| Amputation metatarsal with toe single (28810) |
$3,893.53 |
$9,733.83 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$3,893.53 |
$9,733.83 |
1.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,893.60 |
$9,734 |
1.3× |
| Ankle arthroscopy (29899) |
$8,572.48 |
$21,431.19 |
1.3× |
| Ankle arthroscopy/surgery (29894) |
$3,893.53 |
$9,733.83 |
1.3× |
| Ankle scope,part synovectomy (29895) |
$3,893.53 |
$9,733.83 |
1.3× |
| Anoscopy diagnostic (46600) |
$139.33 |
$348.33 |
1.2× |
| Appendectomy (44950) |
$7,487.70 |
$18,719.25 |
1.3× |
| Application finger splint static (29130) |
$154.68 |
$386.70 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$146 |
$365 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$139.33 |
$348.33 |
1.2× |
| Arterial puncture (36600) |
$139.33 |
$348.33 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$326.27 |
$815.67 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$326.27 |
$815.67 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$326.27 |
$815.67 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$326.27 |
$815.67 |
1.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$8,572.48 |
$21,431.19 |
1.3× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$8,572.48 |
$21,431.19 |
1.3× |
| Arthroplasty Ankle W/Implant (27702) |
$22,068.06 |
$55,170.15 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$3,893.53 |
$9,733.83 |
1.3× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$15,657.70 |
$39,144.24 |
1.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$2,342.80 |
$5,857 |
8.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$216.70 |
$541.74 |
1.2× |
| Biopsy muscle deep (20205) |
$3,174.35 |
$7,935.88 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,853.60 |
$4,634 |
1.3× |
| Biopsy Muscle Superficial (20200) |
$1,853.60 |
$4,634 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,595.14 |
$11,487.84 |
1.3× |
| Bladder Irrigation Simple (51700) |
$185.34 |
$463.34 |
0.8× |
| Bladder Scan (51798) |
$69.46 |
$173.64 |
1.3× |
| Blepharoplasty lower eyelid (15820) |
$2,085.20 |
$5,213 |
1.1× |
| Blepharoplasty upper eyelid (15822) |
$2,085.20 |
$5,213 |
1.1× |
| Blood transfusion service (36430) |
$489.30 |
$1,223.25 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,893.53 |
$9,733.83 |
1.3× |
| Cataract surgery complex (66982) |
$2,736.88 |
$6,842.19 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$229.80 |
$574.50 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$248.41 |
$621.03 |
1.1× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,891.68 |
$9,729.21 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$248.41 |
$621.03 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,721.42 |
$4,303.56 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$248.41 |
$621.03 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$259.02 |
$647.55 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$248.41 |
$621.03 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$160.76 |
$401.88 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$248.41 |
$621.03 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,721.42 |
$4,303.56 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$248.41 |
$621.03 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$248.41 |
$621.03 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$248.41 |
$621.03 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$248.41 |
$621.03 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,138.02 |
$2,845.05 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$248.41 |
$621.03 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$248.41 |
$621.03 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$268.14 |
$670.34 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$248.41 |
$621.03 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$248.41 |
$621.03 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$248.41 |
$621.03 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$248.41 |
$621.03 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$248.41 |
$621.03 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$248.41 |
$621.03 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$248.41 |
$621.03 |
1.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,414.90 |
$3,537.24 |
1.3× |
| Complex Drainage, Wound (10180) |
$3,434.46 |
$8,586.15 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$139.33 |
$348.33 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$139.33 |
$348.33 |
1.2× |
| Correction hammertoe (28285) |
$3,893.60 |
$9,734 |
1.3× |
| Correction of bunion (28298) |
$8,572.48 |
$21,431.19 |
1.3× |
| Correction of bunion (28292) |
$3,893.60 |
$9,734 |
1.3× |
| Correction of bunion (28299) |
$8,572.40 |
$21,431 |
1.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,893.53 |
$9,733.83 |
1.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,893.53 |
$9,733.83 |
1.3× |
| Create eardrum opening (69436) |
$1,777.60 |
$4,444 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$139.33 |
$348.33 |
1.2× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$3,846.14 |
$9,615.36 |
1.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,986 |
$9,965 |
1.3× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$5,916 |
$14,790 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$3,986 |
$9,965 |
1.3× |
| Cystoscopy w/biopsy (52204) |
$968 |
$2,420 |
0.5× |
| Cystoscopy,insert ureteral stent (52332) |
$1,100 |
$2,750 |
0.3× |
| Cystourethroscopy (52000) |
$815.60 |
$2,039 |
1.3× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,986 |
$9,965 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$463.56 |
$1,158.90 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,944.29 |
$4,860.72 |
1.3× |
| Decompression of tibia nerve (28035) |
$2,343.32 |
$5,858.31 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$238.44 |
$596.10 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$924 |
$2,310 |
1.1× |
| Drainage of eye (65815) |
$2,736.88 |
$6,842.19 |
1.3× |
| Drainage of eye (65810) |
$2,736.88 |
$6,842.19 |
1.3× |
| Drainage of gum lesion (41800) |
$139.33 |
$348.33 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,871.88 |
$4,679.68 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$447.68 |
$1,119.21 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$216.70 |
$541.74 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$216.70 |
$541.74 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,288 |
$5,720 |
1.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,276.39 |
$5,690.97 |
1.3× |
| Egd flexible foreign body removal (43247) |
$1,125.07 |
$2,812.68 |
1.4× |
| Egd place gastrostomy tube (43246) |
$2,332 |
$5,830 |
1.4× |
| Egd remove lesion snare (43251) |
$2,276.39 |
$5,690.97 |
1.3× |
| Endoscopic Plantar Fasciotomy (29893) |
$3,893.60 |
$9,734 |
1.3× |
| Endoven ther chem adhes 1st (36482) |
$6,486.80 |
$16,217 |
1.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,125.07 |
$2,812.68 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$139.33 |
$348.33 |
1.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,434.46 |
$8,586.15 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,944.29 |
$4,860.72 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$1,944.29 |
$4,860.72 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,920.49 |
$4,801.23 |
1.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$844.31 |
$2,110.77 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$844.31 |
$2,110.77 |
1.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,944.29 |
$4,860.72 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,944.29 |
$4,860.72 |
1.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,434.46 |
$8,586.15 |
1.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,944.29 |
$4,860.72 |
1.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,944.29 |
$4,860.72 |
1.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,777.54 |
$4,443.84 |
1.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$844.31 |
$2,110.77 |
1.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,944.29 |
$4,860.72 |
1.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,944.29 |
$4,860.72 |
1.3× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,920.49 |
$4,801.23 |
1.3× |
| Excision of nail fold toe (11765) |
$447.68 |
$1,119.21 |
1.2× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,343.32 |
$5,858.31 |
1.3× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,434.46 |
$8,586.15 |
1.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,944.29 |
$4,860.72 |
1.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,920.49 |
$4,801.23 |
1.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,891.68 |
$9,729.21 |
1.3× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$3,893.53 |
$9,733.83 |
1.3× |
| Fasciotomy foot and/or toe (28008) |
$3,893.60 |
$9,734 |
1.3× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$3,893.53 |
$9,733.83 |
1.3× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,891.60 |
$9,729 |
1.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,572.48 |
$21,431.19 |
1.3× |
| Hemorrhoidectomy (46255) |
$3,290.87 |
$8,227.17 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$3,290.87 |
$8,227.17 |
1.3× |
| I&d abscess simple (10060) |
$117.53 |
$293.82 |
0.7× |
| I&d perianal abscess superficial (46050) |
$598.38 |
$1,495.96 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$778.76 |
$1,946.91 |
1.2× |
| Incise finger tendon sheath (26055) |
$1,130.74 |
$2,826.86 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$451.79 |
$1,129.48 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$778.76 |
$1,946.91 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,799.46 |
$4,498.65 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$447.68 |
$1,119.21 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$350.35 |
$875.88 |
1.3× |
| Incision labial frenum frenotomy (40806) |
$611.10 |
$1,527.75 |
1.3× |
| Incision of achilles tendon (27605) |
$1,920.40 |
$4,801 |
1.3× |
| Incision of heel bone (28300) |
$8,572.40 |
$21,431 |
1.3× |
| Incision of metatarsal (28308) |
$3,893.60 |
$9,734 |
1.3× |
| Incision of rectal abscess (46040) |
$934.80 |
$2,337 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$216.70 |
$541.74 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$3,571.99 |
$8,929.98 |
13.0× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$354.23 |
$885.57 |
1.3× |
| Inject Nerv Blck,Pudendal (64430) |
$1,068.35 |
$2,670.87 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$326.27 |
$815.67 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$773.21 |
$1,933.02 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$354.23 |
$885.57 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$238.44 |
$596.10 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$174.52 |
$436.29 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$3,574.76 |
$8,936.91 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$139.33 |
$348.33 |
1.2× |
| Insert Tissue Expander(S) (11960) |
$4,393.16 |
$10,982.91 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$139.33 |
$348.33 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$249.40 |
$623.49 |
1.2× |
| Laparoscopy appendectomy (44970) |
$7,001.23 |
$17,503.08 |
1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,001.20 |
$17,503 |
1.3× |
| Laryngoscopy w/biopsy (31535) |
$4,424.34 |
$11,060.85 |
1.3× |
| Laryngoscopy w/bx op scope (31536) |
$4,424.34 |
$11,060.85 |
1.3× |
| Late closure of wound (13160) |
$2,195.08 |
$5,487.69 |
0.7× |
| Mastectomy simple complete (19303) |
$7,825.75 |
$19,564.38 |
1.3× |
| Musculoskeletal surgery (20999) |
$287.86 |
$719.64 |
1.3× |
| Myringoplasty (69620) |
$3,891.68 |
$9,729.21 |
1.3× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$8,306.80 |
$20,767 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$8,306.80 |
$20,767 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$8,306.96 |
$20,767.41 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$453.08 |
$1,132.71 |
1.1× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,343.32 |
$5,858.31 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$48.31 |
$120.78 |
0.1× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$3,893.53 |
$9,733.83 |
1.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,893.53 |
$9,733.83 |
1.3× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$3,893.53 |
$9,733.83 |
1.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,893.53 |
$9,733.83 |
1.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,893.53 |
$9,733.83 |
1.3× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$8,572.40 |
$21,431 |
1.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$3,893.60 |
$9,734 |
1.3× |
| Partial Removal Foot Fascia (28060) |
$3,893.60 |
$9,734 |
1.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,893.53 |
$9,733.83 |
1.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,089.91 |
$5,224.77 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$291.85 |
$729.63 |
1.3× |
| Phalangectomy toe each toe (28150) |
$3,893.53 |
$9,733.83 |
1.3× |
| Prostate Saturation Sampling (55706) |
$4,138.76 |
$10,346.91 |
1.3× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$8,572.48 |
$21,431.19 |
1.3× |
| Release of big toe (28240) |
$3,893.53 |
$9,733.83 |
1.3× |
| Removal fb intranasal (30300) |
$139.33 |
$348.33 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$778.76 |
$1,946.91 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,799.46 |
$4,498.65 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$68.98 |
$172.44 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$68.98 |
$172.44 |
1.3× |
| Removal Implant Deep (20680) |
$3,434.46 |
$8,586.15 |
1.3× |
| Removal of adenoids (42831) |
$3,891.68 |
$9,729.21 |
1.3× |
| Removal of adenoids (42830) |
$3,891.68 |
$9,729.21 |
1.3× |
| Removal of heel bone (28118) |
$3,893.60 |
$9,734 |
1.3× |
| Removal of heel spur (28119) |
$3,893.53 |
$9,733.83 |
1.3× |
| Removal of nail bed (11750) |
$463.64 |
$1,159.10 |
1.3× |
| Removal of salivary stone (42330) |
$3,891.68 |
$9,729.21 |
1.3× |
| Removal of sesamoid bone (28315) |
$3,893.53 |
$9,733.83 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$238.44 |
$596.10 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$307.06 |
$767.64 |
1.2× |
| Remove anal fist subq (46270) |
$3,290.87 |
$8,227.17 |
1.3× |
| Remove femur lesion/bursa (27062) |
$3,893.60 |
$9,734 |
1.3× |
| Remove in/ex hem groups 2+ (46260) |
$3,290.87 |
$8,227.17 |
1.3× |
| Remove Pilonidal Cyst Exten (11771) |
$3,434.46 |
$8,586.15 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$139.33 |
$348.33 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$139.33 |
$348.33 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$697.14 |
$1,742.85 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$697.14 |
$1,742.85 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$447.68 |
$1,119.21 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$697.14 |
$1,742.85 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$697.14 |
$1,742.85 |
1.9× |
| Repair elbow perc (24357) |
$3,893.60 |
$9,734 |
1.3× |
| Repair hallux rigidus (28289) |
$3,893.60 |
$9,734 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$697.14 |
$1,742.85 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$447.68 |
$1,119.21 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$447.68 |
$1,119.21 |
1.2× |
| Repair of ankle ligament (27695) |
$8,572.40 |
$21,431 |
1.3× |
| Repair of eardrum structures (69631) |
$7,098.80 |
$17,747 |
1.3× |
| Repair Of Foot Tendon (28208) |
$3,893.53 |
$9,733.83 |
1.3× |
| Repair of leg tendon each (27658) |
$3,893.53 |
$9,733.83 |
1.3× |
| Repair of nail bed (11760) |
$697.14 |
$1,742.85 |
1.1× |
| Repair of nasal septum (30520) |
$3,891.60 |
$9,729 |
1.3× |
| Repair tympanic membrane (69610) |
$1,777.51 |
$4,443.78 |
1.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,893.53 |
$9,733.83 |
1.3× |
| Rerepair ing hernia reduce (49520) |
$4,234.87 |
$10,587.18 |
1.3× |
| Resect Inferior Turbinate (30140) |
$3,891.60 |
$9,729 |
1.3× |
| Revise median n/carpal tunnel surg (64721) |
$1,932.80 |
$4,832 |
1.1× |
| Revision of big toe (28310) |
$8,572.48 |
$21,431.19 |
1.3× |
| Revision of foot (28116) |
$3,893.60 |
$9,734 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$453.08 |
$1,132.71 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,864.13 |
$4,660.32 |
1.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$7,487.70 |
$18,719.25 |
1.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,234.80 |
$10,587 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,414.90 |
$3,537.24 |
1.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,012 |
$2,530 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$216.70 |
$541.74 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$216.70 |
$541.74 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$216.70 |
$541.74 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$216.70 |
$541.74 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$216.70 |
$541.74 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,195.08 |
$5,487.69 |
3.3× |
| Skin sub graft trnk/arm/leg (15271) |
$2,071.03 |
$5,177.58 |
3.1× |
| Skin Tissue Procedure (17999) |
$238.44 |
$596.10 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$216.70 |
$541.74 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$447.68 |
$1,119.21 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$773.21 |
$1,933.02 |
1.2× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$3,893.60 |
$9,734 |
1.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,920.49 |
$4,801.23 |
1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,920.49 |
$4,801.23 |
1.3× |
| Tenotomy shoulder area single tendon (23405) |
$8,572.40 |
$21,431 |
1.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,920.49 |
$4,801.23 |
1.3× |
| Test for markers of Sjögren's syndrome (0522U) |
$312.60 |
$781.50 |
1.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,891.60 |
$9,729 |
1.3× |
| Trach Tube Change (31502) |
$249.40 |
$623.49 |
1.2× |
| Treat toe fracture (28525) |
$3,571.99 |
$8,929.98 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$248.41 |
$621.03 |
1.1× |
| Treatment of foot infection (28003) |
$3,893.53 |
$9,733.83 |
1.3× |
| Trim skin lesion (11055) |
$238.44 |
$596.10 |
1.3× |
| Unlisted procedure foot or toes (28899) |
$287.86 |
$719.64 |
1.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$287.86 |
$719.64 |
1.3× |
| Unlisted procedure shoulder (23929) |
$287.86 |
$719.64 |
1.3× |
| Uvulectomy excision uvula (42140) |
$3,891.68 |
$9,729.21 |
1.3× |
| Vaginal delivery only (59409) |
$3,392.93 |
$8,482.32 |
1.2× |
| Venipuncture (36415) |
$10.28 |
$25.71 |
1.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,891.68 |
$9,729.21 |
1.3× |