| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$1,596 |
$2,280 |
0.5× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$1,984.50 |
$2,835 |
0.6× |
| Abd paracentesis w/imaging (49083) |
$175 |
$250 |
0.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,232 |
$1,760 |
1.5× |
| Ablate inf turbinate submuc (30802) |
$479.50 |
$685 |
0.3× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$6,191.50 |
$8,845 |
0.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$364 |
$520 |
0.3× |
| Abrasion single lesion (15786) |
$399 |
$570 |
2.2× |
Acetabuloplasty (27120) likely a partial charge, not the full procedure |
$2,348.50 |
$3,355 |
0.2× |
Acetabuloplasty resection femoral head (27122) unusually low: confirm this is the full procedure |
$2,009 |
$2,870 |
0.3× |
| Acne surgery (10040) |
$175 |
$250 |
1.0× |
| Acromiopl/Acromionect Partial (23130) |
$1,067.50 |
$1,525 |
0.4× |
| Adding Walker Previously Applied Cast (29440) |
$91 |
$130 |
0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,043 |
$1,490 |
0.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,361.50 |
$1,945 |
0.7× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$1,743 |
$2,490 |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,362.50 |
$3,375 |
1.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,176 |
$1,680 |
0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,627.50 |
$2,325 |
0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,494.50 |
$2,135 |
0.8× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) likely a partial charge, not the full procedure |
$819 |
$1,170 |
0.1× |
| Allogeneic lymphocyte infusions (38242) |
$182 |
$260 |
0.1× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
$647.50 |
$925 |
0.2× |
| Amniocentesis diagnostic (59000) |
$238 |
$340 |
0.3× |
| Amniocentesis therapeutic (59001) |
$357 |
$510 |
1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,109.50 |
$1,585 |
0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,262.40 |
$3,232 |
0.8× |
| Amputate Metacarpal Bone (26910) |
$1,232 |
$1,760 |
0.4× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,337 |
$1,910 |
0.5× |
| Amputation follow-up surgery (27594) |
$920.50 |
$1,315 |
0.3× |
| Amputation Foot Midtarsal (28800) |
$1,053.50 |
$1,505 |
0.4× |
| Amputation foot transmetarsal (28805) |
$1,389.50 |
$1,985 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$812 |
$1,160 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,512 |
$2,160 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$966 |
$1,380 |
0.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$889 |
$1,270 |
0.3× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$1,284.50 |
$1,835 |
0.4× |
Amputation, arm through humerus; open, circular (guillotine) Facility (24920) likely a partial charge, not the full procedure |
$1,281 |
$1,830 |
0.1× |
Amputation, arm through humerus; re-amputation Facility (24930) likely a partial charge, not the full procedure |
$1,358 |
$1,940 |
0.2× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$987 |
$1,410 |
0.3× |
Amputation, arm through humerus; with implant Facility (24931) likely a partial charge, not the full procedure |
$1,529.50 |
$2,185 |
0.1× |
Amputation, arm through humerus; with primary closure Facility (24900) likely a partial charge, not the full procedure |
$1,284.50 |
$1,835 |
0.1× |
Amputation, forearm, through radius and ulna; Facility (25900) likely a partial charge, not the full procedure |
$1,323 |
$1,890 |
0.2× |
Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905) likely a partial charge, not the full procedure |
$1,312.50 |
$1,875 |
0.2× |
Amputation, forearm, through radius and ulna; re-amputation Facility (25909) likely a partial charge, not the full procedure |
$1,291.50 |
$1,845 |
0.2× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
$1,141 |
$1,630 |
0.4× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,694 |
$2,420 |
0.3× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$1,148 |
$1,640 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,214.50 |
$1,735 |
0.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$1,064 |
$1,520 |
0.4× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$1,627.50 |
$2,325 |
0.5× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
$1,669.50 |
$2,385 |
0.6× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$1,277.50 |
$1,825 |
0.4× |
| Anal/Urinary Muscle Study (51784) |
$385 |
$550 |
3.3× |
Ankle Arthroscopy/Surgery (29892) likely a partial charge, not the full procedure |
$1,274 |
$1,820 |
0.2× |
Ankle disarticulation (27889) likely a partial charge, not the full procedure |
$1,260 |
$1,800 |
0.2× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$1,106 |
$1,580 |
0.4× |
| Anorectal myomectomy (45108) |
$612.50 |
$875 |
0.2× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$427 |
$610 |
0.2× |
| Anoscopy Ablation Lesion (46615) |
$259 |
$370 |
0.1× |
| Anoscopy Control Bleeding (46614) |
$220.50 |
$315 |
0.2× |
| Anoscopy diagnostic (46600) |
$136.50 |
$195 |
1.1× |
| Anoscopy remove lesion (46610) |
$353.50 |
$505 |
0.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$360.50 |
$515 |
0.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$346.50 |
$495 |
0.3× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$819 |
$1,170 |
0.8× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$196 |
$280 |
0.1× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$1,291.50 |
$1,845 |
0.3× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$1,225 |
$1,750 |
0.3× |
Anterior Tibial Tubercleplasty (27418) likely a partial charge, not the full procedure |
$1,498 |
$2,140 |
0.2× |
| Apheresis Platelets (36513) |
$185.50 |
$265 |
0.5× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,141 |
$1,630 |
0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$273 |
$390 |
1.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$462 |
$660 |
0.3× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$437.50 |
$625 |
1.7× |
| Application Body Cast Shoulder Hips (29035) |
$399 |
$570 |
1.6× |
| Application Body Cast Shoulder Hips Both Thighs (29046) |
$479.50 |
$685 |
1.9× |
| Application cast elbow finger short arm (29075) |
$226.80 |
$324 |
0.9× |
| Application Cast Finger (29086) |
$161 |
$230 |
1.1× |
| Application Cast Shoulder Spica (29055) |
$346.50 |
$495 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$87.50 |
$125 |
1.6× |
| Application finger splint static (29130) |
$190.40 |
$272 |
1.6× |
| Application Halo Cranial Including Removal (20661) |
$822.50 |
$1,175 |
0.6× |
| Application Halo Type Body Cast (29000) |
$455 |
$650 |
1.8× |
| Application Hip Spica Cast 1 Leg (29305) |
$392 |
$560 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$206.50 |
$295 |
1.4× |
| Application Long Leg Cast Brace (29358) |
$259 |
$370 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$241.50 |
$345 |
1.0× |
| Application Long Leg Splint (29505) |
$181.30 |
$259 |
1.2× |
Application multiplane external fixation system (20692) likely a partial charge, not the full procedure |
$1,809.50 |
$2,585 |
0.2× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$434 |
$620 |
2.9× |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) |
$392 |
$560 |
1.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$246.40 |
$352 |
1.0× |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
$1,354.50 |
$1,935 |
0.9× |
| Application of halo, including removal; femoral Facility (20663) |
$791 |
$1,130 |
0.3× |
| Application of long leg cast (29345) |
$231 |
$330 |
0.9× |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) likely a partial charge, not the full procedure |
$1,984.50 |
$2,835 |
0.1× |
| Application of pelvis brace (20662) |
$843.50 |
$1,205 |
0.6× |
| Application of rigid total contact leg cast (29445) |
$308.70 |
$441 |
1.2× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$402.50 |
$575 |
1.6× |
| Application Patellar Tendon Bearing Cast (29435) |
$203 |
$290 |
0.8× |
| Application risser jacket localizer body only (29010) |
$416.50 |
$595 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$129.50 |
$185 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$212.80 |
$304 |
1.8× |
| Application short leg splint calf foot (29515) |
$190.40 |
$272 |
1.3× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$969.50 |
$1,385 |
0.1× |
| Application, cast; figure-of-eight Facility (29049) |
$147 |
$210 |
0.6× |
| Apply hand/wrist cast (29085) |
$167.30 |
$239 |
1.1× |
| Apply long arm cast (29065) |
$227.50 |
$325 |
0.9× |
| Apply Short Leg Cast (29405) |
$254.80 |
$364 |
1.0× |
| Apply short leg cast (29425) |
$227.50 |
$325 |
0.9× |
| Apply shoulder cast,plastr velpeau (29058) |
$192.50 |
$275 |
0.8× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$1,900.50 |
$2,715 |
0.4× |
Arrest Epiphyseal Distal Femur (27475) likely a partial charge, not the full procedure |
$1,169 |
$1,670 |
0.2× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$1,064 |
$1,520 |
0.4× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$1,274 |
$1,820 |
0.4× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$1,204 |
$1,720 |
0.4× |
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) likely a partial charge, not the full procedure |
$1,200.50 |
$1,715 |
0.2× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$234.50 |
$335 |
0.1× |
| Arterial puncture (36600) |
$141.40 |
$202 |
1.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,291.50 |
$1,845 |
0.5× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) likely a partial charge, not the full procedure |
$1,326.50 |
$1,895 |
0.3× |
Artery-vein autograft (36825) likely a partial charge, not the full procedure |
$1,123.50 |
$1,605 |
0.2× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) likely a partial charge, not the full procedure |
$2,317 |
$3,310 |
0.2× |
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) likely a partial charge, not the full procedure |
$1,253 |
$1,790 |
0.2× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) likely a partial charge, not the full procedure |
$1,473.50 |
$2,105 |
0.1× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,533 |
$2,190 |
0.1× |
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) likely a partial charge, not the full procedure |
$1,337 |
$1,910 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$247.80 |
$354 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$490 |
$700 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$247.80 |
$354 |
0.9× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$1,907.50 |
$2,725 |
0.2× |
Arthrodesis Glenohumeral Joint (23800) likely a partial charge, not the full procedure |
$1,855 |
$2,650 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$843.50 |
$1,205 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,407 |
$2,010 |
0.2× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$1,246 |
$1,780 |
0.4× |
Arthrodesis knee any technique (27580) likely a partial charge, not the full procedure |
$2,625 |
$3,750 |
0.2× |
Arthrodesis Pantalar (28705) likely a partial charge, not the full procedure |
$2,425.50 |
$3,465 |
0.2× |
Arthrodesis Posterior Interbody Lumbar (22630) likely a partial charge, not the full procedure |
$2,779 |
$3,970 |
0.1× |
Arthrodesis Posterior/Posterolateral Lumbar (22612) likely a partial charge, not the full procedure |
$2,884 |
$4,120 |
0.2× |
Arthrodesis Posterior/Posterolateral Thoracic (22610) likely a partial charge, not the full procedure |
$2,222.50 |
$3,175 |
0.1× |
Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$1,477 |
$2,110 |
0.1× |
Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$1,788.50 |
$2,555 |
0.2× |
Arthrodesis Wrist Complete W/O Bone Graft (25800) likely a partial charge, not the full procedure |
$1,326.50 |
$1,895 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$2,733.50 |
$3,905 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) likely a partial charge, not the full procedure |
$2,985.50 |
$4,265 |
0.2× |
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) likely a partial charge, not the full procedure |
$3,346 |
$4,780 |
0.3× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) likely a partial charge, not the full procedure |
$3,314.50 |
$4,735 |
0.2× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) likely a partial charge, not the full procedure |
$3,696 |
$5,280 |
0.2× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) likely a partial charge, not the full procedure |
$4,035.50 |
$5,765 |
0.3× |
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) likely a partial charge, not the full procedure |
$1,648.50 |
$2,355 |
0.3× |
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) likely a partial charge, not the full procedure |
$1,806 |
$2,580 |
0.2× |
Arthrodesis, hip joint (including obtaining graft); Facility (27284) likely a partial charge, not the full procedure |
$2,859.50 |
$4,085 |
0.2× |
Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286) likely a partial charge, not the full procedure |
$2,985.50 |
$4,265 |
0.3× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) likely a partial charge, not the full procedure |
$3,125.50 |
$4,465 |
0.3× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) likely a partial charge, not the full procedure |
$2,929.50 |
$4,185 |
0.2× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) likely a partial charge, not the full procedure |
$2,632 |
$3,760 |
0.2× |
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) likely a partial charge, not the full procedure |
$2,775.50 |
$3,965 |
0.2× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) likely a partial charge, not the full procedure |
$4,508 |
$6,440 |
0.3× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) likely a partial charge, not the full procedure |
$3,902.50 |
$5,575 |
0.2× |
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) likely a partial charge, not the full procedure |
$2,446.50 |
$3,495 |
0.2× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) likely a partial charge, not the full procedure |
$1,862 |
$2,660 |
0.1× |
| Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) |
$1,463 |
$2,090 |
0.5× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$1,543.50 |
$2,205 |
0.1× |
Arthrodesis, wrist; with sliding graft Facility (25805) likely a partial charge, not the full procedure |
$1,529.50 |
$2,185 |
0.2× |
Arthroplasty Ankle (27700) likely a partial charge, not the full procedure |
$1,137.50 |
$1,625 |
0.2× |
Arthroplasty ankle revision total ankle (27703) likely a partial charge, not the full procedure |
$2,103.50 |
$3,005 |
0.1× |
Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$1,816.50 |
$2,595 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,754.50 |
$3,935 |
0.2× |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) likely a partial charge, not the full procedure |
$2,222.50 |
$3,175 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$703.50 |
$1,005 |
0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$1,449 |
$2,070 |
0.5× |
Arthroplasty Patella W/Prosthesis (27438) likely a partial charge, not the full procedure |
$1,515.50 |
$2,165 |
0.1× |
Arthroplasty radial head (24365) likely a partial charge, not the full procedure |
$1,141 |
$1,630 |
0.1× |
Arthroplasty Radial Head W/Implant (24366) likely a partial charge, not the full procedure |
$1,221.50 |
$1,745 |
0.1× |
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) likely a partial charge, not the full procedure |
$2,128 |
$3,040 |
0.1× |
Arthroplasty with prosthetic replacement; distal radius Facility (25441) likely a partial charge, not the full procedure |
$1,690.50 |
$2,415 |
0.1× |
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) likely a partial charge, not the full procedure |
$1,435 |
$2,050 |
0.1× |
Arthroplasty with prosthetic replacement; lunate Facility (25444) likely a partial charge, not the full procedure |
$1,473.50 |
$2,105 |
0.1× |
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) likely a partial charge, not the full procedure |
$1,375.50 |
$1,965 |
0.2× |
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) likely a partial charge, not the full procedure |
$1,816.50 |
$2,595 |
0.1× |
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) likely a partial charge, not the full procedure |
$1,928.50 |
$2,755 |
0.2× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) likely a partial charge, not the full procedure |
$1,470 |
$2,100 |
0.1× |
Arthroplasty, knee, tibial plateau; Facility (27440) likely a partial charge, not the full procedure |
$1,386 |
$1,980 |
0.1× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) likely a partial charge, not the full procedure |
$1,435 |
$2,050 |
0.1× |
Arthroplasty, patella; without prosthesis (27437) likely a partial charge, not the full procedure |
$1,179.50 |
$1,685 |
0.2× |
Arthroplasty, temporomandibular joint, with allograft Facility (21242) unusually low: confirm this is the full procedure |
$1,816.50 |
$2,595 |
0.3× |
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) unusually low: confirm this is the full procedure |
$1,988 |
$2,840 |
0.4× |
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) likely a partial charge, not the full procedure |
$2,992.50 |
$4,275 |
0.1× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,694 |
$2,420 |
1.2× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) likely a partial charge, not the full procedure |
$1,816.50 |
$2,595 |
0.2× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$1,064 |
$1,520 |
0.4× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$948.50 |
$1,355 |
0.3× |
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) likely a partial charge, not the full procedure |
$1,914.50 |
$2,735 |
0.3× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$938 |
$1,340 |
0.3× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$1,057 |
$1,510 |
0.4× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$945 |
$1,350 |
0.3× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$899.50 |
$1,285 |
0.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$721 |
$1,030 |
0.2× |
Arthroscopy Knee Osteochondral Allograft (29867) likely a partial charge, not the full procedure |
$2,285.50 |
$3,265 |
0.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$1,158.50 |
$1,655 |
0.4× |
| Arthroscopy knee synovectomy limited spx (29875) |
$882 |
$1,260 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,092 |
$1,560 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,197 |
$1,710 |
0.4× |
Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,925 |
$2,750 |
0.3× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$1,004.50 |
$1,435 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$906.50 |
$1,295 |
0.3× |
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) likely a partial charge, not the full procedure |
$1,036 |
$1,480 |
0.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$878.50 |
$1,255 |
0.3× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) likely a partial charge, not the full procedure |
$1,162 |
$1,660 |
0.2× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) likely a partial charge, not the full procedure |
$1,438.50 |
$2,055 |
0.2× |
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) likely a partial charge, not the full procedure |
$1,291.50 |
$1,845 |
0.2× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$1,421 |
$2,030 |
0.5× |
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) unusually low: confirm this is the full procedure |
$3,076.50 |
$4,395 |
0.5× |
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) likely a partial charge, not the full procedure |
$1,883 |
$2,690 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$903 |
$1,290 |
0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$1,515.50 |
$2,165 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,239 |
$1,770 |
0.4× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
$808.50 |
$1,155 |
0.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$889 |
$1,270 |
0.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$952 |
$1,360 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,652 |
$2,360 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,123.50 |
$1,605 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,025.50 |
$1,465 |
0.3× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,872.50 |
$2,675 |
0.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$1,057 |
$1,510 |
0.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,050 |
$1,500 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$1,977.50 |
$2,825 |
0.3× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$1,106 |
$1,580 |
0.4× |
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) likely a partial charge, not the full procedure |
$1,540 |
$2,200 |
0.1× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$1,148 |
$1,640 |
0.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$927.50 |
$1,325 |
0.3× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) |
$847 |
$1,210 |
0.3× |
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) likely a partial charge, not the full procedure |
$962.50 |
$1,375 |
0.1× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$1,176 |
$1,680 |
0.4× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$542.50 |
$775 |
0.4× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$861 |
$1,230 |
0.3× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$983.50 |
$1,405 |
0.7× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$616 |
$880 |
0.4× |
Arthrotomy W/Meniscus Repair Knee (27403) likely a partial charge, not the full procedure |
$1,144.50 |
$1,635 |
0.2× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$1,074.50 |
$1,535 |
0.4× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$553 |
$790 |
0.2× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$567 |
$810 |
0.2× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$602 |
$860 |
0.2× |
| Arthrotomy wrist joint with synovectomy (25105) |
$864.50 |
$1,235 |
0.3× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$710.50 |
$1,015 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,284.50 |
$1,835 |
0.4× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) likely a partial charge, not the full procedure |
$1,715 |
$2,450 |
0.3× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$707 |
$1,010 |
0.2× |
| Arthrotomy, temporomandibular joint Facility (21010) |
$1,302 |
$1,860 |
0.4× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$1,025.50 |
$1,465 |
0.3× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$840 |
$1,200 |
0.3× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,642.50 |
$3,775 |
0.2× |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) likely a partial charge, not the full procedure |
$2,040.50 |
$2,915 |
0.2× |
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) likely a partial charge, not the full procedure |
$1,088.50 |
$1,555 |
0.2× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$1,512 |
$2,160 |
0.5× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,802.50 |
$2,575 |
0.3× |
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) likely a partial charge, not the full procedure |
$2,198 |
$3,140 |
0.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$1,242.50 |
$1,775 |
0.4× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$1,176 |
$1,680 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,095.50 |
$1,565 |
0.4× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$1,116.50 |
$1,595 |
0.4× |
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) likely a partial charge, not the full procedure |
$1,319.50 |
$1,885 |
0.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$1,228.50 |
$1,755 |
0.4× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$1,018.50 |
$1,455 |
0.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$826 |
$1,180 |
0.3× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$1,267 |
$1,810 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$658 |
$940 |
0.5× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$546 |
$780 |
0.2× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$1,025.50 |
$1,465 |
0.3× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$1,137.50 |
$1,625 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$759.50 |
$1,085 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$801.50 |
$1,145 |
0.3× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$868 |
$1,240 |
0.3× |
Arthrt w/synvct kne ant&post w/pop area (27335) likely a partial charge, not the full procedure |
$1,372 |
$1,960 |
0.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$710.50 |
$1,015 |
0.2× |
| Artificial insemination intra-cervical (58321) |
$143.50 |
$205 |
0.5× |
| Artificial insemination intra-uterine (58322) |
$161 |
$230 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$245 |
$350 |
0.4× |
| Aspirate Pleura W/O Imaging (32554) |
$245 |
$350 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$105 |
$150 |
0.4× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$374.50 |
$535 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$196 |
$280 |
0.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$462 |
$660 |
0.2× |
| Aspiration Bladder Needle (51100) |
$122.50 |
$175 |
0.5× |
| Aspiration bladder trocar/intracatheter (51101) |
$241.50 |
$345 |
0.3× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$934.50 |
$1,335 |
0.4× |
| Augmentation lower jaw bone (21127) |
$5,918.50 |
$8,455 |
1.1× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$4,966.50 |
$7,095 |
0.9× |
Autologous Chondrocyte Implantation Knee (27412) unusually low: confirm this is the full procedure |
$3,034.50 |
$4,335 |
0.5× |
Av fistula revision (36833) likely a partial charge, not the full procedure |
$1,288 |
$1,840 |
0.3× |
Av Fistula Revision Open (36832) likely a partial charge, not the full procedure |
$1,141 |
$1,630 |
0.2× |
Av Fuse Uppr Arm Basilic (36819) unusually low: confirm this is the full procedure |
$1,557.50 |
$2,225 |
0.3× |
Av fusion/forearm vein (36820) unusually low: confirm this is the full procedure |
$1,561 |
$2,230 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200.90 |
$287 |
1.1× |
Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$1,529.50 |
$2,185 |
0.3× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) likely a partial charge, not the full procedure |
$647.50 |
$925 |
0.1× |
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) likely a partial charge, not the full procedure |
$959 |
$1,370 |
0.1× |
Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$878.50 |
$1,255 |
0.1× |
Biliary ndsc prq t-tube w/bx single/multiple (47553) likely a partial charge, not the full procedure |
$651 |
$930 |
0.1× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$777 |
$1,110 |
0.1× |
| Biopsy Abdominal Mass (49180) |
$311.50 |
$445 |
0.2× |
| Biopsy bone open deep (20245) |
$1,123.50 |
$1,605 |
0.4× |
| Biopsy bone open superficial (20240) |
$413 |
$590 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,134 |
$1,620 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$308 |
$440 |
0.2× |
| Biopsy External Auditory Canal (69105) |
$234.50 |
$335 |
0.2× |
| Biopsy external ear (69100) |
$182 |
$260 |
0.8× |
| Biopsy eye muscle (67346) |
$339.50 |
$485 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$437.50 |
$625 |
0.3× |
| Biopsy Muscle Superficial (20200) |
$325.50 |
$465 |
0.2× |
| Biopsy nail unit (11755) |
$227.50 |
$325 |
0.4× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$336 |
$480 |
0.1× |
| Biopsy of breast; open, incisional (19101) |
$549.50 |
$785 |
0.2× |
| Biopsy of conjunctiva (68100) |
$273 |
$390 |
0.1× |
| Biopsy of cornea (65410) |
$234.50 |
$335 |
0.1× |
| Biopsy of epididymis (54800) |
$273 |
$390 |
0.2× |
| Biopsy of floor of mouth (41108) |
$241.50 |
$345 |
0.2× |
| Biopsy of foot joint lining (28052) |
$707 |
$1,010 |
0.2× |
| Biopsy of foot joint lining (28050) |
$766.50 |
$1,095 |
0.3× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$220.50 |
$315 |
0.3× |
| Biopsy of lacrimal gland (68510) |
$731.50 |
$1,045 |
0.3× |
| Biopsy of lip (40490) |
$224 |
$320 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$570.50 |
$815 |
0.4× |
| Biopsy of nerve (64795) |
$357 |
$510 |
0.2× |
| Biopsy of palate, uvula (42100) |
$252 |
$360 |
0.2× |
| Biopsy of penis (54100) |
$357 |
$510 |
0.2× |
| Biopsy of penis; deep structures (54105) |
$542.50 |
$775 |
0.2× |
| Biopsy of rectum (45100) |
$500.50 |
$715 |
0.2× |
| Biopsy of tear sac (68525) |
$458.50 |
$655 |
0.2× |
| Biopsy of toe joint lining (28054) |
$661.50 |
$945 |
0.2× |
| Biopsy of upper nose/throat (42806) |
$381.50 |
$545 |
0.1× |
| Biopsy of urethra (53200) |
$315 |
$450 |
0.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$826 |
$1,180 |
0.2× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$966 |
$1,380 |
0.3× |
| Biopsy Oropharynx (42800) |
$269.50 |
$385 |
0.2× |
| Biopsy ovary uni/bi separate procedure (58900) |
$763 |
$1,090 |
0.3× |
| Biopsy Pleura Percutaneous Needle (32400) |
$280 |
$400 |
0.2× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$542.50 |
$775 |
0.2× |
| Biopsy Salivary Gland Incisional (42405) |
$525 |
$750 |
0.4× |
| Biopsy Salivary Gland Needle (42400) |
$185.50 |
$265 |
0.3× |
| Biopsy soft tissue back/flank deep (21925) |
$721 |
$1,030 |
0.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$430.50 |
$615 |
0.3× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$658 |
$940 |
0.3× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$420 |
$600 |
0.3× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$959 |
$1,370 |
0.4× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$420 |
$600 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$430.50 |
$615 |
0.3× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$574 |
$820 |
0.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,235.50 |
$1,765 |
0.8× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$850.50 |
$1,215 |
0.3× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$367.50 |
$525 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$672 |
$960 |
0.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$448 |
$640 |
0.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$423.50 |
$605 |
0.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$892.50 |
$1,275 |
0.6× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$430.50 |
$615 |
0.1× |
| Biopsy Testis Needle Separate Procedure (54500) |
$154 |
$220 |
0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$771.40 |
$1,102 |
1.6× |
| Biopsy Tongue Posterior One-Third (41105) |
$283.50 |
$405 |
0.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$248.50 |
$355 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$164.50 |
$235 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$154 |
$220 |
0.2× |
| Biopsy, vestibule of mouth (40808) |
$345.80 |
$494 |
0.7× |
| Biopsy/removal lymph nodes (38510) |
$899.50 |
$1,285 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$231 |
$330 |
0.4× |
| Bladder Irrigation (51700) |
$171.50 |
$245 |
0.8× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$157.50 |
$225 |
0.1× |
| Blepharoplasty Lower Eyelid (15820) |
$910 |
$1,300 |
0.5× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$969.50 |
$1,385 |
0.5× |
| Blepharoplasty upper eyelid (15822) |
$714 |
$1,020 |
0.4× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,130.50 |
$1,615 |
0.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$474.60 |
$678 |
1.7× |
| Blood Transfusion Service (36430) |
$985.60 |
$1,408 |
2.5× |
Bone Graft Any Donor Area Major/Large (20902) likely a partial charge, not the full procedure |
$668.50 |
$955 |
0.1× |
Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$728 |
$1,040 |
0.1× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$4,655 |
$6,650 |
0.7× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$4,896.50 |
$6,995 |
0.7× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$4,704 |
$6,720 |
0.7× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$4,781 |
$6,830 |
0.7× |
| Bone Marrow Biopsy (38221) |
$212.10 |
$303 |
0.1× |
| Bone marrow harvest allogen (38230) |
$591.50 |
$845 |
0.4× |
| Bone Marrow; Aspiration Only (38220) |
$212.10 |
$303 |
0.1× |
Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$1,141 |
$1,630 |
0.2× |
Breast Reduction (19318) unusually low: confirm this is the full procedure |
$2,044 |
$2,920 |
0.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,372 |
$1,960 |
0.9× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) likely a partial charge, not the full procedure |
$486.50 |
$695 |
0.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$500.50 |
$715 |
0.1× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$343 |
$490 |
0.2× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$395.50 |
$565 |
0.1× |
Bronchoscopy Bronch Stents (31636) likely a partial charge, not the full procedure |
$437.50 |
$625 |
0.1× |
| Bronchoscopy Clear Airways (31645) |
$553 |
$790 |
0.3× |
Bronchoscopy Dilate W/Stent (31631) likely a partial charge, not the full procedure |
$448 |
$640 |
0.1× |
| Bronchoscopy Reclear Airway (31646) |
$500.50 |
$715 |
1.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,390.20 |
$1,986 |
0.9× |
| Bronchoscopy W/Excision Tumor (31640) |
$507.50 |
$725 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$633.50 |
$905 |
0.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$738.50 |
$1,055 |
0.2× |
| Bronchoscopy/Needle Bx Each (31629) |
$1,109.50 |
$1,585 |
0.3× |
Buttock fasciotomy (27027) likely a partial charge, not the full procedure |
$1,568 |
$2,240 |
0.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$990.50 |
$1,415 |
0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$194.60 |
$278 |
0.1× |
| Bx Cervix (57500) |
$238 |
$340 |
0.3× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$766.50 |
$1,095 |
0.2× |
| Bx/exc lymph node open deep axillary node (38525) |
$749 |
$1,070 |
0.2× |
| Bx/exc lymph node open superficial (38500) |
$553 |
$790 |
0.2× |
| Canthoplasty (67950) |
$927.50 |
$1,325 |
0.4× |
| Canthotomy Separate Procedure (67715) |
$371 |
$530 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$805 |
$1,150 |
0.3× |
| Capsular contracture release (23020) |
$1,232 |
$1,760 |
0.4× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) likely a partial charge, not the full procedure |
$1,809.50 |
$2,585 |
0.3× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,109.50 |
$1,585 |
0.8× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,106 |
$1,580 |
0.4× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$1,431.50 |
$2,045 |
0.5× |
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) likely a partial charge, not the full procedure |
$1,725.50 |
$2,465 |
0.3× |
Capsulorrhaphy Anterior W/Labral Repair (23455) likely a partial charge, not the full procedure |
$1,841 |
$2,630 |
0.3× |
Capsulorrhaphy Anterior With Bone Block (23460) unusually low: confirm this is the full procedure |
$1,991.50 |
$2,845 |
0.3× |
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) unusually low: confirm this is the full procedure |
$2,040.50 |
$2,915 |
0.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$658 |
$940 |
0.5× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$1,711.50 |
$2,445 |
1.2× |
| Capsulotomy Midtarsal (28264) |
$1,526 |
$2,180 |
1.0× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$1,421 |
$2,030 |
0.5× |
| Capsulotomy wrist (25085) |
$812 |
$1,160 |
0.3× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$1,176 |
$1,680 |
0.4× |
| Carpal Tunnel Surgery (64721) |
$724.50 |
$1,035 |
0.4× |
| Carpectomy All Bones Proximal Row (25215) |
$1,116.50 |
$1,595 |
0.4× |
| Cartilage graft; costochondral (20910) |
$766.50 |
$1,095 |
1.1× |
| Cataract surg w/iol 1 stage (66983) |
$1,193.50 |
$1,705 |
0.6× |
| Cataract surgery complex (66982) |
$1,739.50 |
$2,485 |
0.8× |
| Catheter aspiration nasotracheal spx (31720) |
$105 |
$150 |
0.5× |
| Catheterization with bronchial brush biopsy Facility (31717) |
$532 |
$760 |
1.5× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$266 |
$380 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$248.50 |
$355 |
0.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$294 |
$420 |
0.1× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$560 |
$800 |
0.2× |
Cerv artific diskectomy (22856) likely a partial charge, not the full procedure |
$3,017 |
$4,310 |
0.2× |
Cervical lymphadenectomy (complete) (38720) unusually low: confirm this is the full procedure |
$2,352 |
$3,360 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$308 |
$440 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$454.30 |
$649 |
2.0× |
| Change of Windpipe Airway (31502) |
$294.70 |
$421 |
1.4× |
| Change ureter stent percut (50382) |
$2,313.50 |
$3,305 |
1.2× |
| Chemical Cautery Tissue (17250) |
$126 |
$180 |
0.7× |
| Chemical exfoliation for acne (17360) |
$227.50 |
$325 |
1.3× |
| Chemical peel face dermal (15789) |
$948.50 |
$1,355 |
1.4× |
| Chemical peel nonfacial dermal (15793) |
$787.50 |
$1,125 |
2.1× |
| Chemical peel nonfacial epidermal (15792) |
$682.50 |
$975 |
1.0× |
| Chemical peel, facial; epidermal (15788) |
$696.50 |
$995 |
1.9× |
| Chemical Pleurodesis (32560) |
$528.50 |
$755 |
0.9× |
| Chemodenerv Eccrine Glands (64650) |
$119 |
$170 |
0.4× |
| Chemodenervation eccrine glands oth area per day (64653) |
$140 |
$200 |
0.5× |
| Chemodenervation of extraocular muscle (67345) |
$385 |
$550 |
1.3× |
| Chemodenervation of internal anal sphincter (46505) |
$451.50 |
$645 |
0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$273 |
$390 |
1.0× |
| Chest tube placement (32551) |
$718.90 |
$1,027 |
0.5× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$161 |
$230 |
0.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$987 |
$1,410 |
0.3× |
| Chorionic Villus Sampling (59015) |
$294 |
$420 |
0.4× |
| Ciliary body destruction; cryotherapy Facility (66720) |
$738.50 |
$1,055 |
0.3× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$700 |
$1,000 |
0.3× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$1,015 |
$1,450 |
0.5× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$703.50 |
$1,005 |
0.3× |
| Circumcision 28 days or older (54161) |
$395.50 |
$565 |
0.2× |
| Circumcision Neonate (54160) |
$455 |
$650 |
0.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$332.50 |
$475 |
0.2× |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$1,036 |
$1,480 |
0.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$647.50 |
$925 |
0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,783.60 |
$2,548 |
1.2× |
| Claviculectomy partial (23120) |
$1,018.50 |
$1,455 |
0.3× |
| Claviculectomy; total (23125) |
$1,256.50 |
$1,795 |
0.4× |
| Clear outer ear canal (69200) |
$152.60 |
$218 |
1.3× |
| Close mastoid fistula (69700) |
$1,214.50 |
$1,735 |
0.9× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$819 |
$1,170 |
0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$521.50 |
$745 |
2.3× |
| Closed rx talotarsal disloc,anesth (28575) |
$563.50 |
$805 |
0.2× |
| Closed Treat Vert Body Fract (22310) |
$500.50 |
$715 |
2.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$721 |
$1,030 |
3.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$710.50 |
$1,015 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$819 |
$1,170 |
3.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$430.50 |
$615 |
1.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$192.50 |
$275 |
0.9× |
| Closed Treatment Sternum Fracture (21820) |
$224 |
$320 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$518 |
$740 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$443.80 |
$634 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$561.40 |
$802 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$535.50 |
$765 |
2.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$679 |
$970 |
3.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$409.50 |
$585 |
1.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$770 |
$1,100 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$483 |
$690 |
2.2× |
Closed Tx Craniofacial Separation (21431) likely a partial charge, not the full procedure |
$1,267 |
$1,810 |
0.2× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$913.50 |
$1,305 |
0.6× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$735 |
$1,050 |
0.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$892.50 |
$1,275 |
4.0× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$791 |
$1,130 |
0.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,102.50 |
$1,575 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$840 |
$1,200 |
3.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$801.50 |
$1,145 |
0.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,218 |
$1,740 |
0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$917 |
$1,310 |
1.9× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$353.50 |
$505 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$966 |
$1,380 |
0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$434 |
$620 |
0.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$420 |
$600 |
0.1× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,382.50 |
$1,975 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$1,225 |
$1,750 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$812 |
$1,160 |
3.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$328.30 |
$469 |
1.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$521.50 |
$745 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$724.50 |
$1,035 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$416.50 |
$595 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$843.50 |
$1,205 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$430.50 |
$615 |
1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$885.50 |
$1,265 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$324.80 |
$464 |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$381.50 |
$545 |
1.7× |
| Closed tx septal&nose fx (21337) |
$658 |
$940 |
0.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$570.50 |
$815 |
2.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$294 |
$420 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,050 |
$1,500 |
0.7× |
| Closed tx talus fracture w/o manipulation (28430) |
$385 |
$550 |
1.7× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$458.50 |
$655 |
2.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$353.50 |
$505 |
1.6× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,085 |
$1,550 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$361.20 |
$516 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$770 |
$1,100 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$469 |
$670 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$413 |
$590 |
1.8× |
| Closure Gastrostomy Surg (43870) |
$1,242.50 |
$1,775 |
0.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$402.50 |
$575 |
1.9× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$535.50 |
$765 |
1.1× |
| Closure Lacrimal Fistula Spx (68770) |
$962.50 |
$1,375 |
0.4× |
| Closure lacrimal punctum (68760) |
$322 |
$460 |
1.1× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$927.50 |
$1,325 |
0.3× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$1,834 |
$2,620 |
0.6× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$983.50 |
$1,405 |
0.3× |
| Closure of salivary fistula (42600) |
$829.50 |
$1,185 |
0.3× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$1,116.50 |
$1,595 |
0.2× |
Closure of urethrovaginal fistula; Facility (57310) likely a partial charge, not the full procedure |
$910 |
$1,300 |
0.1× |
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) likely a partial charge, not the full procedure |
$1,480.50 |
$2,115 |
0.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$521.50 |
$745 |
2.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$364 |
$520 |
1.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$584.50 |
$835 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$353.50 |
$505 |
1.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$301 |
$430 |
0.6× |
| Clsd Tx Pelvic Ring Fx (27198) |
$262.50 |
$375 |
1.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$101.50 |
$145 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,408.40 |
$2,012 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$380.10 |
$543 |
1.7× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$367.50 |
$525 |
0.3× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$913.50 |
$1,305 |
0.4× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$238 |
$340 |
0.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$924 |
$1,320 |
4.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$857.50 |
$1,225 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$432.60 |
$618 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$364 |
$520 |
1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$731.50 |
$1,045 |
0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$500.50 |
$715 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$542.50 |
$775 |
2.4× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$738.50 |
$1,055 |
0.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$836.50 |
$1,195 |
3.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,193.50 |
$1,705 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$532.70 |
$761 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$514.50 |
$735 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$514.50 |
$735 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$294 |
$420 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$305.20 |
$436 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$745.50 |
$1,065 |
0.5× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$840 |
$1,200 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,253 |
$1,790 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$899.50 |
$1,285 |
4.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,414 |
$2,020 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$819 |
$1,170 |
3.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,783.60 |
$2,548 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$287 |
$410 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$227.50 |
$325 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$143.50 |
$205 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$199.50 |
$285 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$952 |
$1,360 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$514.50 |
$735 |
2.3× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$434 |
$620 |
1.9× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$672 |
$960 |
3.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$637 |
$910 |
0.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,361.50 |
$1,945 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$779.80 |
$1,114 |
3.5× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$539 |
$770 |
2.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$899.50 |
$1,285 |
0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$868 |
$1,240 |
0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$514.50 |
$735 |
2.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$791 |
$1,130 |
0.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$273 |
$390 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$253.40 |
$362 |
1.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,725.50 |
$2,465 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$626.50 |
$895 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$273 |
$390 |
1.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$822.50 |
$1,175 |
0.6× |
| Cltx Medial Ankle Fx (27760) |
$345.10 |
$493 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$154 |
$220 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$448 |
$640 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$675.50 |
$965 |
0.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$304.50 |
$435 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$563.50 |
$805 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$311.50 |
$445 |
1.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,032.50 |
$1,475 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$686 |
$980 |
3.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$710.50 |
$1,015 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$285.60 |
$408 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$784 |
$1,120 |
0.5× |
| Cltx prox tibfib jt dislc req anes (27831) |
$661.50 |
$945 |
0.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$602 |
$860 |
2.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$686 |
$980 |
3.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$375.90 |
$537 |
1.7× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$938 |
$1,340 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$707 |
$1,010 |
0.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$927.50 |
$1,325 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,057 |
$1,510 |
0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$619.50 |
$885 |
2.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,442 |
$2,060 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$882 |
$1,260 |
3.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$420 |
$600 |
0.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$181.30 |
$259 |
0.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$658 |
$940 |
2.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$567 |
$810 |
2.5× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$798 |
$1,140 |
3.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$474.60 |
$678 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$511 |
$730 |
2.3× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,491 |
$2,130 |
0.5× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$1,680 |
$2,400 |
0.4× |
| Coccygectomy, primary (27080) |
$875 |
$1,250 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$88.90 |
$127 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$23.80 |
$34 |
2.5× |
| Colonoscopy Stoma Control Bleeding (44391) |
$883.40 |
$1,262 |
0.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$883.40 |
$1,262 |
0.8× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$805 |
$1,150 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$883.40 |
$1,262 |
0.8× |
| Colonoscopy thru stoma (44388) |
$1,500.10 |
$2,143 |
1.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$885.50 |
$1,265 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$1,378.30 |
$1,969 |
1.3× |
| Colonoscopy w/submucosal inj (45381) |
$1,152.90 |
$1,647 |
1.1× |
| Colpocentesis (57020) |
$178.50 |
$255 |
0.0× |
| Colpocleisis (le fort type) (57120) |
$948.50 |
$1,355 |
0.2× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$679 |
$970 |
0.2× |
Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$948.50 |
$1,355 |
0.1× |
Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,277.50 |
$1,825 |
0.2× |
| Colporrhaphy (57200) |
$546 |
$780 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$287 |
$410 |
1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$252 |
$360 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$203 |
$290 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$266 |
$380 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$602 |
$860 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$535.50 |
$765 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$217 |
$310 |
0.8× |
| Colposcopy of vulva (56820) |
$206.50 |
$295 |
1.1× |
| Colposcopy Vulva W/Biopsy (56821) |
$273 |
$390 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$290.50 |
$415 |
0.3× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$794.50 |
$1,135 |
0.3× |
| Colpotomy; with exploration (57000) |
$353.50 |
$505 |
0.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,701.70 |
$2,431 |
1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,372 |
$1,960 |
1.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,572.20 |
$2,246 |
1.5× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$714 |
$1,020 |
0.7× |
| Combined anteroposterior colporrhaphy; (57260) |
$1,501.50 |
$2,145 |
0.3× |
| Complex Cystometrogram (51726) |
$602 |
$860 |
2.7× |
| Complex drainage wound (10180) |
$399 |
$570 |
0.2× |
| Composite Skin Graft (15760) |
$1,445.50 |
$2,065 |
0.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$483 |
$690 |
0.2× |
| Conization of cervix (57520) |
$563.50 |
$805 |
0.2× |
| Conjunctival Flap Total (68362) |
$1,053.50 |
$1,505 |
0.5× |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
$1,064 |
$1,520 |
0.3× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$1,130.50 |
$1,615 |
0.5× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$1,267 |
$1,810 |
0.4× |
| Conjunctivorhinostomy W/O Tube (68745) |
$1,235.50 |
$1,765 |
0.3× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$1,158.50 |
$1,655 |
0.5× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$892.50 |
$1,275 |
0.4× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$927.50 |
$1,325 |
0.3× |
| Construct thumb replacement (26550) |
$2,642.50 |
$3,775 |
0.9× |
| Construction of artificial vagina; with graft Facility (57292) |
$1,550.50 |
$2,215 |
0.3× |
| Construction of vagina (57291) |
$1,004.50 |
$1,435 |
0.2× |
Contour cranial bone lesion (21181) likely a partial charge, not the full procedure |
$1,270.50 |
$1,815 |
0.2× |
| Contour of face bone lesion (21029) |
$1,291.50 |
$1,845 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$319.90 |
$457 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$268.80 |
$384 |
2.2× |
| Control nose/throat bleeding (42972) |
$927.50 |
$1,325 |
0.3× |
| Control oropharyngeal hemorrhage simple (42960) |
$304.50 |
$435 |
0.6× |
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) likely a partial charge, not the full procedure |
$3,090.50 |
$4,415 |
0.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,739.50 |
$2,485 |
1.0× |
| Cordocentesis (59012) |
$392 |
$560 |
1.4× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$192.50 |
$275 |
0.5× |
| Corneal transplant (65710) |
$1,778 |
$2,540 |
0.4× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$2,012.50 |
$2,875 |
0.4× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
$882 |
$1,260 |
0.4× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$836.50 |
$1,195 |
0.3× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$1,431.50 |
$2,045 |
0.4× |
| Correction claw finger, other methods Facility (26499) |
$1,424.50 |
$2,035 |
0.5× |
| Correction Everted Punctum Cautery (68705) |
$381.50 |
$545 |
1.3× |
| Correction hammertoe (28285) |
$780.50 |
$1,115 |
0.3× |
| Correction of inverted nipples (19355) |
$1,214.50 |
$1,735 |
0.3× |
| Correction of lid retraction (67911) |
$899.50 |
$1,285 |
0.4× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$87.50 |
$125 |
0.7× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$420 |
$600 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,256.50 |
$1,795 |
0.4× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$791 |
$1,130 |
0.3× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$1,421 |
$2,030 |
0.1× |
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$1,225 |
$1,750 |
0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$1,319.50 |
$1,885 |
0.4× |
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure |
$1,582 |
$2,260 |
0.2× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$1,428 |
$2,040 |
0.7× |
| Costotransversectomy (separate procedure) Facility (21610) |
$1,939 |
$2,770 |
0.7× |
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) unusually low: confirm this is the full procedure |
$3,192 |
$4,560 |
0.5× |
| Create Eardrum Opening (69433) |
$336 |
$480 |
0.7× |
| Create Tear Sac-Nasal Fistula (68720) |
$1,228.50 |
$1,755 |
0.3× |
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) likely a partial charge, not the full procedure |
$2,061.50 |
$2,945 |
0.3× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$1,946 |
$2,780 |
1.1× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$1,519 |
$2,170 |
0.9× |
Cricopharyngeal myotomy (43030) likely a partial charge, not the full procedure |
$948.50 |
$1,355 |
0.2× |
Cricotracheal resection (31592) likely a partial charge, not the full procedure |
$1,466.50 |
$2,095 |
0.3× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
$714 |
$1,020 |
0.8× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$1,015 |
$1,450 |
0.3× |
Cross-over vein graft (34520) unusually low: confirm this is the full procedure |
$2,040.50 |
$2,915 |
0.4× |
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) likely a partial charge, not the full procedure |
$1,291.50 |
$1,845 |
0.3× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$3,612 |
$5,160 |
1.0× |
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) likely a partial charge, not the full procedure |
$2,313.50 |
$3,305 |
0.3× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$87.50 |
$125 |
1.6× |
| Csf shunt reprogram (62252) |
$178.50 |
$255 |
0.6× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$700 |
$1,000 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$292.60 |
$418 |
2.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$465.50 |
$665 |
2.2× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$934.50 |
$1,335 |
0.3× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$332.50 |
$475 |
0.4× |
| Curettage postpartum (59160) |
$395.50 |
$565 |
0.1× |
| Curette/treat cornea (65435) |
$133 |
$190 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$556.50 |
$795 |
0.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,674.40 |
$2,392 |
0.9× |
| Cysto w/complex removal stone & stent (52315) |
$878.50 |
$1,255 |
0.5× |
| Cysto w/destruction of lesions (52214) |
$1,106 |
$1,580 |
0.3× |
| Cysto w/insert ureteral stent (52332) |
$917 |
$1,310 |
0.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$763 |
$1,090 |
0.2× |
| Cysto w/removal of lesions small (52224) |
$1,557.50 |
$2,225 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$511 |
$730 |
0.2× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$581 |
$830 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,674.40 |
$2,392 |
0.9× |
| Cysto w/up stricture tx (52342) |
$658 |
$940 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$602 |
$860 |
0.2× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$878.50 |
$1,255 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$759.50 |
$1,085 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$791 |
$1,130 |
0.2× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$651 |
$930 |
0.2× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$808.50 |
$1,155 |
0.2× |
| Cysto/uretero w/up stricture (52345) |
$843.50 |
$1,205 |
0.3× |
| Cystolithotomy (51050) |
$945 |
$1,350 |
0.2× |
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$1,435 |
$2,050 |
0.2× |
| Cystoscopy and radiotracer (52250) |
$500.50 |
$715 |
0.2× |
| Cystoscopy implant stent (52282) |
$693 |
$990 |
0.2× |
| Cystoscopy inject material (52327) |
$1,032.50 |
$1,475 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$581 |
$830 |
0.3× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$1,575 |
$2,250 |
0.5× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$927.50 |
$1,325 |
0.3× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$1,158.50 |
$1,655 |
0.4× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$927.50 |
$1,325 |
0.5× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
$1,176 |
$1,680 |
0.4× |
| Cystouretero W/Congen Repr (52400) |
$990.50 |
$1,415 |
0.3× |
| Cystouretero w/excise tumor (52355) |
$966 |
$1,380 |
0.2× |
| Cystouretero w/renal strict (52346) |
$952 |
$1,360 |
0.2× |
| Cystourethroscopy (52000) |
$648.20 |
$926 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$665 |
$950 |
0.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$1,480.50 |
$2,115 |
0.5× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$563.50 |
$805 |
0.9× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$598.50 |
$855 |
0.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$1,046.50 |
$1,495 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$434 |
$620 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$511 |
$730 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$840 |
$1,200 |
0.4× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$549.50 |
$785 |
0.3× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$532 |
$760 |
0.2× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$560 |
$800 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$808.50 |
$1,155 |
0.4× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$770 |
$1,100 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$787.50 |
$1,125 |
0.4× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$1,074.50 |
$1,535 |
0.6× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$672 |
$960 |
0.2× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$560 |
$800 |
0.3× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$1,025.50 |
$1,465 |
0.3× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$577.50 |
$825 |
0.1× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$612.50 |
$875 |
0.2× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$731.50 |
$1,045 |
0.2× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$507.50 |
$725 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$94.50 |
$135 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,221.50 |
$1,745 |
0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$798 |
$1,140 |
1.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$892.50 |
$1,275 |
1.4× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$1,361.50 |
$1,945 |
0.5× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$763 |
$1,090 |
0.3× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$938 |
$1,340 |
0.3× |
| Dcmprn fasct leg post compartment only (27601) |
$787.50 |
$1,125 |
0.3× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$997.50 |
$1,425 |
0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$472.50 |
$675 |
0.7× |
| Debride nail 1-5 (11720) |
$85.40 |
$122 |
1.6× |
| Debride nail 6 or more (11721) |
$85.40 |
$122 |
1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$640.50 |
$915 |
0.4× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$367.50 |
$525 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$89.60 |
$128 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$494.90 |
$707 |
1.3× |
| Declot vascular device (36593) |
$311.50 |
$445 |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$994 |
$1,420 |
0.7× |
| Decompress eye socket (61330) |
$2,835 |
$4,050 |
0.9× |
| Decompress Fingers/Hand (26035) |
$1,449 |
$2,070 |
0.5× |
Decompress Spinal Cord Lmbr (63056) unusually low: confirm this is the full procedure |
$2,691.50 |
$3,845 |
0.4× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
$3,416 |
$4,880 |
0.6× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$1,732.50 |
$2,475 |
1.2× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$2,103.50 |
$3,005 |
1.4× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$1,935.50 |
$2,765 |
0.7× |
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) likely a partial charge, not the full procedure |
$1,158.50 |
$1,655 |
0.2× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) likely a partial charge, not the full procedure |
$994 |
$1,420 |
0.2× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$892.50 |
$1,275 |
0.3× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$973 |
$1,390 |
0.3× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$1,064 |
$1,520 |
0.7× |
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) likely a partial charge, not the full procedure |
$1,179.50 |
$1,685 |
0.2× |
| Decompression internal auditory canal Facility (69960) |
$3,493 |
$4,990 |
0.7× |
| Decompression of leg (27894) |
$1,529.50 |
$2,185 |
0.5× |
| Decompression of leg (27892) |
$983.50 |
$1,405 |
0.3× |
| Decompression of tibia nerve (28035) |
$875 |
$1,250 |
0.5× |
| Decompressive fasciotomy hand (26037) |
$1,004.50 |
$1,435 |
0.3× |
| Deep Muscle Biopsy (20205) |
$444.50 |
$635 |
0.2× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$770 |
$1,100 |
0.4× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$731.50 |
$1,045 |
0.4× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$549.50 |
$785 |
0.3× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$542.50 |
$775 |
0.2× |
| Delivery of placenta (59414) |
$1,943.90 |
$2,777 |
0.7× |
| Denervation of hip joint (27035) |
$1,988 |
$2,840 |
0.7× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$1,498 |
$2,140 |
0.5× |
| Derma-fat-fascia graft (15770) |
$1,155 |
$1,650 |
0.4× |
| Dermabrasion regional other than face (15782) |
$945 |
$1,350 |
0.4× |
| Dermabrasion segmental face (15781) |
$899.50 |
$1,285 |
1.4× |
| Dermabrasion superficial any site (15783) |
$815.50 |
$1,165 |
2.2× |
| Dermabrasion total face (15780) |
$1,410.50 |
$2,015 |
0.5× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$1,155 |
$1,650 |
0.6× |
| Design custom breast implant (19396) |
$378 |
$540 |
0.1× |
| Destr penis lesion(s) (54065) |
$392 |
$560 |
0.2× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$532 |
$760 |
0.7× |
| Destruc retinal lesn,photocoag (67210) |
$1,130.50 |
$1,615 |
2.3× |
| Destruct B9 Lesion 1-14 (17110) |
$182 |
$260 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$217 |
$310 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$472.50 |
$675 |
0.6× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$994 |
$1,420 |
0.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$154 |
$220 |
0.6× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$416.50 |
$595 |
0.5× |
| Destruction ciliary body (66700) |
$717.50 |
$1,025 |
0.3× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$357 |
$510 |
0.3× |
| Destruction Lesions Vulva Extensive (56515) |
$406 |
$580 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$238 |
$340 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$301 |
$430 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$346.50 |
$495 |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$420 |
$600 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$490 |
$700 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$623 |
$890 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$241.50 |
$345 |
1.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$294 |
$420 |
1.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$322 |
$460 |
1.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$346.50 |
$495 |
0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$392 |
$560 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$234.50 |
$335 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$248.50 |
$355 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$276.50 |
$395 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$315 |
$450 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$353.50 |
$505 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$420 |
$600 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$161 |
$230 |
0.9× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$836.50 |
$1,195 |
1.7× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$507.50 |
$725 |
1.8× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$357 |
$510 |
0.4× |
| Destruction of lesion, conjunctiva (68135) |
$255.50 |
$365 |
0.1× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$2,303 |
$3,290 |
0.6× |
| Destruction of rectal tumor transanal approach (45190) |
$1,183 |
$1,690 |
0.5× |
| Destruction of skin lesions (17106) |
$591.50 |
$845 |
1.6× |
| Destruction Premalignant Lesion 15/> (17004) |
$301 |
$430 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$133 |
$190 |
0.7× |
| Destruction Vaginal Lesions Extensive (57065) |
$353.50 |
$505 |
0.1× |
| Destruction Vaginal Lesions Simple (57061) |
$206.50 |
$295 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$896 |
$1,280 |
1.1× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$129.50 |
$185 |
0.7× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$294 |
$420 |
0.3× |
| Dilat female urethra general/cndj spinal anes (53665) |
$80.50 |
$115 |
0.0× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$143.50 |
$205 |
1.2× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$143.50 |
$205 |
1.2× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$350 |
$500 |
0.3× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$168 |
$240 |
1.4× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
$231 |
$330 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$784 |
$1,120 |
1.0× |
| Dilate Urethra Stricture (53620) |
$245 |
$350 |
0.4× |
| Dilate Urethra Stricture (53600) |
$175 |
$250 |
0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$462 |
$660 |
0.2× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$185.50 |
$265 |
0.4× |
| Dilation And Curettage Of Cervical Stump (57558) |
$231 |
$330 |
0.1× |
| Dilation Cervical Canal (57800) |
$112 |
$160 |
0.0× |
| Dilation Esophagus Guide Wire (43453) |
$578.20 |
$826 |
0.3× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$196 |
$280 |
0.5× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$133 |
$190 |
0.0× |
| Dilation of vagina (57400) |
$255.50 |
$365 |
0.1× |
| Dilation Salivary Duct (42650) |
$143.50 |
$205 |
0.1× |
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) unusually low: confirm this is the full procedure |
$1,935.50 |
$2,765 |
0.4× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) unusually low: confirm this is the full procedure |
$1,988 |
$2,840 |
0.4× |
| Disarticulation At Knee (27598) |
$1,358 |
$1,940 |
0.5× |
Disarticulation of hip Facility (27295) likely a partial charge, not the full procedure |
$2,317 |
$3,310 |
0.1× |
Disarticulation of shoulder; Facility (23920) likely a partial charge, not the full procedure |
$1,953 |
$2,790 |
0.2× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$703.50 |
$1,005 |
0.4× |
| Disarticulation through wrist; Facility (25920) |
$1,214.50 |
$1,735 |
0.4× |
| Disarticulation through wrist; re-amputation Facility (25924) |
$1,186.50 |
$1,695 |
0.4× |
| Disarticulation through wrist; secondary closure or scar revision Facility (25922) |
$1,025.50 |
$1,465 |
0.7× |
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) unusually low: confirm this is the full procedure |
$2,488.50 |
$3,555 |
0.4× |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
$829.50 |
$1,185 |
0.4× |
| Discission Secondary Membranous Cataract (66820) |
$630 |
$900 |
0.3× |
Dissection, deep jugular node(s) Facility (38542) likely a partial charge, not the full procedure |
$910 |
$1,300 |
0.2× |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) unusually low: confirm this is the full procedure |
$2,303 |
$3,290 |
0.5× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.3× |
Division of scalenus anticus; with resection of cervical rib Facility (21705) likely a partial charge, not the full procedure |
$1,176 |
$1,680 |
0.2× |
Division of scalenus anticus; without resection of cervical rib Facility (21700) likely a partial charge, not the full procedure |
$749 |
$1,070 |
0.1× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) |
$952 |
$1,360 |
1.5× |
| Division of stricture of rectum Facility (45150) |
$696.50 |
$995 |
0.6× |
| Division of symblepharon (68340) |
$854 |
$1,220 |
0.4× |
| Drain ant chmbr,remv vitreous (65810) |
$749 |
$1,070 |
0.4× |
| Drain Cerebro Spinal Fluid (62272) |
$322 |
$460 |
0.5× |
| Drain chest lesion (21502) |
$931 |
$1,330 |
0.3× |
| Drain Hand Tendon Sheath (26020) |
$738.50 |
$1,055 |
0.2× |
| Drain ovary abscess open (58820) |
$577.50 |
$825 |
0.2× |
| Drain penis lesion (54015) |
$626.50 |
$895 |
0.4× |
| Drain shoulder bursa (23031) |
$651 |
$930 |
0.2× |
| Drain Spinal Cord Cyst (62268) |
$826 |
$1,180 |
1.0× |
| Drainage abscess parotid simple (42300) |
$353.50 |
$505 |
0.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$367.50 |
$525 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$385 |
$550 |
0.6× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$364 |
$520 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$301.70 |
$431 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$630 |
$900 |
0.4× |
| Drainage lymph node lesion (38305) |
$819 |
$1,170 |
0.3× |
| Drainage Mouth Roof Lesion (42000) |
$266 |
$380 |
1.2× |
| Drainage of eye (65800) |
$248.50 |
$355 |
0.1× |
| Drainage of finger abscess simple (26010) |
$280.70 |
$401 |
1.5× |
| Drainage of gum lesion (41800) |
$266 |
$380 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$1,693.30 |
$2,419 |
1.1× |
| Drainage of hydrocele (55000) |
$1,203.30 |
$1,719 |
1.9× |
| Drainage of mouth lesion (41006) |
$605.50 |
$865 |
0.4× |
| Drainage of mouth lesion (41017) |
$742 |
$1,060 |
0.2× |
| Drainage of nose lesion (30000) |
$345.10 |
$493 |
1.6× |
| Drainage of palmar bursa single bursa (26025) |
$721 |
$1,030 |
0.2× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$857.50 |
$1,225 |
0.3× |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
$1,246 |
$1,780 |
0.7× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
$868 |
$1,240 |
1.4× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$1,981 |
$2,830 |
1.0× |
| Drainage of rectal abscess (45020) |
$938 |
$1,340 |
0.4× |
| Drainage of rectal abscess (45005) |
$423.50 |
$605 |
0.4× |
| Drainage of salivary cyst (42409) |
$560 |
$800 |
0.2× |
| Drainage of salivary gland (42320) |
$423.50 |
$605 |
0.9× |
| Drainage of salivary gland (42305) |
$773.50 |
$1,105 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$1,287.30 |
$1,839 |
0.9× |
| Drainage of scrotum (54700) |
$423.50 |
$605 |
0.2× |
| Drainage of skene's gland abscess or cyst (53060) |
$350 |
$500 |
0.2× |
Drainage of throat abscess (42725) likely a partial charge, not the full procedure |
$1,466.50 |
$2,095 |
0.3× |
| Drainage of urethra abscess (53040) |
$787.50 |
$1,125 |
0.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$749 |
$1,070 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$584.50 |
$835 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$88.90 |
$127 |
0.7× |
| Dressing Change Under Anesthesia (15852) |
$91 |
$130 |
0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$518 |
$740 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$332.50 |
$475 |
0.5× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$276.50 |
$395 |
0.6× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$462 |
$660 |
0.2× |
| Drg privesical/prevesical space absc (51080) |
$808.50 |
$1,155 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$220.50 |
$315 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$180.60 |
$258 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$166.60 |
$238 |
0.9× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$787.50 |
$1,125 |
1.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$1,001 |
$1,430 |
0.5× |
| Dstrj Extensive Retinopathy (67227) |
$976.50 |
$1,395 |
0.3× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$430.50 |
$615 |
0.1× |
| Dstrj Lesion Anus Extensive (46924) |
$826 |
$1,180 |
0.3× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$374.50 |
$535 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$385 |
$550 |
2.1× |
| Dstrj lesion anus simple surg excision (46922) |
$406 |
$580 |
0.2× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$392 |
$560 |
0.2× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$1,732.50 |
$2,475 |
3.5× |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
$486.50 |
$695 |
1.0× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$231 |
$330 |
0.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$241.50 |
$345 |
1.3× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$220.50 |
$315 |
0.1× |
| Dstrj lesion penis simple laser (54057) |
$262.50 |
$375 |
0.1× |
| Dstrj lesion penis simple surg excision (54060) |
$357 |
$510 |
0.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$486.50 |
$695 |
1.3× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$1,225 |
$1,750 |
0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$699.30 |
$999 |
0.9× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
$689.50 |
$985 |
0.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$696.50 |
$995 |
0.9× |
| Dx Bronchoscope/Lavage (31624) |
$1,375.50 |
$1,965 |
0.9× |
| Dx Bronchoscope/Wash (31622) |
$1,424.50 |
$2,035 |
0.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$437.50 |
$625 |
0.3× |
| Dx laryngoscopy w/oper scope (31526) |
$297.50 |
$425 |
0.2× |
| Dynamic Cavernosometry Njx Vasoactive Drugs (54231) |
$283.50 |
$405 |
1.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,304.10 |
$1,863 |
0.8× |
| Egd cautery tumor polyp (43250) |
$357 |
$510 |
0.2× |
| Egd control bleeding any (43255) |
$1,510.60 |
$2,158 |
0.9× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,360.80 |
$1,944 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$1,341.20 |
$1,916 |
1.6× |
| Egd guide wire insertion (43248) |
$360.50 |
$515 |
0.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,483.30 |
$2,119 |
0.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$805 |
$1,150 |
0.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$563.50 |
$805 |
0.3× |
| Egd place gastrostomy tube (43246) |
$1,636.60 |
$2,338 |
0.9× |
| Egd remove lesion snare (43251) |
$1,334.20 |
$1,906 |
0.8× |
| Egd Tube/Cath Insertion (43241) |
$847.70 |
$1,211 |
0.5× |
| Egd us exam duodenum/jejunum (43259) |
$577.50 |
$825 |
0.3× |
| Egd Varices Ligation (43244) |
$1,554.70 |
$2,221 |
0.9× |
| Egd W/Thrml Txmnt Gerd (43257) |
$595 |
$850 |
0.2× |
Egd W/Transmural Drain Cyst (43240) likely a partial charge, not the full procedure |
$756 |
$1,080 |
0.1× |
| Elbow arthroscopy (29830) |
$805 |
$1,150 |
0.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$101.50 |
$145 |
0.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$70 |
$100 |
0.3× |
| Electrical stimulation bone healing noninvasive (20974) |
$115.50 |
$165 |
1.2× |
| Electro-Uroflowmetry First (51741) |
$168 |
$240 |
0.9× |
| Electroejaculation (55870) |
$350 |
$500 |
0.4× |
| Embedded ip cath exit-site (49436) |
$325.50 |
$465 |
0.2× |
Emblc/thrmbc ax brach innominate subcla art (34101) likely a partial charge, not the full procedure |
$1,200.50 |
$1,715 |
0.2× |
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) unusually low: confirm this is the full procedure |
$1,949.50 |
$2,785 |
0.4× |
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) unusually low: confirm this is the full procedure |
$1,921.50 |
$2,745 |
0.4× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) likely a partial charge, not the full procedure |
$1,197 |
$1,710 |
0.2× |
| Endocervical curettage (57505) |
$185.50 |
$265 |
0.2× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$1,960 |
$2,800 |
0.4× |
| Endometrial Biopsy (58100) |
$206.50 |
$295 |
1.1× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$3,594.50 |
$5,135 |
0.8× |
| Endoscopic injection/implant (51715) |
$577.50 |
$825 |
0.2× |
| Endoscopic plantar fasciotomy (29893) |
$1,008 |
$1,440 |
0.3× |
| Endoscopic us exam esoph (43237) |
$458.50 |
$655 |
0.3× |
| Endoscopy of ureter (50953) |
$815.50 |
$1,165 |
0.3× |
| Endoscopy Upper Small Intestine (44360) |
$301 |
$430 |
0.2× |
| Endoscopy upper small intestine w/biopsy (44361) |
$329 |
$470 |
0.2× |
Endovasc Temp Balloon Occlus,Head/Nck (61623) likely a partial charge, not the full procedure |
$1,064 |
$1,520 |
0.1× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$1,200.50 |
$1,715 |
0.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,579.50 |
$3,685 |
0.9× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,115 |
$4,450 |
1.1× |
| Enterorrhaphy single perforation (44602) |
$2,450 |
$3,500 |
0.7× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$612.50 |
$875 |
0.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$577.50 |
$825 |
0.3× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$1,679.30 |
$2,399 |
1.0× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$784 |
$1,120 |
0.5× |
Enteroscopy > 2nd prtn tndsc stent plmt (44370) likely a partial charge, not the full procedure |
$542.50 |
$775 |
0.1× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$955.50 |
$1,365 |
0.5× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$392 |
$560 |
0.2× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$374.50 |
$535 |
0.2× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$420 |
$600 |
0.2× |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
$1,228.50 |
$1,755 |
0.3× |
| Enucleation of Eye W/O Implant (65101) |
$1,172.50 |
$1,675 |
0.3× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,494.50 |
$2,135 |
0.8× |
| Epididymectomy bilateral (54861) |
$1,134 |
$1,620 |
0.4× |
| Epididymectomy unilateral (54860) |
$836.50 |
$1,195 |
0.3× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$2,184 |
$3,120 |
0.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,480.50 |
$2,115 |
0.8× |
| Epidural Blood Patch (62273) |
$297.50 |
$425 |
0.5× |
| Epidural lysis mult sessions (62263) |
$1,134 |
$1,620 |
1.4× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$1,263.50 |
$1,805 |
0.4× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$1,221.50 |
$1,745 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$357 |
$510 |
0.1× |
Ercp Destruction/Lithotripsy Calculi Any Method (43265) likely a partial charge, not the full procedure |
$1,099 |
$1,570 |
0.2× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$2,192.40 |
$3,132 |
0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,192.40 |
$3,132 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$696.50 |
$995 |
0.2× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$805 |
$1,150 |
0.5× |
| Ercp,Sphincterotomy (43262) |
$2,192.40 |
$3,132 |
0.6× |
| Esc i p ulcer w ostect & flap (15946) |
$2,891 |
$4,130 |
1.5× |
| Escharotomy; initial incision (16035) |
$395.50 |
$565 |
1.1× |
| Esoph Scope W/Submucous Inj (43201) |
$511 |
$730 |
0.3× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,371.30 |
$1,959 |
1.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$241.50 |
$345 |
0.1× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$847.70 |
$1,211 |
0.5× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$654.50 |
$935 |
0.4× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$269.50 |
$385 |
0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,012.90 |
$1,447 |
1.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$360.50 |
$515 |
0.2× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$399 |
$570 |
0.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$500.50 |
$715 |
0.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$486.50 |
$695 |
0.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$294 |
$420 |
0.2× |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
$962.50 |
$1,375 |
0.7× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$357 |
$510 |
0.2× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$427 |
$610 |
0.2× |
| Ethmoidectomy Extranasal Total (31205) |
$1,491 |
$2,130 |
0.5× |
Ethmoidectomy Intranasal Anterior (31200) likely a partial charge, not the full procedure |
$906.50 |
$1,295 |
0.2× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,270.50 |
$1,815 |
0.9× |
| Evacuate mole of uterus (59870) |
$868 |
$1,240 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$131.60 |
$188 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$798 |
$1,140 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$496.30 |
$709 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$336 |
$480 |
0.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$805 |
$1,150 |
0.5× |
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) unusually low: confirm this is the full procedure |
$1,949.50 |
$2,785 |
0.4× |
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) unusually low: confirm this is the full procedure |
$1,925 |
$2,750 |
0.4× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) likely a partial charge, not the full procedure |
$987 |
$1,410 |
0.2× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$654.50 |
$935 |
0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$889 |
$1,270 |
0.3× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$588 |
$840 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$395.50 |
$565 |
0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$462 |
$660 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$665 |
$950 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$213.50 |
$305 |
0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$273 |
$390 |
0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$311.50 |
$445 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$374.50 |
$535 |
0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$472.50 |
$675 |
0.3× |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) |
$483 |
$690 |
0.3× |
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.2× |
| Exc Frenum Labial/Buccal (40819) |
$507.50 |
$725 |
0.4× |
| Exc ganglion wrist recurrent (25112) |
$668.50 |
$955 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$199.50 |
$285 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$259 |
$370 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,263.50 |
$1,805 |
0.8× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,015 |
$1,450 |
0.7× |
| Exc hand tum deep < 1.5 cm (26116) |
$829.50 |
$1,185 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$749 |
$1,070 |
0.2× |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) |
$1,498 |
$2,140 |
0.7× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$441 |
$630 |
0.5× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$640.50 |
$915 |
0.2× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$444.50 |
$635 |
0.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$773.50 |
$1,105 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$696.50 |
$995 |
0.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$553 |
$790 |
0.2× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$605.50 |
$865 |
0.2× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$1,134 |
$1,620 |
0.4× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$339.50 |
$485 |
0.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$483 |
$690 |
0.2× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$819 |
$1,170 |
0.3× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$682.50 |
$975 |
0.4× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$1,484 |
$2,120 |
0.8× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$829.50 |
$1,185 |
0.5× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,291.50 |
$1,845 |
0.7× |
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) likely a partial charge, not the full procedure |
$1,130.50 |
$1,615 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$311.50 |
$445 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$366.10 |
$523 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$563.50 |
$805 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$504 |
$720 |
0.3× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$647.50 |
$925 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$497 |
$710 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$686 |
$980 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$728 |
$1,040 |
0.5× |
| Exc tendon shth lesion leg/ankle (27630) |
$910 |
$1,300 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,324.70 |
$3,321 |
2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$496.30 |
$709 |
1.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$496.30 |
$709 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$353.50 |
$505 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$794.50 |
$1,135 |
0.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$777 |
$1,110 |
0.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$731.50 |
$1,045 |
0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,001 |
$1,430 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$840 |
$1,200 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$731.50 |
$1,045 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$451.50 |
$645 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$815.50 |
$1,165 |
0.3× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$574 |
$820 |
0.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$1,344 |
$1,920 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$840 |
$1,200 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$735 |
$1,050 |
0.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$843.50 |
$1,205 |
0.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,081.50 |
$1,545 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$745.50 |
$1,065 |
0.3× |
| Exc urethral diverticulum spx female (53230) |
$1,207.50 |
$1,725 |
0.2× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$707 |
$1,010 |
0.2× |
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) likely a partial charge, not the full procedure |
$1,060.50 |
$1,515 |
0.2× |
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) likely a partial charge, not the full procedure |
$829.50 |
$1,185 |
0.1× |
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$857.50 |
$1,225 |
0.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$721 |
$1,030 |
0.5× |
| Exc/fulguration urethral caruncle (53265) |
$437.50 |
$625 |
0.2× |
| Exchange Intraocular Lens (66986) |
$1,505 |
$2,150 |
0.7× |
| Exchange Transfusion (36455) |
$252 |
$360 |
0.6× |
| Exchange Transfusion Blood Newborn (36450) |
$234.50 |
$335 |
0.6× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$980 |
$1,400 |
0.6× |
| Excis conjunc lesn+adj sclera (68130) |
$857.50 |
$1,225 |
0.4× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$672 |
$960 |
0.2× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$332.50 |
$475 |
0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$494.90 |
$707 |
0.4× |
| Excis penile plaque (54110) |
$1,256.50 |
$1,795 |
0.4× |
Excis uppr jaw cyst w/repair (21049) unusually low: confirm this is the full procedure |
$2,257.50 |
$3,225 |
0.4× |
| Excis urethral prolapse (53275) |
$535.50 |
$765 |
0.2× |
| Excise breast duct fistula (19112) |
$710.50 |
$1,015 |
0.2× |
| Excise excessive skin arm (15836) |
$1,309 |
$1,870 |
0.5× |
Excise intraspinal lesion (63267) unusually low: confirm this is the full procedure |
$2,453.50 |
$3,505 |
0.4× |
Excise intraspinl lesion crv (63265) unusually low: confirm this is the full procedure |
$2,968 |
$4,240 |
0.5× |
| Excise mandible lesion (21040) |
$847 |
$1,210 |
0.3× |
| Excise Neurofibroma Extensive (64792) |
$1,921.50 |
$2,745 |
0.6× |
| Excise oral mucosa for graft (40818) |
$584.50 |
$835 |
1.2× |
| Excise tendon forearm/wrist (25109) |
$920.50 |
$1,315 |
0.3× |
| Excise Wrist Tendon Sheath (25118) |
$668.50 |
$955 |
0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$827.40 |
$1,182 |
1.3× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$927.50 |
$1,325 |
0.4× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$1,228.50 |
$1,755 |
0.6× |
| Excision Aural Polyp (69540) |
$346.50 |
$495 |
0.2× |
Excision Bone Mandible (21025) likely a partial charge, not the full procedure |
$1,536.50 |
$2,195 |
0.3× |
| Excision Chalazion Multiple Same Lid (67801) |
$262.50 |
$375 |
0.3× |
| Excision Chalazion Single (67800) |
$206.50 |
$295 |
0.7× |
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) likely a partial charge, not the full procedure |
$1,067.50 |
$1,525 |
0.2× |
| Excision Distal Ulna Partial/Complete (25240) |
$777 |
$1,110 |
0.3× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
$1,568 |
$2,240 |
0.6× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$1,477 |
$2,110 |
0.6× |
Excision exostosis(es), external auditory canal Facility (69140) likely a partial charge, not the full procedure |
$1,494.50 |
$2,135 |
0.3× |
| Excision External Ear Partial Simple Repair (69110) |
$766.50 |
$1,095 |
0.3× |
Excision external ear; complete amputation Facility (69120) likely a partial charge, not the full procedure |
$689.50 |
$985 |
0.1× |
Excision Facial Bone (21026) likely a partial charge, not the full procedure |
$1,004.50 |
$1,435 |
0.2× |
Excision first and/or cervical rib for outlet compression syndrome or other cause; with sympathectomy (21616) likely a partial charge, not the full procedure |
$1,550.50 |
$2,215 |
0.2× |
| Excision H/P/P/U Complex Repair (11471) |
$815.50 |
$1,165 |
0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$644 |
$920 |
0.2× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$770 |
$1,100 |
0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$791 |
$1,130 |
0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$577.50 |
$825 |
0.2× |
| Excision Infected Graft Extremity (35903) |
$1,113 |
$1,590 |
0.4× |
| Excision inferior turbinate partial/complete (30130) |
$637 |
$910 |
0.2× |
| Excision Lacrimal Sac (68520) |
$1,109.50 |
$1,585 |
0.3× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$357 |
$510 |
0.2× |
| Excision lesion conjunctiva > 1 cm (68115) |
$493.50 |
$705 |
0.2× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,064 |
$1,520 |
1.2× |
| Excision lesion meniscus/capsule knee (27347) |
$903 |
$1,290 |
0.3× |
| Excision lesion mouth roof (42104) |
$350 |
$500 |
0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$626.50 |
$895 |
0.4× |
| Excision Lesion Tongue W/O Closure (41110) |
$350 |
$500 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$406 |
$580 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$301 |
$430 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$496.30 |
$709 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$496.30 |
$709 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$514.50 |
$735 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$322 |
$460 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$539 |
$770 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$693.70 |
$991 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$304.50 |
$435 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$227.50 |
$325 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$381.50 |
$545 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$560 |
$800 |
0.4× |
Excision malignant tumor mandible (21044) likely a partial charge, not the full procedure |
$1,561 |
$2,230 |
0.3× |
Excision Malignant Tumor Maxilla/Zygoma (21034) unusually low: confirm this is the full procedure |
$2,327.50 |
$3,325 |
0.4× |
| Excision Maxillary Torus Palatinus (21032) |
$654.50 |
$935 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$434 |
$620 |
0.2× |
| Excision Nasal Polyp Extensive (30115) |
$738.50 |
$1,055 |
0.2× |
| Excision nasal polyp(s) simple (30110) |
$374.50 |
$535 |
0.3× |
| Excision of bartholin's gland or cyst (56740) |
$553 |
$790 |
0.2× |
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) unusually low: confirm this is the full procedure |
$2,345 |
$3,350 |
0.4× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) likely a partial charge, not the full procedure |
$840 |
$1,200 |
0.2× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$1,445.50 |
$2,065 |
0.5× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) likely a partial charge, not the full procedure |
$885.50 |
$1,265 |
0.1× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) likely a partial charge, not the full procedure |
$1,830.50 |
$2,615 |
0.3× |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
$798 |
$1,140 |
0.3× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$1,116.50 |
$1,595 |
0.2× |
| Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) |
$1,060.50 |
$1,515 |
0.2× |
| Excision of chalazion; multiple, different lids (67805) |
$325.50 |
$465 |
1.1× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$1,284.50 |
$1,835 |
0.4× |
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) likely a partial charge, not the full procedure |
$1,771 |
$2,530 |
0.3× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$850.50 |
$1,215 |
0.2× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$1,739.50 |
$2,485 |
0.6× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$1,249.50 |
$1,785 |
0.4× |
| Excision of extraparenchymal lesion of testis (54512) |
$1,081.50 |
$1,545 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$542.50 |
$775 |
0.4× |
| Excision of gum lesion (41828) |
$518 |
$740 |
0.4× |
| Excision of hydrocele; bilateral (55041) |
$1,015 |
$1,450 |
0.3× |
| Excision of hydrocele; unilateral (55040) |
$672 |
$960 |
0.2× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$1,575 |
$2,250 |
0.4× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
$1,568 |
$2,240 |
0.4× |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
$1,848 |
$2,640 |
0.5× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) likely a partial charge, not the full procedure |
$714 |
$1,020 |
0.1× |
Excision of lingual tonsil (42870) likely a partial charge, not the full procedure |
$994 |
$1,420 |
0.2× |
| Excision of local lesion of epididymis (54830) |
$738.50 |
$1,055 |
0.2× |
Excision of malignant tumor of mandible; radical resection Facility (21045) unusually low: confirm this is the full procedure |
$2,180.50 |
$3,115 |
0.4× |
| Excision of Mullerian duct cyst Facility (55680) |
$679 |
$970 |
0.2× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$703.50 |
$1,005 |
0.4× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$1,949.50 |
$2,785 |
0.6× |
Excision of osseous tuberosities, dentoalveolar structures (41823) likely a partial charge, not the full procedure |
$717.50 |
$1,025 |
0.1× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) unusually low: confirm this is the full procedure |
$2,040.50 |
$2,915 |
0.4× |
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) likely a partial charge, not the full procedure |
$1,536.50 |
$2,195 |
0.3× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) unusually low: confirm this is the full procedure |
$2,341.50 |
$3,345 |
0.4× |
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) likely a partial charge, not the full procedure |
$1,907.50 |
$2,725 |
0.2× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$1,624 |
$2,320 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$441 |
$630 |
0.2× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$1,746.50 |
$2,495 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$311.50 |
$445 |
0.3× |
Excision of sublingual gland (42450) likely a partial charge, not the full procedure |
$777 |
$1,110 |
0.1× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$777 |
$1,110 |
0.3× |
Excision of submandibular (submaxillary) gland (42440) likely a partial charge, not the full procedure |
$847 |
$1,210 |
0.2× |
| Excision of tonsil tags (42860) |
$332.50 |
$475 |
0.1× |
Excision of tracheal tumor or carcinoma; cervical Facility (31785) unusually low: confirm this is the full procedure |
$2,012.50 |
$2,875 |
0.4× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$1,284.50 |
$1,835 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$357 |
$510 |
0.1× |
| Excision of vaginal septum (57130) |
$332.50 |
$475 |
0.1× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) likely a partial charge, not the full procedure |
$854 |
$1,220 |
0.1× |
| Excision olecranon bursa (24105) |
$581 |
$830 |
0.2× |
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) likely a partial charge, not the full procedure |
$1,071 |
$1,530 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$1,232 |
$1,760 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,071 |
$1,530 |
0.4× |
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) likely a partial charge, not the full procedure |
$1,463 |
$2,090 |
0.2× |
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) likely a partial charge, not the full procedure |
$1,130.50 |
$1,615 |
0.2× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.2× |
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) likely a partial charge, not the full procedure |
$1,557.50 |
$2,225 |
0.2× |
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) likely a partial charge, not the full procedure |
$1,309 |
$1,870 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$997.50 |
$1,425 |
0.3× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) likely a partial charge, not the full procedure |
$878.50 |
$1,255 |
0.1× |
| Excision or fulguration; Skene's glands Facility (53270) |
$406 |
$580 |
0.1× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$395.50 |
$565 |
0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,102.50 |
$1,575 |
0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$910 |
$1,300 |
0.3× |
| Excision prepatellar bursa (27340) |
$633.50 |
$905 |
0.2× |
| Excision Radial Head (24130) |
$889 |
$1,270 |
0.3× |
Excision Skin Abd Infraumbilical Panniculectomy (15830) unusually low: confirm this is the full procedure |
$2,100 |
$3,000 |
0.3× |
| Excision soft tissue lesion, external auditory canal (69145) |
$640.50 |
$915 |
0.2× |
| Excision spermatocele w/wo epididymectomy (54840) |
$647.50 |
$925 |
0.3× |
| Excision synovial cyst popliteal space (27345) |
$843.50 |
$1,205 |
0.3× |
| Excision tendon finger flexor/extensor each (26180) |
$763 |
$1,090 |
0.5× |
| Excision tendon palm flexor/extensor single each (26170) |
$700 |
$1,000 |
0.5× |
Excision Thyroglossal Duct Cyst/Sinus (60280) likely a partial charge, not the full procedure |
$780.50 |
$1,115 |
0.1× |
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) likely a partial charge, not the full procedure |
$1,050 |
$1,500 |
0.2× |
| Excision Torus Mandibularis (21031) |
$647.50 |
$925 |
0.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$584.50 |
$835 |
0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$766.50 |
$1,095 |
0.5× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$1,316 |
$1,880 |
0.4× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$1,036 |
$1,480 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$1,337 |
$1,910 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$1,487.50 |
$2,125 |
0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$1,491 |
$2,130 |
0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$1,011.50 |
$1,445 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$1,582 |
$2,260 |
0.6× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$819 |
$1,170 |
0.6× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$1,554 |
$2,220 |
0.5× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$1,725.50 |
$2,465 |
0.9× |
Excision, lesion of palate, uvula; with local flap closure Facility (42107) likely a partial charge, not the full procedure |
$777 |
$1,110 |
0.1× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$1,578.50 |
$2,255 |
0.8× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$1,186.50 |
$1,695 |
0.5× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$1,452.50 |
$2,075 |
0.6× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$1,627.50 |
$2,325 |
0.5× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$1,932 |
$2,760 |
0.6× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$2,065 |
$2,950 |
0.6× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$1,004.50 |
$1,435 |
0.7× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$1,508.50 |
$2,155 |
0.8× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$1,680 |
$2,400 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$525 |
$750 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$441 |
$630 |
0.3× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$787.50 |
$1,125 |
0.3× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$759.50 |
$1,085 |
0.5× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$973 |
$1,390 |
0.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,337 |
$1,910 |
0.4× |
| Excision/destruction lesion pharynx any method (42808) |
$392 |
$560 |
0.1× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$885.50 |
$1,265 |
0.3× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$1,025.50 |
$1,465 |
0.5× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$808.50 |
$1,155 |
0.4× |
| Excision; trochanteric bursa or calcification (27062) |
$794.50 |
$1,135 |
0.3× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
$2,439.50 |
$3,485 |
0.7× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$2,352 |
$3,360 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,320.50 |
$3,315 |
1.2× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$927.50 |
$1,325 |
0.2× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$784 |
$1,120 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$731.50 |
$1,045 |
0.5× |
| Exploration for undescended testis with abdominal exploration (54560) |
$1,347.50 |
$1,925 |
0.7× |
| Exploration maxillary sinus (31020) |
$794.50 |
$1,135 |
0.3× |
Exploration of hip joint (27033) likely a partial charge, not the full procedure |
$1,774.50 |
$2,535 |
0.3× |
| Exploration of knee joint (27310) |
$1,302 |
$1,860 |
0.4× |
Exploration of spinal fusion (22830) likely a partial charge, not the full procedure |
$1,459.50 |
$2,085 |
0.2× |
| Exploration penetrating wound spx chest (20101) |
$668.50 |
$955 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,223.60 |
$1,748 |
0.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$739.20 |
$1,056 |
1.5× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) likely a partial charge, not the full procedure |
$1,694 |
$2,420 |
0.3× |
| Exploratory elbow surgery (24000) |
$833 |
$1,190 |
0.3× |
| Explore epididymis (54865) |
$710.50 |
$1,015 |
0.2× |
| Explore eye socket,drainage (67405) |
$1,277.50 |
$1,825 |
0.6× |
| Explore for undescended testis (54550) |
$983.50 |
$1,405 |
0.3× |
Explore inner ear (69806) unusually low: confirm this is the full procedure |
$1,683.50 |
$2,405 |
0.3× |
Explore inner ear (69805) unusually low: confirm this is the full procedure |
$1,879.50 |
$2,685 |
0.4× |
Explore treat shoulder joint (23107) likely a partial charge, not the full procedure |
$1,179.50 |
$1,685 |
0.2× |
| Explore/Treat Elbow Joint (24101) |
$875 |
$1,250 |
0.3× |
| Explore/Treat Hand Joint (26070) |
$518 |
$740 |
0.4× |
| Explore/Treat Knee Joint (27331) |
$836.50 |
$1,195 |
0.3× |
| Explore/Treat Wrist Joint (25040) |
$1,015 |
$1,450 |
0.3× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) |
$1,774.50 |
$2,535 |
0.4× |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) |
$108.50 |
$155 |
0.4× |
Extensive ear canal surgery (69150) unusually low: confirm this is the full procedure |
$1,865.50 |
$2,665 |
0.3× |
Extensive mastoid surgery (69511) unusually low: confirm this is the full procedure |
$2,156 |
$3,080 |
0.4× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$1,876 |
$2,680 |
3.8× |
| External cephalic version (59412) |
$203 |
$290 |
0.1× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$588 |
$840 |
0.4× |
| Extraction of lens (66940) |
$1,256.50 |
$1,795 |
0.6× |
| Extraction of lens (66920) |
$1,221.50 |
$1,745 |
0.6× |
| Extraction of lens (66930) |
$1,386 |
$1,980 |
0.4× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$1,057 |
$1,510 |
0.6× |
| Fascia lata graft; by stripper Facility (20920) |
$724.50 |
$1,035 |
0.4× |
| Fasciectomy Palm Only (26121) |
$1,050 |
$1,500 |
0.4× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$864.50 |
$1,235 |
0.3× |
| Fasciotomy Iliotibial Open (27305) |
$829.50 |
$1,185 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$812 |
$1,160 |
0.3× |
| Fasciotomy palmar percutaneous (26040) |
$528.50 |
$755 |
0.4× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$1,018.50 |
$1,455 |
0.3× |
| Fasciotomy, foot and/or toe (28008) |
$731.50 |
$1,045 |
0.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$1,599.50 |
$2,285 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,435 |
$2,050 |
0.5× |
| Fetal Contraction Stress Test (59020) |
$73.50 |
$105 |
0.4× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$682.50 |
$975 |
2.5× |
| Fetal non-stress test (59025) |
$63 |
$90 |
0.3× |
| Fetal Scalp Blood Sampling (59030) |
$220.50 |
$315 |
0.8× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$875 |
$1,250 |
3.2× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$1,337 |
$1,910 |
0.7× |
| Fine Needle Aspiration Orbital Contents (67415) |
$182 |
$260 |
0.1× |
| Fine needle aspiration without imaging guidance (10021) |
$241.50 |
$345 |
0.7× |
| Finger tendon transfer (26497) |
$1,494.50 |
$2,135 |
0.5× |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) |
$1,375.50 |
$1,965 |
0.4× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) |
$1,379 |
$1,970 |
0.4× |
| Fixation contralateral testis separate procedure (54620) |
$612.50 |
$875 |
0.2× |
| Flap; neurovascular pedicle (15750) |
$1,613.50 |
$2,305 |
0.5× |
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) likely a partial charge, not the full procedure |
$1,711.50 |
$2,445 |
0.3× |
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) likely a partial charge, not the full procedure |
$1,281 |
$1,830 |
0.2× |
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) likely a partial charge, not the full procedure |
$1,417.50 |
$2,025 |
0.2× |
| Fluid Pressure Muscle (20950) |
$413 |
$590 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$301 |
$430 |
1.4× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$420 |
$600 |
0.5× |
| Forehead flap w/vasc pedicle (15731) |
$1,956.50 |
$2,795 |
0.6× |
| Foreskin manipulation (54450) |
$150.50 |
$215 |
0.7× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$1,473.50 |
$2,105 |
0.5× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$210 |
$300 |
0.1× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$5,001.50 |
$7,145 |
0.8× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$5,204.50 |
$7,435 |
0.8× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$4,760 |
$6,800 |
0.7× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$5,145 |
$7,350 |
0.8× |
| Frenulotomy of penis (54164) |
$381.50 |
$545 |
0.2× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$1,554 |
$2,220 |
0.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,375.50 |
$1,965 |
0.7× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$1,897 |
$2,710 |
0.9× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$2,383.50 |
$3,405 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,694 |
$2,420 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,302 |
$1,860 |
0.7× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$1,375.50 |
$1,965 |
0.7× |
Fuse hand bones with graft (25825) likely a partial charge, not the full procedure |
$1,330 |
$1,900 |
0.2× |
| Fusion Finger Joint (26860) |
$948.50 |
$1,355 |
0.3× |
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) likely a partial charge, not the full procedure |
$1,358 |
$1,940 |
0.2× |
Fusion of elbow joint (24800) likely a partial charge, not the full procedure |
$1,421 |
$2,030 |
0.2× |
Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,449 |
$2,070 |
0.2× |
Fusion of hand bones (25820) likely a partial charge, not the full procedure |
$1,078 |
$1,540 |
0.2× |
Fusion of hand joint (26843) likely a partial charge, not the full procedure |
$1,263.50 |
$1,805 |
0.2× |
Fusion of knuckle (26850) likely a partial charge, not the full procedure |
$1,197 |
$1,710 |
0.2× |
| Fusion of knuckle joint (26516) |
$1,207.50 |
$1,725 |
0.4× |
Fusion of knuckle joints (26518) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.2× |
Fusion of knuckle with graft (26852) likely a partial charge, not the full procedure |
$1,375.50 |
$1,965 |
0.2× |
Fusion of shoulder joint (23802) likely a partial charge, not the full procedure |
$2,250.50 |
$3,215 |
0.2× |
| Fusion of spermatic ducts (54900) |
$1,529.50 |
$2,185 |
0.8× |
Fusion of tibiofibular joint (27871) likely a partial charge, not the full procedure |
$1,249.50 |
$1,785 |
0.1× |
Fusion/graft of hand joint (26844) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.2× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$770 |
$1,100 |
0.2× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$574 |
$820 |
0.2× |
| Gastrocnemius recession (27687) |
$836.50 |
$1,195 |
0.3× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,338 |
$3,340 |
0.7× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$1,214.50 |
$1,735 |
0.7× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$1,011.50 |
$1,445 |
1.2× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) |
$1,694 |
$2,420 |
2.1× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$1,323 |
$1,890 |
0.4× |
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) likely a partial charge, not the full procedure |
$1,050 |
$1,500 |
0.2× |
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) likely a partial charge, not the full procedure |
$1,260 |
$1,800 |
0.2× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
$1,519 |
$2,170 |
0.5× |
| Glaucoma surgery (66160) |
$1,568 |
$2,240 |
0.8× |
| Goniotomy (65820) |
$1,200.50 |
$1,715 |
0.3× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) |
$1,008 |
$1,440 |
0.4× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$3,426.50 |
$4,895 |
0.6× |
Graft Ear Crtlg Autogenous Nose/Ear (21235) likely a partial charge, not the full procedure |
$1,235.50 |
$1,765 |
0.2× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$1,788.50 |
$2,555 |
0.6× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$4,770.50 |
$6,815 |
2.6× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$3,006.50 |
$4,295 |
0.9× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$1,669.50 |
$2,385 |
0.5× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$5,757.50 |
$8,225 |
1.1× |
| Hair xplant punch grft 1-15 (15775) |
$567 |
$810 |
1.5× |
| Hair xplant punch grft >15 (15776) |
$784 |
$1,120 |
2.1× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$626.50 |
$895 |
0.1× |
Hand tendon reconstruction (26500) likely a partial charge, not the full procedure |
$1,067.50 |
$1,525 |
0.2× |
| Harvesting conjunctival allograft, living donor Facility (68371) |
$679 |
$970 |
0.3× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$2,044 |
$2,920 |
0.2× |
| Hemiepiphyseal Arrest (24470) |
$1,130.50 |
$1,615 |
0.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$801.50 |
$1,145 |
0.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$717.50 |
$1,025 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$794.50 |
$1,135 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$889 |
$1,270 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$927.50 |
$1,325 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$696.50 |
$995 |
0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$413 |
$590 |
0.5× |
| Hemorrhoidopexy by stapling (46947) |
$654.50 |
$935 |
0.3× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$763 |
$1,090 |
0.3× |
| Hymenotomy Simple Incision (56442) |
$91 |
$130 |
0.0× |
Hyoid myotomy and suspension Facility (21685) unusually low: confirm this is the full procedure |
$1,771 |
$2,530 |
0.3× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
$3,412.50 |
$4,875 |
0.8× |
| Hysteroscopy Biopsy (58558) |
$602 |
$860 |
0.2× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$742 |
$1,060 |
0.2× |
| Hysteroscopy Dx Sep Proc (58555) |
$444.50 |
$635 |
0.2× |
| Hysteroscopy Endometrial Ablation (58563) |
$3,195.50 |
$4,565 |
0.7× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$654.50 |
$935 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$640.50 |
$915 |
0.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$1,050 |
$1,500 |
0.2× |
| Hysterotomy Abdominal (59100) |
$1,557.50 |
$2,225 |
0.3× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$812 |
$1,160 |
0.3× |
| I&d abscess peritonsillar (42700) |
$743.40 |
$1,062 |
3.5× |
| I&d abscess simple (10060) |
$249.90 |
$357 |
1.4× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$868 |
$1,240 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,127 |
$1,610 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$738.50 |
$1,055 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$885.50 |
$1,265 |
0.3× |
| I&d forearm/wrist bursa (25031) |
$654.50 |
$935 |
0.4× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$703.50 |
$1,005 |
0.3× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$777 |
$1,110 |
0.3× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$665 |
$950 |
1.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,088.50 |
$1,555 |
0.4× |
| I&d perianal abscess superficial (46050) |
$1,368.50 |
$1,955 |
1.6× |
| I&d pilonidal cyst complicated (10081) |
$437.50 |
$625 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$273 |
$390 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$714 |
$1,020 |
0.3× |
| I&d thyroglossal duct cyst infected (60000) |
$283.50 |
$405 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$595 |
$850 |
0.2× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$311.50 |
$445 |
0.1× |
| Icd Pocket Revision (33223) |
$822.50 |
$1,175 |
0.4× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$157.50 |
$225 |
0.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,374.80 |
$1,964 |
1.7× |
Immediate breast prosthesis (19340) likely a partial charge, not the full procedure |
$731.50 |
$1,045 |
0.1× |
Implant cochlear device (69930) likely a partial charge, not the full procedure |
$2,226 |
$3,180 |
0.1× |
Implant eye drug system (67027) likely a partial charge, not the full procedure |
$1,386 |
$1,980 |
0.1× |
Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$749 |
$1,070 |
0.1× |
Implant Neuroelectrodes (64561) unusually low: confirm this is the full procedure |
$1,984.50 |
$2,835 |
0.3× |
Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$542.50 |
$775 |
0.0× |
Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure |
$749 |
$1,070 |
0.0× |
Implant temple bone w/stimul (69714) likely a partial charge, not the full procedure |
$1,918 |
$2,740 |
0.2× |
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) likely a partial charge, not the full procedure |
$700 |
$1,000 |
0.0× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) likely a partial charge, not the full procedure |
$1,491 |
$2,130 |
0.2× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) likely a partial charge, not the full procedure |
$714 |
$1,020 |
0.1× |
| Impression & Preparation Auricular Prosthesis (21086) |
$3,118.50 |
$4,455 |
1.0× |
| Impression & Preparation Nasal Prosthesis (21087) |
$3,101 |
$4,430 |
0.6× |
| Impression & Preparation Oral Surgical Splint (21085) |
$1,225 |
$1,750 |
5.7× |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
$2,800 |
$4,000 |
0.9× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$3,304 |
$4,720 |
1.1× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$2,908.50 |
$4,155 |
1.0× |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
$3,010 |
$4,300 |
0.6× |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
$4,256 |
$6,080 |
0.8× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$2,656.50 |
$3,795 |
0.9× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$3,003 |
$4,290 |
1.0× |
| Impression&Preparation Surg Obturator Prosthes (21076) |
$1,729 |
$2,470 |
1.2× |
| Incise external hemorrhoid (46083) |
$274.40 |
$392 |
1.2× |
| Incise finger tendon sheath (26055) |
$920.50 |
$1,315 |
0.6× |
| Incise flexor carpi radialis (25001) |
$570.50 |
$815 |
0.2× |
| Incise sperm duct pouch (55600) |
$854 |
$1,220 |
0.5× |
Incise tendon(s) & muscle(s) (23406) likely a partial charge, not the full procedure |
$1,417.50 |
$2,025 |
0.2× |
| Incise Wrist/Forearm Tendon (25290) |
$917 |
$1,310 |
0.3× |
| Incise/Drain Conjunctiva (68020) |
$192.50 |
$275 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$350 |
$500 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$892.50 |
$1,275 |
0.3× |
| Incision & drainage leg/ankle infected bursa (27604) |
$784 |
$1,120 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,942.50 |
$2,775 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$522.20 |
$746 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$347.20 |
$496 |
1.9× |
| Incision and drainage of the tear gland (68400) |
$441 |
$630 |
0.5× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$581 |
$830 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$427 |
$610 |
1.5× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) likely a partial charge, not the full procedure |
$1,606.50 |
$2,295 |
0.2× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) likely a partial charge, not the full procedure |
$1,596 |
$2,280 |
0.2× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,193.50 |
$1,705 |
0.8× |
| Incision bone cortex foot (28005) |
$1,134 |
$1,620 |
0.4× |
| Incision Drainage Lacrimal Sac (68420) |
$507.50 |
$725 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$598.50 |
$855 |
0.4× |
| Incision of eardrum (69421) |
$266 |
$380 |
0.1× |
| Incision of eardrum (69420) |
$345.80 |
$494 |
1.6× |
| Incision of eye (65850) |
$1,375.50 |
$1,965 |
0.7× |
| Incision of fibula (27707) |
$696.50 |
$995 |
0.2× |
| Incision of Foot Tendon (28234) |
$661.50 |
$945 |
0.5× |
| Incision of hip tendon (27001) |
$962.50 |
$1,375 |
0.3× |
| Incision of iris (66500) |
$563.50 |
$805 |
0.3× |
| Incision of labial frenum (frenotomy) (40806) |
$175 |
$250 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$332.50 |
$475 |
0.2× |
| Incision of lymph channels (38308) |
$791 |
$1,130 |
0.2× |
| Incision of rectal abscess (46040) |
$2,324.70 |
$3,321 |
2.1× |
| Incision of sperm duct (55200) |
$511 |
$730 |
0.2× |
| Incision of thigh tendons (27392) |
$1,253 |
$1,790 |
0.4× |
Incision of tibia & fibula (27709) likely a partial charge, not the full procedure |
$2,023 |
$2,890 |
0.2× |
| Incision of urethra (53010) |
$577.50 |
$825 |
0.1× |
| Incision of urethra (53025) |
$133 |
$190 |
0.1× |
| Incision of urethra (53000) |
$297.50 |
$425 |
0.2× |
| Incision of urethra (53020) |
$203 |
$290 |
0.1× |
| Incision&drainage bursa foot (28001) |
$465.50 |
$665 |
0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$458.50 |
$655 |
0.3× |
| Incision, anal septum (infant) Facility (46070) |
$395.50 |
$565 |
0.2× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$1,221.50 |
$1,745 |
0.8× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$1,725.50 |
$2,465 |
0.6× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$878.50 |
$1,255 |
0.3× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) |
$819 |
$1,170 |
0.3× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$1,141 |
$1,630 |
0.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$360.50 |
$515 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$248.50 |
$355 |
0.4× |
| Induced abortion dilation and curettage (59840) |
$406 |
$580 |
0.1× |
| Induced abortion, by dilation and evacuation (59841) |
$707 |
$1,010 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$158.20 |
$226 |
0.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$189 |
$270 |
0.2× |
| Inj W/Fluor Eval Cv Device (36598) |
$210 |
$300 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$157.50 |
$225 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$224 |
$320 |
0.3× |
| Inject Intravitreal Pharmcologic (67028) |
$350 |
$500 |
1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$247.80 |
$354 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$234.50 |
$335 |
0.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$178.50 |
$255 |
0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$406 |
$580 |
0.5× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$175 |
$250 |
0.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$241.50 |
$345 |
0.4× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$175 |
$250 |
0.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$182 |
$260 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$301 |
$430 |
0.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$234.50 |
$335 |
0.4× |
| Injection for identification of sentinel node (38792) |
$584.50 |
$835 |
1.6× |
| Injection Into Brain Canal (61055) |
$259 |
$370 |
0.9× |
| Injection into disk lesion (62292) |
$917 |
$1,310 |
0.5× |
| Injection into spinal artery (62294) |
$1,452.50 |
$2,075 |
1.8× |
| Injection medication/other subst tenon capsule (67515) |
$157.50 |
$225 |
0.5× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$343 |
$490 |
0.4× |
| Injection procedure for peyronie disease (54200) |
$213.50 |
$305 |
0.9× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) |
$1,074.50 |
$1,535 |
0.2× |
| Injection single tendon origin/insertion (20551) |
$105 |
$150 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$469 |
$670 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$105 |
$150 |
0.4× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$206.50 |
$295 |
0.1× |
| Injection therapeutic carpal tunnel (20526) |
$133 |
$190 |
0.5× |
| Injection Turbinate Therapeutic (30200) |
$185.50 |
$265 |
0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$231 |
$330 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$133 |
$190 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$412.30 |
$589 |
0.6× |
| Injection, anesthetic agent; vagus nerve (64408) |
$213.50 |
$305 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$122.50 |
$175 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$98 |
$140 |
0.5× |
| Injx anterior chamber eye air/liquid spx (66020) |
$297.50 |
$425 |
0.1× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$262.50 |
$375 |
0.1× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$511 |
$730 |
0.6× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$497 |
$710 |
0.6× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$535.50 |
$765 |
0.7× |
Insert 1 Electrode Pm-Defib (33216) likely a partial charge, not the full procedure |
$745.50 |
$1,065 |
0.1× |
| Insert and remove bone pin (20650) |
$346.50 |
$495 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$273 |
$390 |
2.3× |
| Insert cath pleura w/ image (32557) |
$560 |
$800 |
0.4× |
| Insert cath pleura w/o image (32556) |
$560 |
$800 |
0.3× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,869 |
$2,670 |
1.7× |
| Insert cervical dilator (59200) |
$136.50 |
$195 |
0.5× |
| Insert Drug Implant Device (11981) |
$241.50 |
$345 |
2.0× |
| Insert eye socket implant (67550) |
$1,571.50 |
$2,245 |
0.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,925 |
$2,750 |
1.1× |
Insert Heart Pm Atrial (33206) likely a partial charge, not the full procedure |
$899.50 |
$1,285 |
0.1× |
Insert Heart Pm Ventricular (33207) likely a partial charge, not the full procedure |
$1,960 |
$2,800 |
0.2× |
Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$1,760.50 |
$2,515 |
0.1× |
| Insert heyman uteri capsule (58346) |
$840 |
$1,200 |
0.2× |
Insert multi-comp penis pros (54405) likely a partial charge, not the full procedure |
$1,641.50 |
$2,345 |
0.1× |
| Insert Nasal Septal Button (30220) |
$472.50 |
$675 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,233.40 |
$1,762 |
0.4× |
| Insert ocular implant (65135) |
$1,186.50 |
$1,695 |
0.3× |
Insert Pacing Lead & Connect (33224) likely a partial charge, not the full procedure |
$1,011.50 |
$1,445 |
0.1× |
| Insert pessary/other device (57160) |
$143.50 |
$205 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,771.30 |
$3,959 |
1.9× |
Insert pulse gen dual leads (33213) likely a partial charge, not the full procedure |
$1,106 |
$1,580 |
0.1× |
Insert Pulse Gen Sngl Lead (33212) likely a partial charge, not the full procedure |
$1,071 |
$1,530 |
0.1× |
Insert self-contd prosthesis (54401) likely a partial charge, not the full procedure |
$1,309 |
$1,870 |
0.1× |
Insert semi-rigid prosthesis (54400) likely a partial charge, not the full procedure |
$1,078 |
$1,540 |
0.1× |
Insert spine infusion device (62360) likely a partial charge, not the full procedure |
$507.50 |
$725 |
0.0× |
Insert tandem cuff (53444) likely a partial charge, not the full procedure |
$1,610 |
$2,300 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$150.50 |
$215 |
1.2× |
| Insert testicular prosthesis (54660) |
$710.50 |
$1,015 |
0.1× |
| Insert tissue expander(s) (11960) |
$1,592.50 |
$2,275 |
0.5× |
| Insert tunneled cv cath (36561) |
$2,030 |
$2,900 |
0.7× |
Insert tunneled cv cath (36563) unusually low: confirm this is the full procedure |
$2,058 |
$2,940 |
0.4× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) likely a partial charge, not the full procedure |
$1,505 |
$2,150 |
0.3× |
Insert Uro/Ves Nck Sphincter (53445) likely a partial charge, not the full procedure |
$1,774.50 |
$2,535 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$120.40 |
$172 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,382.50 |
$1,975 |
0.4× |
Insertion of cannula (36800) likely a partial charge, not the full procedure |
$304.50 |
$435 |
0.1× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$413 |
$590 |
0.1× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) likely a partial charge, not the full procedure |
$294 |
$420 |
0.1× |
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) likely a partial charge, not the full procedure |
$1,123.50 |
$1,605 |
0.2× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$1,291.50 |
$1,845 |
0.4× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$1,165.50 |
$1,665 |
0.3× |
Insertion of pin-retained palatal prosthesis Facility (42281) likely a partial charge, not the full procedure |
$346.50 |
$495 |
0.1× |
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) likely a partial charge, not the full procedure |
$840 |
$1,200 |
0.1× |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
$882 |
$1,260 |
0.3× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$693 |
$990 |
0.2× |
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) likely a partial charge, not the full procedure |
$805 |
$1,150 |
0.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$780.50 |
$1,115 |
0.2× |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$1,260 |
$1,800 |
0.4× |
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) likely a partial charge, not the full procedure |
$738.50 |
$1,055 |
0.1× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$1,225 |
$1,750 |
0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$500.50 |
$715 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,152.50 |
$3,075 |
0.8× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$2,079 |
$2,970 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,200.50 |
$1,715 |
0.8× |
Insj Stablj Dev W/Dcmprn (22867) likely a partial charge, not the full procedure |
$885.50 |
$1,265 |
0.1× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) likely a partial charge, not the full procedure |
$483 |
$690 |
0.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$1,725.50 |
$2,465 |
0.6× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,265 |
$8,950 |
1.2× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$2,051 |
$2,930 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,452.50 |
$2,075 |
0.5× |
Insj/rplcmt breast implant sep day mastectomy (19342) likely a partial charge, not the full procedure |
$1,627.50 |
$2,325 |
0.2× |
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) likely a partial charge, not the full procedure |
$1,386 |
$1,980 |
0.0× |
Insj/Rplcmt Defib W/Lead(S) (33249) likely a partial charge, not the full procedure |
$2,702 |
$3,860 |
0.1× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$721 |
$1,030 |
0.0× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$360.50 |
$515 |
0.0× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) likely a partial charge, not the full procedure |
$364 |
$520 |
0.0× |
Insrt heart pm atrial & vent (33208) likely a partial charge, not the full procedure |
$2,296 |
$3,280 |
0.2× |
Insrt Pulse Gen W/Singl Lead (33240) likely a partial charge, not the full procedure |
$920.50 |
$1,315 |
0.0× |
Insrt/Redo Neurostim 1 Array (61885) likely a partial charge, not the full procedure |
$1,095.50 |
$1,565 |
0.0× |
Install spinal shunt (63741) likely a partial charge, not the full procedure |
$1,078 |
$1,540 |
0.1× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$255.50 |
$365 |
1.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$455 |
$650 |
0.2× |
| Interdental fixation (21110) |
$1,260 |
$1,800 |
0.9× |
| Interdental Wiring Other Than Fracture (21497) |
$1,095.50 |
$1,565 |
0.8× |
Interpelviabdominal amputation (hindquarter amputation) Facility (27290) likely a partial charge, not the full procedure |
$2,866.50 |
$4,095 |
0.2× |
Interthoracoscapular amputation (forequarter) Facility (23900) likely a partial charge, not the full procedure |
$2,422 |
$3,460 |
0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$338.80 |
$484 |
0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$416.50 |
$595 |
1.1× |
| Intranasal Biopsy (30100) |
$234.50 |
$335 |
0.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$269.50 |
$385 |
0.6× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$371 |
$530 |
1.7× |
| Intraoral i&d tongue/floor submental space (41007) |
$605.50 |
$865 |
0.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$626.50 |
$895 |
0.2× |
| Intro cath dialysis circuit (36901) |
$465.50 |
$665 |
0.3× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903) unusually low: confirm this is the full procedure |
$4,424 |
$6,320 |
0.4× |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) likely a partial charge, not the full procedure |
$980 |
$1,400 |
0.2× |
| Intro Gastrointestinal Tube (44500) |
$52.50 |
$75 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$459.90 |
$657 |
2.1× |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
$689.50 |
$985 |
0.3× |
| Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) |
$1,715 |
$2,450 |
0.8× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$752.50 |
$1,075 |
1.5× |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) |
$616 |
$880 |
0.3× |
| Iridotomy/irridectomy laser surg per session (66761) |
$714 |
$1,020 |
1.4× |
| Irrigation maxillary sinus (31000) |
$294 |
$420 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$416.50 |
$595 |
1.8× |
| Island pedicle flap graft (15740) |
$1,732.50 |
$2,475 |
0.9× |
| IV injection test vascular flow flap/graft (15860) |
$210 |
$300 |
0.5× |
| Jaw arthroscopy/surgery (29800) |
$920.50 |
$1,315 |
0.3× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$1,932 |
$2,760 |
0.5× |
| Keratoplasty Penetrating Pseudophakia (65755) |
$1,998.50 |
$2,855 |
0.5× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$1,981 |
$2,830 |
0.5× |
| Kidney endoscopy (50575) |
$1,487.50 |
$2,125 |
0.3× |
| Kidney endoscopy (50553) |
$770 |
$1,100 |
0.2× |
| Kidney endoscopy (50570) |
$1,022 |
$1,460 |
0.3× |
| Kidney endoscopy (50551) |
$738.50 |
$1,055 |
0.2× |
| Knee arthroscopy/drainage (29871) |
$910 |
$1,300 |
0.3× |
Knee Arthroscopy/Surgery (29885) likely a partial charge, not the full procedure |
$1,326.50 |
$1,895 |
0.2× |
| Knee Arthroscopy/Surgery (29874) |
$955.50 |
$1,365 |
0.3× |
| Knee Arthroscopy/Surgery (29850) |
$1,025.50 |
$1,465 |
0.7× |
Krukenberg procedure Facility (25915) unusually low: confirm this is the full procedure |
$2,275 |
$3,250 |
0.3× |
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819) likely a partial charge, not the full procedure |
$4,714.50 |
$6,735 |
0.3× |
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818) likely a partial charge, not the full procedure |
$4,091.50 |
$5,845 |
0.3× |
Labyrinthectomy; with mastoidectomy Facility (69910) unusually low: confirm this is the full procedure |
$1,823.50 |
$2,605 |
0.3× |
| Labyrinthotomy Transcanal (69801) |
$1,305.50 |
$1,865 |
0.9× |
Lam facetec & foramot lumbar (63047) likely a partial charge, not the full procedure |
$1,967 |
$2,810 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) unusually low: confirm this is the full procedure |
$2,450 |
$3,500 |
0.4× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) unusually low: confirm this is the full procedure |
$3,052 |
$4,360 |
0.5× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) unusually low: confirm this is the full procedure |
$2,184 |
$3,120 |
0.3× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) unusually low: confirm this is the full procedure |
$2,194.50 |
$3,135 |
0.3× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) likely a partial charge, not the full procedure |
$1,970.50 |
$2,815 |
0.3× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) unusually low: confirm this is the full procedure |
$2,625 |
$3,750 |
0.4× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) unusually low: confirm this is the full procedure |
$2,261 |
$3,230 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) unusually low: confirm this is the full procedure |
$2,159.50 |
$3,085 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) unusually low: confirm this is the full procedure |
$2,534 |
$3,620 |
0.4× |
Laminotomy Single Lumbar (63042) unusually low: confirm this is the full procedure |
$2,369.50 |
$3,385 |
0.4× |
Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$696.50 |
$995 |
0.1× |
Lap replace gastr adj device (43773) unusually low: confirm this is the full procedure |
$2,243.50 |
$3,205 |
0.4× |
Lap revision perm ip cath (49325) likely a partial charge, not the full procedure |
$749 |
$1,070 |
0.1× |
Laparo ablate liver tumor rf (47370) likely a partial charge, not the full procedure |
$2,215.50 |
$3,165 |
0.2× |
Laparo ablate renal cyst (50541) likely a partial charge, not the full procedure |
$1,865.50 |
$2,665 |
0.2× |
Laparo ablate renal mass (50542) likely a partial charge, not the full procedure |
$2,366 |
$3,380 |
0.2× |
Laparo ligate spermatic vein (55550) likely a partial charge, not the full procedure |
$850.50 |
$1,215 |
0.2× |
Laparo new ureter/bladder (50947) likely a partial charge, not the full procedure |
$2,828 |
$4,040 |
0.3× |
Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$1,820 |
$2,600 |
0.2× |
Laparoscopic myomectomy (58545) unusually low: confirm this is the full procedure |
$1,673 |
$2,390 |
0.3× |
Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$668.50 |
$955 |
0.1× |
Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$1,641.50 |
$2,345 |
0.3× |
Laparoscopy fimbrioplasty (58672) likely a partial charge, not the full procedure |
$1,396.50 |
$1,995 |
0.3× |
Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$679 |
$970 |
0.1× |
Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$976.50 |
$1,395 |
0.2× |
Laparoscopy salpingostomy (58673) likely a partial charge, not the full procedure |
$1,515.50 |
$2,165 |
0.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$745.50 |
$1,065 |
0.1× |
Laparoscopy surgical orchiectomy (54690) likely a partial charge, not the full procedure |
$1,288 |
$1,840 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$2,422 |
$3,460 |
0.3× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$1,886.50 |
$2,695 |
0.2× |
Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure |
$1,260 |
$1,800 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,211 |
$1,730 |
0.2× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) likely a partial charge, not the full procedure |
$1,137.50 |
$1,625 |
0.2× |
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) likely a partial charge, not the full procedure |
$2,254 |
$3,220 |
0.2× |
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) likely a partial charge, not the full procedure |
$714 |
$1,020 |
0.1× |
Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,043 |
$1,490 |
0.2× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$1,827 |
$2,610 |
0.2× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) likely a partial charge, not the full procedure |
$584.50 |
$835 |
0.1× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$1,935.50 |
$2,765 |
0.2× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) likely a partial charge, not the full procedure |
$1,963.50 |
$2,805 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$1,697.50 |
$2,425 |
0.5× |
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) likely a partial charge, not the full procedure |
$2,124.50 |
$3,035 |
0.2× |
Laparoscopy, surgical, splenectomy (38120) likely a partial charge, not the full procedure |
$1,869 |
$2,670 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$1,718.50 |
$2,455 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) unusually low: confirm this is the full procedure |
$1,648.50 |
$2,355 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) likely a partial charge, not the full procedure |
$2,135 |
$3,050 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$1,925 |
$2,750 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,543.50 |
$2,205 |
0.2× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) likely a partial charge, not the full procedure |
$1,155 |
$1,650 |
0.2× |
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) likely a partial charge, not the full procedure |
$1,571.50 |
$2,245 |
0.3× |
Laparoscopy, surgical; partial nephrectomy (50543) unusually low: confirm this is the full procedure |
$3,020.50 |
$4,315 |
0.3× |
Laparoscopy, surgical; pyeloplasty (50544) likely a partial charge, not the full procedure |
$2,551.50 |
$3,645 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$966 |
$1,380 |
0.2× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) likely a partial charge, not the full procedure |
$1,620.50 |
$2,315 |
0.3× |
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
Laparoscopy, surgical; ureterolithotomy Facility (50945) unusually low: confirm this is the full procedure |
$1,988 |
$2,840 |
0.4× |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) likely a partial charge, not the full procedure |
$2,618 |
$3,740 |
0.3× |
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) likely a partial charge, not the full procedure |
$1,487.50 |
$2,125 |
0.3× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) likely a partial charge, not the full procedure |
$1,792 |
$2,560 |
0.2× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$1,613.50 |
$2,305 |
0.2× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$616 |
$880 |
0.1× |
Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$679 |
$970 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$584.50 |
$835 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,323 |
$1,890 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$1,697.50 |
$2,425 |
0.5× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$1,774.50 |
$2,535 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$1,036 |
$1,480 |
0.2× |
Laps Surg Trnsxj Vagus Nrv Truncal (43651) likely a partial charge, not the full procedure |
$1,151.50 |
$1,645 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,445.50 |
$2,065 |
0.3× |
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) likely a partial charge, not the full procedure |
$2,436 |
$3,480 |
0.3× |
Largsc Arytenoidectomy Microscope/Telescope (31561) likely a partial charge, not the full procedure |
$651 |
$930 |
0.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$476 |
$680 |
0.1× |
Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) likely a partial charge, not the full procedure |
$1,246 |
$1,780 |
0.2× |
Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) likely a partial charge, not the full procedure |
$1,424.50 |
$2,035 |
0.3× |
Laryngoplasty Medialization Unliateral (31591) likely a partial charge, not the full procedure |
$899.50 |
$1,285 |
0.2× |
Laryngoplasty, cricoid split, without graft placement Facility (31587) unusually low: confirm this is the full procedure |
$1,771 |
$2,530 |
0.3× |
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) likely a partial charge, not the full procedure |
$1,358 |
$1,940 |
0.3× |
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) likely a partial charge, not the full procedure |
$1,239 |
$1,770 |
0.2× |
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) unusually low: confirm this is the full procedure |
$2,096.50 |
$2,995 |
0.4× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$2,691.50 |
$3,845 |
0.5× |
Laryngoscop w/arytenoidectom (31560) likely a partial charge, not the full procedure |
$595 |
$850 |
0.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$609 |
$870 |
0.2× |
| Laryngoscopy and dilation (31528) |
$273 |
$390 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$143.50 |
$205 |
0.8× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$304.50 |
$435 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$364 |
$520 |
0.1× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$462 |
$660 |
0.1× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$409.50 |
$585 |
0.1× |
| Laryngoscopy flexible diagnostic (31575) |
$271.60 |
$388 |
1.5× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$490 |
$700 |
0.1× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$220.50 |
$315 |
0.1× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$388.50 |
$555 |
0.2× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$826 |
$1,180 |
0.5× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$423.50 |
$605 |
1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$381.50 |
$545 |
1.1× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$402.50 |
$575 |
0.1× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$364 |
$520 |
0.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$367.50 |
$525 |
2.0× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$364 |
$520 |
0.1× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$248.50 |
$355 |
0.7× |
| Laryngoscopy W/Biopsy (31535) |
$357 |
$510 |
0.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$399 |
$570 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$374.50 |
$535 |
0.2× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$360.50 |
$515 |
1.0× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$287 |
$410 |
0.8× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$2,201.50 |
$3,145 |
0.7× |
| Larynscop w/tumr exc + scope (31541) |
$504 |
$720 |
0.1× |
| Laser Surgery Anal Lesions (46917) |
$724.50 |
$1,035 |
0.3× |
| Laser Surgery of Cervix (57513) |
$262.50 |
$375 |
0.1× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$612.50 |
$875 |
1.2× |
| Laser treatment of retina (67040) |
$2,313.50 |
$3,305 |
0.6× |
| Laser vaporization of prostate (52648) |
$4,186 |
$5,980 |
0.9× |
| Late closure of wound (13160) |
$1,442 |
$2,060 |
0.4× |
| Lateral Canthopexy (21282) |
$602 |
$860 |
0.2× |
| Lateral retinacular release open (27425) |
$773.50 |
$1,105 |
0.3× |
| Lavage cannulation sphenoid sinus (31002) |
$343 |
$490 |
0.2× |
Lengthen metacarpal/finger (26568) likely a partial charge, not the full procedure |
$1,543.50 |
$2,205 |
0.2× |
Lengthen radius or ulna (25391) likely a partial charge, not the full procedure |
$1,893.50 |
$2,705 |
0.2× |
Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) likely a partial charge, not the full procedure |
$1,165.50 |
$1,665 |
0.2× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$1,582 |
$2,260 |
0.5× |
Lengthening of hamstring tendon; single tendon Facility (27393) likely a partial charge, not the full procedure |
$896 |
$1,280 |
0.1× |
Lengthening of palate (42227) likely a partial charge, not the full procedure |
$1,589 |
$2,270 |
0.3× |
Lengthening of palate, and pharyngeal flap Facility (42226) unusually low: confirm this is the full procedure |
$1,631 |
$2,330 |
0.3× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$976.50 |
$1,395 |
0.3× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$1,071 |
$1,530 |
0.4× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$1,204 |
$1,720 |
0.4× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$479.50 |
$685 |
0.2× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) likely a partial charge, not the full procedure |
$2,219 |
$3,170 |
0.2× |
Ligamentous Reconstruction Knee Extra-Articular (27427) likely a partial charge, not the full procedure |
$1,284.50 |
$1,835 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$1,981 |
$2,830 |
0.2× |
| Ligate/strip long leg vein (37722) |
$910 |
$1,300 |
0.3× |
| Ligate/strip short leg vein (37718) |
$777 |
$1,110 |
0.3× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$1,221.50 |
$1,745 |
0.4× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$1,456 |
$2,080 |
0.5× |
| Ligation External Carotid Artery (37600) |
$1,358 |
$1,940 |
0.5× |
| Ligation Internal/Common Carotid Artery (37605) |
$1,561 |
$2,230 |
0.5× |
Ligation Major Artery Abdomen (37617) unusually low: confirm this is the full procedure |
$2,495.50 |
$3,565 |
0.5× |
| Ligation nasal sinus artery (30915) |
$1,008 |
$1,440 |
0.4× |
| Ligation of a-v fistula (37607) |
$721 |
$1,030 |
0.3× |
| Ligation of femoral vein (37650) |
$976.50 |
$1,395 |
0.3× |
| Ligation of hemorrhoids (46946) |
$493.50 |
$705 |
0.2× |
| Ligation Of Neck Artery (37615) |
$889 |
$1,270 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$525 |
$750 |
0.4× |
| Ligation salivary duct, intraoral Facility (42665) |
$521.50 |
$745 |
0.2× |
| Ligation, internal jugular vein Facility (37565) |
$1,326.50 |
$1,895 |
0.5× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) |
$1,015 |
$1,450 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$644 |
$920 |
0.2× |
Limited pharyngectomy Facility (42890) unusually low: confirm this is the full procedure |
$2,453.50 |
$3,505 |
0.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$983.50 |
$1,405 |
0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,827 |
$2,610 |
0.6× |
| Lithotripsy, extracorporeal shock wave (50590) |
$1,792 |
$2,560 |
0.6× |
Lmtd lmphadec staging spx pel¶-aortic (38562) likely a partial charge, not the full procedure |
$1,270.50 |
$1,815 |
0.2× |
Low Back Disk Surgery (63030) likely a partial charge, not the full procedure |
$1,722 |
$2,460 |
0.3× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$98 |
$140 |
3.7× |
Lsh uterus 250 g or less (58541) likely a partial charge, not the full procedure |
$1,599.50 |
$2,285 |
0.2× |
Lsh uterus above 250 g (58543) likely a partial charge, not the full procedure |
$1,806 |
$2,580 |
0.2× |
Lsh w/t/o uterus above 250 g (58544) likely a partial charge, not the full procedure |
$1,953 |
$2,790 |
0.2× |
| Lysis Intranasal Synechia (30560) |
$434 |
$620 |
0.9× |
| Lysis of labial adhesions (56441) |
$276.50 |
$395 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$528.50 |
$755 |
0.3× |
Malar Augmentation Prosthetic Material (21270) likely a partial charge, not the full procedure |
$1,568 |
$2,240 |
0.3× |
Male sling procedure (53440) likely a partial charge, not the full procedure |
$1,767.50 |
$2,525 |
0.1× |
| Manipulation Ankle Under General Anesthesia (27860) |
$322 |
$460 |
0.1× |
| Manipulation Elbow Under Anesthesia (24300) |
$672 |
$960 |
0.5× |
| Manipulation hip joint general anesthesia (27275) |
$322 |
$460 |
0.2× |
| Manipulation knee joint under general anesthesia (27570) |
$262.50 |
$375 |
0.2× |
| Manipulation spine requiring anesthesia (22505) |
$227.50 |
$325 |
0.2× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$626.50 |
$895 |
0.4× |
| Manipulation wrist under anesthesia (25259) |
$672 |
$960 |
0.5× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$521.50 |
$745 |
0.4× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$350 |
$500 |
0.2× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$241.50 |
$345 |
0.4× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$185.50 |
$265 |
1.6× |
| Marsupialization of bartholin's gland cyst (56440) |
$343 |
$490 |
0.1× |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
$861 |
$1,230 |
0.3× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,037 |
$2,910 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$847 |
$1,210 |
0.2× |
| Mastectomy partial (19301) |
$1,078 |
$1,540 |
0.3× |
Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,557.50 |
$2,225 |
0.3× |
Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,669.50 |
$2,385 |
0.3× |
Mastoid obliteration separate procedure (69670) unusually low: confirm this is the full procedure |
$1,659 |
$2,370 |
0.3× |
Mastoidectomy (69501) likely a partial charge, not the full procedure |
$1,288 |
$1,840 |
0.2× |
Mastoidectomy; complete (69502) unusually low: confirm this is the full procedure |
$1,715 |
$2,450 |
0.3× |
Mastopexy (19316) likely a partial charge, not the full procedure |
$1,382.50 |
$1,975 |
0.2× |
| Maxillary impression for palatal prosthesis Facility (42280) |
$269.50 |
$385 |
0.6× |
Maxillofacial fixation (21100) likely a partial charge, not the full procedure |
$1,183 |
$1,690 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$245 |
$350 |
0.2× |
| Mech remov tunneled cv cath (36595) |
$1,088.50 |
$1,555 |
0.4× |
| Medial Canthopexy Separate Procedure (21280) |
$917 |
$1,310 |
0.3× |
Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) likely a partial charge, not the full procedure |
$1,407 |
$2,010 |
0.3× |
| Metatarsectomy (28140) |
$1,071 |
$1,530 |
0.4× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$1,193.50 |
$1,705 |
0.4× |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
$717.50 |
$1,025 |
0.3× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$1,165.50 |
$1,665 |
1.7× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$1,064 |
$1,520 |
1.6× |
| Multifetal Pregnancy Reduction (59866) |
$458.50 |
$655 |
1.7× |
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) likely a partial charge, not the full procedure |
$1,897 |
$2,710 |
0.2× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$1,830.50 |
$2,615 |
0.6× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
$1,897 |
$2,710 |
0.6× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$616 |
$880 |
0.3× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,376.50 |
$3,395 |
1.3× |
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) unusually low: confirm this is the full procedure |
$2,082.50 |
$2,975 |
0.3× |
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) unusually low: confirm this is the full procedure |
$2,317 |
$3,310 |
0.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$2,544.50 |
$3,635 |
0.8× |
| Muscle-skin graft trunk (15734) |
$2,684.50 |
$3,835 |
0.8× |
Muscle/tendon transfer upper arm/elbow single (24301) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$1,008 |
$1,440 |
0.3× |
| Myringoplasty (69620) |
$1,179.50 |
$1,685 |
0.4× |
| N Block Inj Celiac Pelus (64530) |
$332.50 |
$475 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$231 |
$330 |
0.4× |
| N block inj intercost sng (64420) |
$276.50 |
$395 |
0.4× |
| N Block Inj Paracervical (64435) |
$255.50 |
$365 |
0.4× |
| N Block Inj Plantar Digit (64455) |
$240.80 |
$344 |
0.9× |
| N Block Inj Pudendal (64430) |
$273 |
$390 |
0.3× |
| N Block Lumbar/Thoracic (64520) |
$318.50 |
$455 |
0.4× |
| Nasal Endoscopy Dx (31231) |
$315 |
$450 |
1.7× |
| Nasal sinus therapy (30210) |
$245 |
$350 |
0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$154.70 |
$221 |
0.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$451.50 |
$645 |
1.3× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$378 |
$540 |
0.1× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) likely a partial charge, not the full procedure |
$444.50 |
$635 |
0.1× |
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) unusually low: confirm this is the full procedure |
$2,292.50 |
$3,275 |
0.4× |
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) likely a partial charge, not the full procedure |
$1,830.50 |
$2,615 |
0.3× |
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) unusually low: confirm this is the full procedure |
$1,991.50 |
$2,845 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$563.50 |
$805 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$304.50 |
$435 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$581 |
$830 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$1,176 |
$1,680 |
0.3× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254) likely a partial charge, not the full procedure |
$518 |
$740 |
0.1× |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) likely a partial charge, not the full procedure |
$969.50 |
$1,385 |
0.2× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) likely a partial charge, not the full procedure |
$770 |
$1,100 |
0.1× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$521.50 |
$745 |
0.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$416.50 |
$595 |
1.8× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$430.50 |
$615 |
0.5× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$595 |
$850 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$871.50 |
$1,245 |
0.6× |
Neck spine disk surgery (63020) unusually low: confirm this is the full procedure |
$2,079 |
$2,970 |
0.3× |
Neck spine fusion (22600) likely a partial charge, not the full procedure |
$2,254 |
$3,220 |
0.1× |
| Needle Biopsy Lymph Nodes (38505) |
$227.50 |
$325 |
0.2× |
| Needle Biopsy Pancreas (48102) |
$966 |
$1,380 |
0.6× |
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) unusually low: confirm this is the full procedure |
$2,432.50 |
$3,475 |
0.3× |
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) likely a partial charge, not the full procedure |
$2,047.50 |
$2,925 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) unusually low: confirm this is the full procedure |
$2,492 |
$3,560 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) likely a partial charge, not the full procedure |
$2,285.50 |
$3,265 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) unusually low: confirm this is the full procedure |
$2,611 |
$3,730 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) likely a partial charge, not the full procedure |
$2,362.50 |
$3,375 |
0.3× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
$2,019.50 |
$2,885 |
0.7× |
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) likely a partial charge, not the full procedure |
$2,016 |
$2,880 |
0.3× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) likely a partial charge, not the full procedure |
$1,967 |
$2,810 |
0.2× |
Nerve graft arm/leg <4 cm (64892) likely a partial charge, not the full procedure |
$1,918 |
$2,740 |
0.2× |
Nerve Pedicle Transfer First Stage (64905) likely a partial charge, not the full procedure |
$1,827 |
$2,610 |
0.2× |
Nerve pedicle transfer; second stage Facility (64907) unusually low: confirm this is the full procedure |
$2,411.50 |
$3,445 |
0.3× |
Nerve repair w/conduit each nerve (64910) likely a partial charge, not the full procedure |
$1,466.50 |
$2,095 |
0.2× |
| Neurectomy Popliteal (27326) |
$864.50 |
$1,235 |
0.5× |
| Neurectomy, hamstring muscle Facility (27325) |
$938 |
$1,340 |
0.5× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$738.50 |
$1,055 |
0.4× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$920.50 |
$1,315 |
0.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$997.50 |
$1,425 |
0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$1,176 |
$1,680 |
0.7× |
Neurorraphy w/vein autograft (64911) likely a partial charge, not the full procedure |
$1,767.50 |
$2,525 |
0.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$847 |
$1,210 |
0.5× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$1,379 |
$1,970 |
0.8× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$980 |
$1,400 |
0.6× |
| Nipple Exploration (19110) |
$763 |
$1,090 |
0.2× |
| Nipple/areola reconstruction (19350) |
$1,463 |
$2,090 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$245 |
$350 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$189 |
$270 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$189 |
$270 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$185.50 |
$265 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$169.40 |
$242 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$140 |
$200 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$126 |
$180 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$185.50 |
$265 |
0.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$169.40 |
$242 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$129.50 |
$185 |
0.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$248.50 |
$355 |
0.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$308 |
$440 |
0.8× |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) |
$259 |
$370 |
1.1× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) likely a partial charge, not the full procedure |
$605.50 |
$865 |
0.1× |
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) likely a partial charge, not the full procedure |
$514.50 |
$735 |
0.1× |
| Obstructive material removal from gi tube (49460) |
$1,410.50 |
$2,015 |
1.7× |
| Occipital Nerve Block (64405) |
$185.50 |
$265 |
0.7× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$465.50 |
$665 |
0.2× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$1,417.50 |
$2,025 |
0.4× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$1,862 |
$2,660 |
0.5× |
| Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) |
$2,159.50 |
$3,085 |
0.4× |
Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,386 |
$1,980 |
0.2× |
Open bone biopsy (20251) likely a partial charge, not the full procedure |
$756 |
$1,080 |
0.1× |
| Open bone biopsy (20250) |
$682.50 |
$975 |
0.2× |
| Open bowel to skin (44300) |
$1,484 |
$2,120 |
0.9× |
Open Implantation Nea Peripheral Nerve (64575) likely a partial charge, not the full procedure |
$518 |
$740 |
0.1× |
Open Implantation Nea Sacral Nerve (64581) likely a partial charge, not the full procedure |
$1,543.50 |
$2,205 |
0.3× |
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) likely a partial charge, not the full procedure |
$528.50 |
$755 |
0.0× |
Open nasoethmoid fx w/o fixj (21338) likely a partial charge, not the full procedure |
$1,256.50 |
$1,795 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.2× |
Open Repair of Rotator Cuff Acute (23410) likely a partial charge, not the full procedure |
$1,505 |
$2,150 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) likely a partial charge, not the full procedure |
$2,887.50 |
$4,125 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) likely a partial charge, not the full procedure |
$3,178 |
$4,540 |
0.3× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) likely a partial charge, not the full procedure |
$2,513 |
$3,590 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) likely a partial charge, not the full procedure |
$2,597 |
$3,710 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) likely a partial charge, not the full procedure |
$2,628.50 |
$3,755 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,400 |
$2,000 |
0.2× |
Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$2,075.50 |
$2,965 |
0.3× |
Open Treatment Fracture Distal Tibia & Fibula (27828) likely a partial charge, not the full procedure |
$2,341.50 |
$3,345 |
0.2× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$1,953 |
$2,790 |
0.2× |
Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$1,365 |
$1,950 |
0.2× |
Open Treatment Grter Humeral Tuberosity Fracture (23630) likely a partial charge, not the full procedure |
$1,330 |
$1,900 |
0.2× |
Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$1,498 |
$2,140 |
0.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$952 |
$1,360 |
0.3× |
Open Treatment Lunate Dislocation (25695) likely a partial charge, not the full procedure |
$1,123.50 |
$1,605 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,088.50 |
$1,555 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$955.50 |
$1,365 |
0.3× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$952 |
$1,360 |
0.1× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$3,507 |
$5,010 |
0.5× |
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) unusually low: confirm this is the full procedure |
$3,059 |
$4,370 |
0.5× |
Open treatment of acromioclavicular dislocation acute or chronic (23550) likely a partial charge, not the full procedure |
$1,018.50 |
$1,455 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,172.50 |
$1,675 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,249.50 |
$1,785 |
0.2× |
| Open treatment of coccygeal fracture Facility (27202) |
$1,120 |
$1,600 |
0.4× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) unusually low: confirm this is the full procedure |
$2,201.50 |
$3,145 |
0.4× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) unusually low: confirm this is the full procedure |
$1,970.50 |
$2,815 |
0.4× |
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) unusually low: confirm this is the full procedure |
$2,674 |
$3,820 |
0.5× |
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) unusually low: confirm this is the full procedure |
$2,117.50 |
$3,025 |
0.4× |
| Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433) |
$3,055.50 |
$4,365 |
0.6× |
| Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436) |
$3,535 |
$5,050 |
0.7× |
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) unusually low: confirm this is the full procedure |
$2,401 |
$3,430 |
0.4× |
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) likely a partial charge, not the full procedure |
$1,172.50 |
$1,675 |
0.2× |
Open treatment of depressed frontal sinus fracture Facility (21343) unusually low: confirm this is the full procedure |
$2,012.50 |
$2,875 |
0.4× |
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) likely a partial charge, not the full procedure |
$833 |
$1,190 |
0.2× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) likely a partial charge, not the full procedure |
$1,704.50 |
$2,435 |
0.3× |
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) unusually low: confirm this is the full procedure |
$2,219 |
$3,170 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) likely a partial charge, not the full procedure |
$1,795.50 |
$2,565 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$2,418.50 |
$3,455 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$2,341.50 |
$3,345 |
0.2× |
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) likely a partial charge, not the full procedure |
$1,561 |
$2,230 |
0.3× |
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) likely a partial charge, not the full procedure |
$1,130.50 |
$1,615 |
0.2× |
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) likely a partial charge, not the full procedure |
$952 |
$1,360 |
0.2× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) likely a partial charge, not the full procedure |
$1,456 |
$2,080 |
0.2× |
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) unusually low: confirm this is the full procedure |
$2,327.50 |
$3,325 |
0.4× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$1,715 |
$2,450 |
0.6× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) likely a partial charge, not the full procedure |
$1,911 |
$2,730 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) unusually low: confirm this is the full procedure |
$2,005.50 |
$2,865 |
0.3× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) unusually low: confirm this is the full procedure |
$2,250.50 |
$3,215 |
0.3× |
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) likely a partial charge, not the full procedure |
$1,673 |
$2,390 |
0.3× |
Open treatment of mandibular condylar fracture Facility (21465) unusually low: confirm this is the full procedure |
$1,620.50 |
$2,315 |
0.3× |
Open treatment of mandibular fracture with external fixation Facility (21454) likely a partial charge, not the full procedure |
$973 |
$1,390 |
0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$794.50 |
$1,135 |
0.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$1,284.50 |
$1,835 |
0.4× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$1,099 |
$1,570 |
0.4× |
Open treatment of nasoethmoid fracture; with external fixation Facility (21339) likely a partial charge, not the full procedure |
$1,407 |
$2,010 |
0.3× |
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) unusually low: confirm this is the full procedure |
$1,932 |
$2,760 |
0.4× |
Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)… (21348) unusually low: confirm this is the full procedure |
$2,096.50 |
$2,995 |
0.4× |
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) unusually low: confirm this is the full procedure |
$1,662.50 |
$2,375 |
0.3× |
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) likely a partial charge, not the full procedure |
$1,179.50 |
$1,685 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) unusually low: confirm this is the full procedure |
$1,729 |
$2,470 |
0.3× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) likely a partial charge, not the full procedure |
$1,361.50 |
$1,945 |
0.3× |
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) likely a partial charge, not the full procedure |
$1,256.50 |
$1,795 |
0.2× |
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) likely a partial charge, not the full procedure |
$1,407 |
$2,010 |
0.3× |
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) likely a partial charge, not the full procedure |
$1,179.50 |
$1,685 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$1,165.50 |
$1,665 |
0.2× |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) likely a partial charge, not the full procedure |
$1,760.50 |
$2,515 |
0.3× |
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) likely a partial charge, not the full procedure |
$605.50 |
$865 |
0.1× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
$1,631 |
$2,330 |
0.6× |
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) likely a partial charge, not the full procedure |
$1,760.50 |
$2,515 |
0.3× |
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) likely a partial charge, not the full procedure |
$1,942.50 |
$2,775 |
0.3× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$2,016 |
$2,880 |
0.7× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$2,012.50 |
$2,875 |
0.7× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
$2,828 |
$4,040 |
1.0× |
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) likely a partial charge, not the full procedure |
$1,102.50 |
$1,575 |
0.2× |
Open treatment of sternum fracture with or without skeletal fixation Facility (21825) likely a partial charge, not the full procedure |
$1,015 |
$1,450 |
0.2× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) likely a partial charge, not the full procedure |
$1,568 |
$2,240 |
0.2× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$1,648.50 |
$2,355 |
0.5× |
Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,113 |
$1,590 |
0.2× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,088.50 |
$1,555 |
0.2× |
Open treatment posterior malleolus fracture (27769) likely a partial charge, not the full procedure |
$1,246 |
$1,780 |
0.2× |
Open Treatment Proximal Fibula/Shaft Fracture (27784) likely a partial charge, not the full procedure |
$1,232 |
$1,760 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,550.50 |
$2,215 |
0.1× |
Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,190 |
$1,700 |
0.2× |
Open Treatment Tarsal Bone Dislocation (28555) likely a partial charge, not the full procedure |
$1,463 |
$2,090 |
0.2× |
Open tx acute shoulder dislocation (23660) likely a partial charge, not the full procedure |
$1,029 |
$1,470 |
0.2× |
Open Tx Acute/Chronic Elbow Dislocation (24615) likely a partial charge, not the full procedure |
$1,281 |
$1,830 |
0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,218 |
$1,740 |
0.4× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$997.50 |
$1,425 |
0.3× |
Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,267 |
$1,810 |
0.2× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$980 |
$1,400 |
0.3× |
Open Tx Depressed Malar Fracture (21360) likely a partial charge, not the full procedure |
$934.50 |
$1,335 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,246 |
$1,780 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$805 |
$1,150 |
0.3× |
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) likely a partial charge, not the full procedure |
$1,116.50 |
$1,595 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,158.50 |
$1,655 |
0.2× |
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$1,886.50 |
$2,695 |
0.2× |
Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$1,858.50 |
$2,655 |
0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$931 |
$1,330 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,316 |
$1,880 |
0.1× |
Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$1,634.50 |
$2,335 |
0.1× |
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) likely a partial charge, not the full procedure |
$1,505 |
$2,150 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$878.50 |
$1,255 |
0.3× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$3,402 |
$4,860 |
0.6× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
$3,136 |
$4,480 |
0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$955.50 |
$1,365 |
0.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$994 |
$1,420 |
0.3× |
Open Tx Radial Head/Neck Fracture (24665) likely a partial charge, not the full procedure |
$1,148 |
$1,640 |
0.2× |
Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$1,309 |
$1,870 |
0.1× |
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) likely a partial charge, not the full procedure |
$1,078 |
$1,540 |
0.2× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,106 |
$1,580 |
0.2× |
Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,655.50 |
$2,365 |
0.3× |
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) likely a partial charge, not the full procedure |
$1,305.50 |
$1,865 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,522.50 |
$2,175 |
0.2× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,155 |
$1,650 |
0.2× |
Opn tx orbit fx combined (21387) likely a partial charge, not the full procedure |
$1,316 |
$1,880 |
0.2× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$1,354.50 |
$1,935 |
0.5× |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
$1,375.50 |
$1,965 |
0.5× |
| Optic Nerve Decompression (67570) |
$1,879.50 |
$2,685 |
0.5× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$1,088.50 |
$1,555 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,445.50 |
$2,065 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,844.50 |
$2,635 |
0.3× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$2,159.50 |
$3,085 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$1,575 |
$2,250 |
0.1× |
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) likely a partial charge, not the full procedure |
$1,890 |
$2,700 |
0.3× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$2,156 |
$3,080 |
0.3× |
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) likely a partial charge, not the full procedure |
$1,603 |
$2,290 |
0.1× |
| Orbital implant removal/revision (67560) |
$1,596 |
$2,280 |
0.4× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach… (21268) |
$3,426.50 |
$4,895 |
0.6× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
$2,723 |
$3,890 |
0.5× |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
$2,677.50 |
$3,825 |
0.8× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$1,505 |
$2,150 |
0.4× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$1,393 |
$1,990 |
0.6× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$1,393 |
$1,990 |
0.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$2,023 |
$2,890 |
0.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) |
$1,949.50 |
$2,785 |
0.5× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$2,306.50 |
$3,295 |
0.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) |
$2,023 |
$2,890 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$2,145.50 |
$3,065 |
0.6× |
| Orchiectomy partial (54522) |
$1,176 |
$1,680 |
0.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,018.50 |
$1,455 |
0.3× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$1,484 |
$2,120 |
0.5× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$934.50 |
$1,335 |
0.3× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$1,438.50 |
$2,055 |
0.4× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$1,781.50 |
$2,545 |
0.6× |
| Ostc prtl exostc/condylc metar head (28288) |
$976.50 |
$1,395 |
0.3× |
| Ostectomy calcaneus (28118) |
$987 |
$1,410 |
0.3× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$812 |
$1,160 |
0.3× |
| Ostectomy of sternum, partial Facility (21620) |
$934.50 |
$1,335 |
0.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$973 |
$1,390 |
0.3× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$861 |
$1,230 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$756 |
$1,080 |
0.3× |
Osteochondral allograft knee open (27415) likely a partial charge, not the full procedure |
$2,551.50 |
$3,645 |
0.2× |
Osteochondral knee autograft (27416) likely a partial charge, not the full procedure |
$1,750 |
$2,500 |
0.3× |
Osteochondral talus autogrft (28446) unusually low: confirm this is the full procedure |
$2,145.50 |
$3,065 |
0.3× |
Osteoplasty Humerus (24420) likely a partial charge, not the full procedure |
$1,771 |
$2,530 |
0.3× |
Osteoplasty Radius/Ulna Shortening (25390) likely a partial charge, not the full procedure |
$1,484 |
$2,120 |
0.2× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$1,386 |
$1,980 |
0.5× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$2,873.50 |
$4,105 |
0.5× |
Osteoplasty, facial bones; reduction (21209) likely a partial charge, not the full procedure |
$1,389.50 |
$1,985 |
0.3× |
Osteoplasty, femur; lengthening Facility (27466) unusually low: confirm this is the full procedure |
$2,152.50 |
$3,075 |
0.3× |
Osteoplasty, femur; shortening (excluding 64876) Facility (27465) unusually low: confirm this is the full procedure |
$2,215.50 |
$3,165 |
0.3× |
Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) unusually low: confirm this is the full procedure |
$2,166.50 |
$3,095 |
0.3× |
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) likely a partial charge, not the full procedure |
$1,939 |
$2,770 |
0.2× |
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) likely a partial charge, not the full procedure |
$1,281 |
$1,830 |
0.2× |
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) likely a partial charge, not the full procedure |
$1,662.50 |
$2,375 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$1,011.50 |
$1,445 |
0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$917 |
$1,310 |
0.3× |
Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) likely a partial charge, not the full procedure |
$1,627.50 |
$2,325 |
0.2× |
Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,225 |
$1,750 |
0.2× |
Osteotomy Clavicle W Bone Graft (23485) likely a partial charge, not the full procedure |
$1,753.50 |
$2,505 |
0.2× |
| Osteotomy Metacarpal Each (26565) |
$1,158.50 |
$1,655 |
0.4× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) unusually low: confirm this is the full procedure |
$2,887.50 |
$4,125 |
0.4× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) unusually low: confirm this is the full procedure |
$2,842 |
$4,060 |
0.4× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) unusually low: confirm this is the full procedure |
$2,639 |
$3,770 |
0.4× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) unusually low: confirm this is the full procedure |
$3,202.50 |
$4,575 |
0.5× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) unusually low: confirm this is the full procedure |
$2,649.50 |
$3,785 |
0.4× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) unusually low: confirm this is the full procedure |
$2,632 |
$3,760 |
0.4× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) |
$4,350.50 |
$6,215 |
0.7× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
$4,291 |
$6,130 |
0.7× |
| Osteotomy Phalanx Finger Each (26567) |
$1,172.50 |
$1,675 |
0.4× |
Osteotomy radius distal third (25350) likely a partial charge, not the full procedure |
$1,309 |
$1,870 |
0.2× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$1,477 |
$2,110 |
0.5× |
Osteotomy talus (28302) likely a partial charge, not the full procedure |
$1,214.50 |
$1,735 |
0.2× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$1,365 |
$1,950 |
0.2× |
Osteotomy Tibia (27705) likely a partial charge, not the full procedure |
$1,393 |
$1,990 |
0.2× |
Osteotomy Ulna (25360) likely a partial charge, not the full procedure |
$1,267 |
$1,810 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; Facility (23480) likely a partial charge, not the full procedure |
$1,480.50 |
$2,115 |
0.2× |
Osteotomy, femoral neck (separate procedure) Facility (27161) unusually low: confirm this is the full procedure |
$2,222.50 |
$3,175 |
0.3× |
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) likely a partial charge, not the full procedure |
$1,848 |
$2,640 |
0.3× |
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) likely a partial charge, not the full procedure |
$1,480.50 |
$2,115 |
0.2× |
Osteotomy, iliac, acetabular or innominate bone; Facility (27146) unusually low: confirm this is the full procedure |
$2,303 |
$3,290 |
0.4× |
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) unusually low: confirm this is the full procedure |
$3,136 |
$4,480 |
0.5× |
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) unusually low: confirm this is the full procedure |
$2,810.50 |
$4,015 |
0.4× |
Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) unusually low: confirm this is the full procedure |
$2,684.50 |
$3,835 |
0.4× |
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) unusually low: confirm this is the full procedure |
$2,481.50 |
$3,545 |
0.4× |
Osteotomy, mandible, segmental; with genioglossus advancement (21199) unusually low: confirm this is the full procedure |
$1,858.50 |
$2,655 |
0.3× |
Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) unusually low: confirm this is the full procedure |
$2,341.50 |
$3,345 |
0.4× |
Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158) unusually low: confirm this is the full procedure |
$2,516.50 |
$3,595 |
0.4× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) likely a partial charge, not the full procedure |
$1,186.50 |
$1,695 |
0.2× |
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) likely a partial charge, not the full procedure |
$1,984.50 |
$2,835 |
0.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$1,361.50 |
$1,945 |
0.3× |
Palatop cl palate soft&/hard palate only (42200) likely a partial charge, not the full procedure |
$1,589 |
$2,270 |
0.3× |
Palatopharyngoplasty (42145) likely a partial charge, not the full procedure |
$1,246 |
$1,780 |
0.2× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$1,701 |
$2,430 |
0.6× |
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) unusually low: confirm this is the full procedure |
$1,634.50 |
$2,335 |
0.3× |
Palatoplasty for cleft palate; major revision Facility (42215) likely a partial charge, not the full procedure |
$1,253 |
$1,790 |
0.2× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$1,004.50 |
$1,435 |
0.5× |
Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$1,834 |
$2,620 |
0.3× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$1,568 |
$2,240 |
0.3× |
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) likely a partial charge, not the full procedure |
$906.50 |
$1,295 |
0.2× |
Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) likely a partial charge, not the full procedure |
$1,494.50 |
$2,135 |
0.3× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$1,123.50 |
$1,605 |
0.4× |
| Part exc bone femur prox tibia (27360) |
$1,515.50 |
$2,165 |
0.5× |
| Part remv talus or calcaneus (28120) |
$969.50 |
$1,385 |
0.3× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) likely a partial charge, not the full procedure |
$1,326.50 |
$1,895 |
0.2× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) likely a partial charge, not the full procedure |
$1,172.50 |
$1,675 |
0.2× |
Partial excision bone clavicle (23180) likely a partial charge, not the full procedure |
$1,218 |
$1,740 |
0.2× |
| Partial Excision Bone Humerus (24140) |
$1,277.50 |
$1,825 |
0.4× |
| Partial excision bone metacarpal (26230) |
$882 |
$1,260 |
0.3× |
| Partial excision bone olecranon process (24147) |
$1,106 |
$1,580 |
0.4× |
| Partial Excision Bone Radius (25151) |
$1,127 |
$1,610 |
0.4× |
| Partial Excision Bone Ulna (25150) |
$1,025.50 |
$1,465 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$766.50 |
$1,095 |
0.5× |
| Partial excision of lip (40520) |
$840 |
$1,200 |
0.3× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) likely a partial charge, not the full procedure |
$1,463 |
$2,090 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) likely a partial charge, not the full procedure |
$1,760.50 |
$2,515 |
0.3× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) likely a partial charge, not the full procedure |
$1,806 |
$2,580 |
0.3× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$868 |
$1,240 |
0.6× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$1,624 |
$2,320 |
0.5× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
$1,512 |
$2,160 |
0.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$343 |
$490 |
0.1× |
| Partial removal of fibula (27641) |
$1,253 |
$1,790 |
0.4× |
| Partial removal of lip (40530) |
$931 |
$1,330 |
0.3× |
Partial removal of nose (30150) likely a partial charge, not the full procedure |
$1,375.50 |
$1,965 |
0.3× |
| Partial removal of penis (54120) |
$1,267 |
$1,810 |
0.4× |
Partial removal of radius (24145) likely a partial charge, not the full procedure |
$1,067.50 |
$1,525 |
0.2× |
Partial removal of rib (21600) likely a partial charge, not the full procedure |
$980 |
$1,400 |
0.1× |
| Partial removal of scapula (23190) |
$990.50 |
$1,415 |
0.3× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,382.50 |
$1,975 |
0.3× |
| Partial removal of tibia (27640) |
$1,561 |
$2,230 |
0.5× |
| Partial removal of toe (28160) |
$689.50 |
$985 |
0.2× |
Partial removal of tongue (41120) unusually low: confirm this is the full procedure |
$1,809.50 |
$2,585 |
0.3× |
Partial thyroid excision (60212) unusually low: confirm this is the full procedure |
$1,816.50 |
$2,595 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,263.50 |
$1,805 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$801.50 |
$1,145 |
0.3× |
Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$1,155 |
$1,650 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$203 |
$290 |
0.1× |
| Penile Injection (54235) |
$178.50 |
$255 |
0.8× |
| Penile Plethysmography (54240) |
$140 |
$200 |
0.7× |
| Penile venous occlusive procedure Facility (37790) |
$952 |
$1,360 |
0.3× |
| Penis plastic surgery (54360) |
$1,473.50 |
$2,105 |
0.5× |
| Perc Cryo Ablate Renal Tum (50593) |
$8,365 |
$11,950 |
0.9× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,478.50 |
$9,255 |
1.2× |
Percut Ablate Liver Rf (47382) likely a partial charge, not the full procedure |
$1,617 |
$2,310 |
0.3× |
Percut Cath Occlusn Non Cns Lesn (61626) likely a partial charge, not the full procedure |
$1,718.50 |
$2,455 |
0.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$203 |
$290 |
0.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,461.50 |
$4,945 |
1.2× |
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) likely a partial charge, not the full procedure |
$360.50 |
$515 |
0.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$679 |
$970 |
0.2× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) likely a partial charge, not the full procedure |
$1,375.50 |
$1,965 |
0.2× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$1,232 |
$1,760 |
0.8× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$493.50 |
$705 |
0.2× |
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) likely a partial charge, not the full procedure |
$745.50 |
$1,065 |
0.1× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$770 |
$1,100 |
0.5× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$822.50 |
$1,175 |
0.3× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$742 |
$1,060 |
0.2× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$1,431.50 |
$2,045 |
0.5× |
Pereyra procedure, including anterior colporrhaphy Facility (57289) likely a partial charge, not the full procedure |
$1,445.50 |
$2,065 |
0.2× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$1,386 |
$1,980 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$490 |
$700 |
0.2× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) |
$4,035.50 |
$5,765 |
0.8× |
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) unusually low: confirm this is the full procedure |
$2,327.50 |
$3,325 |
0.4× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) |
$3,626 |
$5,180 |
0.7× |
| Perirectal inj sclerosing solution prolapse (45520) |
$210 |
$300 |
0.2× |
Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$2,117.50 |
$3,025 |
0.1× |
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) likely a partial charge, not the full procedure |
$1,767.50 |
$2,525 |
0.2× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$4,865 |
$6,950 |
0.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,162 |
$1,660 |
0.4× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) likely a partial charge, not the full procedure |
$1,830.50 |
$2,615 |
0.2× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) likely a partial charge, not the full procedure |
$1,431.50 |
$2,045 |
0.3× |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
$2,922.50 |
$4,175 |
0.5× |
| Phalangectomy toe each toe (28150) |
$721 |
$1,030 |
0.2× |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) |
$1,305.50 |
$1,865 |
0.9× |
| Phleb Veins - Extrem 20+ (37766) |
$1,036 |
$1,480 |
0.4× |
| Photopheresis extracorporeal (36522) |
$2,359 |
$3,370 |
0.6× |
| Pin Finger Dislocation (26776) |
$756 |
$1,080 |
0.3× |
| Pin hand dislocation (26676) |
$857.50 |
$1,225 |
0.3× |
| Pin knuckle dislocation (26706) |
$749 |
$1,070 |
0.3× |
Place breast rad tube/caths (19298) likely a partial charge, not the full procedure |
$2,229.50 |
$3,185 |
0.2× |
| Place Duod/Jej Tube Perc (49441) |
$2,086 |
$2,980 |
1.2× |
| Place ndl musc/tis for rt (20555) |
$623 |
$890 |
0.2× |
| Place Rt Device/Marker Pros (55876) |
$283.50 |
$405 |
0.2× |
Placement needle head/neck radioelement applicat (41019) likely a partial charge, not the full procedure |
$920.50 |
$1,315 |
0.2× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$875 |
$1,250 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$119 |
$170 |
0.3× |
| Placement of seton (46020) |
$430.50 |
$615 |
0.2× |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
$1,631 |
$2,330 |
0.9× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
$1,960 |
$2,800 |
1.0× |
| Plastic Repair Canaliculi (68700) |
$969.50 |
$1,385 |
0.5× |
| Plastic Repair Introitus (56800) |
$455 |
$650 |
0.2× |
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) unusually low: confirm this is the full procedure |
$2,068.50 |
$2,955 |
0.4× |
| Plastic Repair Of Urethrocele (57230) |
$738.50 |
$1,055 |
0.3× |
| Plmt expandable cath brst following prtl mast (19296) |
$6,415.50 |
$9,165 |
0.9× |
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) likely a partial charge, not the full procedure |
$742 |
$1,060 |
0.1× |
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) likely a partial charge, not the full procedure |
$966 |
$1,380 |
0.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$1,204 |
$1,720 |
0.3× |
Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$4,266.50 |
$6,095 |
0.3× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$203 |
$290 |
0.7× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$700 |
$1,000 |
0.3× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$332.50 |
$475 |
0.2× |
| Probe nl duct w/balloon (68816) |
$1,053.50 |
$1,505 |
0.5× |
| Probing nasolacrimal duct (68810) |
$378 |
$540 |
1.3× |
| Proctopexy Perineal Approach (45541) |
$1,617 |
$2,310 |
0.6× |
| Proctoplasty Stenosis (45500) |
$892.50 |
$1,275 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$781.90 |
$1,117 |
0.9× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,804.60 |
$2,578 |
1.7× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$2,149.70 |
$3,071 |
0.9× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,946 |
$2,780 |
1.8× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
$1,670.90 |
$2,387 |
1.5× |
| Proctosgmdsc rigid w/dilation (45303) |
$1,781.50 |
$2,545 |
1.6× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,212.70 |
$3,161 |
0.9× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$2,585.80 |
$3,694 |
1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$297.50 |
$425 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$192.50 |
$275 |
0.1× |
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) likely a partial charge, not the full procedure |
$224 |
$320 |
0.0× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$836.50 |
$1,195 |
1.7× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) likely a partial charge, not the full procedure |
$1,844.50 |
$2,635 |
0.2× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
$1,722 |
$2,460 |
0.6× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) unusually low: confirm this is the full procedure |
$2,065 |
$2,950 |
0.3× |
| Prostate laser enucleation (52649) |
$1,981 |
$2,830 |
0.4× |
| Prostatic microwave thermotx (53850) |
$4,672.50 |
$6,675 |
1.5× |
| Prostatic Rf Thermotx (53852) |
$4,508 |
$6,440 |
1.4× |
| Prostatotomy external drg abscess simple (55720) |
$938 |
$1,340 |
0.3× |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) |
$1,179.50 |
$1,685 |
0.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$458.50 |
$655 |
0.7× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) likely a partial charge, not the full procedure |
$381.50 |
$545 |
0.1× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$700 |
$1,000 |
0.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$707 |
$1,010 |
0.2× |
Prq skel fixj femoral fx prox end neck (27235) likely a partial charge, not the full procedure |
$1,648.50 |
$2,355 |
0.3× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$357 |
$510 |
0.1× |
| Prq skel fixj metar fx w/manj (28476) |
$588 |
$840 |
0.2× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,323 |
$1,890 |
0.2× |
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) likely a partial charge, not the full procedure |
$626.50 |
$895 |
0.1× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$696.50 |
$995 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$819 |
$1,170 |
0.3× |
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) likely a partial charge, not the full procedure |
$934.50 |
$1,335 |
0.1× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$906.50 |
$1,295 |
0.3× |
Prq Skeletal Fixj Femoral Fx Distal End (27509) likely a partial charge, not the full procedure |
$1,137.50 |
$1,625 |
0.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$1,141 |
$1,630 |
0.4× |
| Prtl Exchange Transfuse Nb (36456) |
$94.50 |
$135 |
0.2× |
| Pseudoaneurysm Injection Trt (36002) |
$315 |
$450 |
0.6× |
Pterygomaxillary fossa surgery, any approach Facility (31040) likely a partial charge, not the full procedure |
$1,312.50 |
$1,875 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$205 |
$292.85 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$200.90 |
$287 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$196 |
$280 |
0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$150.50 |
$215 |
0.2× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$101.50 |
$145 |
0.3× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) likely a partial charge, not the full procedure |
$1,326.50 |
$1,895 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,414 |
$2,020 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,137.50 |
$1,625 |
0.4× |
Rad resect elbow caps/sr bone w rels (24149) unusually low: confirm this is the full procedure |
$2,061.50 |
$2,945 |
0.3× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$1,144.50 |
$1,635 |
0.4× |
Radical resection of sternum; Facility (21630) unusually low: confirm this is the full procedure |
$2,296 |
$3,280 |
0.3× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) unusually low: confirm this is the full procedure |
$2,404.50 |
$3,435 |
0.4× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) unusually low: confirm this is the full procedure |
$1,704.50 |
$2,435 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$756 |
$1,080 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$1,508.50 |
$2,155 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$1,330 |
$1,900 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$1,046.50 |
$1,495 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$1,463 |
$2,090 |
0.6× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$801.50 |
$1,145 |
0.6× |
| Radical resection of tumor, femur or knee Facility (27365) |
$2,226 |
$3,180 |
0.8× |
Radical resection of tumor, proximal humerus Facility (23220) likely a partial charge, not the full procedure |
$1,928.50 |
$2,755 |
0.3× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$959 |
$1,370 |
0.3× |
Radical resection of tumor, radial head or neck Facility (24152) likely a partial charge, not the full procedure |
$1,312.50 |
$1,875 |
0.2× |
Radical resection of tumor, radius or ulna (25170) likely a partial charge, not the full procedure |
$1,578.50 |
$2,255 |
0.2× |
Radical resection of tumor, shaft or distal humerus Facility (24150) likely a partial charge, not the full procedure |
$1,757 |
$2,510 |
0.3× |
Radical resection of tumor; clavicle Facility (23200) likely a partial charge, not the full procedure |
$1,589 |
$2,270 |
0.2× |
| Radical resection of tumor; fibula Facility (27646) |
$1,680 |
$2,400 |
0.6× |
Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Facility (27076) unusually low: confirm this is the full procedure |
$2,915.50 |
$4,165 |
0.4× |
| Radical resection of tumor; innominate bone, total Facility (27077) |
$4,893 |
$6,990 |
0.7× |
Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) likely a partial charge, not the full procedure |
$1,830.50 |
$2,615 |
0.3× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$934.50 |
$1,335 |
0.6× |
Radical resection of tumor; scapula Facility (23210) likely a partial charge, not the full procedure |
$1,662.50 |
$2,375 |
0.3× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$1,494.50 |
$2,135 |
0.5× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$1,155 |
$1,650 |
0.4× |
| Radical resection of tumor; tibia Facility (27645) |
$1,897 |
$2,710 |
0.6× |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) |
$4,242 |
$6,060 |
0.6× |
| Radical Resection Tumor Metacarpal (26250) |
$1,025.50 |
$1,465 |
0.3× |
| Radical Resection Tumor Metatarsal (28173) |
$1,284.50 |
$1,835 |
0.4× |
| Radical styloidectomy separate procedure (25230) |
$766.50 |
$1,095 |
0.3× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$868 |
$1,240 |
0.3× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$1,172.50 |
$1,675 |
0.4× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$1,389.50 |
$1,985 |
0.5× |
Rcnstj Dislocating Patella (27420) likely a partial charge, not the full procedure |
$1,340.50 |
$1,915 |
0.2× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$1,200.50 |
$1,715 |
0.6× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$1,554 |
$2,220 |
0.7× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$1,130.50 |
$1,615 |
0.5× |
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) unusually low: confirm this is the full procedure |
$1,862 |
$2,660 |
0.3× |
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) unusually low: confirm this is the full procedure |
$2,394 |
$3,420 |
0.4× |
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) likely a partial charge, not the full procedure |
$1,169 |
$1,670 |
0.2× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$906.50 |
$1,295 |
0.3× |
Re-explore parathyroids (60502) unusually low: confirm this is the full procedure |
$2,303 |
$3,290 |
0.4× |
| Realignment extensor tendon hand each tendon (26437) |
$1,060.50 |
$1,515 |
0.4× |
| Realignment of hand (25335) |
$1,715 |
$2,450 |
0.6× |
Realignment of knee (27457) likely a partial charge, not the full procedure |
$1,760.50 |
$2,515 |
0.3× |
Realignment of knee (27455) likely a partial charge, not the full procedure |
$1,708 |
$2,440 |
0.3× |
Reconst lwr jaw w/fixation (21196) unusually low: confirm this is the full procedure |
$2,597 |
$3,710 |
0.5× |
Reconst lwr jaw w/o fixation (21195) unusually low: confirm this is the full procedure |
$2,376.50 |
$3,395 |
0.4× |
Reconstr lwr jaw segment (21198) unusually low: confirm this is the full procedure |
$2,033.50 |
$2,905 |
0.4× |
Reconstruct cleft palate (42220) likely a partial charge, not the full procedure |
$969.50 |
$1,385 |
0.2× |
Reconstruct cleft palate (42210) unusually low: confirm this is the full procedure |
$1,925 |
$2,750 |
0.4× |
Reconstruct elbow joint (24360) likely a partial charge, not the full procedure |
$1,620.50 |
$2,315 |
0.2× |
Reconstruct elbow lat ligmnt (24344) likely a partial charge, not the full procedure |
$1,946 |
$2,780 |
0.3× |
Reconstruct elbow med ligmnt (24346) likely a partial charge, not the full procedure |
$1,949.50 |
$2,785 |
0.2× |
| Reconstruct extra finger (26587) |
$1,697.50 |
$2,425 |
0.6× |
| Reconstruct finger joint (26545) |
$1,193.50 |
$1,705 |
0.4× |
| Reconstruct Finger Joint (26548) |
$1,316 |
$1,880 |
0.4× |
| Reconstruct lip with flap (40525) |
$990.50 |
$1,415 |
0.3× |
Reconstruct lip with flap (40527) likely a partial charge, not the full procedure |
$1,172.50 |
$1,675 |
0.2× |
Reconstruct midface lefort (21143) unusually low: confirm this is the full procedure |
$2,467.50 |
$3,525 |
0.5× |
Reconstruct ulna/radioulnar (25337) likely a partial charge, not the full procedure |
$1,564.50 |
$2,235 |
0.2× |
Reconstruct upper jaw bone (21206) unusually low: confirm this is the full procedure |
$2,005.50 |
$2,865 |
0.4× |
Reconstruct wrist joint (25445) likely a partial charge, not the full procedure |
$1,291.50 |
$1,845 |
0.2× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$2,684.50 |
$3,835 |
0.5× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$2,975 |
$4,250 |
0.6× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$3,038 |
$4,340 |
0.6× |
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) unusually low: confirm this is the full procedure |
$2,415 |
$3,450 |
0.5× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$2,789.50 |
$3,985 |
0.5× |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) |
$3,031 |
$4,330 |
0.6× |
| Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) |
$3,633 |
$5,190 |
0.7× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21159) |
$5,159 |
$7,370 |
1.0× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21160) |
$5,232.50 |
$7,475 |
1.0× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) |
$4,263 |
$6,090 |
0.8× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21154) |
$3,682 |
$5,260 |
0.7× |
| Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Facility (21188) |
$2,891 |
$4,130 |
0.5× |
| Reconstruction Nail Bed W/Graft (11762) |
$465.50 |
$665 |
0.2× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,337 |
$1,910 |
0.2× |
Reconstruction of dislocating patella; with patellectomy Facility (27424) likely a partial charge, not the full procedure |
$1,340.50 |
$1,915 |
0.2× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) unusually low: confirm this is the full procedure |
$1,872.50 |
$2,675 |
0.3× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$1,550.50 |
$2,215 |
0.4× |
Reconstruction of jaw (21249) unusually low: confirm this is the full procedure |
$2,597 |
$3,710 |
0.5× |
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) likely a partial charge, not the full procedure |
$1,529.50 |
$2,185 |
0.3× |
Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) unusually low: confirm this is the full procedure |
$1,963.50 |
$2,805 |
0.4× |
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) unusually low: confirm this is the full procedure |
$1,834 |
$2,620 |
0.3× |
| Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247) |
$2,908.50 |
$4,155 |
0.5× |
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) unusually low: confirm this is the full procedure |
$2,544.50 |
$3,635 |
0.5× |
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) unusually low: confirm this is the full procedure |
$2,236.50 |
$3,195 |
0.4× |
Reconstruction of mouth (40844) unusually low: confirm this is the full procedure |
$2,390.50 |
$3,415 |
0.4× |
Reconstruction of mouth (40842) likely a partial charge, not the full procedure |
$1,375.50 |
$1,965 |
0.3× |
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) unusually low: confirm this is the full procedure |
$2,086 |
$2,980 |
0.4× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21183) |
$4,147.50 |
$5,925 |
0.8× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21184) |
$4,459 |
$6,370 |
0.8× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21182) |
$3,685.50 |
$5,265 |
0.7× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$1,214.50 |
$1,735 |
0.4× |
Reconstruction of throat (42950) likely a partial charge, not the full procedure |
$1,382.50 |
$1,975 |
0.3× |
| Reconstruction of urethra (54326) |
$1,869 |
$2,670 |
0.6× |
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) unusually low: confirm this is the full procedure |
$2,551.50 |
$3,645 |
0.5× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$3,237.50 |
$4,625 |
0.6× |
| Reconstruction Toe Polydactyly (28344) |
$794.50 |
$1,135 |
0.3× |
| Reconstruction Tongue Fold (41520) |
$577.50 |
$825 |
0.2× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$3,916.50 |
$5,595 |
0.7× |
Reconstruction, cleft foot Facility (28360) likely a partial charge, not the full procedure |
$1,792 |
$2,560 |
0.3× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)… (21180) |
$3,048.50 |
$4,355 |
0.6× |
Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) unusually low: confirm this is the full procedure |
$2,670.50 |
$3,815 |
0.5× |
Reconstructive repair of pectus excavatum or carinatum; open Facility (21740) unusually low: confirm this is the full procedure |
$1,988 |
$2,840 |
0.3× |
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) unusually low: confirm this is the full procedure |
$1,610 |
$2,300 |
0.3× |
Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) unusually low: confirm this is the full procedure |
$1,792 |
$2,560 |
0.3× |
| Reduction forehead; contouring only Facility (21137) |
$1,288 |
$1,840 |
0.4× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) |
$301 |
$430 |
0.2× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
$731.50 |
$1,045 |
0.2× |
| Reduction of rectal prolapse (45900) |
$346.50 |
$495 |
0.4× |
| Reduction Overcorrection Ptosis (67909) |
$861 |
$1,230 |
0.4× |
Reinforce clavicle (23490) likely a partial charge, not the full procedure |
$1,501.50 |
$2,145 |
0.2× |
Reinforce hip bones (27187) likely a partial charge, not the full procedure |
$1,806 |
$2,580 |
0.3× |
Reinforce humerus (24498) likely a partial charge, not the full procedure |
$1,571.50 |
$2,245 |
0.1× |
Reinforce radius (25490) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
Reinforce tibia (27745) likely a partial charge, not the full procedure |
$1,365 |
$1,950 |
0.2× |
Reinforce ulna (25491) likely a partial charge, not the full procedure |
$1,424.50 |
$2,035 |
0.1× |
Reinnervate larynx (31590) likely a partial charge, not the full procedure |
$1,522.50 |
$2,175 |
0.3× |
| Reinsert ocular implant (65150) |
$934.50 |
$1,335 |
0.3× |
Reinsert spinal fixation (22849) likely a partial charge, not the full procedure |
$2,376.50 |
$3,395 |
0.2× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$1,365 |
$1,950 |
0.4× |
| Release encircling material (67115) |
$787.50 |
$1,125 |
0.2× |
| Release eye tissue (67343) |
$1,050 |
$1,500 |
0.5× |
| Release facial nerve (69955) |
$3,601.50 |
$5,145 |
0.7× |
Release facial nerve (69720) unusually low: confirm this is the full procedure |
$2,068.50 |
$2,955 |
0.4× |
| Release foot/toe nerve (64726) |
$525 |
$750 |
0.3× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$1,011.50 |
$1,445 |
0.3× |
| Release of big toe (28240) |
$745.50 |
$1,065 |
0.3× |
Release of shoulder ligament (23415) likely a partial charge, not the full procedure |
$1,249.50 |
$1,785 |
0.2× |
| Release or recession, hamstring, proximal Facility (27097) |
$1,197 |
$1,710 |
0.4× |
| Release Thenar Muscle (26508) |
$1,078 |
$1,540 |
0.4× |
| Relieve Pressure on Nerve(S) (64722) |
$595 |
$850 |
0.3× |
| Relocation Pocket Pacemaker (33222) |
$679 |
$970 |
0.4× |
| Removal Anal Seton Other Marker (46030) |
$213.50 |
$305 |
0.2× |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) likely a partial charge, not the full procedure |
$2,065 |
$2,950 |
0.1× |
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) likely a partial charge, not the full procedure |
$1,641.50 |
$2,345 |
0.1× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) likely a partial charge, not the full procedure |
$1,417.50 |
$2,025 |
0.1× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) likely a partial charge, not the full procedure |
$1,813 |
$2,590 |
0.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$381.50 |
$545 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,265.20 |
$3,236 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$913.50 |
$1,305 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,762.60 |
$2,518 |
1.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$854.70 |
$1,221 |
1.3× |
| Removal foreign body jawbone (41806) |
$570.50 |
$815 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,047.90 |
$1,497 |
0.7× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,130.50 |
$1,615 |
0.4× |
| Removal Foreign Body Scrotum (55120) |
$703.50 |
$1,005 |
0.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$924 |
$1,320 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$350 |
$500 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22.40 |
$32 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$85.40 |
$122 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,414.30 |
$3,449 |
0.8× |
| Removal Implant Deep (20680) |
$1,011.50 |
$1,445 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$651 |
$930 |
0.4× |
| Removal implantable contraceptive capsules (11976) |
$262.50 |
$375 |
0.4× |
| Removal intact breast implant (19328) |
$857.50 |
$1,225 |
0.2× |
| Removal of a lesion from the floor of the mouth (41116) |
$539 |
$770 |
0.2× |
| Removal of adenoids (42835) |
$332.50 |
$475 |
0.1× |
| Removal of adenoids (42831) |
$395.50 |
$565 |
0.1× |
| Removal of adenoids (42830) |
$367.50 |
$525 |
0.1× |
| Removal of adenoids (42836) |
$434 |
$620 |
0.1× |
| Removal of anal fissure (46200) |
$651 |
$930 |
0.3× |
| Removal of ankle implant (27704) |
$1,025.50 |
$1,465 |
0.3× |
Removal of anterior instrumentation (22855) unusually low: confirm this is the full procedure |
$2,012.50 |
$2,875 |
0.3× |
Removal of bladder cyst (51500) likely a partial charge, not the full procedure |
$1,256.50 |
$1,795 |
0.2× |
| Removal of bone lesion (23140) |
$913.50 |
$1,305 |
0.3× |
| Removal of calcium deposits (23000) |
$896 |
$1,280 |
0.3× |
| Removal of cervix (57530) |
$633.50 |
$905 |
0.1× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$983.50 |
$1,405 |
0.6× |
Removal of epiglottis (31420) likely a partial charge, not the full procedure |
$1,480.50 |
$2,115 |
0.3× |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
$1,557.50 |
$2,225 |
0.7× |
Removal of esophageal sphincter augmentation device (43285) likely a partial charge, not the full procedure |
$591.50 |
$845 |
0.1× |
| Removal of eye (65110) |
$1,988 |
$2,840 |
0.6× |
| Removal of foot joint lining (28072) |
$840 |
$1,200 |
0.3× |
| Removal of foreign body from pharynx (42809) |
$294 |
$420 |
0.7× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$1,543.50 |
$2,205 |
0.7× |
| Removal of heel spur (28119) |
$878.50 |
$1,255 |
0.3× |
| Removal of hip joint lining (27054) |
$1,214.50 |
$1,735 |
0.4× |
Removal of hip prosthesis; (separate procedure) Facility (27090) likely a partial charge, not the full procedure |
$1,501.50 |
$2,145 |
0.2× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) likely a partial charge, not the full procedure |
$2,922.50 |
$4,175 |
0.3× |
| Removal of humerus lesion (23150) |
$1,162 |
$1,660 |
0.4× |
Removal of humerus lesion (23156) likely a partial charge, not the full procedure |
$1,200.50 |
$1,715 |
0.2× |
| Removal of implant from finger or hand (26320) |
$595 |
$850 |
0.4× |
| Removal of implanted material, anterior segment of eye (65920) |
$1,256.50 |
$1,795 |
0.6× |
| Removal of infusion pump (36262) |
$518 |
$740 |
0.2× |
| Removal of intranasal lesion (30118) |
$1,347.50 |
$1,925 |
0.4× |
| Removal of iris (66635) |
$920.50 |
$1,315 |
0.4× |
| Removal of iris (66630) |
$910 |
$1,300 |
0.4× |
Removal of ischial bursa (27060) likely a partial charge, not the full procedure |
$759.50 |
$1,085 |
0.1× |
Removal of jaw joint (21050) likely a partial charge, not the full procedure |
$1,536.50 |
$2,195 |
0.3× |
Removal of kidney stone (50081) unusually low: confirm this is the full procedure |
$2,593.50 |
$3,705 |
0.3× |
Removal of knee prosthesis (27488) likely a partial charge, not the full procedure |
$2,177 |
$3,110 |
0.2× |
| Removal of lens material (66852) |
$1,368.50 |
$1,955 |
0.4× |
| Removal of mammary implant material (19330) |
$1,106 |
$1,580 |
0.3× |
| Removal of nail bed (11750) |
$423.50 |
$605 |
1.2× |
Removal of nose (30160) likely a partial charge, not the full procedure |
$1,386 |
$1,980 |
0.3× |
| Removal of nose lesion (30124) |
$472.50 |
$675 |
0.3× |
| Removal of ocular implant (65175) |
$1,046.50 |
$1,495 |
0.3× |
Removal of posterior segmental instrumentation Facility (22852) likely a partial charge, not the full procedure |
$1,232 |
$1,760 |
0.2× |
| Removal of residual cervix (57550) |
$749 |
$1,070 |
0.2× |
Removal of rib (21615) likely a partial charge, not the full procedure |
$1,218 |
$1,740 |
0.2× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$1,148 |
$1,640 |
0.5× |
| Removal of sesamoid bone (28315) |
$798 |
$1,140 |
0.3× |
| Removal of sperm cord lesion (55520) |
$777 |
$1,110 |
0.2× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$1,333.50 |
$1,905 |
0.5× |
Removal of tendon for graft (20924) likely a partial charge, not the full procedure |
$899.50 |
$1,285 |
0.1× |
| Removal of testis (54520) |
$654.50 |
$935 |
0.2× |
| Removal of Thiersch wire or suture, anal canal Facility (46754) |
$465.50 |
$665 |
0.2× |
Removal of thymus gland (60520) unusually low: confirm this is the full procedure |
$1,890 |
$2,700 |
0.4× |
Removal of thyroid (60271) unusually low: confirm this is the full procedure |
$1,918 |
$2,740 |
0.4× |
Removal of tonsils (42825) likely a partial charge, not the full procedure |
$469 |
$670 |
0.1× |
| Removal of tonsils (42826) |
$457.10 |
$653 |
0.2× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
$3,416 |
$4,880 |
0.5× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Facility (22865) |
$3,850 |
$5,500 |
0.6× |
| Removal of tumor, temporal bone Facility (69970) |
$3,895.50 |
$5,565 |
0.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$696.50 |
$995 |
0.2× |
| Removal of urethra (53210) |
$1,550.50 |
$2,215 |
0.5× |
| Removal of vein clot (34490) |
$1,204 |
$1,720 |
0.4× |
| Removal of wrist bone (25210) |
$864.50 |
$1,235 |
0.3× |
| Removal of wrist prosthesis; (separate procedure) Facility (25250) |
$924 |
$1,320 |
0.6× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$1,263.50 |
$1,805 |
0.4× |
| Removal or bivalving full arm or full leg cast (29705) |
$119 |
$170 |
0.5× |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
$903 |
$1,290 |
0.3× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$1,554 |
$2,220 |
0.3× |
| Removal Pacemaker Electrode (33235) |
$1,246 |
$1,780 |
0.4× |
| Removal parotid stone (42340) |
$791 |
$1,130 |
0.3× |
| Removal peritoneal-venous shunt (49429) |
$826 |
$1,180 |
0.3× |
Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$472.50 |
$675 |
0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$121.10 |
$173 |
0.7× |
| Removal Submand Stone,Complicated (42335) |
$626.50 |
$895 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$161 |
$230 |
0.1× |
| Removal sweat gland lesion (11450) |
$588 |
$840 |
0.2× |
| Removal tong/halo applied by another individual (20665) |
$213.50 |
$305 |
0.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$731.50 |
$1,045 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$108.50 |
$155 |
0.4× |
Remove & graft wrist lesion (25136) likely a partial charge, not the full procedure |
$875 |
$1,250 |
0.1× |
Remove & graft wrist lesion (25135) likely a partial charge, not the full procedure |
$987 |
$1,410 |
0.2× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,254 |
$3,220 |
1.2× |
| Remove Ankle Joint Lining (27626) |
$1,162 |
$1,660 |
0.4× |
Remove armpit lymph nodes (38740) likely a partial charge, not the full procedure |
$1,200.50 |
$1,715 |
0.2× |
| Remove blood clot from eye (65930) |
$1,039.50 |
$1,485 |
0.5× |
| Remove brain canal fluid (61050) |
$199.50 |
$285 |
0.7× |
| Remove Brain Cavity Fluid (61020) |
$234.50 |
$335 |
0.3× |
| Remove cerclage suture (59871) |
$259 |
$370 |
0.1× |
Remove coronoid process (21070) likely a partial charge, not the full procedure |
$1,144.50 |
$1,635 |
0.2× |
| Remove cranial cavity fluid (61000) |
$203 |
$290 |
0.3× |
| Remove drug implant device (11982) |
$276.50 |
$395 |
0.7× |
| Remove ear lesion (69552) |
$2,789.50 |
$3,985 |
0.5× |
Remove ear lesion (69550) unusually low: confirm this is the full procedure |
$1,809.50 |
$2,585 |
0.3× |
| Remove elbow joint implant (24160) |
$1,074.50 |
$1,535 |
0.4× |
| Remove Elbow Joint Lining (24102) |
$1,092 |
$1,560 |
0.4× |
| Remove elbow lesion (24120) |
$920.50 |
$1,315 |
0.3× |
| Remove Elctrd Transvenously (33244) |
$1,694 |
$2,420 |
0.5× |
| Remove eye lesion (66130) |
$1,130.50 |
$1,615 |
0.5× |
| Remove eye/attach implant (65105) |
$1,354.50 |
$1,935 |
0.4× |
Remove femur lesion/graft (27356) likely a partial charge, not the full procedure |
$1,316 |
$1,880 |
0.1× |
| Remove finger bone (26185) |
$910 |
$1,300 |
0.6× |
| Remove Forearm Foreign Body (25248) |
$770 |
$1,100 |
0.5× |
| Remove foreign body from eye (65265) |
$1,743 |
$2,490 |
0.8× |
| Remove foreign body from eye (65235) |
$1,123.50 |
$1,605 |
0.5× |
| Remove foreign body from eye (65205) |
$193.20 |
$276 |
1.6× |
| Remove Gastric Port Open (43887) |
$542.50 |
$775 |
0.3× |
Remove groin lymph nodes (38760) likely a partial charge, not the full procedure |
$1,508.50 |
$2,155 |
0.3× |
| Remove Hand Bone Lesion (26200) |
$787.50 |
$1,125 |
0.5× |
| Remove hip pressure sore (15941) |
$1,575 |
$2,250 |
0.6× |
| Remove hip pressure sore (15940) |
$1,218 |
$1,740 |
0.5× |
Remove humerus lesion (23174) likely a partial charge, not the full procedure |
$1,340.50 |
$1,915 |
0.2× |
| Remove humerus lesion (24110) |
$1,029 |
$1,470 |
0.3× |
Remove inner ear (69905) unusually low: confirm this is the full procedure |
$1,617 |
$2,310 |
0.3× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$1,466.50 |
$2,095 |
0.8× |
| Remove Intrauterine Device (58301) |
$397.60 |
$568 |
1.4× |
| Remove iris and lesion (66600) |
$1,312.50 |
$1,875 |
0.4× |
| Remove knee joint lining (27334) |
$1,211 |
$1,730 |
0.4× |
Remove lamina/facets lumbar (63012) unusually low: confirm this is the full procedure |
$2,117.50 |
$3,025 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$1,064 |
$1,520 |
0.4× |
Remove mastoid structures (69505) unusually low: confirm this is the full procedure |
$2,096.50 |
$2,995 |
0.4× |
| Remove middle ear nerve (69676) |
$1,456 |
$2,080 |
0.5× |
| Remove muti-comp penis pros (54406) |
$1,477 |
$2,110 |
0.5× |
| Remove Nasal Foreign Body (30300) |
$173.60 |
$248 |
1.4× |
Remove palate/lesion (42120) unusually low: confirm this is the full procedure |
$1,690.50 |
$2,415 |
0.3× |
Remove part lumbar vertebra (22102) likely a partial charge, not the full procedure |
$1,445.50 |
$2,065 |
0.2× |
Remove part of neck vertebra (22110) likely a partial charge, not the full procedure |
$1,820 |
$2,600 |
0.3× |
Remove part thorax vertebra (22101) likely a partial charge, not the full procedure |
$1,452.50 |
$2,075 |
0.2× |
| Remove Peritoneal Foreign Body (49402) |
$1,512 |
$2,160 |
0.5× |
| Remove prostate regrowth (52630) |
$892.50 |
$1,275 |
0.2× |
| Remove Pulse Generator (33241) |
$448 |
$640 |
0.1× |
| Remove radius head implant (24164) |
$875 |
$1,250 |
0.3× |
| Remove renal tube w/fluoro (50389) |
$619.50 |
$885 |
1.0× |
| Remove sacrum pressure sore (15937) |
$1,841 |
$2,630 |
1.0× |
| Remove self-contd penis pros (54415) |
$1,057 |
$1,510 |
0.3× |
| Remove Shoulder Foreign Body (23330) |
$378 |
$540 |
0.3× |
Remove shoulder joint lining (23105) likely a partial charge, not the full procedure |
$1,134 |
$1,620 |
0.2× |
| Remove Skin Nerve Lesion (64774) |
$731.50 |
$1,045 |
0.4× |
Remove spine fixation device (22850) likely a partial charge, not the full procedure |
$1,291.50 |
$1,845 |
0.2× |
Remove spine lamina 1/2 lmbr (63005) unusually low: confirm this is the full procedure |
$2,079 |
$2,970 |
0.3× |
Remove spine lamina 1/2 thrc (63003) unusually low: confirm this is the full procedure |
$2,198 |
$3,140 |
0.3× |
Remove spine lamina >2 thrc (63016) unusually low: confirm this is the full procedure |
$2,698.50 |
$3,855 |
0.4× |
| Remove sympathetic nerves (64821) |
$1,211 |
$1,730 |
0.4× |
| Remove Tendon Sheath Lesion (26160) |
$924 |
$1,320 |
0.6× |
| Remove thigh pressure sore (15951) |
$1,435 |
$2,050 |
0.5× |
| Remove thigh pressure sore (15956) |
$2,026.50 |
$2,895 |
1.1× |
Remove thyroid lesion (60200) likely a partial charge, not the full procedure |
$1,172.50 |
$1,675 |
0.2× |
| Remove tissue expander (11971) |
$759.50 |
$1,085 |
0.3× |
| Remove ureter stent percut (50384) |
$1,991.50 |
$2,845 |
1.1× |
Remove vc lesion scope/graft (31546) likely a partial charge, not the full procedure |
$1,039.50 |
$1,485 |
0.2× |
| Remove vc lesion w/scope (31545) |
$679 |
$970 |
0.2× |
| Remove wrist joint cartilage (25107) |
$1,071 |
$1,530 |
0.4× |
| Remove/graft bone lesion (24125) |
$1,064 |
$1,520 |
0.4× |
| Remove/graft finger lesion (26215) |
$969.50 |
$1,385 |
0.3× |
Remove/graft foot lesion (28102) likely a partial charge, not the full procedure |
$1,025.50 |
$1,465 |
0.2× |
Remove/graft foot lesion (28107) likely a partial charge, not the full procedure |
$952 |
$1,360 |
0.1× |
| Remove/graft forearm lesion (25126) |
$1,148 |
$1,640 |
0.4× |
| Remove/graft forearm lesion (25125) |
$1,130.50 |
$1,615 |
0.8× |
Remove/graft leg bone lesion (27637) likely a partial charge, not the full procedure |
$1,351 |
$1,930 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$430.50 |
$615 |
1.1× |
Remove/replace penis prosth (54410) likely a partial charge, not the full procedure |
$1,746.50 |
$2,495 |
0.1× |
| Remv cartilage for graft nasal (20912) |
$857.50 |
$1,225 |
0.3× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$1,295 |
$1,850 |
0.3× |
| Renal Biopsy Perq (50200) |
$290.50 |
$415 |
0.2× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) likely a partial charge, not the full procedure |
$857.50 |
$1,225 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) likely a partial charge, not the full procedure |
$840 |
$1,200 |
0.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$1,256.50 |
$1,795 |
0.3× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$1,116.50 |
$1,595 |
1.8× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) likely a partial charge, not the full procedure |
$1,176 |
$1,680 |
0.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$1,176 |
$1,680 |
0.4× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$973 |
$1,390 |
0.2× |
Renal scope w/tumor resect (50562) likely a partial charge, not the full procedure |
$1,204 |
$1,720 |
0.1× |
| Reopen fallopian tube (58350) |
$175 |
$250 |
0.0× |
Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,218 |
$1,740 |
0.2× |
| Repair arm/leg nerve (64857) |
$1,907.50 |
$2,725 |
0.6× |
| Repair bladder neck (51845) |
$1,169 |
$1,670 |
0.3× |
| Repair Bladder-Vagina Lesion (57320) |
$1,039.50 |
$1,485 |
0.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,351 |
$1,930 |
0.5× |
Repair blood vessel direct neck (35201) unusually low: confirm this is the full procedure |
$1,851.50 |
$2,645 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,512 |
$2,160 |
0.5× |
Repair blood vessel lesion (35190) likely a partial charge, not the full procedure |
$1,473.50 |
$2,105 |
0.3× |
Repair blood vessel lesion (35236) unusually low: confirm this is the full procedure |
$1,939 |
$2,770 |
0.4× |
Repair blood vessel lesion (35266) unusually low: confirm this is the full procedure |
$1,708 |
$2,440 |
0.3× |
| Repair blood vessel with graft other than vein; neck Facility (35261) |
$2,058 |
$2,940 |
0.7× |
Repair blood vessel with vein graft; lower extremity Facility (35256) unusually low: confirm this is the full procedure |
$2,040.50 |
$2,915 |
0.4× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$2,320.50 |
$3,315 |
0.8× |
| Repair brow ptosis (67900) |
$1,032.50 |
$1,475 |
0.5× |
Repair Choanal Atresia Intranasal (30540) likely a partial charge, not the full procedure |
$1,165.50 |
$1,665 |
0.2× |
Repair choanal atresia; transpalatine Facility (30545) unusually low: confirm this is the full procedure |
$1,701 |
$2,430 |
0.3× |
| Repair cleft hand deformity (26580) |
$2,467.50 |
$3,525 |
0.8× |
| Repair cleft lip/nasal (40720) |
$1,778 |
$2,540 |
0.6× |
Repair cleft lip/nasal (40702) unusually low: confirm this is the full procedure |
$1,610 |
$2,300 |
0.3× |
Repair cleft lip/nasal (40761) unusually low: confirm this is the full procedure |
$1,925 |
$2,750 |
0.4× |
Repair cleft lip/nasal (40700) unusually low: confirm this is the full procedure |
$1,659 |
$2,370 |
0.3× |
| Repair clitoris (56805) |
$2,145.50 |
$3,065 |
0.7× |
Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$1,200.50 |
$1,715 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$464.10 |
$663 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$710.50 |
$1,015 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$429.10 |
$613 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$450.10 |
$643 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$469 |
$670 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$420 |
$600 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$746.20 |
$1,066 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$805.70 |
$1,151 |
1.2× |
Repair defect w/autograft radius/ulna (25425) likely a partial charge, not the full procedure |
$1,911 |
$2,730 |
0.3× |
| Repair Detached Retina (67101) |
$1,235.50 |
$1,765 |
0.6× |
| Repair detached retina (67105) |
$1,144.50 |
$1,635 |
2.3× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$861 |
$1,230 |
0.4× |
| Repair Ectropion Extensive (67917) |
$945 |
$1,350 |
0.4× |
| Repair Ectropion Suture (67914) |
$623 |
$890 |
0.3× |
| Repair Ectropion Thermocauterization (67915) |
$560 |
$800 |
0.3× |
| Repair Elbow Perc (24357) |
$773.50 |
$1,105 |
0.3× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$910 |
$1,300 |
0.4× |
| Repair Entropion Extensive (67924) |
$941.50 |
$1,345 |
0.4× |
| Repair Entropion Suture (67921) |
$595 |
$850 |
0.3× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$1,221.50 |
$1,745 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$959 |
$1,370 |
0.7× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$1,172.50 |
$1,675 |
0.4× |
| Repair Eyelid Wound (67935) |
$966 |
$1,380 |
0.4× |
Repair facial nerve (69740) unusually low: confirm this is the full procedure |
$2,100 |
$3,000 |
0.4× |
| Repair finger deformity (26590) |
$2,268 |
$3,240 |
1.6× |
| Repair Finger Tendon (26433) |
$903 |
$1,290 |
0.3× |
| Repair Finger/Hand Tendon (26350) |
$1,207.50 |
$1,725 |
0.4× |
Repair Fistula Oromaxillary (30580) likely a partial charge, not the full procedure |
$1,088.50 |
$1,555 |
0.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$689.50 |
$985 |
0.2× |
Repair Foot Dislocation (28615) likely a partial charge, not the full procedure |
$1,386 |
$1,980 |
0.2× |
| Repair Forearm Tendon Sheath (25275) |
$1,190 |
$1,700 |
0.4× |
| Repair forearm tendon/muscle (25265) |
$1,421 |
$2,030 |
0.5× |
| Repair gum (41872) |
$605.50 |
$865 |
0.2× |
| Repair Hallux Rigidus (28289) |
$1,246 |
$1,780 |
0.4× |
| Repair Hand Joint (26540) |
$1,130.50 |
$1,615 |
0.4× |
| Repair Hand Tendon (26410) |
$1,813.70 |
$2,591 |
1.2× |
Repair humerus with graft (24435) likely a partial charge, not the full procedure |
$1,907.50 |
$2,725 |
0.2× |
| Repair incomplete circumcision (54163) |
$434 |
$620 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,001 |
$1,430 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,102.50 |
$1,575 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,008 |
$1,440 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,116.50 |
$1,595 |
0.3× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$1,046.50 |
$1,495 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$291.90 |
$417 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$312.20 |
$446 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$378 |
$540 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$357.70 |
$511 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,105.30 |
$1,579 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$305.90 |
$437 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$284.90 |
$407 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$287 |
$410 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$349.30 |
$499 |
0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$700.70 |
$1,001 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$369.60 |
$528 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$311.50 |
$445 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$305.90 |
$437 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$317.80 |
$454 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$319.90 |
$457 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$667.80 |
$954 |
0.4× |
| Repair intrinsic muscles hand each muscle (26591) |
$735 |
$1,050 |
0.2× |
| Repair iris ciliary body (66680) |
$819 |
$1,170 |
0.4× |
| Repair Laceration Palate </2 Cm (42180) |
$416.50 |
$595 |
0.9× |
Repair Laceration Palate >2 Cm/Complex (42182) likely a partial charge, not the full procedure |
$570.50 |
$815 |
0.1× |
| Repair lead pace-defib dual (33220) |
$777 |
$1,110 |
0.2× |
| Repair Lead Pace-Defib One (33218) |
$770 |
$1,100 |
0.2× |
| Repair Leg Fascia Defect (27656) |
$913.50 |
$1,305 |
0.3× |
| Repair lower leg epiphyses (27734) |
$1,081.50 |
$1,545 |
0.4× |
Repair lower leg tendons (27676) likely a partial charge, not the full procedure |
$1,123.50 |
$1,605 |
0.2× |
Repair lumbar hernia (49540) likely a partial charge, not the full procedure |
$1,186.50 |
$1,695 |
0.2× |
Repair mouth/nose fistula (30600) likely a partial charge, not the full procedure |
$997.50 |
$1,425 |
0.2× |
| Repair nasal septal perforations (30630) |
$1,078 |
$1,540 |
0.4× |
Repair Nasal Vestibular Stenosis (30465) unusually low: confirm this is the full procedure |
$1,711.50 |
$2,445 |
0.3× |
Repair Non/Malunion Humerus W/O Graft (24430) likely a partial charge, not the full procedure |
$1,886.50 |
$2,695 |
0.2× |
Repair Nonunion Carpal Bone Each Bone (25431) likely a partial charge, not the full procedure |
$1,407 |
$2,010 |
0.2× |
Repair Nonunion Hand (26546) likely a partial charge, not the full procedure |
$1,680 |
$2,400 |
0.3× |
Repair Nonunion/Malunion Tarsal Bones (28320) likely a partial charge, not the full procedure |
$1,162 |
$1,660 |
0.1× |
Repair Nonunion/Malunion Tibia W/O Graft (27720) likely a partial charge, not the full procedure |
$1,589 |
$2,270 |
0.2× |
Repair nose to lip fistula (42260) likely a partial charge, not the full procedure |
$1,463 |
$2,090 |
0.3× |
| Repair of anal fistula with fibrin glue (46706) |
$294 |
$420 |
0.1× |
| Repair of anal sphincter (46760) |
$1,890 |
$2,700 |
0.8× |
Repair of arm tendon (24320) likely a partial charge, not the full procedure |
$1,389.50 |
$1,985 |
0.2× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,088.50 |
$1,555 |
0.2× |
| Repair of congenital pseudarthrosis, tibia Facility (27727) |
$1,778 |
$2,540 |
0.6× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$2,026.50 |
$2,895 |
0.7× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$889 |
$1,270 |
0.2× |
| Repair of entropion; thermocauterization (67922) |
$542.50 |
$775 |
0.3× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$1,088.50 |
$1,555 |
0.4× |
| Repair of fibula epiphysis (27732) |
$714 |
$1,020 |
0.2× |
Repair of fibula nonunion and/or malunion with internal fixation (27726) likely a partial charge, not the full procedure |
$1,655.50 |
$2,365 |
0.3× |
| Repair of hammertoe (28286) |
$763 |
$1,090 |
0.3× |
| Repair of hydrocele (55060) |
$752.50 |
$1,075 |
0.2× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$1,134 |
$1,620 |
0.4× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$2,079 |
$2,970 |
0.4× |
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) likely a partial charge, not the full procedure |
$1,967 |
$2,810 |
0.2× |
Repair of knee ligaments (27409) likely a partial charge, not the full procedure |
$1,739.50 |
$2,485 |
0.3× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$784 |
$1,120 |
0.4× |
Repair of leg nerve (64840) likely a partial charge, not the full procedure |
$1,641.50 |
$2,345 |
0.2× |
Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,323 |
$1,890 |
0.2× |
| Repair of nail bed (11760) |
$290.50 |
$415 |
0.4× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) unusually low: confirm this is the full procedure |
$2,222.50 |
$3,175 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) unusually low: confirm this is the full procedure |
$1,988 |
$2,840 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$1,557.50 |
$2,225 |
0.2× |
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) unusually low: confirm this is the full procedure |
$2,177 |
$3,110 |
0.3× |
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) likely a partial charge, not the full procedure |
$1,589 |
$2,270 |
0.2× |
| Repair of rectocele (45560) |
$1,277.50 |
$1,825 |
0.5× |
| Repair of rectum (45505) |
$980 |
$1,400 |
0.4× |
Repair of Ruptured Tendon (24342) likely a partial charge, not the full procedure |
$1,410.50 |
$2,015 |
0.2× |
| Repair of scleral staphyloma with graft Facility (66225) |
$1,508.50 |
$2,155 |
0.3× |
Repair of shoulder (23420) likely a partial charge, not the full procedure |
$1,757 |
$2,510 |
0.3× |
Repair of sternum separation (21750) likely a partial charge, not the full procedure |
$1,319.50 |
$1,885 |
0.2× |
| Repair of urethra injury (53502) |
$976.50 |
$1,395 |
0.3× |
| Repair of web finger (26562) |
$2,306.50 |
$3,295 |
0.8× |
| Repair of web finger (26560) |
$973 |
$1,390 |
0.7× |
| Repair of web finger (26561) |
$1,582 |
$2,260 |
0.5× |
| Repair of windpipe (31755) |
$2,933 |
$4,190 |
0.5× |
Repair of windpipe (31750) unusually low: confirm this is the full procedure |
$2,331 |
$3,330 |
0.4× |
| Repair of windpipe defect (31825) |
$1,043 |
$1,490 |
0.3× |
| Repair oval window fistula (69666) |
$1,417.50 |
$2,025 |
0.5× |
Repair palate (42235) likely a partial charge, not the full procedure |
$1,295 |
$1,850 |
0.2× |
Repair paravag defect lap (57423) likely a partial charge, not the full procedure |
$1,732.50 |
$2,475 |
0.2× |
Repair paravag defect vag (57285) likely a partial charge, not the full procedure |
$1,242.50 |
$1,775 |
0.2× |
Repair radius & ulna (25415) likely a partial charge, not the full procedure |
$1,865.50 |
$2,665 |
0.3× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$1,274 |
$1,820 |
0.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$1,050 |
$1,500 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$1,354.50 |
$1,935 |
0.2× |
| Repair retinal detach cplx (67113) |
$2,859.50 |
$4,085 |
0.6× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$1,970.50 |
$2,815 |
0.5× |
Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$1,571.50 |
$2,245 |
0.2× |
| Repair round window fistula (69667) |
$1,421 |
$2,030 |
0.5× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,312.50 |
$1,875 |
0.2× |
Repair shoulder capsule (23462) likely a partial charge, not the full procedure |
$1,956.50 |
$2,795 |
0.3× |
Repair shoulder capsule (23466) unusually low: confirm this is the full procedure |
$2,005.50 |
$2,865 |
0.3× |
| Repair Spica/Body/Jacket Cast (29720) |
$133 |
$190 |
0.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$763 |
$1,090 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,274 |
$1,820 |
0.2× |
| Repair Toe Dislocation (28645) |
$1,057 |
$1,510 |
0.4× |
| Repair tongue laceration (41252) |
$518 |
$740 |
2.4× |
| Repair tongue laceration (41250) |
$268.10 |
$383 |
0.7× |
| Repair Tooth Socket (41874) |
$619.50 |
$885 |
0.2× |
| Repair umbilical lesion (49600) |
$1,284.50 |
$1,835 |
0.4× |
Repair uro sphincter (53449) likely a partial charge, not the full procedure |
$1,232 |
$1,760 |
0.1× |
| Repair webbed toe(s) (28345) |
$973 |
$1,390 |
0.7× |
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) unusually low: confirm this is the full procedure |
$1,687 |
$2,410 |
0.3× |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
$2,016 |
$2,880 |
0.7× |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
$1,641.50 |
$2,345 |
1.2× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) likely a partial charge, not the full procedure |
$752.50 |
$1,075 |
0.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$1,053.50 |
$1,505 |
0.3× |
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) likely a partial charge, not the full procedure |
$1,365 |
$1,950 |
0.2× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) unusually low: confirm this is the full procedure |
$2,320.50 |
$3,315 |
0.4× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) unusually low: confirm this is the full procedure |
$2,145.50 |
$3,065 |
0.3× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$889 |
$1,270 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,204 |
$1,720 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$1,078 |
$1,540 |
0.4× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$1,284.50 |
$1,835 |
0.4× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) likely a partial charge, not the full procedure |
$1,193.50 |
$1,705 |
0.2× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
Repair/graft femur head/neck (27170) unusually low: confirm this is the full procedure |
$2,156 |
$3,080 |
0.3× |
| Repair/graft finger tendon (26428) |
$1,284.50 |
$1,835 |
0.4× |
Repair/Graft Wrist Bone (25440) likely a partial charge, not the full procedure |
$1,393 |
$1,990 |
0.2× |
Repair/Revise Wrist Joint (25320) likely a partial charge, not the full procedure |
$1,694 |
$2,420 |
0.3× |
Repair/transpose nerve (64856) likely a partial charge, not the full procedure |
$1,827 |
$2,610 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,235.50 |
$1,765 |
1.5× |
Replace elbow joint (24363) likely a partial charge, not the full procedure |
$2,702 |
$3,860 |
0.2× |
| Replace eye fluid (67025) |
$1,151.50 |
$1,645 |
0.6× |
| Replace G-J Tube Perc (49452) |
$1,561 |
$2,230 |
1.9× |
| Replace g/c tube perc (49450) |
$1,291.50 |
$1,845 |
1.6× |
Replace/Revise Brain Shunt (62230) likely a partial charge, not the full procedure |
$1,477 |
$2,110 |
0.2× |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
$689.50 |
$985 |
0.4× |
Replacement Tissue Expander W/Permanent Implant (11970) likely a partial charge, not the full procedure |
$1,053.50 |
$1,505 |
0.2× |
| Replantation digit complete (20822) |
$3,475.50 |
$4,965 |
2.4× |
Replantation Hand Complete Amputation (20808) unusually low: confirm this is the full procedure |
$7,409.50 |
$10,585 |
0.5× |
Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation Facility (20802) likely a partial charge, not the full procedure |
$4,490.50 |
$6,415 |
0.3× |
| Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) |
$4,091.50 |
$5,845 |
2.8× |
Replantation, foot, complete amputation Facility (20838) likely a partial charge, not the full procedure |
$4,473 |
$6,390 |
0.3× |
Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation Facility (20805) unusually low: confirm this is the full procedure |
$5,498.50 |
$7,855 |
0.3× |
| Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) |
$4,081 |
$5,830 |
2.8× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
$3,594.50 |
$5,135 |
2.5× |
| Reposition Gastrostomy Tube (43761) |
$847.70 |
$1,211 |
3.7× |
| Reposition L Ventric Lead (33226) |
$980 |
$1,400 |
0.3× |
| Reposition Pacing-Defib Lead (33215) |
$2,905.70 |
$4,151 |
1.0× |
| Reposition Venous Catheter (36597) |
$234.50 |
$335 |
0.2× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$1,214.50 |
$1,735 |
0.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,242.50 |
$1,775 |
0.4× |
Repr Elbw Med Ligmnt W/Tiss (24345) likely a partial charge, not the full procedure |
$1,235.50 |
$1,765 |
0.2× |
Repr torn cruciate knee ligam (27407) likely a partial charge, not the full procedure |
$1,382.50 |
$1,975 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,109.50 |
$1,585 |
0.3× |
| Resect back tum < 5 cm (21935) |
$2,107 |
$3,010 |
0.8× |
| Resect enlarged toe (28341) |
$1,218 |
$1,740 |
0.4× |
| Resect enlarged toe tissue (28340) |
$1,053.50 |
$1,505 |
0.4× |
| Resect hip/pelv tum < 5 cm (27049) |
$1,806 |
$2,580 |
0.7× |
| Resect leg/ankle tum < 5 cm (27615) |
$1,589 |
$2,270 |
0.6× |
| Resect shoulder tumor < 5 cm (23077) |
$2,135 |
$3,050 |
0.8× |
| Resect thigh/knee tum < 5 cm (27329) |
$1,872.50 |
$2,675 |
0.7× |
| Resection of elbow joint (arthrectomy) Facility (24155) |
$1,526 |
$2,180 |
0.5× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$3,220 |
$4,600 |
0.6× |
| Resection of scrotum (55150) |
$973 |
$1,390 |
0.3× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$668.50 |
$955 |
0.2× |
Resection, humeral head Facility (23195) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$644 |
$920 |
0.2× |
Resection/transplantation long tendon biceps (23440) likely a partial charge, not the full procedure |
$1,375.50 |
$1,965 |
0.2× |
| Retrobulbar inject,alcohol (67505) |
$147 |
$210 |
0.5× |
| Retrobulbar injection (67500) |
$154 |
$220 |
0.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$556.50 |
$795 |
0.2× |
| Revise Abdomen-Venous Shunt (49426) |
$1,158.50 |
$1,655 |
0.4× |
Revise cornea with implant (65770) likely a partial charge, not the full procedure |
$2,303 |
$3,290 |
0.2× |
| Revise external ear (69300) |
$1,123.50 |
$1,605 |
0.4× |
| Revise eye (65091) |
$1,018.50 |
$1,455 |
0.3× |
| Revise eye with implant (65093) |
$1,018.50 |
$1,455 |
0.3× |
| Revise eyelashes (67835) |
$714 |
$1,020 |
0.3× |
| Revise eyelashes (67825) |
$206.50 |
$295 |
0.7× |
| Revise eyelid lining (68360) |
$836.50 |
$1,195 |
0.2× |
| Revise finger joint each (26140) |
$878.50 |
$1,255 |
0.6× |
| Revise graft w/vein (35884) |
$2,548 |
$3,640 |
0.5× |
| Revise Hand/Foot Nerve (64704) |
$602 |
$860 |
0.3× |
| Revise hernia & sperm veins (55540) |
$945 |
$1,350 |
0.3× |
Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$938 |
$1,340 |
0.1× |
Revise lower leg tendon (27690) likely a partial charge, not the full procedure |
$1,155 |
$1,650 |
0.2× |
| Revise Lower Leg Tendons (27686) |
$1,018.50 |
$1,455 |
0.3× |
Revise palsy hand tendon(s) (25315) likely a partial charge, not the full procedure |
$1,477 |
$2,110 |
0.2× |
| Revise penis/urethra (54328) |
$1,890 |
$2,700 |
0.6× |
| Revise penis/urethra (54332) |
$2,068.50 |
$2,955 |
0.6× |
| Revise penis/urethra (54336) |
$2,373 |
$3,390 |
0.7× |
Revise radius & ulna (25365) likely a partial charge, not the full procedure |
$1,739.50 |
$2,485 |
0.1× |
| Revise thumb tendon (26496) |
$1,494.50 |
$2,135 |
0.5× |
| Revise ulnar nerve at wrist (64719) |
$693 |
$990 |
0.4× |
| Revise ureter (50727) |
$1,004.50 |
$1,435 |
0.3× |
| Revise Wrist/Forearm Tendon (25280) |
$1,092 |
$1,560 |
0.4× |
Revise/Implant Finger Joint (26536) likely a partial charge, not the full procedure |
$1,148 |
$1,640 |
0.2× |
| Revise/remove neuroelectrode (61880) |
$959 |
$1,370 |
0.3× |
| Revise/Repair Finger/Toe Nerve (64702) |
$812 |
$1,160 |
0.5× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$917 |
$1,310 |
0.3× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) likely a partial charge, not the full procedure |
$3,636.50 |
$5,195 |
0.2× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) likely a partial charge, not the full procedure |
$3,692.50 |
$5,275 |
0.2× |
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) unusually low: confirm this is the full procedure |
$1,921.50 |
$2,745 |
0.4× |
Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) unusually low: confirm this is the full procedure |
$2,219 |
$3,170 |
0.4× |
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) unusually low: confirm this is the full procedure |
$1,981 |
$2,830 |
0.4× |
Revision of big toe (28310) likely a partial charge, not the full procedure |
$903 |
$1,290 |
0.1× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$1,851.50 |
$2,645 |
0.6× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$2,079 |
$2,970 |
0.6× |
| Revision of eyelid (67880) |
$721 |
$1,030 |
0.3× |
| Revision of foot (28116) |
$1,281 |
$1,830 |
0.4× |
Revision of foot and ankle (28262) unusually low: confirm this is the full procedure |
$2,394 |
$3,420 |
0.4× |
Revision of foot bones (28737) likely a partial charge, not the full procedure |
$1,309 |
$1,870 |
0.1× |
| Revision of foot fascia (28250) |
$955.50 |
$1,365 |
0.3× |
Revision of humerus (24400) likely a partial charge, not the full procedure |
$1,480.50 |
$2,115 |
0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,792 |
$2,560 |
0.6× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$679 |
$970 |
0.2× |
Revision of knee joint (27442) likely a partial charge, not the full procedure |
$1,571.50 |
$2,245 |
0.1× |
Revision of larynx (31400) unusually low: confirm this is the full procedure |
$1,739.50 |
$2,485 |
0.3× |
| Revision of leg vein (37780) |
$493.50 |
$705 |
0.2× |
| Revision of lower leg tendon (27685) |
$1,088.50 |
$1,555 |
0.4× |
| Revision of neck muscle (21720) |
$735 |
$1,050 |
0.2× |
| Revision of nose (30462) |
$2,716 |
$3,880 |
0.5× |
| Revision of penis (54300) |
$1,309 |
$1,870 |
0.4× |
| Revision of penis (54304) |
$1,533 |
$2,190 |
0.5× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$2,947 |
$4,210 |
0.6× |
Revision of reconstructed breast (19380) likely a partial charge, not the full procedure |
$1,351 |
$1,930 |
0.2× |
| Revision of scrotum (55180) |
$1,375.50 |
$1,965 |
0.3× |
Revision of stapedectomy or stapedotomy Facility (69662) unusually low: confirm this is the full procedure |
$2,068.50 |
$2,955 |
0.4× |
| Revision of toe (28312) |
$822.50 |
$1,175 |
0.3× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) likely a partial charge, not the full procedure |
$2,733.50 |
$3,905 |
0.2× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) likely a partial charge, not the full procedure |
$2,845.50 |
$4,065 |
0.2× |
| Revision of tracheostomy scar (31830) |
$749 |
$1,070 |
0.2× |
| Revision of urethra (53460) |
$920.50 |
$1,315 |
0.3× |
| Revision of urethra (57220) |
$588 |
$840 |
0.1× |
| Revision of wrist joint (25450) |
$1,078 |
$1,540 |
0.4× |
| Revision Peri-Implant Capsule Breast (19370) |
$1,197 |
$1,710 |
0.3× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) unusually low: confirm this is the full procedure |
$2,415 |
$3,450 |
0.5× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) unusually low: confirm this is the full procedure |
$1,855 |
$2,650 |
0.4× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$1,197 |
$1,710 |
0.6× |
Revj Arthrp W/Removal Implant Wrist Joint (25449) likely a partial charge, not the full procedure |
$1,865.50 |
$2,665 |
0.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$1,053.50 |
$1,505 |
0.3× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,050 |
$1,500 |
0.3× |
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) unusually low: confirm this is the full procedure |
$2,061.50 |
$2,945 |
0.4× |
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) unusually low: confirm this is the full procedure |
$1,848 |
$2,640 |
0.3× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$3,594.50 |
$5,135 |
0.3× |
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$3,262 |
$4,660 |
0.2× |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$2,579.50 |
$3,685 |
0.2× |
Revj Transvns Intrahepatic Portosystemic Shunt (37183) likely a partial charge, not the full procedure |
$840 |
$1,200 |
0.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$644 |
$920 |
0.2× |
Revj/rmvl neurostimulator pulse generator (61888) likely a partial charge, not the full procedure |
$703.50 |
$1,005 |
0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$577.50 |
$825 |
0.2× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,179.50 |
$1,685 |
0.5× |
Rhinoplasty primary w/major septal repair (30420) unusually low: confirm this is the full procedure |
$2,394 |
$3,420 |
0.4× |
Rhinoplasty Secondary Intermediate Revision (30435) unusually low: confirm this is the full procedure |
$2,054.50 |
$2,935 |
0.4× |
| Rhinoplasty Secondary Major Revision (30450) |
$2,761.50 |
$3,945 |
0.5× |
Rhinoplasty Secondary Minor Revision (30430) likely a partial charge, not the full procedure |
$1,540 |
$2,200 |
0.3× |
Rhinp Dfrm W/Colum Lngth Tip Only (30460) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.3× |
Rhinp Prim Complete Xtrnl Parts (30410) unusually low: confirm this is the full procedure |
$2,124.50 |
$3,035 |
0.4× |
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) unusually low: confirm this is the full procedure |
$1,778 |
$2,540 |
0.3× |
Rib cartilage graft (21230) likely a partial charge, not the full procedure |
$1,372 |
$1,960 |
0.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,067.50 |
$1,525 |
0.6× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$619.50 |
$885 |
0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$385 |
$550 |
0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$542.50 |
$775 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$339.50 |
$485 |
0.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$178.50 |
$255 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$212.10 |
$303 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$126 |
$180 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$115.50 |
$165 |
0.3× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$693 |
$990 |
2.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$528.50 |
$755 |
0.5× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$770 |
$1,100 |
0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$784 |
$1,120 |
0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$413 |
$590 |
0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,350.30 |
$1,929 |
0.9× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$1,036 |
$1,480 |
0.5× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$1,466.50 |
$2,095 |
0.7× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$1,116.50 |
$1,595 |
0.5× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$1,277.50 |
$1,825 |
0.6× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$532 |
$760 |
0.3× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$588 |
$840 |
0.2× |
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) likely a partial charge, not the full procedure |
$1,676.50 |
$2,395 |
0.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$966 |
$1,380 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$507.50 |
$725 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$849.10 |
$1,213 |
1.5× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$756 |
$1,080 |
0.4× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$878.50 |
$1,255 |
0.4× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$206.50 |
$295 |
0.8× |
| Rmvl/revj sling stress incontinence (57287) |
$1,302 |
$1,860 |
0.4× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$1,522.50 |
$2,175 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$429.80 |
$614 |
1.9× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$899.50 |
$1,285 |
0.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$416.50 |
$595 |
0.3× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$1,911 |
$2,730 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,270.50 |
$1,815 |
0.9× |
Rplcmt compl tun ctr vad w/subq pmp (36583) unusually low: confirm this is the full procedure |
$1,869 |
$2,670 |
0.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,865.50 |
$2,665 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,337 |
$1,910 |
0.5× |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
$1,134 |
$1,620 |
0.4× |
| Rplcmt/irrigation ventricular catheter (62225) |
$868 |
$1,240 |
0.3× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$1,169 |
$1,670 |
0.3× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$1,120 |
$1,600 |
0.5× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$990.50 |
$1,415 |
0.5× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$1,169 |
$1,670 |
0.5× |
| Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) |
$847 |
$1,210 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$1,669.50 |
$2,385 |
2.6× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$787.50 |
$1,125 |
0.4× |
Rpr blvsl w/grf other/than vein lower extremity (35286) unusually low: confirm this is the full procedure |
$1,869 |
$2,670 |
0.4× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$1,589 |
$2,270 |
0.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$651 |
$930 |
0.5× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$927.50 |
$1,325 |
0.3× |
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) likely a partial charge, not the full procedure |
$654.50 |
$935 |
0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$286.30 |
$409 |
1.6× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$906.50 |
$1,295 |
0.1× |
| Rpr ing hern premie blocked (49492) |
$1,669.50 |
$2,385 |
0.5× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$696.50 |
$995 |
0.2× |
Rpr ing hernia init reduce (49500) likely a partial charge, not the full procedure |
$689.50 |
$985 |
0.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$504 |
$720 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$395.50 |
$565 |
1.8× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$1,106 |
$1,580 |
0.5× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$420 |
$600 |
0.2× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$1,690.50 |
$2,415 |
0.4× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$889 |
$1,270 |
0.2× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$1,078 |
$1,540 |
0.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$819 |
$1,170 |
1.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$696.50 |
$995 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$969.50 |
$1,385 |
0.7× |
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) unusually low: confirm this is the full procedure |
$2,352 |
$3,360 |
0.4× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) likely a partial charge, not the full procedure |
$1,067.50 |
$1,525 |
0.2× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$1,386 |
$1,980 |
0.7× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$2,628.50 |
$3,755 |
0.7× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$952 |
$1,360 |
0.5× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$1,039.50 |
$1,485 |
0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$791 |
$1,130 |
0.3× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$1,193.50 |
$1,705 |
0.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$955.50 |
$1,365 |
0.3× |
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) likely a partial charge, not the full procedure |
$1,064 |
$1,520 |
0.2× |
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) likely a partial charge, not the full procedure |
$990.50 |
$1,415 |
0.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$290.50 |
$415 |
0.5× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$791 |
$1,130 |
0.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$990.50 |
$1,415 |
0.3× |
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) likely a partial charge, not the full procedure |
$1,382.50 |
$1,975 |
0.2× |
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) likely a partial charge, not the full procedure |
$1,575 |
$2,250 |
0.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,802.50 |
$2,575 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$1,491 |
$2,130 |
0.5× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$1,316 |
$1,880 |
0.4× |
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) likely a partial charge, not the full procedure |
$1,533 |
$2,190 |
0.2× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$1,452.50 |
$2,075 |
0.5× |
| Salpingostomy (salpingoneostomy) (58770) |
$1,578.50 |
$2,255 |
0.5× |
| Saphenopopliteal vein anastomosis Facility (34530) |
$1,904 |
$2,720 |
0.7× |
Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) likely a partial charge, not the full procedure |
$1,760.50 |
$2,515 |
0.3× |
| Scleral reinforcement (separate procedure); without graft Facility (67250) |
$1,267 |
$1,810 |
0.6× |
| Scleral Reinforcement Spx W/Graft (67255) |
$1,351 |
$1,930 |
0.4× |
| Scrotal exploration (55110) |
$766.50 |
$1,095 |
0.2× |
| Scrotoplasty Simple (55175) |
$721 |
$1,030 |
0.2× |
Secondary revision of orbitocraniofacial reconstruction Facility (21275) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.3× |
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) likely a partial charge, not the full procedure |
$1,053.50 |
$1,505 |
0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$1,039.50 |
$1,485 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$941.50 |
$1,345 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$997.50 |
$1,425 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
$1,067.50 |
$1,525 |
0.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) |
$962.50 |
$1,375 |
0.3× |
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) likely a partial charge, not the full procedure |
$1,344 |
$1,920 |
0.2× |
Sequestrectomy Olecranon Process (24138) likely a partial charge, not the full procedure |
$1,165.50 |
$1,665 |
0.2× |
| Sever cranial nerve (64771) |
$1,053.50 |
$1,505 |
0.6× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$507.50 |
$725 |
1.0× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$1,060.50 |
$1,515 |
0.3× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$945 |
$1,350 |
0.5× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$1,004.50 |
$1,435 |
0.5× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$766.50 |
$1,095 |
0.4× |
| Severing tarsorrhaphy (67710) |
$350 |
$500 |
0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,111.60 |
$1,588 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,205.40 |
$1,722 |
1.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$115.50 |
$165 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$143.50 |
$205 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$266 |
$380 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$122.50 |
$175 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$164.50 |
$235 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$196 |
$280 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$220.50 |
$315 |
0.6× |
Shorten radius & ulna (25392) likely a partial charge, not the full procedure |
$1,918 |
$2,740 |
0.3× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$1,057 |
$1,510 |
0.4× |
Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$969.50 |
$1,385 |
0.1× |
| Shoulder arthroscopy diagnostic (29805) |
$833 |
$1,190 |
0.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,046.50 |
$1,495 |
0.4× |
| Shoulder joint surgery (23101) |
$791 |
$1,130 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$182 |
$260 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$210 |
$300 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$157.50 |
$225 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$224 |
$320 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$189 |
$270 |
1.0× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$395.50 |
$565 |
0.1× |
| Sigmoidoscopy & decompress (45337) |
$269.50 |
$385 |
0.3× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,210.30 |
$1,729 |
1.4× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,244.60 |
$1,778 |
1.1× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$455 |
$650 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$1,133.30 |
$1,619 |
1.0× |
| Sigmoidoscopy W/Ultrasound (45341) |
$297.50 |
$425 |
0.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,035.30 |
$1,479 |
1.2× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,458.10 |
$2,083 |
1.3× |
| Simple Cystometrogram (51725) |
$420 |
$600 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$352.80 |
$504 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$245.70 |
$351 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$259 |
$370 |
1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$428.40 |
$612 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$271.60 |
$388 |
1.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$487.90 |
$697 |
2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$237.30 |
$339 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$319.90 |
$457 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$268.10 |
$383 |
1.5× |
Sinusotomy frontal; external, simple (trephine operation) Facility (31070) likely a partial charge, not the full procedure |
$742 |
$1,060 |
0.1× |
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) unusually low: confirm this is the full procedure |
$1,953 |
$2,790 |
0.4× |
Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) unusually low: confirm this is the full procedure |
$1,946 |
$2,780 |
0.4× |
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) unusually low: confirm this is the full procedure |
$1,767.50 |
$2,525 |
0.3× |
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) unusually low: confirm this is the full procedure |
$2,061.50 |
$2,945 |
0.4× |
Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) unusually low: confirm this is the full procedure |
$2,191 |
$3,130 |
0.4× |
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) unusually low: confirm this is the full procedure |
$2,173.50 |
$3,105 |
0.4× |
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) likely a partial charge, not the full procedure |
$1,361.50 |
$1,945 |
0.3× |
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) likely a partial charge, not the full procedure |
$1,176 |
$1,680 |
0.2× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) likely a partial charge, not the full procedure |
$990.50 |
$1,415 |
0.2× |
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) likely a partial charge, not the full procedure |
$850.50 |
$1,215 |
0.2× |
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) likely a partial charge, not the full procedure |
$1,113 |
$1,590 |
0.2× |
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) unusually low: confirm this is the full procedure |
$1,722 |
$2,460 |
0.3× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,564.50 |
$2,235 |
0.8× |
| Skin graft, harvest cultured tissue (15040) |
$430.50 |
$615 |
0.2× |
| Skin Pedicle Flap Trunk (15570) |
$1,519 |
$2,170 |
0.8× |
| Skin Pinch Graft (15050) |
$917 |
$1,310 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$724.50 |
$1,035 |
0.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,375.50 |
$1,965 |
0.3× |
| Slitting of prepuce (54001) |
$1,975.40 |
$2,822 |
1.0× |
| Slitting of prepuce (54000) |
$304.50 |
$435 |
0.1× |
| Small bowel endoscopy (44366) |
$493.50 |
$705 |
0.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$507.50 |
$725 |
0.3× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) likely a partial charge, not the full procedure |
$833 |
$1,190 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$246.40 |
$352 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$305.20 |
$436 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$308.70 |
$441 |
0.8× |
| Snip Incision Lacrimal Punctum (68440) |
$171.50 |
$245 |
0.6× |
| Sperm washing artificial insemination (58323) |
$35 |
$50 |
0.2× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$1,333.50 |
$1,905 |
0.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$392 |
$560 |
0.2× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
$1,638 |
$2,340 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$557.20 |
$796 |
0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$1,613.50 |
$2,305 |
0.5× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,484 |
$2,120 |
0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$850.50 |
$1,215 |
0.3× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) unusually low: confirm this is the full procedure |
$2,156 |
$3,080 |
0.4× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) unusually low: confirm this is the full procedure |
$1,648.50 |
$2,355 |
0.3× |
| Stapes mobilization (69650) |
$1,396.50 |
$1,995 |
0.5× |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
$2,681 |
$3,830 |
0.9× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) |
$2,303 |
$3,290 |
1.3× |
| Sternal debridement (21627) |
$980 |
$1,400 |
0.3× |
| Strabismus Any Superior Oblique Muscle (67318) |
$1,130.50 |
$1,615 |
0.5× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$962.50 |
$1,375 |
0.4× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$1,078 |
$1,540 |
0.5× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$1,155 |
$1,650 |
0.3× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$1,298.50 |
$1,855 |
0.6× |
| Strapping ankle (29540) |
$77 |
$110 |
0.5× |
| Strapping elbow or wrist (29260) |
$87.50 |
$125 |
1.6× |
| Strapping hand/finger (29280) |
$87.50 |
$125 |
1.6× |
| Strapping Hip (29520) |
$87.50 |
$125 |
0.7× |
| Strapping knee (29530) |
$205.10 |
$293 |
1.7× |
| Strapping shoulder (29240) |
$105 |
$150 |
0.9× |
| Strapping thorax (29200) |
$94.50 |
$135 |
0.6× |
| Strapping toes (29550) |
$161 |
$230 |
3.0× |
| Strapping Unna Boot (29580) |
$172.20 |
$246 |
1.2× |
Stump elongation, upper extremity Facility (24935) likely a partial charge, not the full procedure |
$1,851.50 |
$2,645 |
0.3× |
| Subconjunctival injection (68200) |
$70 |
$100 |
0.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$189 |
$270 |
0.5× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$133 |
$190 |
0.7× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$175 |
$250 |
0.3× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$283.50 |
$405 |
0.4× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$248.50 |
$355 |
0.4× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$196 |
$280 |
0.3× |
| Submucosal abltj tongue rf 1/> sites pr session (41530) |
$5,082 |
$7,260 |
1.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$724.50 |
$1,035 |
0.2× |
| Subtalar arthro w/deb (29906) |
$1,253 |
$1,790 |
0.4× |
Subtalar arthro w/exc (29905) likely a partial charge, not the full procedure |
$1,190 |
$1,700 |
0.2× |
Suprahyoid lymphadenectomy (38700) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.2× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$742 |
$1,060 |
0.2× |
Surg Implnt Neuroelect,Epidural (63655) likely a partial charge, not the full procedure |
$1,498 |
$2,140 |
0.1× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$801.50 |
$1,145 |
0.3× |
| Surg tx anal fistula subq (46270) |
$777 |
$1,110 |
0.3× |
Surgery to stop leg growth (27479) likely a partial charge, not the full procedure |
$1,711.50 |
$2,445 |
0.3× |
Surgery to stop leg growth (27477) likely a partial charge, not the full procedure |
$1,319.50 |
$1,885 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$826 |
$1,180 |
0.3× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$591.50 |
$845 |
0.3× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$1,337 |
$1,910 |
0.4× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$1,449 |
$2,070 |
0.5× |
| Suture 1 Nerve Ulnar Motor (64836) |
$1,449 |
$2,070 |
0.5× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,204 |
$1,720 |
0.7× |
Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) unusually low: confirm this is the full procedure |
$2,222.50 |
$3,175 |
0.4× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,043 |
$1,490 |
0.2× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$994 |
$1,420 |
0.5× |
Suture of facial nerve; extracranial Facility (64864) likely a partial charge, not the full procedure |
$1,571.50 |
$2,245 |
0.2× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$2,061.50 |
$2,945 |
0.7× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) likely a partial charge, not the full procedure |
$1,431.50 |
$2,045 |
0.2× |
Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure |
$1,120 |
$1,600 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) likely a partial charge, not the full procedure |
$1,484 |
$2,120 |
0.2× |
| Suture of sciatic nerve (64858) |
$2,215.50 |
$3,165 |
1.3× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
$696.50 |
$995 |
0.2× |
| Suture of; brachial plexus Facility (64861) |
$2,513 |
$3,590 |
1.4× |
| Suture of; lumbar plexus Facility (64862) |
$2,471 |
$3,530 |
0.8× |
| Suture pharynx for wound or injury (42900) |
$630 |
$900 |
0.4× |
| Suture/repair testicular injury (54670) |
$812 |
$1,160 |
0.3× |
| Sympathectomy cervical (64802) |
$1,099 |
$1,570 |
0.6× |
| Sympathectomy, cervicothoracic Facility (64804) |
$1,680 |
$2,400 |
1.0× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$1,347.50 |
$1,925 |
0.8× |
| Sympathectomy; superficial palmar arch (64823) |
$1,365 |
$1,950 |
0.5× |
| Sympathectomy; ulnar artery (64822) |
$1,200.50 |
$1,715 |
0.4× |
| Syndactylization toes (28280) |
$885.50 |
$1,265 |
0.3× |
| Synovectomy carpometacarpal joint (26130) |
$794.50 |
$1,135 |
0.3× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$763 |
$1,090 |
0.3× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$899.50 |
$1,285 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$889 |
$1,270 |
0.3× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$966 |
$1,380 |
0.3× |
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) likely a partial charge, not the full procedure |
$857.50 |
$1,225 |
0.1× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$892.50 |
$1,275 |
0.6× |
Talectomy (astragalectomy) Facility (28130) likely a partial charge, not the full procedure |
$1,169 |
$1,670 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$163.11 |
$233.02 |
0.4× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$311.50 |
$445 |
0.5× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$357 |
$510 |
0.5× |
Temple bone implant revision (69717) unusually low: confirm this is the full procedure |
$2,019.50 |
$2,885 |
0.3× |
| Temporary Closure Eyelids Suture (67875) |
$276.50 |
$395 |
0.3× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$1,022 |
$1,460 |
0.3× |
| Tendon shortening (26477) |
$983.50 |
$1,405 |
0.3× |
| Tendon transfer with graft (26492) |
$1,512 |
$2,160 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,186.50 |
$1,695 |
0.4× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,375.50 |
$1,965 |
0.5× |
| Tenodesis distal joint each (26474) |
$997.50 |
$1,425 |
0.7× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,330 |
$1,900 |
0.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
$1,046.50 |
$1,495 |
0.4× |
| Tenodesis Wrist Extensors Fingers (25301) |
$1,151.50 |
$1,645 |
0.4× |
| Tenodesis Wrist Flexors Fingers (25300) |
$1,207.50 |
$1,725 |
0.4× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$1,305.50 |
$1,865 |
0.4× |
| Tenolysis extensor foot single tendon (28225) |
$654.50 |
$935 |
0.2× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$878.50 |
$1,255 |
0.3× |
| Tenolysis flexor foot single tendon (28220) |
$756 |
$1,080 |
0.5× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$1,613.50 |
$2,305 |
0.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,057 |
$1,510 |
0.7× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$780.50 |
$1,115 |
0.3× |
| Tenolysis Triceps (24332) |
$1,067.50 |
$1,525 |
0.4× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$976.50 |
$1,395 |
0.3× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$787.50 |
$1,125 |
0.3× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$1,018.50 |
$1,455 |
0.3× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$931 |
$1,330 |
0.3× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$791 |
$1,130 |
0.5× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$661.50 |
$945 |
0.5× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$679 |
$970 |
0.5× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$686 |
$980 |
0.2× |
| Tenotomy Hip Abd/Ext Open (27006) |
$1,323 |
$1,890 |
0.4× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$451.50 |
$645 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,203.60 |
$3,148 |
1.5× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$539 |
$770 |
0.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$616 |
$880 |
0.4× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$668.50 |
$955 |
0.2× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$826 |
$1,180 |
0.3× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,130.50 |
$1,615 |
0.2× |
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) likely a partial charge, not the full procedure |
$1,029 |
$1,470 |
0.2× |
| Tenotomy, hip flexor(s), open (27005) |
$1,312.50 |
$1,875 |
0.4× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$836.50 |
$1,195 |
0.3× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$1,015 |
$1,450 |
0.3× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$773.50 |
$1,105 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$588 |
$840 |
0.4× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$3,766 |
$5,380 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$178.50 |
$255 |
0.1× |
| Therapeutic Apheresis White Blood Cells (36511) |
$175 |
$250 |
0.1× |
| Therapeutic plasma exchange (36514) |
$906.50 |
$1,295 |
0.6× |
| Therapeutic pneumothorax (32960) |
$259 |
$370 |
0.5× |
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) likely a partial charge, not the full procedure |
$910 |
$1,300 |
0.2× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) likely a partial charge, not the full procedure |
$952 |
$1,360 |
0.1× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) likely a partial charge, not the full procedure |
$602 |
$860 |
0.1× |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) likely a partial charge, not the full procedure |
$1,179.50 |
$1,685 |
0.2× |
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) unusually low: confirm this is the full procedure |
$1,897 |
$2,710 |
0.4× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$1,449 |
$2,070 |
0.5× |
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) likely a partial charge, not the full procedure |
$889 |
$1,270 |
0.2× |
Thrmbc/Nfs Dialysis Circuit (36906) unusually low: confirm this is the full procedure |
$5,379.50 |
$7,685 |
0.3× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$2,082.50 |
$2,975 |
3.7× |
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) unusually low: confirm this is the full procedure |
$1,781.50 |
$2,545 |
0.4× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) unusually low: confirm this is the full procedure |
$1,984.50 |
$2,835 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$531.30 |
$759 |
1.8× |
Thumb fusion with graft (26842) likely a partial charge, not the full procedure |
$1,368.50 |
$1,955 |
0.2× |
| Thyroid biopsy (60100) |
$213.50 |
$305 |
0.3× |
Thyroidectomy Post Prev Thyr Surg (60260) unusually low: confirm this is the full procedure |
$1,988 |
$2,840 |
0.4× |
Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$1,767.50 |
$2,525 |
0.3× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) unusually low: confirm this is the full procedure |
$2,383.50 |
$3,405 |
0.4× |
Tibial Arthroscopy/Surgery (29855) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,337 |
$1,910 |
0.7× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$1,288 |
$1,840 |
0.4× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$1,221.50 |
$1,745 |
0.7× |
Tissue Expander Placement Breast Reconstruction (19357) likely a partial charge, not the full procedure |
$2,726.50 |
$3,895 |
0.2× |
Tlh uterus over 250 g (58572) likely a partial charge, not the full procedure |
$2,142 |
$3,060 |
0.2× |
| Tnot elbow lateral/medial debride open (24358) |
$917 |
$1,310 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,162 |
$1,660 |
0.4× |
Tongue suspension (41512) likely a partial charge, not the full procedure |
$1,078 |
$1,540 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$549.50 |
$785 |
0.2× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) likely a partial charge, not the full procedure |
$3,115 |
$4,450 |
0.2× |
Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,828 |
$4,040 |
0.2× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) unusually low: confirm this is the full procedure |
$1,662.50 |
$2,375 |
0.3× |
| Trabeculoplasty by laser surgery (65855) |
$546 |
$780 |
1.1× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$143.50 |
$205 |
0.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$563.50 |
$805 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$325.50 |
$465 |
0.7× |
Tracheostoma Revj Cplx W/Flap Rotation (31614) likely a partial charge, not the full procedure |
$1,274 |
$1,820 |
0.2× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$766.50 |
$1,095 |
0.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$353.50 |
$505 |
1.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$427 |
$610 |
0.3× |
Tracheostomy Fenestration W/Skin Flaps (31610) likely a partial charge, not the full procedure |
$1,253 |
$1,790 |
0.2× |
| Tracheostomy planned (31600) |
$752.50 |
$1,075 |
0.3× |
Tracheostomy Planned Under 2 Years Spx (31601) likely a partial charge, not the full procedure |
$493.50 |
$705 |
0.1× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$717.50 |
$1,025 |
2.6× |
Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$472.50 |
$675 |
0.1× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$518 |
$740 |
0.2× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$969.50 |
$1,385 |
0.5× |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) |
$1,123.50 |
$1,605 |
0.6× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$742 |
$1,060 |
0.4× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
$826 |
$1,180 |
0.5× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$735 |
$1,050 |
0.4× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$812 |
$1,160 |
0.5× |
| Transection or avulsion of; mental nerve Facility (64736) |
$689.50 |
$985 |
0.4× |
| Transection or avulsion of; phrenic nerve Facility (64746) |
$794.50 |
$1,135 |
0.4× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$682.50 |
$975 |
0.4× |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
$836.50 |
$1,195 |
0.5× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$1,018.50 |
$1,455 |
0.6× |
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) likely a partial charge, not the full procedure |
$1,473.50 |
$2,105 |
0.2× |
| Transfer iliopsoas; to femoral neck Facility (27111) |
$1,543.50 |
$2,205 |
0.5× |
| Transfer of embryo (58976) |
$479.50 |
$685 |
1.7× |
Transfer of iliopsoas muscle (27110) likely a partial charge, not the full procedure |
$1,725.50 |
$2,465 |
0.3× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$2,009 |
$2,870 |
0.7× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
$1,536.50 |
$2,195 |
0.5× |
| Transfer skin pedicle flap (15650) |
$864.50 |
$1,235 |
0.5× |
| Transfer, adductor to ischium Facility (27098) |
$1,109.50 |
$1,585 |
0.4× |
Transfer, finger to another position without microvascular anastomosis Facility (26555) unusually low: confirm this is the full procedure |
$2,408 |
$3,440 |
0.4× |
| Transfer, free toe joint, with microvascular anastomosis Facility (26556) |
$5,208 |
$7,440 |
0.8× |
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) likely a partial charge, not the full procedure |
$1,214.50 |
$1,735 |
0.2× |
| Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Facility (26551) |
$5,824 |
$8,320 |
0.9× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double Facility (26554) |
$6,681.50 |
$9,545 |
1.0× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single Facility (26553) |
$5,036.50 |
$7,195 |
0.8× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$1,393 |
$1,990 |
0.5× |
| Transfusion Intrauterine Fetal (36460) |
$665 |
$950 |
1.7× |
| Transmetacarpal amputation; Facility (25927) |
$1,361.50 |
$1,945 |
0.5× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$1,239 |
$1,770 |
0.4× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$997.50 |
$1,425 |
0.5× |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) unusually low: confirm this is the full procedure |
$2,919 |
$4,170 |
0.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$1,536.50 |
$2,195 |
0.3× |
| Transplant hand tendon (26480) |
$1,284.50 |
$1,835 |
0.4× |
Transplant of thigh tendon (27396) likely a partial charge, not the full procedure |
$1,092 |
$1,560 |
0.2× |
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) likely a partial charge, not the full procedure |
$1,610 |
$2,300 |
0.2× |
| Transplant/graft hand tendon (26483) |
$1,456 |
$2,080 |
0.5× |
| Transplant/graft palm tendon (26489) |
$1,515.50 |
$2,165 |
0.5× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$1,589 |
$2,270 |
0.5× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$721 |
$1,030 |
0.7× |
| Transur electr resection of prostate (52601) |
$1,669.50 |
$2,385 |
0.3× |
| Transurethral incision of prostate (52450) |
$938 |
$1,340 |
0.3× |
| Transurethral resection bladder neck (52500) |
$980 |
$1,400 |
0.3× |
| Transvesical ureterolithotomy Facility (51060) |
$1,165.50 |
$1,665 |
0.6× |
Treat ankle dislocation (27848) likely a partial charge, not the full procedure |
$1,512 |
$2,160 |
0.2× |
Treat Ankle Dislocation (27846) likely a partial charge, not the full procedure |
$1,333.50 |
$1,905 |
0.2× |
Treat ankle fracture (28445) likely a partial charge, not the full procedure |
$1,960 |
$2,800 |
0.3× |
| Treat Big Toe Fracture (28505) |
$1,113 |
$1,590 |
0.4× |
Treat clavicle dislocation (23530) likely a partial charge, not the full procedure |
$962.50 |
$1,375 |
0.1× |
| Treat Dental Ridge Fracture (21440) |
$878.50 |
$1,255 |
0.3× |
Treat dental ridge fracture (21445) likely a partial charge, not the full procedure |
$1,263.50 |
$1,805 |
0.2× |
Treat dislocation/fracture (23670) likely a partial charge, not the full procedure |
$1,498 |
$2,140 |
0.2× |
Treat dislocation/fracture (23680) likely a partial charge, not the full procedure |
$1,624 |
$2,320 |
0.1× |
Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.3× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$1,988 |
$2,840 |
0.2× |
Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
Treat elbow fracture (24587) likely a partial charge, not the full procedure |
$1,977.50 |
$2,825 |
0.2× |
| Treat Finger Fracture Each (26727) |
$805 |
$1,150 |
0.3× |
Treat forearm bone lesion (25035) likely a partial charge, not the full procedure |
$1,137.50 |
$1,625 |
0.2× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,589 |
$2,270 |
0.2× |
Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,260 |
$1,800 |
0.2× |
| Treat Hand Bone Lesion (26034) |
$927.50 |
$1,325 |
0.6× |
| Treat Hip Socket Fracture (27222) |
$1,767.50 |
$2,525 |
7.9× |
| Treat humerus fracture (24500) |
$570.50 |
$815 |
2.6× |
| Treat Humerus Fracture (24505) |
$1,120 |
$1,600 |
0.8× |
Treat humerus fracture (23616) likely a partial charge, not the full procedure |
$2,348.50 |
$3,355 |
0.1× |
| Treat humerus fracture (23600) |
$528.50 |
$755 |
2.4× |
| Treat knee fracture (27532) |
$1,071 |
$1,530 |
0.4× |
| Treat Knee Fracture(S) (27538) |
$791 |
$1,130 |
3.5× |
Treat kneecap dislocation (27566) likely a partial charge, not the full procedure |
$1,617 |
$2,310 |
0.2× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,354.50 |
$1,935 |
0.2× |
| Treat Knuckle Dislocation (26700) |
$299.60 |
$428 |
1.3× |
Treat lower jaw fracture (21452) likely a partial charge, not the full procedure |
$980 |
$1,400 |
0.2× |
| Treat lower leg bone lesion (27607) |
$1,106 |
$1,580 |
0.4× |
Treat lower leg dislocation (27832) likely a partial charge, not the full procedure |
$1,253 |
$1,790 |
0.2× |
| Treat metacarpal fracture (26607) |
$763 |
$1,090 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$455 |
$650 |
2.0× |
Treat midfoot fracture (28456) likely a partial charge, not the full procedure |
$472.50 |
$675 |
0.1× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,697.50 |
$2,425 |
0.3× |
| Treat skull fracture (62000) |
$1,529.50 |
$2,185 |
0.5× |
| Treat Tail Bone Fracture (27200) |
$161 |
$230 |
0.7× |
| Treat Thumb Dislocation (26641) |
$404.60 |
$578 |
1.8× |
| Treat Thumb Fracture (26645) |
$689.50 |
$985 |
0.5× |
| Treat thumb fracture (26665) |
$1,057 |
$1,510 |
0.4× |
| Treat toe dislocation (28630) |
$479.50 |
$685 |
2.1× |
| Treat Trigeminal Nerve (61790) |
$1,505 |
$2,150 |
0.9× |
| Treat vagina infection (57150) |
$94.50 |
$135 |
1.8× |
| Treat Vaginal Bleeding (57180) |
$259 |
$370 |
1.4× |
Treat/graft heel fracture (28420) likely a partial charge, not the full procedure |
$2,187.50 |
$3,125 |
0.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$794.50 |
$1,135 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$408.10 |
$583 |
1.8× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,918 |
$2,740 |
3.9× |
| Treatment mouth roof lesion (42160) |
$402.50 |
$575 |
0.1× |
| Treatment of anal fissure (46940) |
$360.50 |
$515 |
0.1× |
Treatment of ankle fracture (27823) likely a partial charge, not the full procedure |
$1,743 |
$2,490 |
0.3× |
| Treatment of foot infection (28003) |
$1,211 |
$1,730 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,222.50 |
$3,175 |
0.3× |
Treatment of nose fracture (21330) likely a partial charge, not the full procedure |
$983.50 |
$1,405 |
0.2× |
| Treatment of penis lesion (54115) |
$896 |
$1,280 |
0.3× |
| Treatment of retina (67141) |
$829.50 |
$1,185 |
2.9× |
| Treatment of retinal lesion (67208) |
$962.50 |
$1,375 |
3.3× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,652 |
$2,360 |
0.6× |
| Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) |
$1,193.50 |
$1,705 |
0.4× |
Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$1,008 |
$1,440 |
0.2× |
| Trim skin lesion (11055) |
$85.40 |
$122 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$85.40 |
$122 |
0.5× |
| Trim skin lesions over 4 (11057) |
$85.40 |
$122 |
0.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$42 |
$60 |
0.8× |
Trluml Balo Angiop 1St Art (37246) unusually low: confirm this is the full procedure |
$1,725.50 |
$2,465 |
0.3× |
Trluml Balo Angiop 1St Vein (37248) likely a partial charge, not the full procedure |
$1,200.50 |
$1,715 |
0.2× |
Trnsplj allogeneic hematopoietic cells per donor (38240) likely a partial charge, not the full procedure |
$241.50 |
$345 |
0.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$241.50 |
$345 |
0.2× |
| Trurl drainage prostatic abscess (52700) |
$871.50 |
$1,245 |
0.3× |
| Trurl rescj postop bladder neck contracture (52640) |
$609 |
$870 |
0.2× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,473.50 |
$2,105 |
0.9× |
| Tubal ligation (58600) |
$675.50 |
$965 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$770 |
$1,100 |
0.3× |
| Tx Gastro Intub W/Asp (43753) |
$216.30 |
$309 |
1.1× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,561 |
$2,230 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$581 |
$830 |
0.2× |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) unusually low: confirm this is the full procedure |
$2,313.50 |
$3,305 |
0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$682.50 |
$975 |
0.2× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$696.50 |
$995 |
0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$640.50 |
$915 |
0.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$724.50 |
$1,035 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$612.50 |
$875 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$455 |
$650 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$305.90 |
$437 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$493.50 |
$705 |
0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$353.50 |
$505 |
1.6× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$1,820 |
$2,600 |
0.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$682.50 |
$975 |
0.5× |
| Tympanolysis transcanal (69450) |
$931 |
$1,330 |
0.3× |
Tympanoplasty (69631) likely a partial charge, not the full procedure |
$1,533 |
$2,190 |
0.3× |
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) unusually low: confirm this is the full procedure |
$2,544.50 |
$3,635 |
0.5× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) unusually low: confirm this is the full procedure |
$2,401 |
$3,430 |
0.4× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) unusually low: confirm this is the full procedure |
$2,128 |
$3,040 |
0.4× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) unusually low: confirm this is the full procedure |
$2,411.50 |
$3,445 |
0.4× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$2,712.50 |
$3,875 |
0.5× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) unusually low: confirm this is the full procedure |
$2,604 |
$3,720 |
0.5× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) unusually low: confirm this is the full procedure |
$2,163 |
$3,090 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) unusually low: confirm this is the full procedure |
$2,366 |
$3,380 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) unusually low: confirm this is the full procedure |
$1,830.50 |
$2,615 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) unusually low: confirm this is the full procedure |
$1,816.50 |
$2,595 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) unusually low: confirm this is the full procedure |
$1,886.50 |
$2,695 |
0.4× |
| Tympanostomy general anesthesia (69436) |
$290.50 |
$415 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,018.50 |
$1,455 |
0.3× |
| Umbilical cord occlud w/us (59072) |
$892.50 |
$1,275 |
3.2× |
| Unlisted procedure anus (46999) |
$1,268.40 |
$1,812 |
1.5× |
| Unlisted procedure nervous system (64999) |
$3,787 |
$5,410 |
13.6× |
| Unlisted procedure stomach (43999) |
$2,432.50 |
$3,475 |
3.0× |
| Unlisted Procedure, Urinary System (53899) |
$175 |
$250 |
0.8× |
Upgrade of pacemaker system (33214) likely a partial charge, not the full procedure |
$952 |
$1,360 |
0.1× |
| Ureter endoscopy (50970) |
$770 |
$1,100 |
0.2× |
| Ureter endoscopy & biopsy (50955) |
$899.50 |
$1,285 |
0.2× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$791 |
$1,130 |
0.2× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
$878.50 |
$1,255 |
0.2× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$742 |
$1,060 |
0.2× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) |
$983.50 |
$1,405 |
0.2× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$742 |
$1,060 |
0.2× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) |
$969.50 |
$1,385 |
0.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$770 |
$1,100 |
0.2× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$1,886.50 |
$2,695 |
0.4× |
| Urethrlys Transvag W/ Scope (53500) |
$1,484 |
$2,120 |
0.5× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$815.50 |
$1,165 |
0.3× |
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) likely a partial charge, not the full procedure |
$2,044 |
$2,920 |
0.2× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$1,690.50 |
$2,415 |
0.5× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$1,459.50 |
$2,085 |
0.3× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) |
$1,480.50 |
$2,115 |
0.5× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$2,341.50 |
$3,345 |
0.5× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$1,984.50 |
$2,835 |
0.4× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) |
$1,631 |
$2,330 |
0.3× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$1,911 |
$2,730 |
0.4× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$1,911 |
$2,730 |
0.4× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$1,613.50 |
$2,305 |
0.3× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$1,778 |
$2,540 |
0.4× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$976.50 |
$1,395 |
0.2× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
$1,274 |
$1,820 |
0.3× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
$1,613.50 |
$2,305 |
0.3× |
| Urinary Reflex Study (51792) |
$434 |
$620 |
8.1× |
| Urine Flow Measurement (51736) |
$108.50 |
$155 |
0.9× |
| Uvulectomy excision of uvula (42140) |
$413 |
$590 |
0.1× |
Vag hyst complex (58290) unusually low: confirm this is the full procedure |
$2,166.50 |
$3,095 |
0.3× |
| Vag hyst incl t/o complex (58291) |
$2,355.50 |
$3,365 |
0.5× |
| Vag hyst w/t/o & vag repair (58263) |
$1,858.50 |
$2,655 |
0.4× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$1,662.50 |
$2,375 |
0.6× |
| Vaginal delivery only (59409) |
$1,943.90 |
$2,777 |
0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$1,540 |
$2,200 |
0.3× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$1,655.50 |
$2,365 |
0.4× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) unusually low: confirm this is the full procedure |
$2,481.50 |
$3,545 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
$2,289 |
$3,270 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,722 |
$2,460 |
0.4× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$875 |
$1,250 |
0.3× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
$2,618 |
$3,740 |
0.9× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$2,999.50 |
$4,285 |
1.0× |
| Vaginoplasty for intersex state Facility (57335) |
$2,170 |
$3,100 |
0.5× |
Valvuloplasty Femoral Vein (34501) unusually low: confirm this is the full procedure |
$1,869 |
$2,670 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$511 |
$730 |
0.3× |
| Vasovasostomy vasovasorrhaphy (55400) |
$1,018.50 |
$1,455 |
0.3× |
| Vein Access Cutdown < 1 Yr (36420) |
$98 |
$140 |
0.8× |
| Venous Cutdown >1 Y/O (36425) |
$77 |
$110 |
0.2× |
Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,084.50 |
$5,835 |
0.4× |
Venous valve transposition, any vein donor Facility (34510) unusually low: confirm this is the full procedure |
$2,121 |
$3,030 |
0.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$217 |
$310 |
0.1× |
| Ventricular puncture previous burr hole w/inj (61026) |
$238 |
$340 |
0.4× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
$840 |
$1,200 |
0.3× |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
$2,775.50 |
$3,965 |
0.9× |
Vestibuloplasty Anterior (40840) likely a partial charge, not the full procedure |
$1,396.50 |
$1,995 |
0.3× |
Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) unusually low: confirm this is the full procedure |
$2,607.50 |
$3,725 |
0.5× |
Vestibuloplasty Posterior Bilateral (40843) unusually low: confirm this is the full procedure |
$1,802.50 |
$2,575 |
0.3× |
| Vit for membrane dissect (67043) |
$2,611 |
$3,730 |
0.7× |
| Vitrectomy mechanical pars plana (67036) |
$1,568 |
$2,240 |
0.4× |
| Vitrectomy pars plana remove int memb retina (67042) |
$2,492 |
$3,560 |
0.7× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$2,173.50 |
$3,105 |
0.6× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$2,002 |
$2,860 |
0.5× |
| Vulvectomy simple partial (56620) |
$910 |
$1,300 |
0.3× |
| Vulvectomy simple; complete (56625) |
$1,099 |
$1,570 |
0.4× |
| Vulvectomy, radical, partial; Facility (56630) |
$1,613.50 |
$2,305 |
0.4× |
| Wedge excision skin nail fold (11765) |
$213.50 |
$305 |
0.6× |
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) likely a partial charge, not the full procedure |
$1,312.50 |
$1,875 |
0.2× |
| Wedging of cast (29740) |
$164.50 |
$235 |
0.6× |
| Wedging of clubfoot cast (29750) |
$178.50 |
$255 |
0.7× |
| Windowing of cast (29730) |
$115.50 |
$165 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$696.50 |
$995 |
1.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$574 |
$820 |
0.9× |
| Wrist arthroscopy (29840) |
$787.50 |
$1,125 |
0.3× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$882 |
$1,260 |
0.3× |
Xfer Single Deep Low Leg Tendon (27691) likely a partial charge, not the full procedure |
$1,354.50 |
$1,935 |
0.2× |
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) likely a partial charge, not the full procedure |
$294 |
$420 |
0.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$350 |
$500 |
0.2× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
$2,145.50 |
$3,065 |
1.5× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$717.50 |
$1,025 |
1.5× |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) likely a partial charge, not the full procedure |
$738.50 |
$1,055 |
0.1× |
| Xtroral I&D Floor Masticator Space (41018) |
$854 |
$1,220 |
0.6× |