |
| Transfusion, blood or blood components (36430) |
$725.04 |
$1,272 |
1.6× |
| Treat big toe fracture (28495) |
$436.62 |
$766 |
1.7× |
| Treat finger dislocation (26775) |
$496.47 |
$871 |
1.7× |
| Treat fx distal radial (25606) |
$3,878.85 |
$6,805 |
1.2× |
| Treat humerus fracture (24577) |
$2,763.36 |
$4,848 |
1.7× |
| Treat wrist bone fracture (25624) |
$2,340.42 |
$4,106 |
1.4× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,715.70 |
$3,010 |
1.0× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$4,229.97 |
$7,421 |
0.6× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$398.43 |
$699 |
1.6× |
| Treatment of miscarriage (59812) |
$2,608.89 |
$4,577 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$166.44 |
$292 |
0.7× |
| Trimming of nondystrophic nails, any number (11719) |
$33.63 |
$59 |
0.6× |
| Tx superficial wound dehiscence simple closure (12020) |
$872.67 |
$1,531 |
1.2× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$2,445.87 |
$4,291 |
1.5× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$1,330.67 |
$2,334.50 |
0.8× |
| Vasectomy (55250) |
$1,581.75 |
$2,775 |
0.7× |
| Venipuncture (36415) |
$19.38 |
$34 |
2.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$368.79 |
$647 |
0.1× |
| Vermilionectomy (lip shave), with mucosal advancement Age Under 21 (40500) |
$342.57 |
$601 |
0.1× |
| Version cephalic external (59412) |
$992.37 |
$1,741 |
0.3× |
| Wedge excision skin nail fold (11765) |
$93.48 |
$164 |
0.2× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$2,405.97 |
$4,221 |
1.0× |