| Abd paracentesis (49082) |
$405.45 |
$901 |
0.4× |
| Abd paracentesis w/imaging (49083) |
$772.65 |
$1,717 |
0.8× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Other Surgical Services (14000) |
$115.20 |
$256 |
0.1× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services (14001) |
$685.35 |
$1,523 |
0.3× |
| Amputation, metatarsal, with toe, single Other Surgical Services (28810) |
$442.80 |
$984 |
0.1× |
| Appl finger splint static (29130) |
$70.65 |
$157 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$132.30 |
$294 |
0.8× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$112.50 |
$250 |
0.4× |
| Application, cast; figure-of-eight Other Surgical Services (29049) |
$195.30 |
$434 |
0.7× |
| Apply long arm splint (29105) |
$145.35 |
$323 |
0.9× |
| Apply Lower Leg Splint (29515) |
$112.50 |
$250 |
0.7× |
| Apply multi-layer compression lower leg (29581) |
$589.05 |
$1,309 |
3.5× |
| Apply rigid leg cast (29445) |
$195.30 |
$434 |
0.7× |
| Apply short arm splint static (29125) |
$109.80 |
$244 |
0.8× |
| Arterial puncture (36600) |
$53.32 |
$118.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$108.90 |
$242 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$47.25 |
$105 |
0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$36.90 |
$82 |
0.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$148.50 |
$330 |
0.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$146.70 |
$326 |
0.7× |
| Biopsy bone open superficial (20240) |
$137.70 |
$306 |
0.0× |
| Biopsy external ear (69100) |
$129.15 |
$287 |
0.5× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$652.95 |
$1,451 |
0.7× |
| Biopsy of uterus lining (58100) |
$66.60 |
$148 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$250.65 |
$557 |
0.1× |
| Bladder irrigation (51700) |
$335.48 |
$745.50 |
1.3× |
| Bladder Scan (51798) |
$116.55 |
$259 |
1.9× |
| Blood transfusion service (36430) |
$557.55 |
$1,239 |
1.2× |
| Bronch diagnostic (31622) |
$135.45 |
$301 |
0.1× |
| Bronch foreign body removal (31635) |
$686.25 |
$1,525 |
0.4× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,374.30 |
$3,054 |
0.4× |
| Bronchoscopy w/biopsy(s) (31625) |
$686.25 |
$1,525 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$418.28 |
$929.50 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$652.95 |
$1,451 |
1.6× |
| Bronchoscopy w/tumor excise (31640) |
$1,374.30 |
$3,054 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$686.25 |
$1,525 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$49.95 |
$111 |
0.2× |
| Chemical cauterization of granulation tissue (17250) |
$195.75 |
$435 |
0.9× |
| Chest tube placement (32551) |
$358.88 |
$797.50 |
0.2× |
| Circumcision age >28 days (54161) |
$205.20 |
$456 |
0.1× |
| Close Rx Dist Fingr Fx (26750) |
$580.05 |
$1,289 |
2.3× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$580.05 |
$1,289 |
2.3× |
| Closed Rx Dist Fibula Fx (27786) |
$802.80 |
$1,784 |
3.1× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$659.70 |
$1,466 |
0.4× |
| Closed Rx Talus Fx,Manipulatn (28435) |
$802.80 |
$1,784 |
0.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$721.35 |
$1,603 |
0.4× |
| Closed Rx Ulna Styloid Fx (25650) |
$580.05 |
$1,289 |
2.3× |
| Closed Treat Vert Body Fract (22310) |
$314.55 |
$699 |
1.2× |
| Closed treatment of dislocated jaw joint (21480) |
$162 |
$360 |
0.6× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$721.35 |
$1,603 |
0.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$580.05 |
$1,289 |
2.3× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$319.72 |
$710.50 |
1.2× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$580.05 |
$1,289 |
2.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$659.70 |
$1,466 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$802.80 |
$1,784 |
3.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$721.35 |
$1,603 |
2.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$721.35 |
$1,603 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$580.05 |
$1,289 |
0.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,205.45 |
$4,901 |
1.3× |
| Closed tx ulnar shaft fracture w/manipulation (25535) |
$580.05 |
$1,289 |
2.3× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$659.70 |
$1,466 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$580.05 |
$1,289 |
0.3× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$580.05 |
$1,289 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$580.05 |
$1,289 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$580.05 |
$1,289 |
0.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$315 |
$700 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$580.05 |
$1,289 |
0.3× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$802.80 |
$1,784 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$802.80 |
$1,784 |
0.5× |
| Collect blood from catheter venous nos (36592) |
$68.85 |
$153 |
0.5× |
| Colonoscopy w/ablation (45388) |
$652.95 |
$1,451 |
0.5× |
| Colonoscopy w/fb removal (45379) |
$652.95 |
$1,451 |
0.5× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical… (45384) |
$652.95 |
$1,451 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$139.50 |
$310 |
0.4× |
| Colsc flexible w/control bleeding any method (45382) |
$652.95 |
$1,451 |
0.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$193.95 |
$431 |
1.4× |
| CT Biopsy Lymph Node (38505) |
$495.45 |
$1,101 |
0.3× |
| Deb bone/muscle 20 sq cm/< (11044) |
$388.80 |
$864 |
0.2× |
| Deb musc/fascia 20 sq cm/< (11043) |
$238.05 |
$529 |
0.3× |
| Debridement nails 1-5 (11720) |
$146.70 |
$326 |
2.4× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$195.30 |
$434 |
0.5× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$24.75 |
$55 |
0.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$195.30 |
$434 |
0.5× |
| Declot vascular device (36593) |
$43.65 |
$97 |
0.1× |
| Destruction benign lesions up to 14 (17110) |
$70.20 |
$156 |
0.3× |
| Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) |
$57.15 |
$127 |
0.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,655 |
$5,900 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$206.55 |
$459 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$652.95 |
$1,451 |
0.7× |
| Dilation of anal sphincter (45905) |
$652.95 |
$1,451 |
0.5× |
| Drain blood under nail (11740) |
$146.70 |
$326 |
1.1× |
| Drain lower leg lesion (27603) |
$424.80 |
$944 |
0.1× |
| Drain neck/chest lesion (21501) |
$424.80 |
$944 |
0.1× |
| Drain shoulder lesion (23030) |
$424.80 |
$944 |
0.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$318.15 |
$707 |
0.4× |
| Drainage finger abscess simple (26010) |
$195.75 |
$435 |
0.9× |
| Drainage of abscess of palate, uvula (42000) |
$195.75 |
$435 |
0.8× |
| Drainage of eyelid abscess (67700) |
$195.75 |
$435 |
0.6× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$424.80 |
$944 |
0.2× |
| Drainage of ovarian cyst(s) (58800) |
$335.25 |
$745 |
0.1× |
| Drainage of scrotum (54700) |
$204.75 |
$455 |
0.1× |
| Draw blood off venous device (36591) |
$68.85 |
$153 |
0.5× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,949.75 |
$6,555 |
1.4× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,126.60 |
$6,948 |
1.5× |
| Dstrj neurolytic agent other peripheral nerve (64640) |
$1,474.65 |
$3,277 |
1.6× |
| Dx bronchoscope/brush (31623) |
$686.25 |
$1,525 |
0.4× |
| Ed proc remve fb nasal- hospital (30300) |
$263.25 |
$585 |
1.9× |
| Ed prof burn - large - hospital (16030) |
$339.75 |
$755 |
0.8× |
| Ed prof burn medium - hospital (16025) |
$240.30 |
$534 |
1.1× |
| Ed prof burn small - hospital (16020) |
$146.70 |
$326 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$195.75 |
$435 |
1.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$731.25 |
$1,625 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$364.50 |
$810 |
0.9× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$214.20 |
$476 |
0.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$580.05 |
$1,289 |
2.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$158.85 |
$353 |
0.1× |
| Egd percutaneous placement gastrostomy tube (43246) |
$652.95 |
$1,451 |
0.3× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$652.95 |
$1,451 |
0.3× |
| Egd transoral control bleeding any method (43255) |
$652.95 |
$1,451 |
0.3× |
| Egd W Dilation (43245) |
$1,230.75 |
$2,735 |
0.6× |
| Ercp diagnostic (43260) |
$331.65 |
$737 |
0.1× |
| Escharotomy; initial incision (16035) |
$203.40 |
$452 |
0.5× |
| Esophageal dilation (43450) |
$150.30 |
$334 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,230.75 |
$2,735 |
1.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$441.90 |
$982 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$86.40 |
$192 |
0.1× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$206.10 |
$458 |
0.1× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$115.20 |
$256 |
0.2× |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
$111.15 |
$247 |
0.3× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$156.15 |
$347 |
0.2× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$88.20 |
$196 |
0.1× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$121.05 |
$269 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq 3+cm (21552) |
$474.30 |
$1,054 |
0.2× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$347.85 |
$773 |
0.2× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$586.35 |
$1,303 |
0.3× |
Excision of submandibular (submaxillary) gland Other Surgical Services (42440)
likely a partial charge, not the full procedure |
$440.55 |
$979 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$162 |
$360 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$115.20 |
$256 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$172.35 |
$383 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$260.10 |
$578 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$186.75 |
$415 |
0.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$188.55 |
$419 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,102.50 |
$2,450 |
0.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Other Surgical Services (41015) |
$195.75 |
$435 |
0.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$681.75 |
$1,515 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$372.15 |
$827 |
0.5× |
| Fna w/o imaging guidance (10021) |
$279.45 |
$621 |
0.7× |
| Gastric lavage (43753) |
$230.85 |
$513 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$288.45 |
$641 |
0.1× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$288.45 |
$641 |
0.1× |
| I&d abscess peritonsillar (42700) |
$357.30 |
$794 |
1.4× |
| I&d bartholins gland abscess (56420) |
$385.65 |
$857 |
1.8× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$424.80 |
$944 |
0.1× |
| I&d hematoma/seroma/fluid (10140) |
$195.75 |
$435 |
0.1× |
| I&d perianal abscess superficial (46050) |
$468.45 |
$1,041 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$109.80 |
$244 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$385.65 |
$857 |
1.2× |
| Incise external hemorrhoid (46083) |
$405.90 |
$902 |
1.6× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$192.15 |
$427 |
0.5× |
| Incision & Drainage Abscess Simple/Single (10060) |
$210.15 |
$467 |
1.0× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$468.45 |
$1,041 |
0.2× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$318.15 |
$707 |
0.4× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Other Surgical Services (25028) |
$424.80 |
$944 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$424.80 |
$944 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$110.25 |
$245 |
0.3× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$297 |
$660 |
0.6× |
| Incision of windpipe (31603) |
$459 |
$1,020 |
0.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$123.52 |
$274.50 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,260.35 |
$5,023 |
3.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,212.75 |
$2,695 |
1.3× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$43.65 |
$97 |
0.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,208.25 |
$2,685 |
1.3× |
| Inject Nerv Blck,Suprascap N. (64418) |
$895.05 |
$1,989 |
1.2× |
| Inject Tendon Sheath/Ligament (20550) |
$40.95 |
$91 |
0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,708.65 |
$3,797 |
2.3× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$103.05 |
$229 |
0.1× |
| Injection aa&/strd pudendal nerve (64430) |
$55.12 |
$122.50 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$261 |
$580 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$146.70 |
$326 |
0.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$38.70 |
$86 |
0.1× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$27.90 |
$62 |
0.1× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$731.25 |
$1,625 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159.30 |
$354 |
1.1× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$160.20 |
$356 |
1.2× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$499.05 |
$1,109 |
0.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$195.75 |
$435 |
0.1× |
| Intubation endotracheal (31500) |
$228.15 |
$507 |
0.9× |
| Irrigat Corpus Cavern,Priapism (54220) |
$279.45 |
$621 |
1.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$714.60 |
$1,588 |
0.1× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure |
$767.70 |
$1,706 |
0.1× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$434.25 |
$965 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge, not the full procedure |
$274.50 |
$610 |
0.0× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
likely a partial charge, not the full procedure |
$1,548.45 |
$3,441 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$875.70 |
$1,946 |
0.1× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
likely a partial charge, not the full procedure |
$1,241.55 |
$2,759 |
0.1× |
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge, not the full procedure |
$861.30 |
$1,914 |
0.1× |
| Laryngoscopy indirect diagnostic (31505) |
$51.30 |
$114 |
0.2× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$353.25 |
$785 |
0.8× |
| Lumbar puncture (62270) |
$369 |
$820 |
0.5× |
Lumbar spine fusion (22558)
likely a partial charge, not the full procedure |
$927.45 |
$2,061 |
0.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$310.05 |
$689 |
0.1× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Other… (27570) |
$1,003.50 |
$2,230 |
0.6× |
| Mastectomy gynecomastia (19300) |
$335.25 |
$745 |
0.1× |
| Mastotomy expl drg absc dp (19020) |
$424.80 |
$944 |
0.2× |
| Nasal endoscopy, dx (31231) |
$67.95 |
$151 |
0.3× |
Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Other Surgical… (31298)
likely a partial charge, not the full procedure |
$206.10 |
$458 |
0.0× |
Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295)
likely a partial charge, not the full procedure |
$154.35 |
$343 |
0.0× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Other Surgical Services (31237) |
$167.40 |
$372 |
0.1× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Other Surgical Services (31238) |
$76.05 |
$169 |
0.0× |
| Ndl EMG stds EMG anal/urtl sphnctr any tq (51785) |
$1,012.95 |
$2,251 |
3.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$19.80 |
$44 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$25.20 |
$56 |
0.8× |
| Nicu/Picu Insert Picc W/O Imag<5yrs (36568) |
$731.25 |
$1,625 |
0.4× |
| Ot strapping hand or finger (29280) |
$109.80 |
$244 |
1.8× |
| Peritoneal lavage (49084) |
$156.60 |
$348 |
0.2× |
| Perq device breast 1st imag (19281) |
$279.45 |
$621 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$222.08 |
$493.50 |
0.9× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$450.90 |
$1,002 |
0.3× |
| Placement Needle Intraosseous Infusion (36680) |
$482.62 |
$1,072.50 |
1.0× |
| PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT AT SURGERY… (14301) |
$115.20 |
$256 |
0.0× |
PR Laparoscopic Surgical Cholecystectomy W Cholangiography|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (47563)
likely a partial charge, not the full procedure |
$738.45 |
$1,641 |
0.1× |
| PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (49507) |
$581.85 |
$1,293 |
0.2× |
| Preputial stretching (54450) |
$318.15 |
$707 |
1.2× |
| Proctopexy Perineal Approach (45541) |
$924.30 |
$2,054 |
0.3× |
| Proctosigmoidoscopy diagnostic (45300) |
$652.95 |
$1,451 |
0.7× |
| Proctosigmoidoscopy fb (45307) |
$652.95 |
$1,451 |
0.2× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$652.95 |
$1,451 |
0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services (45305) |
$652.95 |
$1,451 |
0.5× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$652.95 |
$1,451 |
0.5× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services (45303) |
$652.95 |
$1,451 |
0.5× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$652.95 |
$1,451 |
0.5× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar… (45308) |
$652.95 |
$1,451 |
0.2× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical… (45309) |
$652.95 |
$1,451 |
0.5× |
| Puncture Aspiration (10160) |
$273.60 |
$608 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,784.15 |
$6,187 |
1.4× |
| Removal foreign body foot complicated (28193) |
$450.22 |
$1,000.50 |
0.3× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$138.15 |
$307 |
0.2× |
| Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services (69205) |
$160.20 |
$356 |
0.1× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$89.10 |
$198 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$26.10 |
$58 |
0.4× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$455.40 |
$1,012 |
0.4× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$539.10 |
$1,198 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$247.95 |
$551 |
1.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$126.45 |
$281 |
0.3× |
| Removal of foreign body, foot; deep (28192) |
$419.85 |
$933 |
0.2× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$288.45 |
$641 |
0.1× |
| Removal of nail bed (11750) |
$104.40 |
$232 |
0.2× |
| Removal of skin lesion (11423) |
$163.80 |
$364 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$80.10 |
$178 |
0.4× |
| Removal of Sperm Cord Lesion (55520) |
$535.95 |
$1,191 |
0.1× |
| Removal tunneled cv cath (36590) |
$184.50 |
$410 |
0.1× |
Removal Urachal Cyst (51500)
likely a partial charge, not the full procedure |
$609.30 |
$1,354 |
0.1× |
| Remove eyelid foreign body,embedded (67938) |
$770.40 |
$1,712 |
2.3× |
| Remove fb upper arm/elbow subq (24200) |
$201.60 |
$448 |
0.1× |
| Remove foreign body from eye (65210) |
$455.40 |
$1,012 |
1.0× |
| Remove foreign body larynx (31511) |
$388.35 |
$863 |
1.9× |
| Remove intrauterine device (58301) |
$195.75 |
$435 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$118.12 |
$262.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$556.20 |
$1,236 |
1.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$773.10 |
$1,718 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$499.50 |
$1,110 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$600.30 |
$1,334 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$549.90 |
$1,222 |
0.7× |
| Repair Exten Tendon,Dorsum Fingr,Ea (26418) |
$586.35 |
$1,303 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$407.25 |
$905 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$207.90 |
$462 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$515.25 |
$1,145 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$538.20 |
$1,196 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$422.55 |
$939 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$471.60 |
$1,048 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$320.85 |
$713 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$282.38 |
$627.50 |
0.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$465.75 |
$1,035 |
1.1× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$357.75 |
$795 |
0.8× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Other Surgical Services (49521)
likely a partial charge, not the full procedure |
$760.50 |
$1,690 |
0.1× |
| Repair tongue lacer,post 1/3 (41251) |
$396.45 |
$881 |
1.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$696.60 |
$1,548 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$891.45 |
$1,981 |
1.2× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$343.58 |
$763.50 |
0.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$191.25 |
$425 |
0.2× |
| Reposition gastrostomy tube (43761) |
$186.75 |
$415 |
0.7× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$382.05 |
$849 |
1.8× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$486.90 |
$1,082 |
2.3× |
| Rmvl embedded fb vestibule mouth smpl (40804) |
$118.35 |
$263 |
0.1× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$225.90 |
$502 |
1.6× |
| Rmvl of access device (36589) |
$429.30 |
$954 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$206.10 |
$458 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$189.45 |
$421 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$651.82 |
$1,448.50 |
0.1× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$560.25 |
$1,245 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$502.65 |
$1,117 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$361.35 |
$803 |
0.1× |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure |
$813.60 |
$1,808 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$445.05 |
$989 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$298.35 |
$663 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$328.50 |
$730 |
1.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$282.60 |
$628 |
1.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$557.55 |
$1,239 |
2.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$581.85 |
$1,293 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$347.85 |
$773 |
1.7× |
| Slitting of prepuce (54001) |
$318.15 |
$707 |
0.1× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$301.05 |
$669 |
1.4× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$436.50 |
$970 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$541.35 |
$1,203 |
1.3× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Other Surgical Services (46750) |
$729.90 |
$1,622 |
0.3× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Other Surgical Services (46080) |
$167.40 |
$372 |
0.1× |
| Strapping elbow or wrist (29260) |
$69.30 |
$154 |
1.1× |
| Strapping of ankle (29540) |
$38.70 |
$86 |
0.2× |
| Strapping of knee (29530) |
$50.40 |
$112 |
0.4× |
| Strapping of shoulder (29240) |
$119.70 |
$266 |
0.9× |
| Strapping of toes (29550) |
$50.40 |
$112 |
0.8× |
| Strapping unna boot (29580) |
$318.60 |
$708 |
1.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services (46270) |
$468.45 |
$1,041 |
0.2× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$861.30 |
$1,914 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$279.45 |
$621 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$91.35 |
$203 |
0.1× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services (60220)
likely a partial charge, not the full procedure |
$747.90 |
$1,662 |
0.1× |
| Tracheobronchoscopy through established tracheostomy incision (31615) |
$481.50 |
$1,070 |
0.9× |
| Tracheostomy emerg cricothyroid (31605) |
$373.50 |
$830 |
1.5× |
| Treat finger dislocation (26775) |
$580.05 |
$1,289 |
2.0× |
| Treat radius fracture (24655) |
$580.05 |
$1,289 |
0.3× |
| Treat toe dislocation (28630) |
$315 |
$700 |
1.2× |
| Treat vaginal bleeding (57180) |
$298.35 |
$663 |
1.4× |
| Treatment of bladder lesion (51720) |
$439.65 |
$977 |
0.6× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$823.50 |
$1,830 |
3.2× |
| Trim Benign Hyperkeratotic Skin Lesion,2-4 (11056) |
$146.70 |
$326 |
0.7× |
| Trim skin lesion (11055) |
$146.70 |
$326 |
0.7× |
| Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services (49999) |
$160.20 |
$356 |
0.2× |
| Vaginal delivery only (59409) |
$1,788.75 |
$3,975 |
0.5× |
| Venipuncture (36415) |
$28.80 |
$64 |
3.1× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$103.95 |
$231 |
0.7× |
| Wedge excision skin nail fold (11765) |
$146.70 |
$326 |
0.3× |