| Abd paracentesis (49082) |
$504.40 |
$1,261 |
0.5× |
| Abd paracentesis w/imaging (49083) |
$682.60 |
$1,706.50 |
0.7× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,297.60 |
$3,244 |
0.6× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$1,259.80 |
$3,149.50 |
0.6× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Other Surgical… (14021) |
$1,314.40 |
$3,286 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Other Surgical Services (14000) |
$1,220.40 |
$3,051 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services (14001) |
$1,391.60 |
$3,479 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,220.40 |
$3,051 |
0.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,446.40 |
$3,616 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,408.40 |
$3,521 |
0.7× |
| Amniocentesis diagnostic (59000) |
$61.40 |
$153.50 |
0.1× |
| Amniocentesis therapeutic (59001) |
$91.60 |
$229 |
0.3× |
| Amnioinfusion (59070) |
$91.60 |
$229 |
0.3× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,328.80 |
$5,822 |
0.7× |
| Amputation of finger/thumb (26952) |
$3,600 |
$9,000 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$2,884.80 |
$7,212 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,802.80 |
$7,007 |
0.8× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services (45990) |
$998.40 |
$2,496 |
0.3× |
| Anoscopy and biopsy (46606) |
$548 |
$1,370 |
0.4× |
| Anoscopy diagnostic (46600) |
$69.20 |
$173 |
0.5× |
| Appl finger splint static (29130) |
$33.20 |
$83 |
0.2× |
| Application long leg splint thigh ankle/toes (29505) |
$104 |
$260 |
0.6× |
| Application, cast; shoulder to hand (long arm) (29065) |
$111.60 |
$279 |
0.4× |
| Apply hand/wrist cast (29085) |
$72.80 |
$182 |
0.4× |
| Apply long arm splint (29105) |
$66 |
$165 |
0.4× |
| Apply Lower Leg Splint (29515) |
$53.20 |
$133 |
0.3× |
| Apply short arm splint static (29125) |
$70.40 |
$176 |
0.5× |
| Apply Short Leg Cast (29405) |
$106 |
$265 |
0.4× |
| Arterial puncture (36600) |
$58 |
$145 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$219.60 |
$549 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$141.60 |
$354 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$211 |
$527.50 |
0.7× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$8,178.80 |
$20,447 |
1.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$5,860 |
$14,650 |
0.3× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) |
$9,088 |
$22,720 |
0.7× |
| Arthroplasty, knee, tibial plateau; Other Surgical Services (27440) |
$9,088 |
$22,720 |
0.7× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
$9,088 |
$22,720 |
0.7× |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892)
likely a partial charge, not the full procedure |
$2,168 |
$5,420 |
0.3× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
unusually low: confirm this is the full procedure |
$6,392.40 |
$15,981 |
0.5× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855) |
$6,392.40 |
$15,981 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Other Surgical Services (29895) |
$2,335.60 |
$5,839 |
0.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Other Surgical Services (29886) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Other Surgical… (29887) |
$5,033.20 |
$12,583 |
0.7× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$1,316.80 |
$3,292 |
5.1× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$5,059.60 |
$12,649 |
0.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Other Surgical… (29875) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Other Surgical… (29884) |
$1,716.40 |
$4,291 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services (29805) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other… (29824) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Other Surgical Services (29807) |
$5,034.80 |
$12,587 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Other Surgical Services (29821) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, partial Other Surgical Services (29820) |
$5,033.20 |
$12,583 |
0.7× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Other Surgical… (29825) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Other Surgical Services (29819) |
$2,328.80 |
$5,822 |
0.7× |
Arthrotomy with meniscus repair, knee Other Surgical Services (27403)
unusually low: confirm this is the full procedure |
$2,328.80 |
$5,822 |
0.3× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$11,934.40 |
$29,836 |
0.9× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$338.80 |
$847 |
1.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,772 |
$4,430 |
0.8× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$83.20 |
$208 |
0.4× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Other Surgical Services (19100) |
$1,210.40 |
$3,026 |
0.7× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin facility (44389) |
$840.80 |
$2,102 |
0.7× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$299.60 |
$749 |
0.3× |
| Biopsy of salivary gland; needle (42400) |
$616 |
$1,540 |
0.8× |
| Biopsy of uterus lining (58100) |
$118.40 |
$296 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,890.80 |
$7,227 |
0.7× |
| Biopsy thyroid percutaneous core needle (60100) |
$289.20 |
$723 |
0.4× |
| Biopsy vaginal mucosa simple (57100) |
$681.60 |
$1,704 |
0.7× |
| Bladder irrigation (51700) |
$92 |
$230 |
0.4× |
| Blood transfusion service (36430) |
$336.80 |
$842 |
0.7× |
| Bronch diagnostic (31622) |
$942.40 |
$2,356 |
0.5× |
| Bronchoscopy w/biopsy(s) (31625) |
$669.20 |
$1,673 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$186 |
$465 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$942.40 |
$2,356 |
0.5× |
| Bronchoscopy/lung bx each (31628) |
$669.20 |
$1,673 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,465.20 |
$3,663 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,465.20 |
$3,663 |
0.8× |
| Bx/Exc Lymph Node Open Deep Axillary Node (38525) |
$3,331.60 |
$8,329 |
0.8× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$156 |
$390 |
0.6× |
| Cast short arm (29075) |
$102 |
$255 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$80 |
$200 |
0.3× |
| Chemical cauterization of granulation tissue (17250) |
$103.60 |
$259 |
0.5× |
| Chest tube placement (32551) |
$226.80 |
$567 |
0.1× |
| Circumcision age >28 days (54161) |
$1,522.40 |
$3,806 |
0.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$534.40 |
$1,336 |
0.2× |
| Close Rx Dist Fingr Fx (26750) |
$203 |
$507.50 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$135.20 |
$338 |
0.5× |
| Closed Rx Big Toe Fx,Manip (28495) |
$181.60 |
$454 |
0.7× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$1,316.80 |
$3,292 |
0.8× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$480 |
$1,200 |
0.3× |
| Closed Rx Toe Fx (28510) |
$135.20 |
$338 |
0.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$792.40 |
$1,981 |
0.5× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$275.20 |
$688 |
1.1× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$135.20 |
$338 |
0.5× |
| Closed treatment of dislocated jaw joint (21480) |
$141.20 |
$353 |
0.5× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$480 |
$1,200 |
1.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$170 |
$425 |
0.7× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$892.80 |
$2,232 |
3.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$294.40 |
$736 |
1.1× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$314.80 |
$787 |
1.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$178 |
$445 |
0.7× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$135.20 |
$338 |
0.5× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$135.20 |
$338 |
0.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$156 |
$390 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$135.20 |
$338 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$992.40 |
$2,481 |
0.6× |
| Closed tx femoral fracture prox head w/manj (27268) |
$535.60 |
$1,339 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$135.20 |
$338 |
0.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$992.40 |
$2,481 |
0.6× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$494.40 |
$1,236 |
0.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$270.80 |
$677 |
1.1× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$630.40 |
$1,576 |
2.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$270 |
$675 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$254.40 |
$636 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$992.40 |
$2,481 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$236 |
$590 |
0.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,085.60 |
$2,714 |
0.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$135.20 |
$338 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$992.40 |
$2,481 |
0.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$249.20 |
$623 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
$992.40 |
$2,481 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$700 |
$1,750 |
0.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$640 |
$1,600 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$538.80 |
$1,347 |
0.3× |
| Collect blood from catheter venous nos (36592) |
$102.60 |
$256.50 |
0.7× |
| Colonoscopy thru stoma spx (44388) |
$706.40 |
$1,766 |
0.7× |
| Colonoscopy w/ablation (45388) |
$869.60 |
$2,174 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,026.40 |
$2,566 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$1,089.60 |
$2,724 |
0.9× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical… (45384) |
$840.80 |
$2,102 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$367.20 |
$918 |
1.2× |
| Colsc flexible w/control bleeding any method (45382) |
$869.60 |
$2,174 |
0.7× |
| Complete replacement picc rs&i (36584) |
$1,362.80 |
$3,407 |
0.8× |
| Complex Drainage, Wound (10180) |
$2,087.20 |
$5,218 |
0.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$158.40 |
$396 |
1.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$100.40 |
$251 |
0.7× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$2,328.80 |
$5,822 |
0.7× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$5,059.60 |
$12,649 |
0.7× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$2,328.40 |
$5,821 |
0.7× |
| CT Biopsy Lymph Node (38505) |
$1,392.40 |
$3,481 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$100.40 |
$251 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$113.20 |
$283 |
0.5× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Other… (52260) |
$1,772 |
$4,430 |
0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Other Surgical Services (52265) |
$2,328 |
$5,820 |
1.1× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,411.20 |
$3,528 |
0.6× |
| Deb musc/fascia 20 sq cm/< (11043) |
$553 |
$1,382.50 |
0.7× |
| Debride Assoc Open Fx/Dislo Skin/Mus/Bone (11012) |
$2,111.20 |
$5,278 |
0.7× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$388 |
$970 |
0.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$290.40 |
$726 |
0.7× |
| Declot vascular device (36593) |
$301.20 |
$753 |
0.9× |
| Delivery of placenta (59414) |
$2,596.80 |
$6,492 |
0.8× |
| Destruct lesion 15 or more (17111) |
$151.60 |
$379 |
0.7× |
| Destruction benign lesions up to 14 (17110) |
$69.60 |
$174 |
0.3× |
| Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) |
$151.60 |
$379 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$2,072.40 |
$5,181 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$1,725.20 |
$4,313 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$637.60 |
$1,594 |
0.7× |
| Dilation of female urethra, general or conduction (spinal) anesthesia Other Surgical Services (53665) |
$1,544.40 |
$3,861 |
0.7× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$474.80 |
$1,187 |
0.7× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services (53600) |
$148.40 |
$371 |
0.6× |
| Dilation/Curettage,Diagnostic (58120) |
$2,096 |
$5,240 |
0.6× |
| Dissection, deep jugular node(s) Other Surgical Services (38542) |
$6,596 |
$16,490 |
1.0× |
| Drain blood under nail (11740) |
$50 |
$125 |
0.4× |
| Drain lower leg lesion (27603) |
$2,087.20 |
$5,218 |
0.7× |
| Drain shoulder lesion (23030) |
$2,087.20 |
$5,218 |
0.7× |
| Drainage external auditory canal, abscess (69020) |
$280.80 |
$702 |
0.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$234 |
$585 |
0.3× |
| Drainage finger abscess simple (26010) |
$123.20 |
$308 |
0.6× |
| Drainage of eyelid abscess (67700) |
$109.60 |
$274 |
0.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$902.40 |
$2,256 |
0.5× |
| Drainage of hydrocele (55000) |
$602.80 |
$1,507 |
0.8× |
| Drainage scrotal wall abscess (55100) |
$1,102.40 |
$2,756 |
0.6× |
| Draw blood off venous device (36591) |
$95.60 |
$239 |
0.7× |
| Dx bronchoscope/brush (31623) |
$1,450 |
$3,625 |
0.8× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$107.20 |
$268 |
0.8× |
| Ed proc remve fb nasal- hospital (30300) |
$46.40 |
$116 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$125.60 |
$314 |
0.3× |
| Ed prof burn medium - hospital (16025) |
$125.60 |
$314 |
0.6× |
| Ed prof burn small - hospital (16020) |
$83.20 |
$208 |
0.4× |
| Ed prof drain dental abscess-hospital (41800) |
$133.60 |
$334 |
1.0× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,165.40 |
$2,913.50 |
0.4× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$288 |
$720 |
0.7× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$129.60 |
$324 |
0.3× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$135.20 |
$338 |
0.5× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$309.20 |
$773 |
0.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,607.60 |
$4,019 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,282 |
$3,205 |
0.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,282 |
$3,205 |
0.6× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$712.40 |
$1,781 |
0.4× |
| Egd transoral control bleeding any method (43255) |
$712.40 |
$1,781 |
0.4× |
| Egd W Dilation (43245) |
$1,282 |
$3,205 |
0.6× |
| Egd W Gd Wire Dilation (43248) |
$471.20 |
$1,178 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$964 |
$2,410 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical… (43244) |
$712.40 |
$1,781 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$667.60 |
$1,669 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$712.40 |
$1,781 |
0.4× |
| Esophagosc dilate balloon 30 (43214) |
$1,316.80 |
$3,292 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$585.20 |
$1,463 |
0.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,453.20 |
$3,633 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,853.20 |
$4,633 |
1.1× |
| Exc face les sbq 2 cm/> (21012) |
$1,221.20 |
$3,053 |
0.7× |
| Exc face-mm b9 (11440) |
$514.40 |
$1,286 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$514.40 |
$1,286 |
0.3× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,453.20 |
$3,633 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,390 |
$3,475 |
0.8× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$681.60 |
$1,704 |
0.9× |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
$279.20 |
$698 |
0.7× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$566.40 |
$1,416 |
0.8× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$591.20 |
$1,478 |
0.8× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$514.40 |
$1,286 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5+cm (21933) |
$2,088 |
$5,220 |
0.7× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$2,346.80 |
$5,867 |
0.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,111.20 |
$5,278 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq 3+cm (21552) |
$2,111.20 |
$5,278 |
0.7× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$2,503.60 |
$6,259 |
0.8× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,166 |
$2,915 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$456 |
$1,140 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$628.80 |
$1,572 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$486 |
$1,215 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$741.20 |
$1,853 |
0.4× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$2,346.80 |
$5,867 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,221.20 |
$3,053 |
0.7× |
| Excision malignant lesion trunk/arm/leg > 4.0 cm (11606) |
$1,852.80 |
$4,632 |
1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,072.40 |
$5,181 |
0.7× |
| Excision of hydrocele of spermatic cord, unilateral (separate procedure) Other Surgical Services (55500) |
$3,106 |
$7,765 |
0.8× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,166 |
$2,915 |
0.7× |
| Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Other Surgical Services (40525) |
$2,972.80 |
$7,432 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$998.40 |
$2,496 |
0.8× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Other Surgical Services (27345) |
$2,802.80 |
$7,007 |
0.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,049.60 |
$2,624 |
0.8× |
| Excision olecranon bursa (24105) |
$2,328.80 |
$5,822 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of femur; Other Surgical Services (27355) |
$2,802.80 |
$7,007 |
0.8× |
| Excision or transposition of pterygium; without graft Other Surgical Services (65420) |
$1,626.80 |
$4,067 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,111.20 |
$5,278 |
0.7× |
| Excision pilonidal cyst/sinus extensive (11771) |
$2,503.60 |
$6,259 |
0.8× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$805.60 |
$2,014 |
0.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,301.20 |
$3,253 |
0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,210.80 |
$3,027 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$2,111.20 |
$5,278 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,453.20 |
$3,633 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,221.20 |
$3,053 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,221.20 |
$3,053 |
0.7× |
| Excision, interdigital (Morton) neuroma, single, each Other Surgical Services (28080) |
$1,390 |
$3,475 |
0.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Other… (11643) |
$1,853.20 |
$4,633 |
1.1× |
| Excision, nasal polyp(s), simple Other Surgical Services (30110) |
$1,158.80 |
$2,897 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$514.40 |
$1,286 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$514.40 |
$1,286 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$1,210.40 |
$3,026 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$1,210.40 |
$3,026 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$2,087.20 |
$5,218 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,111.20 |
$5,278 |
0.7× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$2,111.20 |
$5,278 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$929 |
$2,322.50 |
0.5× |
| Extraction of lens (66940) |
$1,652.20 |
$4,130.50 |
0.7× |
| Fasciectomy plantar fascia partial spx (28060) |
$3,700 |
$9,250 |
1.1× |
| Fetal contraction stress test (59020) |
$91.60 |
$229 |
0.4× |
| Fetal Non Stress Test (59025) |
$91.60 |
$229 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$514.40 |
$1,286 |
0.7× |
| Fna w/o imaging guidance (10021) |
$342 |
$855 |
0.8× |
| Fth/gft fr dir clsr f/c/c/m/n/ax/g/h/f 20sqcm/< (15240) |
$812 |
$2,030 |
0.4× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Other… (15220) |
$2,084 |
$5,210 |
1.0× |
| Fusion of elbow joint without bone graft from the patient (24800) |
$4,496.80 |
$11,242 |
0.6× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) Other Surgical Services (43754) |
$121.20 |
$303 |
0.5× |
| Gastric lavage (43753) |
$121.20 |
$303 |
0.5× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$637.60 |
$1,594 |
0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,072.40 |
$5,181 |
0.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,072.40 |
$5,181 |
0.7× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services (46947) |
$2,133 |
$5,332.50 |
0.7× |
| I&d abscess peritonsillar (42700) |
$160.40 |
$401 |
0.6× |
| I&d bartholins gland abscess (56420) |
$150.20 |
$375.50 |
0.7× |
| I&d hematoma/seroma/fluid (10140) |
$1,031.40 |
$2,578.50 |
0.6× |
| I&d perianal abscess superficial (46050) |
$313.20 |
$783 |
0.3× |
| I&d perirectal abscess (46040) |
$1,168.20 |
$2,920.50 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$318.80 |
$797 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$840.80 |
$2,102 |
0.7× |
| I&d thyroglossal duct cyst infected (60000) |
$1,022 |
$2,555 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,103.60 |
$2,759 |
0.4× |
| I&d vulva/perineal abscess (56405) |
$259.20 |
$648 |
0.8× |
| Image cath fluid colxn visc (49405) |
$1,168.80 |
$2,922 |
0.7× |
| Incise external hemorrhoid (46083) |
$234.60 |
$586.50 |
0.9× |
| Incise finger tendon sheath (26055) |
$1,212.40 |
$3,031 |
0.7× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$279 |
$697.50 |
0.7× |
| Incision & Drainage Abscess Simple/Single (10060) |
$149.20 |
$373 |
0.7× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Other Surgical Services (45020) |
$2,078.80 |
$5,197 |
0.7× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$514.40 |
$1,286 |
0.7× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Other Surgical Services (25028) |
$2,374.80 |
$5,937 |
0.7× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Other Surgical Services (26990) |
$3,700 |
$9,250 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,280 |
$3,200 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$320.40 |
$801 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,166 |
$2,915 |
0.7× |
| Incision of connective tissue of foot and/or toe facility (28008) |
$3,700.80 |
$9,252 |
1.1× |
| Incision of windpipe (31603) |
$472.80 |
$1,182 |
0.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$151.60 |
$379 |
0.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$90.40 |
$226 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,086.40 |
$2,716 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$305.20 |
$763 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$577.20 |
$1,443 |
0.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$678.80 |
$1,697 |
0.7× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$231.80 |
$579.50 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$93.20 |
$233 |
0.1× |
| Inject Tendon Sheath/Ligament (20550) |
$219.60 |
$549 |
0.7× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$305.20 |
$763 |
0.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$253.20 |
$633 |
0.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$305.20 |
$763 |
0.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$577.20 |
$1,443 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$202.40 |
$506 |
0.6× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$142 |
$355 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$232 |
$580 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$610.80 |
$1,527 |
0.2× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$610.40 |
$1,526 |
0.1× |
| Ins tunn cv cath no pump 5yrs (36558) |
$1,352.80 |
$3,382 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$56.40 |
$141 |
0.4× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$94.40 |
$236 |
0.7× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Other Surgical… (66183) |
$2,141.80 |
$5,354.50 |
0.5× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other… (66985) |
$1,652.20 |
$4,130.50 |
0.7× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,362.80 |
$3,407 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,344.80 |
$5,862 |
0.7× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$2,344.80 |
$5,862 |
0.7× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,995.20 |
$9,988 |
0.5× |
| Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Other Surgical… (66983) |
$1,724.80 |
$4,312 |
0.7× |
| Intubation endotracheal (31500) |
$189.40 |
$473.50 |
0.8× |
| Knee arthroscopy/surgery (29876) |
$2,374.80 |
$5,937 |
0.7× |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
$4,079.60 |
$10,199 |
0.6× |
| Laparoscopy appendectomy (44970) |
$4,031.20 |
$10,078 |
0.6× |
| Laparoscopy biopsy (49321) |
$5,008 |
$12,520 |
0.8× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,904 |
$12,260 |
0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$4,904 |
$12,260 |
0.8× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Other Surgical Services (47564)
unusually low: confirm this is the full procedure |
$4,029.60 |
$10,074 |
0.4× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Other Surgical Services (58670) |
$6,596 |
$16,490 |
1.0× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Other Surgical Services (58660) |
$6,716 |
$16,790 |
1.1× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Other… (58661) |
$5,008 |
$12,520 |
0.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,051.20 |
$12,628 |
0.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$4,079.60 |
$10,199 |
0.6× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$1,549.20 |
$3,873 |
0.8× |
| Laryngoscopy indirect diagnostic (31505) |
$153.20 |
$383 |
0.7× |
| Laryngoscopy w/biopsy (31535) |
$1,322 |
$3,305 |
0.3× |
| Laryngoscopy w/foreign body removal (31530) |
$938.80 |
$2,347 |
0.5× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$855.20 |
$2,138 |
0.5× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$245.60 |
$614 |
0.6× |
| Leg surgery procedure (27599) |
$156 |
$390 |
0.6× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,034.80 |
$12,587 |
0.7× |
| Ligation/biopsy temporal artery (37609) |
$1,453.20 |
$3,633 |
0.8× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$1,411.20 |
$3,528 |
0.4× |
| Lumbar puncture (62270) |
$314 |
$785 |
0.4× |
| Lysis of labial adhesions (56441) |
$2,096 |
$5,240 |
0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,522.40 |
$3,806 |
0.7× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Other… (27570) |
$1,166 |
$2,915 |
0.7× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Other… (23700) |
$1,166 |
$2,915 |
0.7× |
| Mastectomy partial (19301) |
$2,499.60 |
$6,249 |
0.6× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$5,362.80 |
$13,407 |
0.8× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$4,185 |
$10,462.50 |
0.6× |
| Nasal endoscopy, dx (31231) |
$99.60 |
$249 |
0.5× |
| Nasotracheal suctioning (31720) |
$1,525 |
$3,812.50 |
6.7× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,446 |
$3,615 |
0.7× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,760 |
$6,900 |
0.7× |
| Njx dx/ther agt pvrt facet jt crv/thrc 1 level (64490) |
$470.80 |
$1,177 |
0.5× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$3,331.60 |
$8,329 |
0.8× |
| Open treatment calcaneal fracture (28415) |
$6,392.40 |
$15,981 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$5,059.60 |
$12,649 |
0.7× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Other Surgical Services (23550) |
$6,605.60 |
$16,514 |
0.9× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$11,934.40 |
$29,836 |
0.9× |
| Open treatment talus fracture (28445) |
$4,496.80 |
$11,242 |
0.6× |
| Open tx distal fibular fracture lat malleolus (27792) |
$5,034.80 |
$12,587 |
0.7× |
| Open tx distal phalangeal fracture each (26765) |
$970.80 |
$2,427 |
0.3× |
| Open tx tarsal fracture xcp talus &calcaneus ea (28465) |
$4,496.80 |
$11,242 |
0.6× |
| Ostectomy, complete excision; first metatarsal head Other Surgical Services (28111) |
$3,600 |
$9,000 |
1.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Other Surgical Services (28112) |
$2,884.80 |
$7,212 |
0.8× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$2,328.80 |
$5,822 |
0.7× |
| Pelvic examination under anesthesia (other than local) Other Surgical Services (57410) |
$2,041.20 |
$5,103 |
0.6× |
| Pelvis/hip joint surgery unlisted (27299) |
$156 |
$390 |
0.6× |
| Penile injection (54235) |
$205.60 |
$514 |
0.8× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$6,199.20 |
$15,498 |
0.8× |
| Pericardiocentesis w/img guidance when performed (33016) |
$152.40 |
$381 |
0.1× |
| Peritoneal lavage (49084) |
$667.60 |
$1,669 |
0.7× |
| Perq dev breast 1st strtctc (19283) |
$92.40 |
$231 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$286.40 |
$716 |
0.4× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,448 |
$3,620 |
0.9× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,502.20 |
$3,755.50 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$206 |
$515 |
0.8× |
| Picc Or Central Cath Rep (36575) |
$524.80 |
$1,312 |
0.8× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$1,362.80 |
$3,407 |
0.8× |
| Pin finger fracture each (26756) |
$2,328.80 |
$5,822 |
0.7× |
| Placement Needle Intraosseous Infusion (36680) |
$262 |
$655 |
0.6× |
| PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT AT SURGERY… (14301) |
$1,838 |
$4,595 |
0.5× |
| PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment|ASSISTANT AT SURGERY SERVICE (27446) |
$9,088 |
$22,720 |
0.7× |
| PR Arthroscopically Aided Acl Repair/Augmentation/Reconstruction|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29888) |
$5,059.60 |
$12,649 |
0.7× |
| PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29877) |
$2,374.80 |
$5,937 |
0.7× |
| PR Arthroscopy Knee Surgical With Meniscus Repair (Medial and Lateral)|ASSISTANT AT SURGERY SERVICE (29883) |
$2,374.80 |
$5,937 |
0.7× |
| PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)|ASSISTANT AT SURGERY SERVICE (29882) |
$2,374.80 |
$5,937 |
0.7× |
| PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29828) |
$5,034.80 |
$12,587 |
0.7× |
| PR Arthroscopy Shoulder Surgical Capsulorrhaphy|ASSISTANT AT SURGERY SERVICE (29806) |
$5,059.60 |
$12,649 |
0.7× |
| PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29827) |
$5,034.80 |
$12,587 |
0.7× |
| PR Excision Tumor Soft Tissue Abdominal Wall Subcutaneous >= 3 Cm|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (22903) |
$2,111.20 |
$5,278 |
0.7× |
| PR Laparoscopic Surgical Cholecystectomy W Cholangiography|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (47563) |
$4,031.20 |
$10,078 |
0.6× |
| PR Mastectomy Simple Complete|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (19303) |
$5,759.60 |
$14,399 |
0.8× |
| PR Posterior Colporrhaphy Repair Rectocele W/WO Perineorrhaphy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57250) |
$4,364.40 |
$10,911 |
0.8× |
| PR Repair Primary Torn Ligament and/or Capsule Knee Collateral|ASSISTANT AT SURGERY SERVICE (27405) |
$5,059.60 |
$12,649 |
0.7× |
| PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (49507) |
$2,613.60 |
$6,534 |
0.7× |
PR Revision Total Knee Arthroplasty With or Without Allograft 1 Component|ASSISTANT AT SURGERY SERVICE (27486)
likely a partial charge, not the full procedure |
$1,609.60 |
$4,024 |
0.1× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$1,652.20 |
$4,130.50 |
0.7× |
| PR Suture of Infrapatellar Tendon Primary|ASSISTANT AT SURGERY SERVICE (27380) |
$8,178.80 |
$20,447 |
1.1× |
| PR Suture of Quadriceps or Hamstring Muscle Rupture Primary|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (27385) |
$5,310 |
$13,275 |
0.7× |
| Preputial stretching (54450) |
$186.80 |
$467 |
0.7× |
| Proctosigmoidoscopy diagnostic (45300) |
$492.60 |
$1,231.50 |
0.5× |
| Proctosigmoidoscopy fb (45307) |
$1,165.20 |
$2,913 |
0.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services (45305) |
$548 |
$1,370 |
0.4× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$548 |
$1,370 |
0.4× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Other Surgical Services (45321) |
$1,165.20 |
$2,913 |
0.4× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services (45303) |
$548 |
$1,370 |
0.4× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$328.80 |
$822 |
0.3× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar… (45308) |
$2,072.40 |
$5,181 |
0.7× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical… (45309) |
$548 |
$1,370 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$156.80 |
$392 |
0.4× |
| Puncture Aspiration (10160) |
$279.20 |
$698 |
0.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,166 |
$2,915 |
0.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Other Surgical Services (24342) |
$5,059.60 |
$12,649 |
0.7× |
| Release of ligaments at outer side of knee joint using an endoscope professional (29873) |
$2,328.80 |
$5,822 |
0.7× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$628.80 |
$1,572 |
0.9× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$46.40 |
$116 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$50.40 |
$126 |
0.8× |
| Removal implant deep (20680) |
$2,111.20 |
$5,278 |
0.7× |
| Removal of anal fissure (46200) |
$2,072.40 |
$5,181 |
0.7× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,348.80 |
$3,372 |
1.1× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis professional (27062) |
$3,292.80 |
$8,232 |
1.0× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$106.80 |
$267 |
0.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$106.80 |
$267 |
0.2× |
| Removal of foreign body, foot; deep (28192) |
$1,335.80 |
$3,339.50 |
0.8× |
| Removal of lens material; intracapsular Other Surgical Services (66920) |
$1,652.20 |
$4,130.50 |
0.7× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$3,210 |
$8,025 |
1.1× |
| Removal of nail bed (11750) |
$302.80 |
$757 |
0.7× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$1,652.20 |
$4,130.50 |
0.7× |
| Removal of skin lesion (11423) |
$1,853.20 |
$4,633 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$151.60 |
$379 |
0.7× |
| Removal tunneled cv cath (36590) |
$550.40 |
$1,376 |
0.3× |
| Remove eyelid foreign body,embedded (67938) |
$108.40 |
$271 |
0.3× |
| Remove fb upper arm/elbow subq (24200) |
$1,330 |
$3,325 |
0.8× |
| Remove foreign body from eye (65210) |
$106.80 |
$267 |
0.2× |
| Remove pharynx foreign body (42809) |
$46.40 |
$116 |
0.1× |
| Remove vaginal foreign body (57415) |
$1,385.20 |
$3,463 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$46.40 |
$116 |
0.3× |
| Remv/Revisn Full Arm/Leg Cast (29705) |
$209.20 |
$523 |
0.7× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,328.80 |
$5,822 |
0.3× |
| Repair anal fistula (46288) |
$2,078.80 |
$5,197 |
0.7× |
| Repair blood vessel, direct; lower extremity (35226) |
$514.40 |
$1,286 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$433.20 |
$1,083 |
1.0× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$425.60 |
$1,064 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$388 |
$970 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$288 |
$720 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$438.40 |
$1,096 |
0.6× |
| Repair ectropion, extensive (67917) |
$1,626.80 |
$4,067 |
0.7× |
| Repair elbow deb/attch open (24359) |
$2,802.80 |
$7,007 |
0.8× |
| Repair Exten Tendon,Dorsum Fingr,Ea (26418) |
$1,124 |
$2,810 |
0.7× |
| Repair finger/hand tendon (26350) |
$2,328.80 |
$5,822 |
0.7× |
| Repair hallux rigidus (28289) |
$2,884.80 |
$7,212 |
0.8× |
| Repair incomplete circumcision (54163) |
$1,522.40 |
$3,806 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Other Surgical Services (49553) |
$2,616.40 |
$6,541 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$274 |
$685 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$361.54 |
$903.85 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$129.60 |
$324 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$301.60 |
$754 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$129.60 |
$324 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$248.89 |
$622.22 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$129.60 |
$324 |
0.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$129.60 |
$324 |
0.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$129.60 |
$324 |
0.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$272.80 |
$682 |
0.4× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$129.60 |
$324 |
0.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$680 |
$1,700 |
1.6× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$754.40 |
$1,886 |
1.8× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$626.40 |
$1,566 |
0.3× |
| Repair nail bed (11760) |
$388 |
$970 |
0.5× |
| Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Other Surgical Services (46707) |
$2,490 |
$6,225 |
0.9× |
| Repair of end of thigh or lower leg bone at knee joint with prosthesis professional (27442) |
$9,088 |
$22,720 |
0.7× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$292 |
$730 |
0.6× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$624 |
$1,560 |
2.5× |
| Repair recurrent femoral hernia; reducible Other Surgical Services (49555) |
$2,613.60 |
$6,534 |
0.7× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Other Surgical Services (49521)
unusually low: confirm this is the full procedure |
$2,613.60 |
$6,534 |
0.4× |
| Repair rotator cuff, acute (23410) |
$8,179.20 |
$20,448 |
1.1× |
| Repair rotator cuff, chronic (23412) |
$6,605.60 |
$16,514 |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea Tdn/Musc (24341) |
$5,059.60 |
$12,649 |
0.7× |
| Repair Testis Injury (54670) |
$478.40 |
$1,196 |
0.1× |
| Repair wrist joints (25447) |
$2,328.80 |
$5,822 |
0.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$438.40 |
$1,096 |
0.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$343.60 |
$859 |
0.4× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,277.20 |
$3,193 |
1.7× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$619.20 |
$1,548 |
0.3× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Other Surgical Services (28322) |
$5,059.60 |
$12,649 |
0.7× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Other Surgical Services (27407) |
$6,071.20 |
$15,178 |
0.8× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Other Surgical Services (27698) |
$5,034.80 |
$12,587 |
0.7× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Other Surgical Services (28208) |
$2,174 |
$5,435 |
0.6× |
| Replace tunneled cv cath (36582) |
$2,886.80 |
$7,217 |
0.9× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$129.60 |
$324 |
0.6× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$129.60 |
$324 |
0.6× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$1,368 |
$3,420 |
0.1× |
| Revise ulnar nerve at elbow (64718) |
$1,446.40 |
$3,616 |
0.7× |
| Revise/graft eyelid lining (68320) |
$1,309.60 |
$3,274 |
0.5× |
| Revision of iris (66761) |
$438.40 |
$1,096 |
0.8× |
Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component Other… (23473)
likely a partial charge, not the full procedure |
$1,687.60 |
$4,219 |
0.1× |
| Revision of upper eyelid (15823) |
$1,408.40 |
$3,521 |
0.7× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,691.60 |
$4,229 |
1.0× |
| Rmvl embedded fb vestibule mouth smpl (40804) |
$676 |
$1,690 |
0.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$106.80 |
$267 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,248 |
$8,120 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,362.80 |
$3,407 |
0.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,051.20 |
$12,628 |
0.8× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,432.40 |
$8,581 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$5,051.20 |
$12,628 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,432.40 |
$8,581 |
0.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$3,432.40 |
$8,581 |
0.5× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$2,613.60 |
$6,534 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$316.40 |
$791 |
0.4× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$2,613.60 |
$6,534 |
0.7× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,652.20 |
$4,130.50 |
0.4× |
| Sigmoidoscopy & polypectomy (45333) |
$324 |
$810 |
0.3× |
| Sigmoidoscopy flx control bleeding (45334) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy w/ablation (45346) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical… (45338) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services (45340) |
$548 |
$1,370 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$129.60 |
$324 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$129.60 |
$324 |
0.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$413.60 |
$1,034 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$129.60 |
$324 |
0.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$335.60 |
$839 |
1.6× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$350.40 |
$876 |
0.8× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$304.40 |
$761 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$129.60 |
$324 |
0.6× |
| Skin pinch graft (15050) |
$563.20 |
$1,408 |
0.7× |
| Small bowel endoscopy (44376) |
$1,316.80 |
$3,292 |
0.7× |
| Small bowel endoscopy/biopsy (44377) |
$1,316.80 |
$3,292 |
0.7× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$129.60 |
$324 |
0.6× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$129.60 |
$324 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$129.60 |
$324 |
0.3× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$2,455.60 |
$6,139 |
0.7× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,299.20 |
$3,248 |
0.6× |
| Strapping of shoulder (29240) |
$53.60 |
$134 |
0.4× |
| Strapping of toes (29550) |
$35.60 |
$89 |
0.6× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,672.40 |
$4,181 |
2.2× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$518.40 |
$1,296 |
1.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services (46270) |
$2,490 |
$6,225 |
0.9× |
| Tenodesis long tendon biceps (23430) |
$8,179.20 |
$20,448 |
1.1× |
| Tenotomy, shoulder area; single tendon Other Surgical Services (23405) |
$6,410.40 |
$16,026 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$548.80 |
$1,372 |
0.8× |
| Total knee arthroplasty (27447) |
$11,934.40 |
$29,836 |
0.9× |
| Tracheostomy emerg cricothyroid (31605) |
$624 |
$1,560 |
2.5× |
| Tracheotomy tube change (31502) |
$166.40 |
$416 |
0.7× |
| Transplant hand tendon (26480) |
$2,328.80 |
$5,822 |
0.7× |
| Treat finger dislocation (26775) |
$652 |
$1,630 |
2.2× |
| Treat lower leg fracture (27825) |
$986.40 |
$2,466 |
0.6× |
| Treat toe dislocation (28630) |
$215.60 |
$539 |
0.8× |
| Treat wrist dislocation (25675) |
$135.20 |
$338 |
0.5× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$339.60 |
$849 |
1.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$214.80 |
$537 |
0.8× |
| Trim skin lesion (11055) |
$229.20 |
$573 |
1.1× |
| Unlisted procedure colon (45399) |
$518 |
$1,295 |
0.5× |
| Unlisted procedure leg/ankle (27899) |
$156 |
$390 |
0.6× |
| Unlisted Procedure Muscskeletal System General (20999) |
$270 |
$675 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$94.40 |
$236 |
0.3× |
| Unlisted procedure shoulder (23929) |
$156 |
$390 |
0.6× |
| Vaginal delivery only (59409) |
$2,217.60 |
$5,544 |
0.7× |
| Vasectomy (55250) |
$1,772 |
$4,430 |
0.8× |
| Venipuncture (36415) |
$6.80 |
$17 |
0.7× |
| Wedge excision skin nail fold (11765) |
$125.60 |
$314 |
0.3× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$1,652.20 |
$4,130.50 |
0.7× |