| Abd paracentesis w/imaging (49083) |
$450.77 |
$500.85 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$385.09 |
$427.88 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,648.08 |
$1,831.20 |
0.7× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,797.39 |
$1,997.10 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,993.95 |
$2,215.50 |
0.9× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$1,458.14 |
$1,620.15 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,092.23 |
$2,324.70 |
0.6× |
| Amputate metacarpal bone (26910) |
$7,183.89 |
$7,982.10 |
2.0× |
| Amputation Finger/Thumb (26951) |
$2,118.69 |
$2,354.10 |
0.6× |
| Amputation foot transmetarsal (28805) |
$7,185.78 |
$7,984.20 |
2.0× |
| Amputation metatarsal with toe single (28810) |
$1,414.67 |
$1,571.85 |
0.4× |
| Amputation thigh through femur any level (27590) |
$2,614.82 |
$2,905.35 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$4,944.24 |
$5,493.60 |
1.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,301.27 |
$1,445.85 |
0.4× |
Amputation, arm through humerus; with primary closure Facility (24900)
likely a partial charge, not the full procedure |
$2,317.14 |
$2,574.60 |
0.2× |
| Amputation, leg, through tibia and fibula; (27880) |
$41,683.95 |
$46,315.50 |
5.2× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$2,335.10 |
$2,594.55 |
0.6× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$1,877.72 |
$2,086.35 |
0.5× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$828.77 |
$920.85 |
0.8× |
| Anoscopy diagnostic (46600) |
$308.08 |
$342.30 |
2.1× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$221.13 |
$245.70 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$354.38 |
$393.75 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge, not the full procedure |
$1,627.29 |
$1,808.10 |
0.3× |
| Appendectomy (44950) |
$6,726.51 |
$7,473.90 |
0.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$91.67 |
$101.85 |
0.5× |
| Appl Multlay Comprs Arm/Hand (29584) |
$44.42 |
$49.35 |
0.2× |
| Application cast elbow finger short arm (29075) |
$526.37 |
$584.85 |
1.7× |
| Application Cast Finger (29086) |
$454.55 |
$505.05 |
2.5× |
| Application Finger Splint Dynamic (29131) |
$209.79 |
$233.10 |
3.2× |
| Application finger splint static (29130) |
$156.88 |
$174.30 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$288.22 |
$320.25 |
1.6× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$28,168.56 |
$31,298.40 |
2.0× |
| Application of rigid total contact leg cast (29445) |
$322.25 |
$358.05 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$374.22 |
$415.80 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$249.96 |
$277.72 |
1.7× |
| Apply Hand/Wrist Cast (29085) |
$133.25 |
$148.05 |
0.7× |
| Apply long leg splint (29505) |
$274.05 |
$304.50 |
1.5× |
| Apply short leg cast (29405) |
$292.95 |
$325.50 |
0.9× |
| Apply short leg splint (29515) |
$266.02 |
$295.58 |
1.5× |
| Arterial puncture (36600) |
$67.10 |
$74.55 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$123.80 |
$137.55 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$152.15 |
$169.05 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$190.89 |
$212.10 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$756 |
$840 |
2.2× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$7,183.89 |
$7,982.10 |
2.0× |
| Arthroplasty, ankle; Facility (27700) |
$15,386.49 |
$17,096.10 |
1.9× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$2,721.60 |
$3,024 |
0.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,161.22 |
$2,401.35 |
0.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,632.02 |
$1,813.35 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,025.14 |
$2,250.15 |
0.6× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$7,185.78 |
$7,984.20 |
2.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$7,141.37 |
$7,934.85 |
2.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$7,180.11 |
$7,977.90 |
2.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$2,025.14 |
$2,250.15 |
0.6× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,933.47 |
$2,148.30 |
0.5× |
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
unusually low: confirm this is the full procedure |
$3,454.92 |
$3,838.80 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,730.30 |
$1,922.55 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,850.31 |
$2,055.90 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,300.13 |
$2,555.70 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,990.93 |
$3,323.25 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,484.22 |
$3,871.35 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$7,141.37 |
$7,934.85 |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$15,385.55 |
$17,095.05 |
1.9× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,466.26 |
$3,851.40 |
0.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$15,386.49 |
$17,096.10 |
1.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,291.06 |
$5,878.95 |
1.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$7,183.89 |
$7,982.10 |
2.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,025.33 |
$1,139.25 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$465.89 |
$517.65 |
0.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$478.17 |
$531.30 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$190.42 |
$211.58 |
0.9× |
| Biopsy bone open deep (20245) |
$1,034.78 |
$1,149.75 |
0.3× |
| Biopsy bone open superficial (20240) |
$446.04 |
$495.60 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$764.51 |
$849.45 |
0.7× |
| Biopsy of breast; open, incisional (19101) |
$693.63 |
$770.70 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$835.38 |
$928.20 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$4,082.40 |
$4,536 |
0.9× |
| Blood patch (62273) |
$1,853.15 |
$2,059.05 |
2.4× |
| Blood transfusion service (36430) |
$1,146.29 |
$1,273.65 |
2.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$433.76 |
$481.95 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$894.92 |
$994.35 |
0.3× |
| Casting/strapping procedure (29799) |
$521.64 |
$579.60 |
2.9× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$247.59 |
$275.10 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$251.37 |
$279.30 |
0.3× |
| Change of cystostomy tube simple (51705) |
$200.34 |
$222.60 |
0.7× |
| Chemical cautery tissue (17250) |
$289.17 |
$321.30 |
1.3× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$343.98 |
$382.20 |
0.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,148.18 |
$1,275.75 |
0.3× |
| Circum 28 days or older (54161) |
$652.05 |
$724.50 |
0.3× |
| Circumcision (54150) |
$1,207.71 |
$1,341.90 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,244.10 |
$1,382.32 |
4.5× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$359.10 |
$399 |
1.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$4,599.32 |
$5,110.35 |
2.6× |
| Closed Rx Radial Shaft Fx (25500) |
$2,360.61 |
$2,622.90 |
8.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$2,985.26 |
$3,316.95 |
10.9× |
| Closed treat wrist dislocation (25660) |
$3,433.19 |
$3,814.65 |
12.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,907.01 |
$2,118.90 |
6.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,597.62 |
$3,997.35 |
2.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,961.82 |
$2,179.80 |
7.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$2,344.55 |
$2,605.05 |
8.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$1,812.51 |
$2,013.90 |
6.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,460.59 |
$3,845.10 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,090.53 |
$1,211.70 |
4.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,384.24 |
$2,649.15 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,917.97 |
$4,353.30 |
2.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$3,684.56 |
$4,093.95 |
13.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,146.29 |
$1,273.65 |
4.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,847.48 |
$2,052.75 |
6.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,394.82 |
$1,549.80 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$3,101.49 |
$3,446.10 |
11.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,542.81 |
$3,936.45 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$2,399.36 |
$2,665.95 |
8.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,917.97 |
$4,353.30 |
2.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$2,344.55 |
$2,605.05 |
8.5× |
| Closed tx septal&nose fx (21337) |
$2,798.15 |
$3,109.05 |
0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,189.57 |
$2,432.85 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$395.01 |
$438.90 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,376.20 |
$2,640.22 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$2,519.37 |
$2,799.30 |
9.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$2,389.91 |
$2,655.45 |
8.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,613.12 |
$1,792.35 |
6.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$2,776.41 |
$3,084.90 |
10.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$2,173.50 |
$2,415 |
7.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,392.56 |
$3,769.50 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,701 |
$1,890 |
6.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$4,346.06 |
$4,828.95 |
2.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,884.14 |
$3,204.60 |
1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,709.51 |
$1,899.45 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,832.36 |
$2,035.95 |
6.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$2,719.71 |
$3,021.90 |
9.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$2,657.34 |
$2,952.60 |
9.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,817.24 |
$2,019.15 |
6.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,981.67 |
$2,201.85 |
7.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,337.74 |
$3,708.60 |
1.9× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$488.57 |
$542.85 |
0.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,316.39 |
$1,462.65 |
4.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,372.14 |
$1,524.60 |
5.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,759.21 |
$4,176.90 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$2,805.71 |
$3,117.45 |
10.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$869.40 |
$966 |
3.2× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$2,954.07 |
$3,282.30 |
10.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,650.44 |
$1,833.82 |
0.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$434.70 |
$483 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$635.99 |
$706.65 |
2.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,061.04 |
$2,290.05 |
6.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,935.36 |
$2,150.40 |
7.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$2,898.32 |
$3,220.35 |
10.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$3,662.82 |
$4,069.80 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,827.63 |
$2,030.70 |
6.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$2,776.41 |
$3,084.90 |
10.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,279.15 |
$3,643.50 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,637.68 |
$1,819.65 |
6.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$455.96 |
$506.62 |
0.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$706.86 |
$785.40 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,769.98 |
$1,966.65 |
6.4× |
| Cltx post ankle fx w/mnpj (27768) |
$3,713.85 |
$4,126.50 |
2.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$4,259.59 |
$4,732.88 |
2.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$3,147.80 |
$3,497.55 |
11.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$2,690.42 |
$2,989.35 |
9.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,656.21 |
$4,062.45 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$498.96 |
$554.40 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,808.35 |
$4,231.50 |
2.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$4,057.83 |
$4,508.70 |
2.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$4,053.11 |
$4,503.45 |
2.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,124.55 |
$1,249.50 |
4.1× |
| Colonoscopy flex w/inj submuc (45381) |
$674.73 |
$749.70 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$764.51 |
$849.45 |
0.6× |
| Colonoscopy thru stoma (44388) |
$1,790.78 |
$1,989.75 |
1.7× |
| Colonoscopy w/band ligation (45398) |
$703.08 |
$781.20 |
0.5× |
| Colonoscopy w/endoscopic fnb (45392) |
$906.26 |
$1,006.95 |
0.7× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,588.36 |
$2,875.95 |
1.9× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,117.94 |
$1,242.15 |
0.4× |
| Colpocleisis (le fort type) (57120) |
$7,668.68 |
$8,520.75 |
1.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$1,265.36 |
$1,405.95 |
3.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$415.80 |
$462 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$724.82 |
$805.35 |
2.1× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$1,158.57 |
$1,287.30 |
0.3× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
unusually low: confirm this is the full procedure |
$2,305.80 |
$2,562 |
0.4× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,057.64 |
$5,619.60 |
0.9× |
| Conization of cervix (57520) |
$789.08 |
$876.75 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$350.60 |
$389.55 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$253.26 |
$281.40 |
1.7× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) |
$4,818.56 |
$5,353.95 |
1.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$553.77 |
$615.30 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$375.17 |
$416.85 |
2.5× |
| Curettage postpartum (59160) |
$583.07 |
$647.85 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$961.07 |
$1,067.85 |
0.4× |
| Cystourethroscopy (52000) |
$1,344.74 |
$1,494.15 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$541.02 |
$601.12 |
1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,344.55 |
$2,605.05 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,907.96 |
$2,119.95 |
2.4× |
| Debride tissue/muscle (11043) |
$683.71 |
$759.68 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$277.36 |
$308.18 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,246.46 |
$1,384.95 |
0.7× |
| Declot vascular device (36593) |
$150.26 |
$166.95 |
0.4× |
| Decompression of lower leg (27600) |
$1,327.73 |
$1,475.25 |
0.4× |
| Delivery placenta separate procedure (59414) |
$301.46 |
$334.95 |
0.1× |
| Destruction anal lesion(s) (46924) |
$601.02 |
$667.80 |
0.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$586.84 |
$652.05 |
2.6× |
| Destruction Vaginal Lesions Simple (57061) |
$3,786.62 |
$4,207.35 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$188.06 |
$208.95 |
0.2× |
| Dilation and curettage (58120) |
$620.87 |
$689.85 |
0.2× |
| Dilation of cervical canal (57800) |
$492.35 |
$547.05 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,598.94 |
$1,776.60 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,058.40 |
$1,176 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$1,194.48 |
$1,327.20 |
5.3× |
| Drainage of gum lesion (41800) |
$1,509.17 |
$1,676.85 |
10.2× |
| Drainage of hematoma/fluid (10140) |
$673.32 |
$748.12 |
0.4× |
| Drainage of hydrocele (55000) |
$1,591.38 |
$1,768.20 |
2.0× |
| Drainage of scrotal wall abscess (55100) |
$1,558.31 |
$1,731.45 |
0.8× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$4,078.62 |
$4,531.80 |
1.1× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,516.16 |
$5,017.95 |
1.2× |
| Draw blood off venous device (36591) |
$61.43 |
$68.25 |
0.4× |
| Dressing change under anesthesia (15852) |
$268.86 |
$298.72 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$586.85 |
$652.05 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$275 |
$305.55 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$336.90 |
$374.32 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$446.04 |
$495.60 |
0.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,267.06 |
$2,518.95 |
1.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$514.08 |
$571.20 |
0.2× |
| Egd band ligation esophgeal/gastric varices (43244) |
$822.15 |
$913.50 |
0.4× |
| Egd control bleeding any (43255) |
$550.94 |
$612.15 |
0.3× |
| Egd dilate stricture (43245) |
$591.57 |
$657.30 |
0.3× |
| Egd flexible foreign body removal (43247) |
$597.24 |
$663.60 |
0.6× |
| Egd guide wire insertion (43248) |
$559.44 |
$621.60 |
0.6× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$1,053.68 |
$1,170.75 |
0.1× |
| Egd place gastrostomy tube (43246) |
$2,742.39 |
$3,047.10 |
1.3× |
| Egd remove lesion snare (43251) |
$660.56 |
$733.95 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure |
$615.20 |
$683.55 |
0.1× |
| Endometrial Biopsy (58100) |
$974.30 |
$1,082.55 |
4.3× |
| Endovenous rf 1st vein (36475) |
$923.27 |
$1,025.85 |
0.3× |
| Enterorrhaphy single perforation (44602) |
$15,685.11 |
$17,427.90 |
3.7× |
| Episiotomy or vaginal repair (59300) |
$846.72 |
$940.80 |
0.2× |
| Escharotomy initial incision (16035) |
$876.96 |
$974.40 |
1.9× |
| Esoph Scope W/Submucous Inj (43201) |
$1,996.79 |
$2,218.65 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$465.89 |
$517.65 |
0.5× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$442.26 |
$491.40 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,201.10 |
$1,334.55 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$368.55 |
$409.50 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$347.76 |
$386.40 |
2.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,660.18 |
$2,955.75 |
1.4× |
| Exc abdl tum deep 5 cm/> (22901) |
$6,417.50 |
$7,130.55 |
2.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$290.59 |
$322.88 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$208.85 |
$232.05 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,646.76 |
$4,051.95 |
2.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$591.57 |
$657.30 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,535.63 |
$1,706.25 |
1.9× |
| Exc back les sc < 3 cm (21930) |
$1,198.26 |
$1,331.40 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$2,171.61 |
$2,412.90 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$339.26 |
$376.95 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$469.67 |
$521.85 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$3,646.76 |
$4,051.95 |
2.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,345.11 |
$4,827.90 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,013.99 |
$1,126.65 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$6,329.61 |
$7,032.90 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,116.99 |
$1,241.10 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$291.06 |
$323.40 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,010.21 |
$1,122.45 |
1.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$623.70 |
$693 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,075.79 |
$4,528.65 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$811.76 |
$901.95 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,521.07 |
$3,912.30 |
1.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,699.68 |
$4,110.75 |
1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,571.16 |
$3,967.95 |
1.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,341.90 |
$1,491 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,735.02 |
$1,927.80 |
0.9× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,713.85 |
$4,126.50 |
2.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,466.64 |
$1,629.60 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,421.09 |
$2,690.10 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,780.38 |
$1,978.20 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,280.66 |
$5,867.40 |
1.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,084.86 |
$1,205.40 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,273.86 |
$6,970.95 |
1.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,646.76 |
$4,051.95 |
2.0× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$4,639.95 |
$5,155.50 |
1.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,117.94 |
$1,242.15 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,370.25 |
$1,522.50 |
3.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$505.58 |
$561.75 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$604.80 |
$672 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,073.52 |
$1,192.80 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$503.69 |
$559.65 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$547.16 |
$607.95 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$569.84 |
$633.15 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,562.09 |
$1,735.65 |
2.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,054.62 |
$1,171.80 |
0.6× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$854.28 |
$949.20 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$362.88 |
$403.20 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,020.88 |
$2,245.42 |
1.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,218.11 |
$1,353.45 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,895.67 |
$2,106.30 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$393.12 |
$436.80 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,168.02 |
$1,297.80 |
0.9× |
| Excision of vaginal cyst or tumor (57135) |
$3,659.04 |
$4,065.60 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,141.37 |
$2,379.30 |
0.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,888.11 |
$2,097.90 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,543.19 |
$1,714.65 |
0.8× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,674.35 |
$2,971.50 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$2,893.59 |
$3,215.10 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,543.56 |
$5,048.40 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$3,645.81 |
$4,050.90 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,361.75 |
$1,513.05 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,541.30 |
$1,712.55 |
0.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,467.59 |
$1,630.65 |
0.4× |
| Excision; trochanteric bursa or calcification (27062) |
$1,620.68 |
$1,800.75 |
0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$670.95 |
$745.50 |
0.3× |
| Expl retroperitoneum w/wo bx spx (49010) |
$23,569.25 |
$26,188.05 |
3.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,479.49 |
$3,866.10 |
1.9× |
| Explo/Drain Breast Abscess (19020) |
$1,693.44 |
$1,881.60 |
0.9× |
| Exploration of knee joint (27310) |
$7,185.78 |
$7,984.20 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,724.16 |
$1,915.72 |
0.9× |
| Explore/Treat Knee Joint (27331) |
$1,556.42 |
$1,729.35 |
0.4× |
| External cephalic version (59412) |
$600.08 |
$666.75 |
0.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$3,020.22 |
$3,355.80 |
0.8× |
| Fetal non-stress test (59025) |
$159.71 |
$177.45 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$282.56 |
$313.95 |
0.6× |
| Fixation of shoulder (23700) |
$2,442.83 |
$2,714.25 |
1.4× |
| Foreskin manipulation (54450) |
$639.77 |
$710.85 |
2.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,207.14 |
$4,674.60 |
1.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$790.02 |
$877.80 |
3.3× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$7,183.89 |
$7,982.10 |
2.0× |
| Hemorrhoidectomy (46255) |
$1,163.30 |
$1,292.55 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,568.70 |
$1,743 |
0.5× |
| Hysteroscopy biopsy (58558) |
$602.91 |
$669.90 |
0.2× |
| Hysteroscopy removal leiomyomata (58561) |
$3,821.58 |
$4,246.20 |
0.7× |
| Hysteroscopy w endometrial ablation (58563) |
$5,949.72 |
$6,610.80 |
1.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$394.07 |
$437.85 |
0.1× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$3,711.96 |
$4,124.40 |
0.7× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,690.98 |
$5,212.20 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$608.58 |
$676.20 |
2.3× |
| I&d abscess simple (10060) |
$619.45 |
$688.28 |
2.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,278.49 |
$4,753.88 |
1.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$707.81 |
$786.45 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$575.50 |
$639.45 |
0.7× |
| I&d vulva/perineal abscess (56405) |
$650.16 |
$722.40 |
1.9× |
| Incise external hemorrhoid (46083) |
$824.04 |
$915.60 |
3.0× |
| Incise finger tendon sheath (26055) |
$1,020.60 |
$1,134 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,044.23 |
$1,160.25 |
2.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,211.30 |
$2,457 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,589.49 |
$1,766.10 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$959.18 |
$1,065.75 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$675.68 |
$750.75 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$758.84 |
$843.15 |
3.4× |
| Incision and drainage perianal abscess superficial (46050) |
$787.66 |
$875.18 |
0.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$585.90 |
$651 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,107.54 |
$1,230.60 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$707.81 |
$786.45 |
0.4× |
| Incision of rectal abscess (46040) |
$3,409.56 |
$3,788.40 |
2.6× |
| Incisional biopsy skin single lesion (11106) |
$141.30 |
$157 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$196.56 |
$218.40 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,074.28 |
$2,304.75 |
2.1× |
| Inj tendon sheath/ligament (20550) |
$174.83 |
$194.25 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,005.48 |
$1,117.20 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$622.76 |
$691.95 |
0.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,244.57 |
$1,382.85 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$72.77 |
$80.85 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$174.83 |
$194.25 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$262.24 |
$291.38 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$170.10 |
$189 |
0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$554.72 |
$616.35 |
1.6× |
| Injection anesthetic agent femoral nerve single (64447) |
$148.37 |
$164.85 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$247.12 |
$274.58 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$154.04 |
$171.15 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$1,183.14 |
$1,314.60 |
8.3× |
| Insert cath pleura w/o image (32556) |
$4,337.55 |
$4,819.50 |
2.0× |
| Insert cervical dilator (59200) |
$939.33 |
$1,043.70 |
2.8× |
| Insert Drug Implant Device (11981) |
$273.11 |
$303.45 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$502.74 |
$558.60 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$224.91 |
$249.90 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$155.92 |
$173.25 |
1.1× |
| Insert tunneled cv cath (36561) |
$4,915.89 |
$5,462.10 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$117.66 |
$130.72 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,251.94 |
$2,502.15 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$863.73 |
$959.70 |
0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$745.61 |
$828.45 |
0.2× |
| Interdental Fixation (21110) |
$1,715.18 |
$1,905.75 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$452.18 |
$502.42 |
1.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$553.77 |
$615.30 |
2.0× |
| Knee Arthroscopy/Surgery (29874) |
$5,532.03 |
$6,146.70 |
1.5× |
| Knee Arthroscopy/Surgery (29879) |
$2,177.28 |
$2,419.20 |
0.6× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$3,778.11 |
$4,197.90 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,976.94 |
$2,196.60 |
0.3× |
| Laparoscopy biopsy (49321) |
$6,136.83 |
$6,818.70 |
0.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,784.91 |
$14,205.45 |
1.1× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$1,176.53 |
$1,307.25 |
0.2× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,910.60 |
$3,234 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,719.90 |
$1,911 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$3,023.06 |
$3,358.95 |
0.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,719.89 |
$13,022.10 |
1.0× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
unusually low: confirm this is the full procedure |
$2,327.54 |
$2,586.15 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553)
likely a partial charge, not the full procedure |
$2,952.18 |
$3,280.20 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,916.46 |
$7,684.95 |
1.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$6,719.90 |
$7,466.55 |
1.0× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$1,189.76 |
$1,321.95 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,797.39 |
$1,997.10 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$863.73 |
$959.70 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,878.66 |
$2,087.40 |
0.3× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$9,191.07 |
$10,212.30 |
0.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,814.02 |
$4,237.80 |
0.6× |
| Laryngoscopy Direct Aspiration (31515) |
$1,233.23 |
$1,370.25 |
2.8× |
| Laryngoscopy flexible diagnostic (31575) |
$950.67 |
$1,056.30 |
4.3× |
| Late closure of wound (13160) |
$2,621.43 |
$2,912.70 |
0.7× |
| Ligation of femoral vein Facility (37650) |
$1,508.22 |
$1,675.80 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$629.37 |
$699.30 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$2,172.56 |
$2,413.95 |
1.2× |
| Liver Biopsy (47000) |
$1,914.57 |
$2,127.30 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,363.45 |
$2,626.05 |
1.0× |
| Mastectomy partial (19301) |
$2,131.92 |
$2,368.80 |
0.5× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$2,529.77 |
$2,810.85 |
0.6× |
| Muscle-skin graft trunk (15734) |
$7,384.23 |
$8,204.70 |
1.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$174.83 |
$194.25 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,402.38 |
$1,558.20 |
0.6× |
| Njx aa&/strd sciatic nerve (64445) |
$155.93 |
$173.25 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$452.66 |
$502.95 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,651.86 |
$1,835.40 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$382.72 |
$425.25 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,613.12 |
$1,792.35 |
1.6× |
| Occipital Nerve Block (64405) |
$1,144.40 |
$1,271.55 |
3.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,032.50 |
$8,925 |
1.0× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,994.90 |
$2,216.55 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$1,927.80 |
$2,142 |
0.5× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,787 |
$1,985.55 |
0.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$15,386.49 |
$17,096.10 |
1.9× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
likely a partial charge, not the full procedure |
$2,214.14 |
$2,460.15 |
0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$8,199.77 |
$9,110.85 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$15,386.49 |
$17,096.10 |
1.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,891.89 |
$2,102.10 |
0.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,946.51 |
$3,273.90 |
0.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$8,230.95 |
$9,145.50 |
1.0× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,903.99 |
$3,226.65 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$1,541.30 |
$1,712.55 |
0.2× |
| Ostectomy calcaneus (28118) |
$4,181.63 |
$4,646.25 |
1.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$807.03 |
$896.70 |
0.2× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$1,637.69 |
$1,819.65 |
0.2× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$2,032.70 |
$2,258.55 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,637.69 |
$1,819.65 |
0.4× |
| Partial excision bone tibia (27640) |
$2,955.02 |
$3,283.35 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$992.25 |
$1,102.50 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$6,145.34 |
$6,828.15 |
1.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,136.46 |
$3,484.95 |
0.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$722.93 |
$803.25 |
0.2× |
| Peritoneal Lavage (49084) |
$355.32 |
$394.80 |
0.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,851.63 |
$5,390.70 |
1.3× |
| Picc line placement (36569) |
$346.34 |
$384.82 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$202.23 |
$224.70 |
0.4× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,634.85 |
$1,816.50 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$181.44 |
$201.60 |
0.2× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,069.74 |
$1,188.60 |
0.8× |
| Proctosigmoid w/biopsy (45305) |
$242.87 |
$269.85 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$179.56 |
$199.50 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$190.89 |
$212.10 |
0.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$627.01 |
$696.68 |
1.4× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$694.58 |
$771.75 |
0.7× |
| Release wrist/forearm tendon (25295) |
$7,185.78 |
$7,984.20 |
2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,205.44 |
$3,561.60 |
1.0× |
| Removal foreign body foot deep (28192) |
$2,977.22 |
$3,308.02 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,107.54 |
$1,230.60 |
1.4× |
| Removal foreign body intranasal (30300) |
$244.76 |
$271.95 |
1.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,195.43 |
$1,328.25 |
0.6× |
| Removal foreign body pharynx (42809) |
$1,184.09 |
$1,315.65 |
2.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$67.10 |
$74.55 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$158.76 |
$176.40 |
2.4× |
| Removal implant deep (20680) |
$3,596.67 |
$3,996.30 |
1.1× |
| Removal of embedded foreign body, eyelid (67938) |
$422.42 |
$469.35 |
1.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,563.50 |
$1,737.22 |
1.2× |
| Removal of finger lesion (26210) |
$3,589.11 |
$3,987.90 |
2.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$173.88 |
$193.20 |
0.3× |
| Removal of implant from finger or hand (26320) |
$1,137.78 |
$1,264.20 |
0.6× |
| Removal of iud (58301) |
$540.07 |
$600.08 |
1.6× |
| Removal of knee cartilage (27332) |
$2,113.97 |
$2,348.85 |
0.6× |
| Removal of nail bed (11750) |
$1,424.12 |
$1,582.35 |
3.1× |
| Removal Of Tendon Lesion (27630) |
$1,199.21 |
$1,332.45 |
0.3× |
| Removal of testis (54520) |
$3,700.62 |
$4,111.80 |
0.9× |
| Removal of thyroid (60271) |
$3,444.53 |
$3,827.25 |
0.5× |
| Removal of tonsils (42826) |
$819.32 |
$910.35 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$242.87 |
$269.85 |
1.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$117.18 |
$130.20 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$3,586.28 |
$3,984.75 |
2.0× |
| Remove drug implant device (11982) |
$311.85 |
$346.50 |
0.6× |
| Remove ext hem groups 2+ (46250) |
$3,023.06 |
$3,358.95 |
1.0× |
| Remove Peritoneal Foreign Body (49402) |
$8,940.65 |
$9,934.05 |
2.2× |
| Remove Pilonidal Cyst Exten (11771) |
$3,866.94 |
$4,296.60 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$3,589.11 |
$3,987.90 |
2.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,862.60 |
$2,069.55 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$309.02 |
$343.35 |
2.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$170.58 |
$189.52 |
1.2× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$2,162.16 |
$2,402.40 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$2,685.69 |
$2,984.10 |
3.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,403.33 |
$1,559.25 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,812.04 |
$2,013.38 |
4.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,698.92 |
$2,998.80 |
6.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,333.87 |
$1,482.08 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,906.54 |
$2,118.38 |
4.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,851.26 |
$2,056.95 |
2.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$732.85 |
$814.28 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,876.77 |
$2,085.30 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$8,436.96 |
$9,374.40 |
2.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$6,052.73 |
$6,725.25 |
1.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,897.56 |
$2,108.40 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,924.97 |
$2,138.85 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,993.95 |
$2,215.50 |
4.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,002.18 |
$1,113.52 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,177.94 |
$1,308.82 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,811.38 |
$3,123.75 |
6.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,158.10 |
$1,286.78 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,515.78 |
$1,684.20 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,932.53 |
$2,147.25 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$936.97 |
$1,041.08 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,194.96 |
$1,327.72 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,409.94 |
$1,566.60 |
1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,940.09 |
$2,155.65 |
4.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$949.72 |
$1,055.25 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,240.32 |
$1,378.12 |
2.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,841.81 |
$2,046.45 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,518.62 |
$1,687.35 |
3.4× |
| Repair lumbar hernia (49540) |
$7,631.82 |
$8,479.80 |
1.1× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,892.84 |
$2,103.15 |
0.3× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$1,352.30 |
$1,502.55 |
0.2× |
| Repair of nail bed (11760) |
$732.38 |
$813.75 |
0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$7,218.86 |
$8,020.95 |
1.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,073.33 |
$2,303.70 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$15,387.44 |
$17,097.15 |
1.9× |
| Repair Tongue Laceration (41250) |
$121.91 |
$135.45 |
0.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$15,385.55 |
$17,095.05 |
1.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$15,386.49 |
$17,096.10 |
1.9× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$2,106.41 |
$2,340.45 |
0.3× |
| Repeat control of nosebleed (30906) |
$738.05 |
$820.05 |
2.8× |
| Revise ulnar nerve at elbow (64718) |
$5,233.41 |
$5,814.90 |
2.4× |
| Revision of cervix (57700) |
$960.12 |
$1,066.80 |
0.3× |
| Revision of colostomy simple (44340) |
$6,597.99 |
$7,331.10 |
1.7× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$3,633.53 |
$4,037.25 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$367.61 |
$408.45 |
2.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,275.28 |
$1,416.98 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$628.43 |
$698.25 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,449.63 |
$1,610.70 |
2.1× |
| Rplc gtube revj gstrst trc (43763) |
$232.47 |
$258.30 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,958.04 |
$7,731.15 |
2.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,832.36 |
$2,035.95 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$841.05 |
$934.50 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,571.54 |
$1,746.15 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,395.77 |
$1,550.85 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,036.67 |
$1,151.85 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,409 |
$1,565.55 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,236.06 |
$1,373.40 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$2,748.06 |
$3,053.40 |
3.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$2,137.59 |
$2,375.10 |
2.6× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$2,433.85 |
$2,704.28 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$378.95 |
$421.05 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$403.52 |
$448.35 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$112.46 |
$124.95 |
0.5× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,920.24 |
$2,133.60 |
0.5× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,896.62 |
$2,107.35 |
0.5× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$264.60 |
$294 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$239.09 |
$265.65 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$597.24 |
$663.60 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$368.08 |
$408.98 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$378.95 |
$421.05 |
1.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$601.02 |
$667.80 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$318.47 |
$353.85 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$352.02 |
$391.12 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$280.20 |
$311.32 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$717.26 |
$796.95 |
3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$311.38 |
$345.98 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$314.69 |
$349.65 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$277.83 |
$308.70 |
0.3× |
| Skin sub grft t/arm/lg child (15273) |
$8,388.77 |
$9,320.85 |
3.6× |
| Skin Tissue Procedure (17999) |
$1,792.67 |
$1,991.85 |
8.0× |
| Skin tissue rearrangement (14040) |
$1,848.42 |
$2,053.80 |
0.8× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,770.93 |
$1,967.70 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$336.90 |
$374.32 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$526.37 |
$584.85 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$440.37 |
$489.30 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$153.09 |
$170.10 |
0.2× |
| Spinal Puncture Therapeutic (62272) |
$469.67 |
$521.85 |
0.6× |
| Strapping ankle (29540) |
$202.23 |
$224.70 |
1.1× |
| Strapping hand/finger (29280) |
$289.17 |
$321.30 |
4.4× |
| Strapping knee (29530) |
$275.94 |
$306.60 |
1.9× |
| Strapping shoulder (29240) |
$289.17 |
$321.30 |
2.0× |
| Strapping toes (29550) |
$184.28 |
$204.75 |
2.8× |
| Strapping unna boot (29580) |
$111.51 |
$123.90 |
0.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,868.27 |
$2,075.85 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,440.75 |
$3,823.05 |
1.1× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$2,151.77 |
$2,390.85 |
0.6× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,835.19 |
$2,039.10 |
0.8× |
| Suture of 1 nerve ulnar motor (64836) |
$2,151.77 |
$2,390.85 |
0.6× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$1,953.32 |
$2,170.35 |
0.5× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,886.22 |
$2,095.80 |
0.2× |
| Tenolysis extensor tendon hand/finger each (26445) |
$7,185.78 |
$7,984.20 |
2.0× |
| Ther Apheresis,Platelets (36513) |
$709.70 |
$788.55 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$792.86 |
$880.95 |
1.1× |
| Throat Surgery Procedure (42999) |
$499.90 |
$555.45 |
1.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,099.60 |
$3,444 |
0.8× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$2,926.67 |
$3,251.85 |
0.8× |
| Treat clavicle dislocation (23540) |
$2,159.33 |
$2,399.25 |
7.9× |
| Treat Hand Dislocation (26685) |
$4,376.30 |
$4,862.55 |
1.2× |
| Treat humerus fracture (23600) |
$2,907.77 |
$3,230.85 |
10.6× |
| Treat Kneecap Fracture (27524) |
$15,385.55 |
$17,095.05 |
1.9× |
| Treat shoulder blade fx (23575) |
$2,672.46 |
$2,969.40 |
1.5× |
| Treat wrist bone fracture (25622) |
$2,684.75 |
$2,983.05 |
9.8× |
| Treat Wrist Bone Fracture (25630) |
$2,594.97 |
$2,883.30 |
9.4× |
| Treatment closed elbow dislocation req anes (24605) |
$2,888.40 |
$3,209.32 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$2,594.97 |
$2,883.30 |
9.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,162.35 |
$1,291.50 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,167.08 |
$1,296.75 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,887.17 |
$2,096.85 |
6.9× |
| Trim skin lesion (11055) |
$53.87 |
$59.85 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$26.94 |
$29.92 |
0.4× |
| Tubal ligation (58600) |
$1,189.76 |
$1,321.95 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$802.31 |
$891.45 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,155.26 |
$1,283.62 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,534.68 |
$1,705.20 |
1.9× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$955.40 |
$1,061.55 |
0.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$4,461.35 |
$4,957.05 |
0.7× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure |
$191.84 |
$213.15 |
0.0× |
| Unlisted procedure arthroscopy (29999) |
$589.68 |
$655.20 |
2.1× |
| Unlisted procedure excision pressure ulcer (15999) |
$1,516.73 |
$1,685.25 |
1.9× |
| Unlisted procedure femur or knee (27599) |
$381.78 |
$424.20 |
1.4× |
| Unlisted procedure nervous system (64999) |
$146.48 |
$162.75 |
0.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$297.68 |
$330.75 |
1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,979.40 |
$4,421.55 |
3.9× |
| Unlisted procedure, leg or ankle (27899) |
$2,284.54 |
$2,538.38 |
8.3× |
| Unlisted procedure, maternity care and delivery (59899) |
$429.98 |
$477.75 |
1.9× |
Vag hyst complex (58290)
unusually low: confirm this is the full procedure |
$3,041.01 |
$3,378.90 |
0.4× |
| Vaginal delivery only (59409) |
$2,656.40 |
$2,951.55 |
0.7× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,988.09 |
$3,320.10 |
0.8× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,222.64 |
$2,469.60 |
0.4× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$6,946.70 |
$7,718.55 |
1.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,976.18 |
$6,640.20 |
1.1× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$4,369.68 |
$4,855.20 |
1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,243.62 |
$1,381.80 |
0.5× |
| Venipuncture (36415) |
$65.21 |
$72.45 |
7.0× |
| Vulvectomy Simple Partial (56620) |
$1,568.70 |
$1,743 |
0.4× |
| Vulvectomy simple; complete (56625) |
$1,777.55 |
$1,975.05 |
0.5× |
Vulvectomy, radical, partial; Facility (56630)
unusually low: confirm this is the full procedure |
$2,548.67 |
$2,831.85 |
0.5× |
| Wedge excision skin nail fold (11765) |
$863.73 |
$959.70 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,338.12 |
$1,486.80 |
3.0× |