| Abd paracentesis w/imaging (49083) |
$225 |
$375 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$867.60 |
$1,446 |
1.0× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,878 |
$3,130 |
1.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,694.10 |
$2,823.50 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,641.90 |
$2,736.50 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,598.70 |
$2,664.50 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,372.40 |
$3,954 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$3,825.60 |
$6,376 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$2,271 |
$3,785 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,435.10 |
$4,058.50 |
0.8× |
| Amputation, foot; transmetatarsal (28805) |
$2,425.80 |
$4,043 |
0.8× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,159.40 |
$3,599 |
0.3× |
| Anoscopy diagnostic (46600) |
$135 |
$225 |
1.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,269.40 |
$5,449 |
1.2× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$1,569.60 |
$2,616 |
0.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$3,454.20 |
$5,757 |
0.7× |
| Appendectomy (44950) |
$4,312.20 |
$7,187 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$195 |
$325 |
1.2× |
| Application finger splint static (29130) |
$95.70 |
$159.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$147.30 |
$245.50 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$149.40 |
$249 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$177 |
$295 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$118.50 |
$197.50 |
0.9× |
| Application short leg splint calf foot (29515) |
$140.40 |
$234 |
0.9× |
| Apply multlay comprs arm/hand (29584) |
$195 |
$325 |
1.2× |
| Apply short leg cast (29405) |
$145.80 |
$243 |
0.5× |
| Arterial puncture (36600) |
$148.80 |
$248 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$75.60 |
$126 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$91.20 |
$152 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$79.20 |
$132 |
0.3× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,997.90 |
$4,996.50 |
0.4× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$3,265.20 |
$5,442 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,868.70 |
$3,114.50 |
0.6× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$5,146.20 |
$8,577 |
1.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,912.20 |
$8,187 |
1.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,146.20 |
$8,577 |
1.6× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,823.20 |
$6,372 |
1.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$5,146.20 |
$8,577 |
1.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,146.20 |
$8,577 |
1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,950.20 |
$4,917 |
0.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,573.40 |
$9,289 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,807.60 |
$6,346 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,346.60 |
$13,911 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,461.80 |
$14,103 |
1.2× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
$2,163.60 |
$3,606 |
0.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,023.20 |
$3,372 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,184.80 |
$5,308 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$243.60 |
$406 |
1.3× |
| Biopsy bone open superficial (20240) |
$1,599 |
$2,665 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$4,242.60 |
$7,071 |
1.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$523.50 |
$872.50 |
0.6× |
| Biopsy external ear (69100) |
$186.60 |
$311 |
0.8× |
| Biopsy muscle deep (20205) |
$1,803.30 |
$3,005.50 |
0.6× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$2,204.10 |
$3,673.50 |
0.8× |
| Biopsy of lip (40490) |
$285 |
$475 |
1.3× |
| Biopsy of uterus lining (58100) |
$154.80 |
$258 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,566.20 |
$4,277 |
0.7× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$768.60 |
$1,281 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$1,973.40 |
$3,289 |
1.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,167.50 |
$3,612.50 |
0.8× |
| Biopsy/removal lymph nodes (38525) |
$2,484.90 |
$4,141.50 |
0.7× |
| Biopsy/removal lymph nodes (38510) |
$2,532.60 |
$4,221 |
0.7× |
| Blood transfusion service (36430) |
$588 |
$980 |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,221.20 |
$3,702 |
1.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,017.20 |
$3,362 |
1.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,274.10 |
$2,123.50 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$147 |
$245 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$469.80 |
$783 |
0.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,188 |
$1,980 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$256.80 |
$428 |
1.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$335.10 |
$558.50 |
1.1× |
| Chemodenerv Musc Migraine (64615) |
$143.40 |
$239 |
0.5× |
| Chest tube placement (32551) |
$1,309.80 |
$2,183 |
0.9× |
| Chromotubation of oviduct, including materials (58350) |
$5,947.20 |
$5,103.50 |
1.2× |
| Circum 28 days or older (54161) |
$2,051.40 |
$3,419 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$390 |
$650 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,060.20 |
$1,767 |
4.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$229.80 |
$383 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,018.20 |
$1,697 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$314.40 |
$524 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$590.40 |
$984 |
2.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$185.40 |
$309 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$512.70 |
$854.50 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$922.20 |
$1,537 |
3.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$415.50 |
$692.50 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$646.20 |
$1,077 |
2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$322.80 |
$538 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,878 |
$3,130 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$250.20 |
$417 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$199.20 |
$332 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$271.80 |
$453 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$193.80 |
$323 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$944.10 |
$1,573.50 |
4.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$468 |
$780 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$499.80 |
$833 |
2.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$648.90 |
$1,081.50 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$496.20 |
$827 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$287.40 |
$479 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,948.20 |
$3,247 |
1.3× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$8,017.20 |
$13,362 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,048.20 |
$1,747 |
0.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$368.40 |
$614 |
0.3× |
| Colonoscopy thru stoma (44388) |
$1,094.70 |
$1,824.50 |
1.2× |
| Colonoscopy w/ablation (45388) |
$1,388.40 |
$2,314 |
1.2× |
| Colporrhaphy suture injury vagina (57200) |
$2,159.10 |
$3,598.50 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$240 |
$400 |
0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$217.20 |
$362 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,545.40 |
$5,909 |
1.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$259.50 |
$432.50 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,350.30 |
$2,250.50 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$803.70 |
$1,339.50 |
0.7× |
| Complex Drainage, Wound (10180) |
$1,812 |
$3,020 |
0.6× |
| Conization of cervix (57520) |
$2,043.60 |
$3,406 |
0.7× |
| Conization of cervix (57522) |
$3,542.40 |
$5,904 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$298.20 |
$497 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$190.80 |
$318 |
1.5× |
| Correction hammertoe (28285) |
$1,649.10 |
$2,748.50 |
0.5× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,496.30 |
$4,160.50 |
0.4× |
| Correction of bunion (28292) |
$3,793.20 |
$6,322 |
1.2× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,245.40 |
$5,409 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,274.30 |
$3,790.50 |
0.7× |
| Create eardrum opening (69436) |
$2,750.40 |
$4,584 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$375.90 |
$626.50 |
2.9× |
| Curette/treat cornea (65435) |
$109.20 |
$182 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$4,208.40 |
$7,014 |
1.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$5,959.80 |
$9,933 |
1.8× |
| Cysto/uretero w/lithotripsy (52356) |
$5,913 |
$9,855 |
1.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,993.40 |
$9,989 |
1.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,331 |
$3,885 |
1.2× |
| Cystoscopy,insert ureteral stent (52332) |
$4,208.40 |
$7,014 |
1.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,993.80 |
$8,323 |
1.5× |
| Debride nail 1-5 (11720) |
$19.80 |
$33 |
0.3× |
| Debride nail 6 or more (11721) |
$33.60 |
$56 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$462.30 |
$770.50 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$724.20 |
$1,207 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,379.10 |
$2,298.50 |
0.9× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$1,397.10 |
$2,328.50 |
0.7× |
| Destruction anal lesion(s) (46924) |
$1,988.10 |
$3,313.50 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$253.20 |
$422 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$147 |
$245 |
0.8× |
| Destruction Lesions Vulva Extensive (56515) |
$1,755.30 |
$2,925.50 |
0.9× |
| Destruction Lesions Vulva Simple (56501) |
$2,316 |
$3,860 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$84 |
$140 |
0.4× |
| Destruction vaginal lesions simple (57061) |
$3,545.40 |
$5,909 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$876.90 |
$1,461.50 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$262.20 |
$437 |
0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,990.80 |
$3,318 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,734 |
$2,890 |
2.0× |
| Division of fallopian tube (58600) |
$2,140.50 |
$3,567.50 |
0.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$870 |
$1,450 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,242.90 |
$2,071.50 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$315 |
$525 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,939.20 |
$3,232 |
1.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$2,867.40 |
$4,779 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$298.20 |
$497 |
0.2× |
| Draw blood off venous device (36591) |
$123.60 |
$206 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$306 |
$510 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$243.60 |
$406 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$1,846.50 |
$3,077.50 |
0.7× |
| Dstrj lesion penis simple surg excision (54060) |
$249.60 |
$416 |
0.1× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,901.40 |
$3,169 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,382.70 |
$2,304.50 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,049.10 |
$1,748.50 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$4,443.90 |
$7,406.50 |
2.4× |
| Egd flexible foreign body removal (43247) |
$1,151.40 |
$1,919 |
1.3× |
| Egd guide wire insertion (43248) |
$512.40 |
$854 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,473.30 |
$2,455.50 |
0.8× |
| Egd remove lesion snare (43251) |
$629.40 |
$1,049 |
0.3× |
| Elbow arthroscopy/surgery (29835) |
$5,146.20 |
$8,577 |
1.6× |
| Endocervical Curettage (57505) |
$871.80 |
$1,453 |
1.0× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$4,077 |
$6,795 |
0.8× |
| Esophagoscopy flex biopsy (43202) |
$1,164.90 |
$1,941.50 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$602.70 |
$1,004.50 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$69.60 |
$116 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$2,025.90 |
$3,376.50 |
0.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,883.10 |
$3,138.50 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,686 |
$2,810 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,399.50 |
$2,332.50 |
0.9× |
| Exc back les sc < 3 cm (21930) |
$1,273.20 |
$2,122 |
0.8× |
| Exc face les sbq 2 cm/> (21012) |
$2,970.30 |
$4,950.50 |
1.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,201.80 |
$2,003 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$2,031.60 |
$3,386 |
1.3× |
| Exc frenum labial/buccal (40819) |
$1,827.60 |
$3,046 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$2,229.30 |
$3,715.50 |
0.8× |
| Exc rect tum transanal part (45171) |
$2,237.40 |
$3,729 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,228.80 |
$2,048 |
0.8× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,088.30 |
$3,480.50 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$713.70 |
$1,189.50 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$202.20 |
$337 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$547.20 |
$912 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$981 |
$1,635 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,356 |
$2,260 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,226.40 |
$2,044 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,494.20 |
$4,157 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,491.80 |
$4,153 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$619.80 |
$1,033 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,413 |
$2,355 |
0.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,343 |
$3,905 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,051.40 |
$3,419 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,849.20 |
$3,082 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,225.10 |
$3,708.50 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,003.20 |
$1,672 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$102.60 |
$171 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,073 |
$3,455 |
0.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$3,078 |
$5,130 |
1.9× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,306.80 |
$2,178 |
0.8× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,349.60 |
$3,916 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,974.60 |
$3,291 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,180.20 |
$1,967 |
0.7× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,880.40 |
$3,134 |
1.2× |
| Excise pharynx lesion (42808) |
$640.20 |
$1,067 |
0.2× |
| Excise/repair mouth lesion (40812) |
$1,033.80 |
$1,723 |
0.7× |
| Excision Breast Lesion (19125) |
$1,285.80 |
$2,143 |
0.3× |
| Excision external ear partial simple repair (69110) |
$1,937.40 |
$3,229 |
0.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,019.70 |
$1,699.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$757.80 |
$1,263 |
1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,077.30 |
$1,795.50 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,937.40 |
$3,229 |
2.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$525.30 |
$875.50 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,054.80 |
$1,758 |
1.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,214.60 |
$3,691 |
1.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$756.90 |
$1,261.50 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,871.10 |
$3,118.50 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,778.40 |
$2,964 |
1.1× |
| Excision of bartholin's gland or cyst (56740) |
$2,298 |
$3,830 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$711 |
$1,185 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$659.10 |
$1,098.50 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$709.20 |
$1,182 |
0.5× |
| Excision of hydrocele; unilateral (55040) |
$2,551.20 |
$4,252 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$759 |
$1,265 |
0.8× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,885.20 |
$3,142 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,110.30 |
$1,850.50 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$165 |
$275 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,207.50 |
$2,012.50 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,818.60 |
$3,031 |
0.7× |
| Excision of Umbilicus (49250) |
$4,383 |
$7,305 |
1.3× |
| Excision of vaginal cyst or tumor (57135) |
$1,925.40 |
$3,209 |
0.6× |
| Excision olecranon bursa (24105) |
$3,793.20 |
$6,322 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,444 |
$5,740 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,910.70 |
$3,184.50 |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,275.60 |
$2,126 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$886.20 |
$1,477 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$851.40 |
$1,419 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,981.50 |
$3,302.50 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,935.20 |
$4,892 |
1.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,898.10 |
$3,163.50 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$2,389.80 |
$3,983 |
0.9× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,155.80 |
$3,593 |
0.8× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$2,290.80 |
$3,818 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$1,910.10 |
$3,183.50 |
1.2× |
| Exploration of knee joint (27310) |
$3,836.40 |
$6,394 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,545.30 |
$2,575.50 |
1.0× |
| Explore/treat ankle joint (27610) |
$2,363.10 |
$3,938.50 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$1,911.60 |
$3,186 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$287.70 |
$479.50 |
0.7× |
| Fitting of diaphragm/cap (57170) |
$230.40 |
$384 |
1.2× |
| Fixation of knee joint (27570) |
$2,505 |
$4,175 |
1.6× |
| Fixation of shoulder (23700) |
$1,881 |
$3,135 |
1.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,687 |
$6,145 |
1.2× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,553.70 |
$2,589.50 |
0.8× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$3,494.40 |
$5,824 |
0.3× |
Fusion of foot bones (28735)
unusually low: confirm this is the full procedure |
$4,758 |
$7,930 |
0.4× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$2,712 |
$4,520 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$221.70 |
$369.50 |
1.1× |
| Gastrocnemius Recession (27687) |
$1,964.70 |
$3,274.50 |
0.6× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,206.80 |
$3,678 |
0.6× |
| Hemorrhoidectomy (46255) |
$2,950.50 |
$4,917.50 |
1.1× |
| Hemorrhoidectomy external complete (46250) |
$2,436.30 |
$4,060.50 |
0.9× |
| Hysteroscopy ablation (58563) |
$2,551.20 |
$4,252 |
0.5× |
| Hysteroscopy biopsy (58558) |
$2,882.10 |
$4,803.50 |
0.9× |
| Hysteroscopy dx sep proc (58555) |
$1,768.80 |
$2,948 |
0.6× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,039.40 |
$3,399 |
0.7× |
| I&d abscess simple (10060) |
$244.20 |
$407 |
1.3× |
| I&d below fascia foot 1 bursal space (28002) |
$1,020.90 |
$1,701.50 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,269.40 |
$5,449 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,269.40 |
$5,449 |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,551.50 |
$4,252.50 |
0.8× |
| I&d perianal abscess superficial (46050) |
$636.60 |
$1,061 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$171 |
$285 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$797.10 |
$1,328.50 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,994.40 |
$3,324 |
0.7× |
| Incise finger tendon sheath (26055) |
$2,772.60 |
$4,621 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$445.20 |
$742 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,914.60 |
$3,191 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$232.80 |
$388 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,619.90 |
$4,366.50 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$489.90 |
$816.50 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$306.60 |
$511 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$369.60 |
$616 |
1.3× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$8,625.60 |
$14,376 |
1.4× |
| Incision labial frenum frenotomy (40806) |
$606 |
$1,010 |
1.2× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$2,622.30 |
$4,370.50 |
0.4× |
| Incision of lingual frenum (41010) |
$1,878 |
$3,130 |
1.3× |
| Incision of lymph channels (38308) |
$2,580.90 |
$4,301.50 |
0.7× |
| Incision of metatarsal (28308) |
$2,209.50 |
$3,682.50 |
0.7× |
| Incision of rectal abscess (46040) |
$2,271.30 |
$3,785.50 |
2.0× |
| Incision thrombosed hemorrhoid external (46083) |
$253.80 |
$423 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$396.30 |
$660.50 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$52.80 |
$88 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$52.20 |
$87 |
0.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$221.10 |
$368.50 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$132.60 |
$221 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$139.20 |
$232 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$90.90 |
$151.50 |
0.1× |
| Injection for identification of sentinel node (38792) |
$514.80 |
$858 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$79.80 |
$133 |
0.3× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$14,258.40 |
$23,764 |
1.4× |
| Insert Drug Implant Device (11981) |
$139.20 |
$232 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$2,295 |
$3,825 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$250.20 |
$417 |
0.1× |
| Insert pessary/other device (57160) |
$147.30 |
$245.50 |
0.8× |
| Insert picc cath (36569) |
$130.80 |
$218 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$118.20 |
$197 |
0.1× |
| Insert picvad cath (36570) |
$393.60 |
$656 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$153 |
$255 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,794.80 |
$4,658 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$153 |
$255 |
1.2× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$1,632 |
$2,720 |
0.5× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$26,848.80 |
$44,748 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,909.80 |
$3,183 |
1.3× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$3,501.30 |
$5,835.50 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,141.70 |
$3,569.50 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,854.40 |
$6,424 |
1.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$348 |
$580 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$493.80 |
$823 |
2.2× |
| Knee arthroscopy/surgery (29876) |
$3,902.40 |
$6,504 |
1.2× |
| Laparoscopy appendectomy (44970) |
$4,502.40 |
$7,504 |
0.8× |
| Laparoscopy Remove Adnexa (58661) |
$4,713 |
$7,855 |
0.8× |
| Laparoscopy Tubal Cautery (58670) |
$3,795.60 |
$6,326 |
0.7× |
| Laparoscopy w/lysis of adhesions (58660) |
$4,419.90 |
$7,366.50 |
0.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$3,823.80 |
$6,373 |
0.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,747.60 |
$11,246 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,016.40 |
$6,694 |
0.7× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,192 |
$5,320 |
0.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,484.40 |
$7,474 |
0.8× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$9,823.20 |
$16,372 |
2.6× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,760.20 |
$6,267 |
0.6× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$1,794.60 |
$2,991 |
0.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$114 |
$190 |
0.6× |
| Late closure of wound (13160) |
$1,635.90 |
$2,726.50 |
0.5× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$3,252.30 |
$5,420.50 |
1.1× |
| Liver Biopsy (47000) |
$184.80 |
$308 |
0.1× |
| Marsup Bartholin Gland Cyst (56440) |
$3,055.50 |
$5,092.50 |
1.0× |
| Mast mod rad (19307) |
$4,778.70 |
$7,964.50 |
0.7× |
| Mastectomy partial (19301) |
$4,242.60 |
$7,071 |
1.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,303.20 |
$12,172 |
1.1× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,535.40 |
$2,559 |
0.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,815.20 |
$4,692 |
1.6× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$7,651.20 |
$12,752 |
1.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,293.80 |
$3,823 |
1.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$1,362.30 |
$2,270.50 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$832.80 |
$1,388 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$641.40 |
$1,069 |
0.9× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$8,346.60 |
$13,911 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,346.60 |
$13,911 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$4,521.60 |
$7,536 |
0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,819.60 |
$16,366 |
1.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$2,388.60 |
$3,981 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$2,077.20 |
$3,462 |
0.3× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$16,554 |
$27,590 |
1.3× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$8,346.60 |
$13,911 |
1.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$8,322 |
$13,870 |
1.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,190.90 |
$3,651.50 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,447.60 |
$10,746 |
2.0× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$8,321.40 |
$13,869 |
1.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,383 |
$7,305 |
1.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,772.40 |
$2,954 |
0.6× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$2,180.10 |
$3,633.50 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$910.50 |
$1,517.50 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$2,418.30 |
$4,030.50 |
0.3× |
| Partial Excision Bone Fibula (27641) |
$2,367 |
$3,945 |
0.8× |
| Partial excision bone talus/calcaneus (28120) |
$1,945.50 |
$3,242.50 |
0.6× |
| Partial Excision Bone Tibia (27640) |
$7,050.60 |
$11,751 |
2.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,043.40 |
$1,739 |
0.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,127 |
$3,545 |
0.7× |
| Partial Removal Foot Fascia (28060) |
$1,844.40 |
$3,074 |
0.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,681.50 |
$2,802.50 |
0.5× |
| Peritoneal Lavage (49084) |
$208.80 |
$348 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$195.30 |
$325.50 |
0.8× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$4,265.70 |
$7,109.50 |
0.7× |
| Proctosigmoidoscopy (45303) |
$1,468.80 |
$2,448 |
1.3× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$8,625.60 |
$14,376 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$264.90 |
$441.50 |
0.7× |
| Puncture Aspiration (10160) |
$308.70 |
$514.50 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$2,396.40 |
$3,994 |
0.9× |
| Radical resection of tumor, femur or knee (27365) |
$5,237.40 |
$8,729 |
1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,370 |
$3,950 |
1.3× |
| Reconstruc toe deform,soft tissue (28313) |
$1,479.90 |
$2,466.50 |
0.5× |
| Reconstruct lip with flap (40525) |
$2,277.60 |
$3,796 |
0.7× |
| Release of lower leg tendons (27681) |
$1,477.50 |
$2,462.50 |
0.5× |
| Release palm contracture (26121) |
$3,825.60 |
$6,376 |
1.2× |
| Removal Anal Seton Other Marker (46030) |
$879.90 |
$1,466.50 |
0.8× |
| Removal foreign body foot deep (28192) |
$2,592 |
$4,320 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$516.90 |
$861.50 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$47.40 |
$79 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95.70 |
$159.50 |
1.7× |
| Removal Implant Deep (20680) |
$3,414.90 |
$5,691.50 |
1.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$636 |
$1,060 |
0.9× |
| Removal of adenoids (42830) |
$3,687 |
$6,145 |
1.2× |
| Removal of arm foreign body (24200) |
$1,909.20 |
$3,182 |
1.2× |
| Removal of bone lesion (23140) |
$4,754.40 |
$7,924 |
1.5× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,881 |
$3,135 |
1.2× |
| Removal of heel bone (28118) |
$1,962 |
$3,270 |
0.6× |
| Removal of intrauterine device (iud) (58301) |
$310.80 |
$518 |
1.1× |
| Removal of nail bed (11750) |
$295.80 |
$493 |
0.8× |
| Removal of sesamoid bone (28315) |
$1,824.30 |
$3,040.50 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$116.40 |
$194 |
0.6× |
| Removal of testis (54520) |
$714.60 |
$1,191 |
0.2× |
| Removal of tonsils (42826) |
$3,687 |
$6,145 |
1.2× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,191.50 |
$3,652.50 |
0.7× |
| Remove anal fist subq (46270) |
$2,748 |
$4,580 |
1.0× |
| Remove drug implant device (11982) |
$94.20 |
$157 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$1,419 |
$2,365 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$2,369.70 |
$3,949.50 |
0.8× |
| Remove thyroid duct lesion (60280) |
$3,770.70 |
$6,284.50 |
0.6× |
| Remove wrist tendon lesion (25111) |
$1,951.80 |
$3,253 |
1.3× |
| Remove/graft bone lesion (24115) |
$8,388 |
$13,980 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$142.50 |
$237.50 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$147.60 |
$246 |
1.2× |
Repair collat ankle ligmnt,secondary (27698)
unusually low: confirm this is the full procedure |
$2,491.50 |
$4,152.50 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,163.90 |
$3,606.50 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$516 |
$860 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$744 |
$1,240 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$628.80 |
$1,048 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$569.40 |
$949 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$450.60 |
$751 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$557.10 |
$928.50 |
0.8× |
| Repair elbow deb/attch open (24359) |
$2,701.20 |
$4,502 |
0.9× |
| Repair entropion excision tarsal wedge (67923) |
$2,939.40 |
$4,899 |
1.3× |
| Repair hallux rigidus (28289) |
$3,807 |
$6,345 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,662.60 |
$2,771 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,848.50 |
$4,747.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$445.20 |
$742 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$538.50 |
$897.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$458.10 |
$763.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$601.80 |
$1,003 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$696 |
$1,160 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$445.20 |
$742 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$522.30 |
$870.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$696 |
$1,160 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$673.80 |
$1,123 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$388.50 |
$647.50 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$445.20 |
$742 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$678.60 |
$1,131 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$728.40 |
$1,214 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,583.40 |
$2,639 |
0.8× |
| Repair nasal septal perforations (30630) |
$3,687 |
$6,145 |
1.2× |
| Repair nonunion hand (26546) |
$8,346.60 |
$13,911 |
1.2× |
Repair of ankle ligament (27695)
unusually low: confirm this is the full procedure |
$2,524.20 |
$4,207 |
0.4× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,784 |
$4,640 |
0.4× |
| Repair of leg tendon each (27658) |
$2,196.30 |
$3,660.50 |
0.7× |
| Repair of nasal septum (30520) |
$4,066.20 |
$6,777 |
1.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$8,346.60 |
$13,911 |
1.2× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$8,346.60 |
$13,911 |
1.2× |
| Repair of vagina (57260) |
$3,815.10 |
$6,358.50 |
0.8× |
| Repair rectum & vagina (57250) |
$3,746.70 |
$6,244.50 |
0.8× |
| Repair tooth socket (41874) |
$2,227.80 |
$3,713 |
0.7× |
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure |
$3,361.50 |
$5,602.50 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$2,091.60 |
$3,486 |
0.6× |
| Resect Inferior Turbinate (30140) |
$3,687 |
$6,145 |
1.2× |
| Revise median n/carpal tunnel surg (64721) |
$3,063 |
$5,105 |
1.6× |
| Revise ulnar nerve at elbow (64718) |
$2,370 |
$3,950 |
1.3× |
| Revision of eyelid (67961) |
$2,336.10 |
$3,893.50 |
1.0× |
| Revision of lower leg tendon (27685) |
$2,294.70 |
$3,824.50 |
0.7× |
| Revision of upper eyelid (15823) |
$2,539.80 |
$4,233 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$294 |
$490 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$93.60 |
$156 |
0.7× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$456.60 |
$761 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,676.60 |
$4,461 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,055.10 |
$1,758.50 |
0.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$94.20 |
$157 |
0.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,040.60 |
$3,401 |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,274.90 |
$3,791.50 |
0.7× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$4,383 |
$7,305 |
0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,863.70 |
$6,439.50 |
0.7× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure |
$2,665.20 |
$4,442 |
0.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,768.30 |
$6,280.50 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,526 |
$4,210 |
0.7× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$2,705.10 |
$4,508.50 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,575.50 |
$4,292.50 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,371 |
$2,285 |
0.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,296.60 |
$2,161 |
5.7× |
Rpr non/malunion metarsal w/wo bone graft (28322)
unusually low: confirm this is the full procedure |
$2,978.40 |
$4,964 |
0.4× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure |
$2,537.10 |
$4,228.50 |
0.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,076.70 |
$1,794.50 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$597 |
$995 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$213 |
$355 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$288.60 |
$481 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$317.10 |
$528.50 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$414.30 |
$690.50 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$118.80 |
$198 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$236.70 |
$394.50 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,205.40 |
$2,009 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$949.80 |
$1,583 |
1.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,383 |
$2,305 |
0.7× |
| Skin tissue rearrangement (14040) |
$1,613.70 |
$2,689.50 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,284.30 |
$2,140.50 |
0.6× |
| Slitting of prepuce (54001) |
$1,707.30 |
$2,845.50 |
0.8× |
| Small bowel endoscopy (44376) |
$2,226 |
$3,710 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$415.50 |
$692.50 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$365.10 |
$608.50 |
0.9× |
| Sphincterotomy (46080) |
$2,235.60 |
$3,726 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$183.60 |
$306 |
0.3× |
| Strapping ankle (29540) |
$174.30 |
$290.50 |
1.1× |
| Strapping elbow/wrist (29260) |
$40.80 |
$68 |
0.7× |
| Strapping hand/finger (29280) |
$189.60 |
$316 |
3.3× |
| Strapping knee (29530) |
$73.80 |
$123 |
0.6× |
| Strapping shoulder (29240) |
$40.20 |
$67 |
0.3× |
| Strapping toes (29550) |
$24 |
$40 |
0.4× |
| Strapping unna boot (29580) |
$118.20 |
$197 |
0.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,134.80 |
$3,558 |
0.8× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$1,245.90 |
$2,076.50 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$375 |
$625 |
1.0× |
| Tenolysis flexor foot single tendon (28220) |
$1,122 |
$1,870 |
0.7× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$1,671.90 |
$2,786.50 |
0.5× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,027.50 |
$1,712.50 |
0.7× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,082.40 |
$1,804 |
0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$393.60 |
$656 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$691.50 |
$1,152.50 |
1.1× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,522.20 |
$2,537 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,687 |
$6,145 |
1.2× |
| Total knee arthroplasty (27447) |
$16,554 |
$27,590 |
1.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$865.80 |
$1,443 |
3.8× |
| Treat fx rad extra-articul (25607) |
$8,346.60 |
$13,911 |
1.2× |
| Treat heel fracture (28415) |
$4,799.40 |
$7,999 |
0.7× |
| Treat toe fracture (28525) |
$1,676.40 |
$2,794 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$675.60 |
$1,126 |
2.8× |
| Treatment of ankle fracture (27792) |
$8,346.60 |
$13,911 |
1.2× |
| Treatment of fibula fracture (27784) |
$5,507.40 |
$9,179 |
0.8× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,438.40 |
$4,064 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$282 |
$470 |
1.2× |
| Trim skin lesion (11055) |
$22.80 |
$38 |
0.1× |
| Trim skin lesions 2 to 4 (11056) |
$33.60 |
$56 |
0.2× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$16,554 |
$27,590 |
1.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,135.40 |
$3,559 |
0.7× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,160.40 |
$1,934 |
0.8× |
| Unlisted laparoscopic procedure liver (47379) |
$4,265.70 |
$7,109.50 |
0.7× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$4,265.70 |
$7,109.50 |
0.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,747.60 |
$11,246 |
1.2× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$1,783.80 |
$2,973 |
0.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$337.20 |
$562 |
1.5× |
| Unlisted procedure, hands or fingers (26989) |
$586.20 |
$977 |
2.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$212.70 |
$354.50 |
1.1× |
| Vasectomy (55250) |
$1,958.40 |
$3,264 |
1.0× |
| Venipuncture (36415) |
$18 |
$30 |
1.9× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$87.60 |
$146 |
0.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$69.60 |
$116 |
0.2× |
| Vulvectomy simple partial (56620) |
$2,257.20 |
$3,762 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$691.50 |
$1,152.50 |
1.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,281.60 |
$2,136 |
1.8× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$2,627.40 |
$4,379 |
0.4× |