| Abd paracentesis w/imaging (49083) |
$682.60 |
$1,706.50 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$504.40 |
$1,261 |
0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,220.40 |
$3,051 |
0.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,391.60 |
$3,479 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,838 |
$4,595 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,220.40 |
$3,051 |
0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,297.60 |
$3,244 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,408.40 |
$3,521 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,259.80 |
$3,149.50 |
0.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,314.40 |
$3,286 |
0.6× |
| Amniocentesis diagnostic (59000) |
$61.40 |
$153.50 |
0.1× |
| Amniocentesis therapeutic (59001) |
$91.60 |
$229 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,600 |
$9,000 |
1.1× |
| Amputation Finger/Thumb (26951) |
$2,328.80 |
$5,822 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$2,884.80 |
$7,212 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,802.80 |
$7,007 |
0.8× |
| Anoscopy diagnostic (46600) |
$69.20 |
$173 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$548 |
$1,370 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$998.40 |
$2,496 |
0.3× |
| Application cast elbow finger short arm (29075) |
$102 |
$255 |
0.3× |
| Application cast shoulder hand long arm (29065) |
$111.60 |
$279 |
0.4× |
| Application finger splint static (29130) |
$33.20 |
$83 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$66 |
$165 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$70.40 |
$176 |
0.5× |
| Apply Hand/Wrist Cast (29085) |
$72.80 |
$182 |
0.4× |
| Apply long leg splint (29505) |
$104 |
$260 |
0.6× |
| Apply short leg cast (29405) |
$106 |
$265 |
0.4× |
| Apply short leg splint (29515) |
$53.20 |
$133 |
0.3× |
| 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; Facility (27442) |
$9,088 |
$22,720 |
0.7× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
$9,088 |
$22,720 |
0.7× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$2,328.80 |
$5,822 |
0.7× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$9,088 |
$22,720 |
0.7× |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
$9,088 |
$22,720 |
0.7× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (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× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,716.40 |
$4,291 |
0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$2,335.60 |
$5,839 |
0.7× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (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; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$5,059.60 |
$12,649 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,328.80 |
$5,822 |
0.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$5,034.80 |
$12,587 |
0.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,059.60 |
$12,649 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,034.80 |
$12,587 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$2,374.80 |
$5,937 |
0.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,034.80 |
$12,587 |
0.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$5,059.60 |
$12,649 |
0.7× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,374.80 |
$5,937 |
0.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$338.80 |
$847 |
1.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,772 |
$4,430 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$83.20 |
$208 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,890.80 |
$7,227 |
0.7× |
| Biopsy Salivary Gland,Needle (42400) |
$616 |
$1,540 |
0.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$681.60 |
$1,704 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$3,331.60 |
$8,329 |
0.8× |
| Bladder Irrigation Simple (51700) |
$92 |
$230 |
0.4× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,408.40 |
$3,521 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$109.60 |
$274 |
0.3× |
| Blood transfusion service (36430) |
$336.80 |
$842 |
0.7× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$669.20 |
$1,673 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,450 |
$3,625 |
0.8× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$669.20 |
$1,673 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$942.40 |
$2,356 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$186 |
$465 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$942.40 |
$2,356 |
0.5× |
| 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 breast needle core w/o imaging guidance spx (19100) |
$1,210.40 |
$3,026 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,392.40 |
$3,481 |
0.8× |
| Cataract surg w/iol 1 stage (66983) |
$1,724.80 |
$4,312 |
0.7× |
| Cataract surgery complex (66982) |
$1,652.20 |
$4,130.50 |
0.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$1,525 |
$3,812.50 |
6.7× |
| Change of cystostomy tube simple (51705) |
$80 |
$200 |
0.3× |
| Chemical cautery tissue (17250) |
$103.60 |
$259 |
0.5× |
| Circum 28 days or older (54161) |
$1,522.40 |
$3,806 |
0.7× |
| Circumcision (54150) |
$534.40 |
$1,336 |
0.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$135.20 |
$338 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$135.20 |
$338 |
0.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$135.20 |
$338 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$792.40 |
$1,981 |
0.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$178 |
$445 |
0.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$538.80 |
$1,347 |
0.3× |
| 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 manip (27268) |
$535.60 |
$1,339 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$892.80 |
$2,232 |
3.5× |
| 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 (25565) |
$494.40 |
$1,236 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$141.20 |
$353 |
0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$270.80 |
$677 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$135.20 |
$338 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$480 |
$1,200 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$156 |
$390 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$480 |
$1,200 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$270 |
$675 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$203 |
$507.50 |
0.8× |
| 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 fx grt toe phlx/phlg w/manj (28495) |
$181.60 |
$454 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$170 |
$425 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$135.20 |
$338 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$986.40 |
$2,466 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$236 |
$590 |
0.9× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,085.60 |
$2,714 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$135.20 |
$338 |
0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$652 |
$1,630 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$135.20 |
$338 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$294.40 |
$736 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$992.40 |
$2,481 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$249.20 |
$623 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$215.60 |
$539 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$314.80 |
$787 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,316.80 |
$3,292 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$135.20 |
$338 |
0.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (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 (27752) |
$640 |
$1,600 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$102.60 |
$256.50 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$840.80 |
$2,102 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$840.80 |
$2,102 |
0.7× |
| Colonoscopy thru stoma (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 control of bleeding, any method (45382) |
$869.60 |
$2,174 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$367.20 |
$918 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$158.40 |
$396 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$100.40 |
$251 |
0.7× |
| Correction hammertoe (28285) |
$2,328.40 |
$5,821 |
0.7× |
| Correction of bunion (28298) |
$5,059.60 |
$12,649 |
0.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,328.80 |
$5,822 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$100.40 |
$251 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,772 |
$4,430 |
0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (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× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$388 |
$970 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,111.20 |
$5,278 |
0.7× |
| Debride tissue/muscle (11043) |
$553 |
$1,382.50 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$290.40 |
$726 |
0.7× |
| Declot vascular device (36593) |
$301.20 |
$753 |
0.9× |
| Delivery placenta separate procedure (59414) |
$2,596.80 |
$6,492 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$151.60 |
$379 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$69.60 |
$174 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$151.60 |
$379 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$637.60 |
$1,594 |
0.7× |
| Dilat female urethra general/cndj spinal anes (53665) |
$1,544.40 |
$3,861 |
0.7× |
| Dilate Urethra Stricture (53620) |
$474.80 |
$1,187 |
0.7× |
| Dilate urethra stricture (53600) |
$148.40 |
$371 |
0.6× |
| Dilation and curettage (58120) |
$2,096 |
$5,240 |
0.6× |
| Dissection, deep jugular node(s) Facility (38542) |
$6,596 |
$16,490 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$280.80 |
$702 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$234 |
$585 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$902.40 |
$2,256 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$123.20 |
$308 |
0.6× |
| Drainage of gum lesion (41800) |
$133.60 |
$334 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,031.40 |
$2,578.50 |
0.6× |
| Drainage of hydrocele (55000) |
$602.80 |
$1,507 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,102.40 |
$2,756 |
0.6× |
| Draw blood off venous device (36591) |
$95.60 |
$239 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$125.60 |
$314 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$125.60 |
$314 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$83.20 |
$208 |
0.4× |
| Dstrj lesion anus simple surg excision (46922) |
$2,072.40 |
$5,181 |
0.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,725.20 |
$4,313 |
0.8× |
| Dx gastr intub w/asp spec (43754) |
$121.20 |
$303 |
0.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$855.20 |
$2,138 |
0.5× |
| 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 band ligation esophgeal/gastric varices (43244) |
$712.40 |
$1,781 |
0.4× |
| Egd control bleeding any (43255) |
$712.40 |
$1,781 |
0.4× |
| Egd dilate stricture (43245) |
$1,282 |
$3,205 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$712.40 |
$1,781 |
0.4× |
| Egd flexible foreign body removal (43247) |
$667.60 |
$1,669 |
0.7× |
| Egd guide wire insertion (43248) |
$471.20 |
$1,178 |
0.5× |
| Egd place gastrostomy tube (43246) |
$1,282 |
$3,205 |
0.6× |
| Egd remove lesion snare (43251) |
$712.40 |
$1,781 |
0.4× |
| Endometrial Biopsy (58100) |
$118.40 |
$296 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,316.80 |
$3,292 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$964 |
$2,410 |
0.3× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$1,316.80 |
$3,292 |
0.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$585.20 |
$1,463 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$50 |
$125 |
0.4× |
| 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 b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$591.20 |
$1,478 |
0.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$514.40 |
$1,286 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,853.20 |
$4,633 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,453.20 |
$3,633 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$514.40 |
$1,286 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$805.60 |
$2,014 |
0.5× |
| Exc back tum deep < 5 cm (21932) |
$2,346.80 |
$5,867 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$514.40 |
$1,286 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,210.40 |
$3,026 |
0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,106 |
$7,765 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,390 |
$3,475 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$681.60 |
$1,704 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$279.20 |
$698 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$566.40 |
$1,416 |
0.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,210.40 |
$3,026 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,087.20 |
$5,218 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,111.20 |
$5,278 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,221.20 |
$3,053 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,346.80 |
$5,867 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,852.80 |
$4,632 |
1.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,111.20 |
$5,278 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,221.20 |
$3,053 |
0.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,111.20 |
$5,278 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,088 |
$5,220 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,111.20 |
$5,278 |
0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,503.60 |
$6,259 |
0.8× |
| Excis Pterygium (65420) |
$1,626.80 |
$4,067 |
0.7× |
| Excision interdigital morton neuroma single each (28080) |
$1,390 |
$3,475 |
0.8× |
| 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 2.1-3.0 Cm (11643) |
$1,853.20 |
$4,633 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$741.20 |
$1,853 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,221.20 |
$3,053 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,072.40 |
$5,181 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$514.40 |
$1,286 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$514.40 |
$1,286 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,166 |
$2,915 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,453.20 |
$3,633 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
$998.40 |
$2,496 |
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; (27355) |
$2,802.80 |
$7,007 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,111.20 |
$5,278 |
0.7× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,802.80 |
$7,007 |
0.8× |
| 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, nasal polyp(s), simple Facility (30110) |
$1,158.80 |
$2,897 |
0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,111.20 |
$5,278 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,221.20 |
$3,053 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,111.20 |
$5,278 |
0.7× |
| Excision; trochanteric bursa or calcification (27062) |
$3,292.80 |
$8,232 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$929 |
$2,322.50 |
0.5× |
| Extraction of lens (66940) |
$1,652.20 |
$4,130.50 |
0.7× |
| Extraction of lens (66920) |
$1,652.20 |
$4,130.50 |
0.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,700 |
$9,250 |
1.1× |
| Fasciotomy foot and/or toe (28008) |
$3,700.80 |
$9,252 |
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× |
| Fine needle aspiration without imaging guidance (10021) |
$342 |
$855 |
0.8× |
| Fixation of shoulder (23700) |
$1,166 |
$2,915 |
0.7× |
| Foreskin manipulation (54450) |
$186.80 |
$467 |
0.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$812 |
$2,030 |
0.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,084 |
$5,210 |
1.0× |
| Fusion of elbow joint (24800) |
$4,496.80 |
$11,242 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$121.20 |
$303 |
0.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$2,884.80 |
$7,212 |
0.8× |
| Hemorrhoidectomy (46255) |
$2,072.40 |
$5,181 |
0.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,210 |
$8,025 |
1.1× |
| Hemorrhoidopexy by stapling (46947) |
$2,133 |
$5,332.50 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$160.40 |
$401 |
0.6× |
| I&d abscess simple (10060) |
$149.20 |
$373 |
0.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,374.80 |
$5,937 |
0.7× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,700 |
$9,250 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$318.80 |
$797 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,087.20 |
$5,218 |
0.7× |
| I&d submucosal abscess rectum (45005) |
$840.80 |
$2,102 |
0.7× |
| 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 (10061) |
$279 |
$697.50 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,087.20 |
$5,218 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$514.40 |
$1,286 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,280 |
$3,200 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$320.40 |
$801 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$150.20 |
$375.50 |
0.7× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$2,078.80 |
$5,197 |
0.7× |
| Incision and drainage of thyroglossal duct cyst, infected Facility (60000) |
$1,022 |
$2,555 |
0.6× |
| Incision and drainage perianal abscess superficial (46050) |
$313.20 |
$783 |
0.3× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,087.20 |
$5,218 |
0.7× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,103.60 |
$2,759 |
0.4× |
| Incision extensor tendon sheath wrist (25000) |
$1,166 |
$2,915 |
0.7× |
| Incision of rectal abscess (46040) |
$1,168.20 |
$2,920.50 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$151.60 |
$379 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$470.80 |
$1,177 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$219.60 |
$549 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$305.20 |
$763 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,086.40 |
$2,716 |
1.2× |
| 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,Paravert Sympath (64520) |
$93.20 |
$233 |
0.1× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$231.80 |
$579.50 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$202.40 |
$506 |
0.6× |
| Injection anesthetic agent femoral nerve single (64447) |
$305.20 |
$763 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$142 |
$355 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (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× |
| Insert Bladder Cath Complex (51703) |
$107.20 |
$268 |
0.8× |
| Insert cath pleura w/ image (32557) |
$1,448 |
$3,620 |
0.9× |
| Insert cath pleura w/o image (32556) |
$1,502.20 |
$3,755.50 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,165.40 |
$2,913.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$94.40 |
$236 |
0.7× |
| Insert tunneled cv cath (36561) |
$2,344.80 |
$5,862 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$56.40 |
$141 |
0.4× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
$2,141.80 |
$5,354.50 |
0.5× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$1,652.20 |
$4,130.50 |
0.7× |
| Insj picc 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 cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,352.80 |
$3,382 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,995.20 |
$9,988 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$189.40 |
$473.50 |
0.8× |
| Knee Arthroscopy/Surgery (29874) |
$2,374.80 |
$5,937 |
0.7× |
| Knee Arthroscopy/Surgery (29879) |
$2,374.80 |
$5,937 |
0.7× |
| Lap ing hernia repair init (49650) |
$4,904 |
$12,260 |
0.8× |
| Laparoscopy appendectomy (44970) |
$4,031.20 |
$10,078 |
0.6× |
| Laparoscopy biopsy (49321) |
$5,008 |
$12,520 |
0.8× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,008 |
$12,520 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,904 |
$12,260 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,031.20 |
$10,078 |
0.6× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (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) (58670) |
$6,596 |
$16,490 |
1.0× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$6,716 |
$16,790 |
1.1× |
| 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 diagnostic (31505) |
$153.20 |
$383 |
0.7× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$1,549.20 |
$3,873 |
0.8× |
| Laryngoscopy w/biopsy (31535) |
$1,322 |
$3,305 |
0.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$938.80 |
$2,347 |
0.5× |
| Late closure of wound (13160) |
$1,652.20 |
$4,130.50 |
0.4× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,034.80 |
$12,587 |
0.7× |
| Ligation of hemorrhoid(s) (46221) |
$637.60 |
$1,594 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$1,453.20 |
$3,633 |
0.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$1,411.20 |
$3,528 |
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 knee joint under general anesthesia (27570) |
$1,166 |
$2,915 |
0.7× |
| Mast mod rad (19307) |
$4,185 |
$10,462.50 |
0.6× |
| Mastectomy partial (19301) |
$2,499.60 |
$6,249 |
0.6× |
| Mastectomy simple complete (19303) |
$5,759.60 |
$14,399 |
0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$305.20 |
$763 |
0.4× |
| Nasal endoscopy dx (31231) |
$99.60 |
$249 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$309.20 |
$773 |
0.7× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,446 |
$3,615 |
0.7× |
| Njx aa&/strd sciatic nerve (64445) |
$577.20 |
$1,443 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$205.60 |
$514 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,760 |
$6,900 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$90.40 |
$226 |
0.1× |
| Occipital Nerve Block (64405) |
$253.20 |
$633 |
0.8× |
| 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; Facility (23550) |
$6,605.60 |
$16,514 |
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 1st metatarsal head (28111) |
$3,600 |
$9,000 |
1.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$2,884.80 |
$7,212 |
0.8× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,328.80 |
$5,822 |
0.7× |
| P-mastectomy w/ln removal (19302) |
$5,362.80 |
$13,407 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,041.20 |
$5,103 |
0.6× |
| Pericardiocentesis W/Imaging (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 replacement gtube not req revj gstrst trc (43762) |
$206 |
$515 |
0.8× |
| Picc line placement (36569) |
$1,362.80 |
$3,407 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$262 |
$655 |
0.6× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,364.40 |
$10,911 |
0.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$492.60 |
$1,231.50 |
0.5× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$2,072.40 |
$5,181 |
0.7× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$548 |
$1,370 |
0.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,165.20 |
$2,913 |
0.4× |
| Proctosigmoid w/biopsy (45305) |
$548 |
$1,370 |
0.4× |
| Proctosigmoidoscopy dilate (45303) |
$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 Facility (45321) |
$1,165.20 |
$2,913 |
0.4× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$328.80 |
$822 |
0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,328.80 |
$5,822 |
0.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,199.20 |
$15,498 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$156.80 |
$392 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$279.20 |
$698 |
0.7× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$1,166 |
$2,915 |
0.7× |
| Reconstruct lip with flap (40525) |
$2,972.80 |
$7,432 |
0.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$5,059.60 |
$12,649 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,335.80 |
$3,339.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$628.80 |
$1,572 |
0.9× |
| Removal foreign body intranasal (30300) |
$46.40 |
$116 |
0.3× |
| Removal foreign body pharynx (42809) |
$46.40 |
$116 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$50.40 |
$126 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$46.40 |
$116 |
0.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,385.20 |
$3,463 |
0.4× |
| 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 arm foreign body (24200) |
$1,330 |
$3,325 |
0.8× |
| Removal of embedded foreign body, eyelid (67938) |
$108.40 |
$271 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,348.80 |
$3,372 |
1.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$106.80 |
$267 |
0.2× |
| 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 skn tags mlt fibrq tags any area upw/15 (11200) |
$151.60 |
$379 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$209.20 |
$523 |
0.7× |
| Remove anal fist subq (46270) |
$2,490 |
$6,225 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$2,072.40 |
$5,181 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$2,503.60 |
$6,259 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$1,166 |
$2,915 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$46.40 |
$116 |
0.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$106.80 |
$267 |
0.8× |
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 anorectal fistula w/plug (46707) |
$2,490 |
$6,225 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$438.40 |
$1,096 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$343.60 |
$859 |
0.4× |
| 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 (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 1.1-2.5 cm (13100) |
$1,277.20 |
$3,193 |
1.7× |
| 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 extensor tendon finger w/o graft each (26418) |
$1,124 |
$2,810 |
0.7× |
| Repair incomplete circumcision (54163) |
$1,522.40 |
$3,806 |
0.7× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,613.60 |
$6,534 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,616.40 |
$6,541 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,613.60 |
$6,534 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$301.60 |
$754 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$274 |
$685 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$361.54 |
$903.85 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$680 |
$1,700 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$129.60 |
$324 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$129.60 |
$324 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$754.40 |
$1,886 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$129.60 |
$324 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$245.60 |
$614 |
0.6× |
| 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 n/h/f/xtrnl gent >30.0 cm (12047) |
$619.20 |
$1,548 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$288 |
$720 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$129.60 |
$324 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$129.60 |
$324 |
0.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$272.80 |
$682 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$129.60 |
$324 |
0.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$626.40 |
$1,566 |
0.3× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,432.40 |
$8,581 |
0.5× |
Repair of knee cartilage (27403)
unusually low: confirm this is the full procedure |
$2,328.80 |
$5,822 |
0.3× |
| Repair of nail bed (11760) |
$388 |
$970 |
0.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$6,605.60 |
$16,514 |
0.9× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$2,613.60 |
$6,534 |
0.7× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure |
$2,613.60 |
$6,534 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,613.60 |
$6,534 |
0.7× |
| Repair rotator cuff acute (23410) |
$8,179.20 |
$20,448 |
1.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,174 |
$5,435 |
0.6× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,059.60 |
$12,649 |
0.7× |
| Repair tongue laceration (41252) |
$624 |
$1,560 |
2.5× |
| Repair Tongue Laceration (41250) |
$292 |
$730 |
0.6× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$5,059.60 |
$12,649 |
0.7× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$5,059.60 |
$12,649 |
0.7× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$6,071.20 |
$15,178 |
0.8× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$5,034.80 |
$12,587 |
0.7× |
| Repeat control of nosebleed (30906) |
$113.20 |
$283 |
0.5× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$1,687.60 |
$4,219 |
0.1× |
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 knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$1,609.60 |
$4,024 |
0.1× |
| 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 (65222) |
$106.80 |
$267 |
0.8× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$106.80 |
$267 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,248 |
$8,120 |
1.1× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$1,652.20 |
$4,130.50 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$550.40 |
$1,376 |
0.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,362.80 |
$3,407 |
0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,362.80 |
$3,407 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,886.80 |
$7,217 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,051.20 |
$12,628 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,432.40 |
$8,581 |
0.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$3,432.40 |
$8,581 |
0.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,051.20 |
$12,628 |
0.8× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$514.40 |
$1,286 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$316.40 |
$791 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$524.80 |
$1,312 |
0.8× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,328.80 |
$5,822 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$548 |
$1,370 |
0.4× |
| Shoulder arthroscopy (29820) |
$5,033.20 |
$12,583 |
0.7× |
| Shoulder arthroscopy (29805) |
$2,374.80 |
$5,937 |
0.7× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,328.80 |
$5,822 |
0.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,374.80 |
$5,937 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$548 |
$1,370 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$324 |
$810 |
0.3× |
| Sigmoidoscopy w/biopsy (45331) |
$299.60 |
$749 |
0.3× |
| Sigmoidoscopy w/fb removal (45332) |
$548 |
$1,370 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$304.40 |
$761 |
0.7× |
| 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 20.1cm-30.0 cm (12017) |
$350.40 |
$876 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$129.60 |
$324 |
0.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$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/< (12001) |
$129.60 |
$324 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$335.60 |
$839 |
1.6× |
| 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× |
| Skin splt grft trnk/arm/leg (15100) |
$1,299.20 |
$3,248 |
0.6× |
| Skin tissue rearrangement (14040) |
$1,446.40 |
$3,616 |
0.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,455.60 |
$6,139 |
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 (12002) |
$129.60 |
$324 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$129.60 |
$324 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$129.60 |
$324 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$314 |
$785 |
0.4× |
| Strapping shoulder (29240) |
$53.60 |
$134 |
0.4× |
| Strapping toes (29550) |
$35.60 |
$89 |
0.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,374.80 |
$5,937 |
0.7× |
| Suture infrapatellar tendon primary (27380) |
$8,178.80 |
$20,447 |
1.1× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$5,310 |
$13,275 |
0.7× |
| Suture/repair testicular injury (54670) |
$478.40 |
$1,196 |
0.1× |
| Tenodesis long tendon biceps (23430) |
$8,179.20 |
$20,448 |
1.1× |
| Tenotomy shoulder area single tendon (23405) |
$6,410.40 |
$16,026 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$548.80 |
$1,372 |
0.8× |
| Thyroid biopsy (60100) |
$289.20 |
$723 |
0.4× |
| Tibial Arthroscopy/Surgery (29855) |
$6,392.40 |
$15,981 |
0.8× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,802.80 |
$7,007 |
0.8× |
| Total hip arthroplasty (27130) |
$11,934.40 |
$29,836 |
0.9× |
| Total Knee Arthroplasty (27447) |
$11,934.40 |
$29,836 |
0.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$624 |
$1,560 |
2.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$472.80 |
$1,182 |
0.3× |
| Tracheotomy tube change (31502) |
$166.40 |
$416 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$91.60 |
$229 |
0.3× |
| Transplant hand tendon (26480) |
$2,328.80 |
$5,822 |
0.7× |
| Treat clavicle dislocation (23540) |
$275.20 |
$688 |
1.1× |
| Treat Lower Leg Fracture (27828) |
$11,934.40 |
$29,836 |
0.9× |
| Treat Thumb Dislocation (26641) |
$630.40 |
$1,576 |
2.4× |
| Treatment closed elbow dislocation w/o anes (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× |
| Tube thoracostomy includes water seal (32551) |
$226.80 |
$567 |
0.1× |
| Unlisted laparoscopic procedure liver (47379) |
$4,079.60 |
$10,199 |
0.6× |
| Unlisted procedure arthroscopy (29999) |
$1,316.80 |
$3,292 |
5.1× |
| Unlisted procedure colon (45399) |
$518 |
$1,295 |
0.5× |
| Unlisted procedure femur or knee (27599) |
$156 |
$390 |
0.6× |
| Unlisted procedure foot or toes (28899) |
$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 pelvis/hip joint (27299) |
$156 |
$390 |
0.6× |
| Unlisted procedure shoulder (23929) |
$156 |
$390 |
0.6× |
| Unlisted procedure, leg or ankle (27899) |
$156 |
$390 |
0.6× |
| Vaginal delivery only (59409) |
$2,217.60 |
$5,544 |
0.7× |
| Vasectomy uni/bi spx w/postop semen exams (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× |
| Wound Prep F/N/Hf/G (15004) |
$518.40 |
$1,296 |
1.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,672.40 |
$4,181 |
2.2× |