Procedures & surgery prices at Estes Park Medical Center

Estes Park, CO · every code in this section with a posted price and a Medicare benchmark.

1334 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis (49082) $716.62 $955.50 0.7×
Abd paracentesis w/imaging (49083) $2,109.75 $2,813 2.2×
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845)
unusually low — confirm this is the full procedure		 $1,709.25 $2,279 0.3×
Acne surgery (10040) $223.50 $298 1.1×
Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) $5,571 $7,428 1.5×
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) $1,648.50 $2,198 0.8×
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) $2,311.50 $3,082 1.1×
Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) $1,989 $2,652 0.9×
Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) $909.75 $1,213 0.4×
Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) $1,768.50 $2,358 0.8×
Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) $1,505.25 $2,007 0.7×
Amniocentesis diagnostic (59000) $339 $452 0.3×
Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) $1,911.75 $2,549 0.6×
Amputation Foot Transmetarsal|RIGHT SIDE (28805) $1,816.50 $2,422 0.5×
Amputation of toe (28820) $1,286.25 $1,715 0.4×
Amputation toe interphalangeal joint (28825) $5,469 $7,292 1.6×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $2,179.50 $2,906 0.6×
Amputation, foot; midtarsal (eg, Chopart type procedure) (28800) $1,887.75 $2,517 0.5×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,151.75 $2,869 0.6×
Amputation, metatarsal, with toe, single Age Under 21 (28810) $1,475.25 $1,967 0.4×
Amputation, thigh, through femur, any level; (27590) $2,577.75 $3,437 0.7×
Amputation, thigh, through femur, any level; re-amputation (27596) $2,424 $3,232 0.7×
Anesthesia inj anesthetic agent dig nrv (64455) $153.75 $205 0.5×
Anoplasty, plastic operation for stricture; adult Age Under 21 (46700) $940.50 $1,254 0.3×
Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) $141.75 $189 0.0×
Anoscopy and biopsy (46606) $185.25 $247 0.1×
Anoscopy diagnostic (46600) $618 $824 4.4×
Anoscopy remove for body (46608) $273 $364 0.3×
Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) $235.50 $314 0.1×
Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) $320.25 $427 0.3×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) $237 $316 0.2×
Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) $513.75 $685 0.2×
Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) $288 $384 0.1×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure		 $999 $1,332 0.2×
Anterior tibial tubercleplasty (27418)
likely a partial charge — not the full procedure		 $1,748.25 $2,331 0.2×
Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple (51840)
unusually low — confirm this is the full procedure		 $1,644 $2,192 0.3×
App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) $1,665 $2,220 2.1×
App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) $598.50 $798 0.3×
Appendectomy (44950)
likely a partial charge — not the full procedure		 $1,098 $1,464 0.2×
Application finger splint static (29130) $114.38 $152.50 0.8×
Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) $187.50 $250 1.1×
Application of long leg cast (thigh to toes); (29345) $295.50 $394 1.0×
Application of long leg splint (thigh to ankle or toes) (29505) $393.38 $524.50 2.3×
Application of short arm splint (forearm to hand); static (29125) $391.12 $521.50 2.8×
Application of short leg cast (below knee to toes); (29405) $429.75 $573 1.5×
Application of short leg cast (below knee to toes); walking or ambulatory type (29425) $237.75 $317 0.8×
Application of short leg splint (calf to foot) (29515) $385.50 $514 2.2×
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) $654 $872 0.3×
Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) $310.88 $414.50 1.8×
Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) $268.50 $358 1.6×
Application rigid total contact leg cast (29445) $469.12 $625.50 1.6×
Application, cast; shoulder to hand (long arm) (29065) $454.88 $606.50 1.5×
Apply hand/wrist cast (29085) $220.50 $294 1.3×
Apply long arm splint (29105) $401.62 $535.50 2.3×
Apply splint short arm dynamic (29126) $215.25 $287 1.5×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) $300 $400 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $396.75 $529 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $143.25 $191 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,368 $1,824 4.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $162.75 $217 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $136.50 $182 0.4×
Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) $126 $168 0.4×
Arthrodesis, ankle, open Age Under 21 (27870)
likely a partial charge — not the full procedure		 $2,217.75 $2,957 0.2×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure		 $4,009.50 $5,346 0.1×
Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755)
likely a partial charge — not the full procedure		 $1,053 $1,404 0.1×
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge — not the full procedure		 $1,906.50 $2,542 0.2×
Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) $1,793.25 $2,391 0.5×
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740)
likely a partial charge — not the full procedure		 $1,991.25 $2,655 0.3×
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820)
likely a partial charge — not the full procedure		 $1,985.25 $2,647 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure		 $3,351.75 $4,469 0.2×
Arthroplasty or replacement of the end of the forearm bone on the small finger side at the wrist level (25442)
likely a partial charge — not the full procedure		 $1,665 $2,220 0.1×
Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age Under 21 (24363)
likely a partial charge — not the full procedure		 $3,165 $4,220 0.2×
Arthroplasty, glenohumeral joint; hemiarthroplasty (23470)
likely a partial charge — not the full procedure		 $2,702.25 $3,603 0.2×
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446)
likely a partial charge — not the full procedure		 $2,349 $3,132 0.2×
Arthroplasty, patella; with prosthesis Age Under 21 (27438)
likely a partial charge — not the full procedure		 $2,096.25 $2,795 0.2×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888)
likely a partial charge — not the full procedure		 $2,101.50 $2,802 0.3×
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889)
likely a partial charge — not the full procedure		 $2,810.25 $3,747 0.2×
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892)
likely a partial charge — not the full procedure		 $1,302.75 $1,737 0.2×
Arthroscopy knee osteochondral allograft (29867)
likely a partial charge — not the full procedure		 $3,777.75 $5,037 0.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) $1,224.75 $1,633 0.4×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) $1,081.50 $1,442 0.3×
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) $1,946.25 $2,595 0.6×
Arthroscopy, elbow, surgical; debridement, limited Age Under 21 (29837) $1,099.50 $1,466 0.3×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) $1,080 $1,440 0.3×
Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21 (29915)
unusually low — confirm this is the full procedure		 $2,750.25 $3,667 0.4×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
likely a partial charge — not the full procedure		 $1,705.50 $2,274 0.2×
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914)
unusually low — confirm this is the full procedure		 $2,693.25 $3,591 0.4×
Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916)
unusually low — confirm this is the full procedure		 $2,750.25 $3,667 0.4×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Age Under 21 (29861)
likely a partial charge — not the full procedure		 $2,126.25 $2,835 0.3×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $1,466.25 $1,955 0.4×
Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) $1,384.50 $1,846 0.4×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) $1,367.25 $1,823 0.4×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age Under 21 (29887)
likely a partial charge — not the full procedure		 $2,217.75 $2,957 0.3×
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $1,133.25 $1,511 0.3×
Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) $1,186.50 $1,582 0.3×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral (29868)
unusually low — confirm this is the full procedure		 $3,517.50 $4,690 0.5×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) $1,028.25 $1,371 0.3×
Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) $1,656.75 $2,209 0.5×
Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) $1,443 $1,924 0.4×
Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) $1,451.25 $1,935 0.4×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21 (29901) $1,128 $1,504 0.3×
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
unusually low — confirm this is the full procedure		 $2,372.25 $3,163 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) $1,395.75 $1,861 0.4×
Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) $1,457.25 $1,943 0.4×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) $1,412.25 $1,883 0.4×
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
likely a partial charge — not the full procedure		 $2,178.75 $2,905 0.3×
Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21 (29821) $1,660.50 $2,214 0.5×
Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820)
likely a partial charge — not the full procedure		 $1,133.25 $1,511 0.1×
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) $1,594.50 $2,126 0.5×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) $1,301.25 $1,735 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
unusually low — confirm this is the full procedure		 $2,973.75 $3,965 0.4×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) $1,083 $1,444 0.3×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Age Under 21 (29843) $1,512.75 $2,017 0.4×
Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) $1,484.25 $1,979 0.4×
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) $1,416 $1,888 0.4×
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Age Under 21 (23107)
likely a partial charge — not the full procedure		 $1,455 $1,940 0.2×
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21 (27332) $1,631.25 $2,175 0.5×
Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) $654.75 $873 0.2×
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure		 $3,056.25 $4,075 0.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $787.50 $1,050 0.5×
Arthrt kne w/expl drg/rmvl fb (27310) $1,833.75 $2,445 0.5×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,206.75 $1,609 0.7×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,309.50 $1,746 0.4×
Aspirate pleura w/o imaging (32554) $825.38 $1,100.50 1.2×
Aspiration and/or injection of ganglion cyst(s) any location (20612) $132.75 $177 0.4×
Aspiration bladder insert suprapubic catheter (51102) $3,072.38 $4,096.50 1.4×
Autochondrocyte implant knee (27412)
unusually low — confirm this is the full procedure		 $3,534.75 $4,713 0.5×
Avulsion of nail plate, partial or complete, simple; single (11730) $195 $260 0.9×
Axillary lymphadenectomy; complete Age Under 21 (38745)
unusually low — confirm this is the full procedure		 $2,226 $2,968 0.3×
Axillary lymphadenectomy; superficial Age Under 21 (38740)
likely a partial charge — not the full procedure		 $1,137.75 $1,517 0.2×
Biopsy bone open superficial (20240) $765 $1,020 0.2×
Biopsy lip (40490) $288.75 $385 1.2×
Biopsy liver needle percutaneous (47000) $1,034.25 $1,379 0.6×
Biopsy lymph node (38505) $468.75 $625 0.3×
Biopsy muscle percutaneous needle (20206) $324 $432 0.2×
Biopsy nail unit (11755) $260.25 $347 0.3×
Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) $799.50 $1,066 0.3×
Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) $326.25 $435 0.2×
Biopsy of cervix (57500) $231.75 $309 0.2×
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) $3,865.50 $5,154 3.1×
Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) $1,352.62 $1,803.50 1.4×
Biopsy of ovary(s) (58900) $908.25 $1,211 0.3×
Biopsy of tongue; anterior two-thirds Age Under 21 (41100) $469.50 $626 0.8×
Biopsy of uterus lining (58100) $300 $400 1.4×
Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) $399 $532 0.1×
Biopsy or excision of lymph node(s); open, superficial (38500) $752.25 $1,003 0.2×
Biopsy soft tissue forearm&/wrist superficial (25065) $463.50 $618 0.3×
Biopsy soft tissue neck/thorax (21550) $761.25 $1,015 0.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $979.50 $1,306 0.6×
Biopsy vaginal mucosa simple (57100) $264 $352 0.3×
Biopsy vulva/perineum 1 lesion (56605) $205.50 $274 0.2×
Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) $772.50 $1,030 0.4×
Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) $1,586.25 $2,115 0.5×
Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) $663.75 $885 0.4×
Biopsy, muscle; superficial (20200) $330.75 $441 0.2×
Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21 (25066) $1,140 $1,520 0.4×
Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Age Under 21 (27614) $1,500.75 $2,001 0.5×
Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) $529.50 $706 0.3×
Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) $1,284 $1,712 0.4×
Biopsy/removal lymph nodes (38510) $1,227 $1,636 0.3×
Bladder irrigation (51700) $71.25 $95 0.3×
Bladder pressure measurement during filling (51726) $197.25 $263 0.7×
Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) $890.25 $1,187 2.7×
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure		 $1,458 $1,944 0.2×
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure		 $1,426.50 $1,902 0.2×
Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) $861.75 $1,149 0.2×
Bronchoscopy w/markers (31626)
unusually low — confirm this is the full procedure		 $2,459.25 $3,279 0.3×
Bx breast 1st lesion us imag (19083) $2,166.75 $2,889 1.2×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
unusually low — confirm this is the full procedure		 $2,670.75 $3,561 0.3×
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
unusually low — confirm this is the full procedure		 $2,383.50 $3,178 0.3×
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Age Under 21 (23466)
likely a partial charge — not the full procedure		 $2,258.25 $3,011 0.3×
Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) $1,259.25 $1,679 0.7×
Care of miscarriage (59820) $663.75 $885 0.2×
Cast short arm (29075) $414.38 $552.50 1.4×
Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) $327 $436 1.0×
Cautery of cervix; electro or thermal Age Under 21 (57510) $279 $372 0.1×
Cautery of cervix; laser ablation Age Under 21 (57513) $506.25 $675 0.1×
Cerclage of uterine cervix, nonobstetrical (57700) $651 $868 0.2×
Change Cystostomy Tube Simple (51705) $252 $336 1.0×
Change of cystostomy tube; complicated Age Under 21 (51710) $190.50 $254 0.3×
Change of windpipe airway (31502) $126.75 $169 0.5×
Chemical cauterization of granulation tissue (17250) $334.12 $445.50 1.6×
Chemical exfoliation for acne (eg, acne paste, acid) (17360) $309 $412 1.5×
Chemodenerv 1 extrem 5/> mus (64644) $274.50 $366 0.4×
Chemodenerv 1 extremity 1-4 (64642) $288.75 $385 0.4×
Chemodenervation muscle neck unilat for dystonia (64616) $321.75 $429 1.0×
Chemodervate facial/trigem/cerv musc migraine (64615) $367.50 $490 1.1×
Chest tube placement (32551) $2,407.88 $3,210.50 1.5×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $152.25 $203 0.1×
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure		 $293.25 $391 0.1×
Circumcision, Newborn (54150) $703.88 $938.50 0.3×
Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) $690 $920 0.9×
Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) $582.75 $777 0.3×
Closed rx acetabular fx (27220) $1,720.50 $2,294 6.6×
Closed rx ulna shaft fx,manipulatn (25535) $1,223.25 $1,631 4.7×
Closed treatment of acromioclavicular dislocation; without manipulation (23540) $705 $940 2.7×
Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) $1,617 $2,156 1.0×
Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) $671.25 $895 2.6×
Closed treatment of calcaneal fracture; without manipulation (28400) $838.50 $1,118 3.2×
Closed treatment of carpal bone fracture; without manipulation (25630) $882 $1,176 3.4×
Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) $860.25 $1,147 3.3×
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) $886.88 $1,182.50 3.4×
Closed treatment of clavicular fracture; without manipulation (23500) $690.75 $921 2.7×
Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) $1,067.25 $1,423 4.1×
Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) $989.25 $1,319 0.6×
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) $840 $1,120 3.2×
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) $909.75 $1,213 3.5×
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) $565.50 $754 2.2×
Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) $1,529.25 $2,039 5.9×
Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) $397.50 $530 1.5×
Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) $489.75 $653 0.9×
Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) $445.12 $593.50 1.7×
Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) $1,408.50 $1,878 5.4×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $2,652 $3,536 1.6×
Closed treatment of humeral shaft fracture; without manipulation (24500) $894 $1,192 3.4×
Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) $1,438.50 $1,918 0.8×
Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) $2,071.50 $2,762 1.2×
Closed treatment of knee dislocation; without anesthesia (27550) $1,602.75 $2,137 6.2×
Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) $1,268.25 $1,691 0.7×
Closed treatment of medial malleolus fracture; without manipulation (27760) $966 $1,288 3.7×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $676.12 $901.50 2.6×
Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) $834.75 $1,113 3.2×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) $954.75 $1,273 0.3×
Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) $1,101 $1,468 0.6×
Closed treatment of patellar fracture, without manipulation (27520) $927.75 $1,237 3.6×
Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) $794.25 $1,059 3.1×
Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) $564.75 $753 2.2×
Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) $1,848.75 $2,465 1.1×
Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) $870.75 $1,161 3.3×
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) $927 $1,236 0.5×
Closed treatment of proximal humeral fracture; without manipulation (23600) $956.25 $1,275 3.7×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $721.12 $961.50 2.8×
Closed treatment of radial head or neck fracture; without manipulation (24650) $742.50 $990 2.9×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $261.38 $348.50 1.0×
Closed treatment of radial shaft fracture; without manipulation (25500) $771 $1,028 3.0×
Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) $1,258.50 $1,678 4.8×
Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) $1,022.25 $1,363 0.6×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $786 $1,048 3.0×
Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) $723 $964 0.4×
Closed treatment of sternum fracture Age Under 21 (21820) $447.75 $597 1.7×
Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) $1,154.25 $1,539 0.3×
Closed treatment of talus fracture; without manipulation (28430) $775.50 $1,034 3.0×
Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) $1,189.50 $1,586 4.6×
Closed treatment of ulnar fracture, proximal end; without manipulation (24670) $827.25 $1,103 3.2×
Closed treatment of ulnar shaft fracture; without manipulation (25530) $731.25 $975 2.8×
Closed treatment of ulnar styloid fracture (25650) $805.88 $1,074.50 3.1×
Closed tx ankle dislocation w/o anesthesia (27840) $928.50 $1,238 3.6×
Closed tx bimalleolar ankle fracture w/manj (27810) $915 $1,220 0.5×
Closed tx bimalleolar ankle fracture w/o manip (27808) $948.75 $1,265 3.6×
Closed tx femoral shaft fx w/o manipulation (27500) $1,577.25 $2,103 6.1×
Closed tx mandibular fracture w/o manipulation (21450) $710.25 $947 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $620.25 $827 2.4×
Closed tx patellar dislocation w/anesthesia (27562) $1,548.75 $2,065 6.0×
Closed tx patellar dislocation w/o anesthesia (27560) $886.88 $1,182.50 3.4×
Closed tx radial shaft fracture w/manipulation (25505) $1,299.75 $1,733 0.8×
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) $602.25 $803 0.4×
Closed tx scapular fracture w/o manipulation (23570) $1,243.50 $1,658 4.8×
Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) $1,090.50 $1,454 4.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $622.50 $830 2.4×
Closed tx vert fx w/o manj (22310) $915.75 $1,221 3.5×
Closure of abnormal drainage tract from bladder to vagina through vagina (57320)
likely a partial charge — not the full procedure		 $1,344 $1,792 0.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $542.25 $723 2.2×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $755.25 $1,007 1.3×
Closure of surgically created opening from bladder to skin (51880) $946.50 $1,262 0.3×
Closure of surgically created opening from stomach to skin (43870) $2,158.50 $2,878 0.5×
Closure of the lacrimal punctum; by plug, each Age Under 21 (68761) $489.75 $653 1.5×
Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age Under 21 (68760) $671.25 $895 2.0×
Clsd tx nsl fx mnpj wo stblj (21315) $503.25 $671 0.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,329.50 $3,106 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,439 $3,252 1.4×
Cltx carpo/metacarpal dislocation thumb w/manj (26641) $1,088.25 $1,451 4.2×
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) $875.25 $1,167 3.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $755.25 $1,007 2.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,585.88 $2,114.50 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,326.75 $1,769 5.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $526.12 $701.50 2.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $972 $1,296 3.7×
Cltx greater humeral tuberosity fx w/o mnpj (23620) $803.25 $1,071 3.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $664.88 $886.50 2.6×
Cltx humeral condylar fx medial/lat w/o manj (24576) $956.25 $1,275 3.7×
Cltx humeral epicondylar fx medial/lat w/o manj (24560) $898.50 $1,198 3.5×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $1,014 $1,352 0.6×
Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) $1,109.25 $1,479 4.3×
Cltx interphalangeal joint dislocation w/o anes (28660) $466.88 $622.50 1.8×
CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) $729.38 $972.50 2.8×
Cltx metar fx w/manj (28475) $536.25 $715 2.1×
Cltx metatarsophlngl jt dislc req anes (28635) $461.25 $615 0.3×
Cltx post ankle fx (27767) $704.25 $939 2.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,559.25 $2,079 0.9×
Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) $1,680.75 $2,241 6.5×
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) $1,487.25 $1,983 0.9×
Cltx tibial shaft fx w/o manipulation (27750) $1,053.75 $1,405 4.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,548 $2,064 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $903.75 $1,205 3.5×
Coccygectomy, primary Age Under 21 (27080) $1,467.75 $1,957 0.4×
Collect blood from catheter venous nos (36592) $229.50 $306 1.6×
Colonoscopy flexible with decompression (45393) $2,349.75 $3,133 1.9×
Colonoscopy w/control bleed (45382) $2,530.50 $3,374 2.0×
Colonoscopy w/fb removal (45379) $1,315.50 $1,754 1.0×
Colonoscopy w/resection (45390) $2,349.75 $3,133 0.8×
Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) $2,102.62 $2,803.50 1.7×
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) $2,236.50 $2,982 1.8×
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure		 $285 $380 0.1×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure		 $1,421.25 $1,895 0.2×
Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) $1,026 $1,368 0.3×
Colposcopy cervix (57452) $262.50 $350 1.2×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) $424.50 $566 1.3×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) $350.25 $467 1.1×
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) $552 $736 0.2×
Colposcopy w/endocervical curettage (57456) $362.25 $483 1.1×
Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) $1,004.25 $1,339 0.3×
Colsc flx with directed submucosal njx any sbst (45381) $2,422.88 $3,230.50 1.9×
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
likely a partial charge — not the full procedure		 $1,336.50 $1,782 0.3×
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265)
unusually low — confirm this is the full procedure		 $1,750.50 $2,334 0.3×
Complete replacement picc rs&i (36584) $3,148.50 $4,198 1.9×
Complex cystometrogram voiding pressure studies (51728) $241.50 $322 0.3×
Complex uroflowmetry (51741) $20.25 $27 0.1×
Complx cystometro w/void press & urethral profil (51729) $293.25 $391 0.4×
Conization of cervix (57520) $792 $1,056 0.2×
Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) $361.50 $482 0.1×
Contrast injection perq radiologic eval gi tube (49465) $594 $792 2.4×
Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) $580.88 $774.50 4.1×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $332.25 $443 2.4×
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) $970.50 $1,294 3.9×
Control throat bleeding (42960) $487.50 $650 0.9×
Conz of cervix w/scope leep (57461) $463.50 $618 0.1×
Correction of bunion (28292) $1,920.75 $2,561 0.6×
Correction of everted punctum, cautery Age Under 21 (68705) $786.75 $1,049 2.3×
Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age Under… (67825) $428.25 $571 1.3×
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299)
likely a partial charge — not the full procedure		 $1,896 $2,528 0.2×
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
likely a partial charge — not the full procedure		 $1,861.50 $2,482 0.1×
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure		 $1,526.25 $2,035 0.2×
Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) $1,201.50 $1,602 0.3×
Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) $1,656 $2,208 0.5×
Cryosurgery anal lesion(s) (46916) $518.25 $691 2.4×
Cryotherapy (CO2 slush, liquid N2) for acne (17340) $62.25 $83 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $524.62 $699.50 3.7×
Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) $640.50 $854 2.6×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) $592.50 $790 0.2×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent (46942) $501 $668 0.5×
Curettage postpartum (59160) $617.25 $823 0.2×
Curette/treat cornea (65435) $213.75 $285 0.2×
Cylinder cast (29365) $294.75 $393 1.0×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge — not the full procedure		 $969 $1,292 0.2×
Cystoscopy and treatment (52310) $478.50 $638 0.2×
Cystoscopy removal of clots (52001) $671.25 $895 0.2×
Cystoscopy w/biopsy(s) (52204) $332.25 $443 0.2×
Cystourethroscopy (52000) $189 $252 0.3×
Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) $357.75 $477 0.2×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge — not the full procedure		 $914.25 $1,219 0.2×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) $674.25 $899 0.2×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) $573.75 $765 0.2×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) $407.25 $543 0.1×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) $471 $628 0.1×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) $707.25 $943 0.2×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354)
likely a partial charge — not the full procedure		 $972 $1,296 0.2×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353)
likely a partial charge — not the full procedure		 $913.50 $1,218 0.2×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) $825 $1,100 0.2×
Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) $734.25 $979 1.0×
Dcmprn fasct leg ant&/lat&pst cmprt (27602) $1,700.25 $2,267 0.5×
Deb skin bone at fx site (11012) $1,081.50 $1,442 0.4×
Debride skin at fx site (11010) $708 $944 0.9×
Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) $129.75 $173 0.3×
Debridement of nail(s) by any method(s); 1 to 5 (11720) $56.25 $75 0.9×
Debridement of nail(s) by any method(s); 6 or more (11721) $149.62 $199.50 2.4×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $694.88 $926.50 1.6×
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) $827.25 $1,103 0.5×
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) $1,023.75 $1,365 1.3×
Declot vascular device (36593) $1,001.25 $1,335 2.9×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $2,310 $3,080 0.7×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) $1,710.75 $2,281 1.0×
Decompression fasciotomy, forearm, with brachial artery exploration Age Under 21 (24495)
likely a partial charge — not the full procedure		 $2,025 $2,700 0.3×
Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) $1,259.25 $1,679 0.4×
Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or… (27892) $1,650 $2,200 0.5×
Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable… (27894) $2,160 $2,880 0.6×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Age Under 21 (27498) $1,714.50 $2,286 1.0×
Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) $2,770.50 $3,694 0.8×
Decompression; plantar digital nerve Age Under 21 (64726) $633 $844 0.3×
Deep incis foot bone infectn (28005) $2,096.25 $2,795 0.6×
Deep muscle biopsy (20205) $695.25 $927 0.2×
Delivery of placenta (59414) $239.25 $319 0.1×
Destroy nerve face muscle (64612) $324 $432 1.0×
Destroy vulva lesion/s compl (56515) $550.50 $734 0.3×
Destruct lesion 15 or more (17111) $358.50 $478 1.7×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) $135.75 $181 0.6×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) $480.75 $641 1.1×
Destruction benign lesions up to 14 (17110) $301.50 $402 1.4×
Destruction by neurolytic agent, intercostal nerve (64620) $483.75 $645 0.5×
Destruction internal hemorrhoid thermal energy (46930) $474 $632 0.4×
Destruction lesion conjunctiva (68135) $396 $528 0.2×
Destruction lesions vulva simple (56501) $367.50 $490 0.2×
Destruction neurolytic agt genicular nerve w/img (64624) $402 $536 0.2×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) $1,648.50 $2,198 2.1×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) $1,023.75 $1,365 2.4×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) $2,400 $3,200 1.1×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) $774 $1,032 0.3×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) $552.75 $737 1.3×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) $774 $1,032 0.3×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) $596.25 $795 0.2×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) $612.75 $817 0.3×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) $414.75 $553 0.2×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) $273 $364 1.3×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) $318 $424 0.1×
Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21 (67210) $1,637.25 $2,183 2.8×
Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) $1,853.25 $2,471 0.6×
Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) $562.50 $750 0.2×
Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) $356.25 $475 0.1×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) $427.50 $570 2.0×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) $237 $316 1.1×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) $489.75 $653 1.1×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) $373.50 $498 1.8×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) $474 $632 1.1×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) $283.50 $378 1.3×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) $294 $392 1.4×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) $427.50 $570 1.0×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) $828.75 $1,105 1.1×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) $366.75 $489 1.7×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) $380.25 $507 1.8×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) $277.50 $370 1.3×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) $332.25 $443 1.6×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) $616.50 $822 0.8×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) $410.25 $547 1.0×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) $339.75 $453 1.6×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) $494.25 $659 1.2×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) $582.75 $777 1.4×
Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) $589.50 $786 0.2×
Diagnostic sigmoidoscopy (45330) $1,228.88 $1,638.50 1.3×
Diaphragm or cervical cap fitting with instructions (57170) $207.75 $277 1.0×
Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) $715.50 $954 0.2×
Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) $321 $428 0.4×
Dilation of vagina under anesthesia (other than local) Age Under 21 (57400) $327.75 $437 0.1×
Drain lower leg lesion (27603) $1,213.50 $1,618 0.4×
Drain neck/chest lesion (21501) $907.50 $1,210 0.3×
Drain shoulder lesion (23030) $1,072.50 $1,430 0.4×
Drainage external auditory canal, abscess (69020) $480.75 $641 0.6×
Drainage external ear, abscess or hematoma; simple (69000) $398.25 $531 0.5×
Drainage finger abscess simple (26010) $601.88 $802.50 2.8×
Drainage of finger abscess; complicated (eg, felon) (26011) $1,869.38 $2,492.50 1.1×
Drainage of hydrocele (55000) $394.50 $526 0.5×
Drainage of lymph node abscess or lymphadenitis; simple Age Under 21 (38300) $614.25 $819 0.2×
Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21 (58805) $899.25 $1,199 0.3×
Drainage of scrotal wall abscess (55100) $405 $540 0.2×
Drainage of scrotum (54700) $1,243.50 $1,658 0.6×
Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) $1,828.50 $2,438 0.5×
Drainage of tonsil abscess (42700) $467.25 $623 1.9×
Dressing change (for other than burns) under anesthesia (other than local) (15852) $62.25 $83 0.1×
Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) $3,369.75 $4,493 1.6×
Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) $3,061.50 $4,082 1.5×
Ed proc insert intraosseous IV (36680) $216.75 $289 0.5×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $484.88 $646.50 3.6×
Ed proc remve fb nasal- hospital (30300) $2,725.50 $3,634 19.4×
Ed prof arthrocentesis sm - hospital (20551) $192.75 $257 0.6×
Ed prof artl pnxr w/drawal bld dx (36600) $113.62 $151.50 0.8×
Ed prof burn - large - hospital (16030) $447 $596 1.0×
Ed prof burn medium - hospital (16025) $470.62 $627.50 2.2×
Ed prof burn small - hospital (16020) $370.50 $494 1.8×
Ed prof catheterization/straight (51701) $253.50 $338 1.8×
Ed prof closed tx post hip arthroplasty (27265) $996.75 $1,329 3.8×
Ed prof insert foley cath simple (51702) $293.25 $391 2.1×
Ed prof insert non tunnel cv cath >5 (36556) $1,042.88 $1,390.50 0.3×
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure		 $676.50 $902 0.1×
Ed prof int lac 12.6-20cm bd - hospital (12035) $750 $1,000 1.7×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $687 $916 1.6×
Ed prof interphalangeal dislocation- hospital (26770) $653.62 $871.50 2.5×
Egd percutaneous placement gastrostomy tube (43246) $633.75 $845 0.3×
Egd removal tumor polyp/other lesion snare tech (43251) $2,871 $3,828 1.4×
Egd transoral control bleeding any method (43255) $818.25 $1,091 0.4×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $87 $116 0.6×
Endocervical curettage (57505) $251.25 $335 0.3×
Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353)
likely a partial charge — not the full procedure		 $615.75 $821 0.1×
Endoscopic us exam esoph (43237) $476.25 $635 0.2×
Episiotomy or vaginal repair (59300) $452.25 $603 0.1×
Er inj anesthetic agent, peripheral nerve or branch (64450) $861.38 $1,148.50 1.2×
Escharotomy 1st incision (16035) $588.75 $785 1.4×
Esoph egd dilation <30 mm (43249) $1,876.50 $2,502 0.9×
Esophagogastroduodenoscopy submucosal injection (43236) $3,516.75 $4,689 3.7×
Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) $2,851.50 $3,802 3.0×
Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) $1,637.62 $2,183.50 1.7×
Esophagoscopy flexible transoral diagnostic (43200) $1,862.25 $2,483 1.9×
Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) $2,260.50 $3,014 1.1×
Evac subungual hematoma (11740) $107.25 $143 0.8×
Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) $5,746.50 $7,662 3.3×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,061.25 $1,415 0.6×
Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) $395.25 $527 0.2×
Exc f/e/e/n/l mal+mrg 1.1-2 (11642) $537.75 $717 0.7×
Exc face les sbq 2 cm/> (21012) $2,012.25 $2,683 1.2×
Exc face tum deep < 2 cm (21013) $2,016 $2,688 1.2×
Exc forearm les sc 3 cm/> (25071) $5,746.50 $7,662 3.3×
Exc h-f-nk-sp b9+marg 0.5/< (11420) $249.75 $333 0.1×
Exc h-f-nk-sp b9+marg 0.6-1 (11421) $300.75 $401 0.4×
Exc h-f-nk-sp b9+marg 1.1-2 (11422) $349.50 $466 0.2×
Exc lesion tendon sheath/capsule w/synvct foot (28090) $1,300.50 $1,734 0.8×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $886.50 $1,182 0.5×
Exc neck tum deep < 5 cm (21556) $925.50 $1,234 0.3×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,776 $2,368 0.9×
Exc rect tum transanal part (45171) $3,287.25 $4,383 1.1×
Exc tr-ext b9+marg 0.5 < cm (11400) $256.50 $342 0.3×
Exc tr-ext b9+marg 1.1-2 cm (11402) $340.12 $453.50 0.5×
Exc tumor soft tiss back/flank subfascial <5cm (21932) $4,299 $5,732 1.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,759.50 $2,346 0.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,080 $1,440 0.4×
Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) $5,745 $7,660 1.9×
Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) $1,128 $1,504 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,299 $5,732 2.5×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,158.75 $1,545 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,341.75 $1,789 0.4×
Exc tumor soft tissue forearm &/wrist subq <3cm (25075) $1,181.25 $1,575 0.7×
Exc tumor soft tissue leg/ankle subfascial <5cm (27619) $943.50 $1,258 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,727.25 $2,303 1.0×
Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) $5,746.50 $7,662 1.9×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,479.75 $1,973 0.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,830 $2,440 0.6×
Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) $5,746.50 $7,662 1.9×
Exchange transfusion, blood; newborn Age Under 21 (36450) $305.25 $407 0.7×
Exchange transfusion, blood; other than newborn Age Under 21 (36455) $348 $464 0.7×
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) $2,544 $3,392 1.0×
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) $1,908 $2,544 0.8×
Excision ganglion wrist dorsal/volar primary (25111) $1,101 $1,468 0.6×
Excision h/p/p/u simple/intermediate repair (11470) $896.25 $1,195 0.3×
Excision hidradenitis axillary smpl/intrm rpr (11450) $714.75 $953 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $383.25 $511 0.5×
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) $414.75 $553 1.0×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $446.25 $595 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $518.25 $691 0.7×
Excision malignant lesion f/e/e/n/l >4.0 cm (11646) $1,032.75 $1,377 0.3×
Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) $311.25 $415 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $382.50 $510 0.5×
Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) $458.25 $611 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $504.75 $673 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $621 $828 0.4×
Excision multiple external papillae/tags anus (46230) $534.75 $713 0.2×
Excision of bartholin's gland or cyst (56740) $849 $1,132 0.2×
Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) $1,191.75 $1,589 0.3×
Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) $1,242.75 $1,657 0.7×
Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age Under 21 (55500) $969.75 $1,293 0.3×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) $911.25 $1,215 0.9×
Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) $645.75 $861 0.2×
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) $1,602 $2,136 0.5×
Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) $1,203.75 $1,605 0.7×
Excision of malignant tumor of mandible; Age Under 21 (21044)
unusually low — confirm this is the full procedure		 $2,084.25 $2,779 0.3×
Excision of neurofibroma or neurolemmoma; major peripheral nerve Age Under 21 (64790) $1,326.75 $1,769 0.6×
Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) $818.25 $1,091 0.4×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420) $4,779 $6,372 0.8×
Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) $589.50 $786 0.2×
Excision of rib, partial Age Under 21 (21600)
likely a partial charge — not the full procedure		 $1,534.50 $2,046 0.2×
Excision of single external papilla or tag, anus (46220) $300 $400 0.2×
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) $1,002.75 $1,337 0.3×
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) $1,050.75 $1,401 0.3×
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) $742.50 $990 0.2×
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) $1,082.25 $1,443 0.4×
Excision of thrombosed hemorrhoid, external (46320) $365.25 $487 0.3×
Excision of tongue fold (41115) $627 $836 0.4×
Excision of tongue lesion (41112) $645.75 $861 0.2×
Excision of vaginal cyst or tumor (57135) $537.75 $717 0.2×
Excision of vaginal septum (57130) $462 $616 0.1×
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age Under 21 (55540) $1,701 $2,268 0.5×
Excision olecranon bursa (24105) $737.25 $983 0.2×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age Under 21 (23140) $1,586.25 $2,115 0.5×
Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) $1,254.75 $1,673 0.4×
Excision or curettage of bone cyst or benign tumor of proximal humerus; Age Under 21 (23150) $2,062.50 $2,750 0.6×
Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) $1,222.50 $1,630 0.4×
Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) $1,100.25 $1,467 0.6×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) $811.50 $1,082 0.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Age Under 21 (28103)
likely a partial charge — not the full procedure		 $922.50 $1,230 0.1×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) $1,470.75 $1,961 0.4×
Excision or fulguration; urethral caruncle Age Under 21 (53265) $450.75 $601 0.2×
Excision or transposition of pterygium; without graft Age Under 21 (65420) $1,683 $2,244 0.7×
Excision pilonidal cyst/sinus complicated (11772) $1,450.50 $1,934 0.5×
Excision pilonidal cyst/sinus extensive (11771) $782.25 $1,043 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,125 $1,500 0.6×
Excision tumor soft tissue back/flank subq <3cm (21930) $1,050 $1,400 0.6×
Excision tumor soft tissue foot/toe subq 1.5+cm (28039) $5,445 $7,260 1.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,201.50 $1,602 0.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $5,445 $7,260 3.1×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $709.50 $946 0.4×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) $384 $512 0.2×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) $602.25 $803 0.2×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) $467.25 $623 0.3×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) $603 $804 1.4×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) $1,004.25 $1,339 0.6×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) $384.75 $513 0.5×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) $501.75 $669 0.3×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830)
unusually low — confirm this is the full procedure		 $2,546.25 $3,395 0.4×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock (15835) $2,604 $3,472 0.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip (15834) $2,043.75 $2,725 0.7×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) $1,431 $1,908 0.5×
Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) $1,701.75 $2,269 1.0×
Excision, ischial pressure ulcer, with primary suture; Age Under 21 (15940) $1,626.75 $2,169 0.5×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) $344.25 $459 0.5×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) $471.75 $629 0.6×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) $568.50 $758 0.3×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) $1,016.25 $1,355 0.6×
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) $784.50 $1,046 0.3×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) $319.50 $426 0.4×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) $2,149.88 $2,866.50 1.2×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) $580.50 $774 0.8×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) $348.75 $465 0.5×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) $609.75 $813 0.3×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) $297.75 $397 0.4×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) $452.25 $603 0.3×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) $756.75 $1,009 0.2×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) $2,759.25 $3,679 1.3×
Excision, sacral pressure ulcer, with primary suture; Age Under 21 (15931) $1,674 $2,232 0.5×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under… (15956) $2,904 $3,872 1.3×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $2,799.75 $3,733 0.7×
Excision, trochanteric pressure ulcer, with primary suture; Age Under 21 (15950) $1,434 $1,912 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) $5,445 $7,260 1.8×
Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) $1,760.25 $2,347 0.6×
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) $1,398 $1,864 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) $1,910.25 $2,547 1.1×
Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) $5,445 $7,260 1.8×
Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) $1,431 $1,908 0.8×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) $3,222 $4,296 1.1×
Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) $5,746.50 $7,662 1.9×
Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) $5,746.50 $7,662 1.9×
Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) $944.25 $1,259 0.5×
Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) $5,445 $7,260 1.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,110.50 $2,814 0.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) $843.75 $1,125 0.5×
Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) $5,746.50 $7,662 1.9×
Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) $2,633.25 $3,511 0.9×
Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) $1,329 $1,772 0.4×
Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) $1,274.25 $1,699 0.7×
Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) $5,445 $7,260 1.8×
Excision/curettage cyst/tumor metacarpal (26200) $926.25 $1,235 0.5×
Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) $5,444.25 $7,259 1.8×
Exploration penetrating wound spx extremity (20103) $1,017 $1,356 0.6×
Exploration with removal of deep foreign body, forearm or wrist (25248) $1,713 $2,284 1.0×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low — confirm this is the full procedure		 $2,139 $2,852 0.3×
Explore wound abdomen (20102) $765 $1,020 0.4×
Explore/irrigate tear ducts (68840) $427.50 $570 1.3×
Explore/treat hand joint (26070) $992.25 $1,323 0.6×
Extensive removal of growth of collar bone (23200)
unusually low — confirm this is the full procedure		 $2,918.25 $3,891 0.4×
Fasciotomy, iliotibial (tenotomy), open Age Under 21 (27305) $1,626.75 $2,169 0.5×
Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) $1,812.75 $2,417 0.5×
Fine needle aspiration bx w/o img gdn 1st lesion (10021) $559.12 $745.50 1.3×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $181.50 $242 0.2×
Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age Under 21 (66170) $3,899.25 $5,199 1.6×
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma… (66172) $4,920.75 $6,561 2.0×
Fix collat lig,mc-p jt,i-p jt (26540) $1,578.75 $2,105 0.5×
Frenulotomy of penis (54164) $470.25 $627 0.2×
Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) $1,956 $2,608 0.9×
Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) $1,876.50 $2,502 0.9×
Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) $1,635.75 $2,181 0.8×
Fusion of 3 bones of ankle|RIGHT SIDE (28715)
likely a partial charge — not the full procedure		 $2,973.75 $3,965 0.2×
Fusion of wrist joint (25800)
likely a partial charge — not the full procedure		 $1,548.75 $2,065 0.2×
Gastric lavage (43753) $424.50 $566 1.9×
Gastrocnemius recession (27687) $1,167.75 $1,557 0.3×
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $2,367 $3,156 0.6×
Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) $1,081.50 $1,442 0.5×
Hair removal by electrolysis, each 30 minutes (17380) $147.75 $197 0.2×
Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) $1,760.25 $2,347 0.5×
Harvest cultured skin graft (15040) $706.50 $942 0.3×
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure		 $2,382.75 $3,177 0.2×
Hemiphalangectomy/interphalangeal joint exc toe (28160) $891.75 $1,189 0.3×
Hemorrhoidectomy internal rubber band ligations (46221) $393.75 $525 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,146.75 $1,529 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $736.50 $982 0.3×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $596.25 $795 0.2×
Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) $602.25 $803 0.2×
Hymenotomy, simple incision Age Under 21 (56442) $152.25 $203 0.0×
Hysteroscopy biopsy (58558) $783 $1,044 0.2×
Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560)
likely a partial charge — not the full procedure		 $1,194 $1,592 0.2×
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
likely a partial charge — not the full procedure		 $834.75 $1,113 0.2×
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559)
likely a partial charge — not the full procedure		 $831.75 $1,109 0.2×
Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) $714.75 $953 0.2×
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
likely a partial charge — not the full procedure		 $1,252.50 $1,670 0.2×
I&d abscess simple/single (10060) $426.38 $568.50 2.0×
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) $2,247 $2,996 0.7×
I&d hematoma/seroma/fluid (10140) $340.50 $454 0.2×
I&d pilonidal cyst simple (10080) $362.25 $483 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $981.75 $1,309 0.3×
I&d vaginal hematoma obstetrical/postpartum (57022) $1,044.75 $1,393 0.3×
Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415)
unusually low — confirm this is the full procedure		 $4,482.75 $5,977 0.3×
Incise external hemorrhoid (46083) $539.62 $719.50 2.0×
Incise finger tendon sheath (26055) $1,113.75 $1,485 0.7×
Incise/drain eyelid lining (68020) $393 $524 0.4×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $775.88 $1,034.50 1.8×
Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) $1,187.25 $1,583 0.7×
Incision and drainage of Bartholin's gland abscess (56420) $324 $432 1.5×
Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) $564 $752 0.2×
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) $993 $1,324 0.3×
Incision and drainage of pilonidal cyst; complicated (10081) $580.50 $774 0.8×
Incision and drainage of submucosal abscess, rectum (45005) $323.25 $431 0.3×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) $402 $536 0.1×
Incision and drainage of vulva or perineal abscess (56405) $574.50 $766 1.8×
Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) $503.25 $671 0.2×
Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) $1,524 $2,032 0.4×
Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) $2,418.75 $3,225 0.7×
Incision and drainage, perianal abscess, superficial (46050) $517.50 $690 0.5×
Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) $815.25 $1,087 0.5×
Incision and removal of foreign body, subcutaneous tissues; complicated (10121) $588.75 $785 0.3×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $308.25 $411 0.7×
Incision bone cortex hand/finger (26034) $1,591.50 $2,122 0.9×
Incision extensor tendon sheath wrist (25000) $1,000.50 $1,334 0.6×
Incision of connective tissue of foot and/or toe (28008) $735 $980 0.2×
Incision of connective tissue of hip or thigh (27025) $2,280 $3,040 0.7×
Incision of lingual frenum (frenotomy) (41010) $406.50 $542 0.2×
Incision of rectal abscess (46040) $1,092.75 $1,457 0.9×
Incision of tendon located from elbow to shoulder, open procedure (24310) $1,178.25 $1,571 0.3×
Incision of tibia & fibula (27709)
likely a partial charge — not the full procedure		 $2,421 $3,228 0.2×
Incision of vein for insertion of needle or tube (1 year or older) (36425) $141 $188 0.3×
Incision of vein for insertion of needle or tube (younger than 1 year) (36420) $178.50 $238 1.3×
Incision&drainage bursa foot (28001) $861 $1,148 0.5×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Age Under 21 (23035) $2,712.75 $3,617 1.6×
Induced abortion by d&c (59840) $672.75 $897 0.2×
Induced abortion dilation & evacuation (59841) $1,118.25 $1,491 0.3×
Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) $1,314 $1,752 3.2×
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Age Under 21 (38760)
likely a partial charge — not the full procedure		 $1,275.75 $1,701 0.2×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $354.75 $473 1.7×
Inj epidural blood or clot patch (62273) $755.62 $1,007.50 1.0×
Inj paravert f jnt c/t 1 lev (64490) $1,838.25 $2,451 2.0×
Inj paravert f jnt l/s 1 lev (64493) $1,531.50 $2,042 1.6×
Inj tx nerve (64640) $1,766.25 $2,355 1.9×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,989 $2,652 2.7×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,182.75 $1,577 1.3×
Injection aa&/strd brachial plexus w/img gdn (64415) $2,665.12 $3,553.50 2.9×
Injection aa&/strd genicular nrv branches w/img (64454) $142.50 $190 0.2×
Injection aa&/strd greater occipital nerve (64405) $272.25 $363 0.8×
Injection aa&/strd ilioinguinal ih nerves (64425) $961.50 $1,282 1.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,893 $2,524 2.0×
Injection aa&/strd intercostal nrv single lvl (64420) $914.25 $1,219 1.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,205.25 $1,607 1.6×
Injection aa&/strd pudendal nerve (64430) $402 $536 0.4×
Injection aa&/strd sciatic nerve w/img gdn (64445) $899.25 $1,199 1.2×
Injection aa&/strd suprascapular nerve (64418) $945.75 $1,261 1.3×
Injection aa&/strd trigeminal nerve each branch (64400) $1,023 $1,364 3.2×
Injection aa&/strd vagus nerve (64408) $444 $592 1.4×
Injection anes lmbr/thrc paravertbrl sympathetic (64520) $1,712.25 $2,283 1.8×
Injection eye drug (67028) $330.75 $441 0.9×
Injection for identification of sentinel node (38792) $57 $76 0.1×
Injection of drug or substance into membrane covering eyeball|BILATERAL PROCEDURE (67515) $321.75 $429 1.0×
Injection sclerosant multiple incmptnt veins (36471) $433.50 $578 1.0×
Injection sclerosant single incmptnt vein (36470) $748.88 $998.50 1.7×
Injection sclerosing solution hemorrhoids (46500) $324 $432 0.3×
Injection therapeutic carpal tunnel (20526) $114 $152 0.4×
Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) $399.75 $533 0.9×
Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) $2,456.62 $3,275.50 2.6×
Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) $1,893 $2,524 2.0×
Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) $1,893 $2,524 2.0×
Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) $273 $364 0.4×
Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) $1,893 $2,524 2.0×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $430.12 $573.50 1.3×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $480 $640 1.5×
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) $139.50 $186 0.4×
Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) $2,296.50 $3,062 7.1×
Injection, intralesional; up to and including 7 lesions (11900) $137.25 $183 0.6×
Insert cervical dilator (59200) $210 $280 0.7×
Insert drug implant device (11981) $253.50 $338 1.8×
Insert gastrostomy tube percutaneous (49440) $2,050.50 $2,734 1.0×
Insert non-tunnel cv cath < 5 y/o (36555) $959.25 $1,279 0.3×
Insert pessary/other device (57160) $175.50 $234 0.8×
Insertion indwelling tunneled pleural catheter (32550) $1,113.75 $1,485 0.3×
Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21 (19340)
likely a partial charge — not the full procedure		 $1,033.50 $1,378 0.1×
Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age Under… (66985) $2,504.25 $3,339 1.0×
Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) $365.25 $487 0.1×
Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) $2,133 $2,844 0.6×
Insertion of tube into airway for aspiration of secretions (31720) $132 $176 0.6×
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) $681 $908 0.2×
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) $900.75 $1,201 0.3×
Insertion picc w/o img gdn 5 yr/> (36569) $1,752.38 $2,336.50 1.1×
Insertion picc w/rs&i 5 yr/> (36573) $2,220 $2,960 1.3×
Insj intraperitoneal catheter w/img guid (49418) $721.50 $962 0.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $712.50 $950 0.2×
Intubation endotracheal (31500) $893.25 $1,191 3.6×
Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) $1,544.25 $2,059 2.7×
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366)
likely a partial charge — not the full procedure		 $1,505.25 $2,007 0.1×
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365)
likely a partial charge — not the full procedure		 $1,344 $1,792 0.1×
Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) $260.25 $347 7.1×
Knee arthroscopy/surgery (29876) $1,367.25 $1,823 0.4×
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
likely a partial charge — not the full procedure		 $1,607.25 $2,143 0.3×
Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) $4,191 $5,588 0.7×
Laparoscopic Surgical Splenectomy (38120)
likely a partial charge — not the full procedure		 $2,592.75 $3,457 0.2×
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure		 $1,778.25 $2,371 0.3×
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
likely a partial charge — not the full procedure		 $1,739.25 $2,319 0.3×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low — confirm this is the full procedure		 $2,361.75 $3,149 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure		 $1,010.25 $1,347 0.2×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure		 $772.50 $1,030 0.1×
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
unusually low — confirm this is the full procedure		 $3,045.75 $4,061 0.5×
Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659)
likely a partial charge — not the full procedure		 $979.50 $1,306 0.2×
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
unusually low — confirm this is the full procedure		 $2,019 $2,692 0.3×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge — not the full procedure		 $2,019 $2,692 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550)
unusually low — confirm this is the full procedure		 $2,018.25 $2,691 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure		 $2,096.25 $2,795 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
likely a partial charge — not the full procedure		 $1,479.75 $1,973 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure		 $1,830.75 $2,441 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure		 $2,160.75 $2,881 0.2×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571)
likely a partial charge — not the full procedure		 $2,175.75 $2,901 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure		 $841.50 $1,122 0.1×
Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge — not the full procedure		 $1,435.50 $1,914 0.2×
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
likely a partial charge — not the full procedure		 $879.75 $1,173 0.1×
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
likely a partial charge — not the full procedure		 $1,739.25 $2,319 0.3×
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
likely a partial charge — not the full procedure		 $1,617 $2,156 0.3×
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671)
likely a partial charge — not the full procedure		 $882 $1,176 0.1×
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure		 $1,564.50 $2,086 0.2×
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570)
likely a partial charge — not the full procedure		 $1,458 $1,944 0.2×
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure		 $1,978.50 $2,638 0.2×
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
unusually low — confirm this is the full procedure		 $4,038.75 $5,385 0.4×
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge — not the full procedure		 $2,705.25 $3,607 0.2×
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure		 $1,329 $1,772 0.2×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure		 $870.75 $1,161 0.1×
Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) $388.50 $518 0.9×
Laryngoscopy flex diagnostic (31575) $363.75 $485 1.7×
Laryngoscopy flx rmvl foreign body(s) (31577) $525 $700 1.3×
Laryngoscopy indirect diagnostic (31505) $169.50 $226 0.8×
Laryngoscopy w/biopsy (31535) $327.75 $437 0.1×
Laser treatment of retina (67040) $4,611 $6,148 1.1×
Lateral retinacular release open (27425) $1,128 $1,504 0.3×
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Age Under 21 (27686) $1,178.25 $1,571 0.3×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge — not the full procedure		 $1,584.75 $2,113 0.2×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21 (27429)
likely a partial charge — not the full procedure		 $3,151.50 $4,202 0.2×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge — not the full procedure		 $2,829 $3,772 0.2×
Ligation of abdomen artery (37617)
likely a partial charge — not the full procedure		 $1,605 $2,140 0.3×
Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Age Under 21 (37761) $6,188.25 $8,251 1.9×
Ligation or biopsy, temporal artery (37609) $1,100.25 $1,467 0.6×
Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) $848.25 $1,131 0.2×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) $1,200 $1,600 0.4×
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) $1,101.75 $1,469 0.3×
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) $807 $1,076 0.2×
Lumbar puncture (62270) $765.75 $1,021 1.0×
Lysis of labial adhesions (56441) $436.50 $582 0.1×
Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) $402 $536 0.2×
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) $305.25 $407 0.2×
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) $622.50 $830 0.4×
Manipulation, hip joint, requiring general anesthesia Age Under 21 (27275) $369 $492 0.2×
Marsupialization bartholin's gland cyst (56440) $620.25 $827 0.2×
Mastectomy partial (19301) $1,112.25 $1,483 0.3×
Mastotomy expl drg absc dp (19020) $1,158.75 $1,545 0.7×
Meas post-voiding residual urine&/bladder cap (51798) $41.25 $55 0.7×
Meatotomy cutting meatus spx except infant (53020) $227.25 $303 0.1×
Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) $2,982 $3,976 0.8×
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) $1,240.50 $1,654 0.4×
Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) $246.75 $329 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $79.50 $106 2.6×
Needle insertion w/o injection 3 or more muscles (20561) $79.50 $106 2.6×
Neuroplasty &/transpos median nrv carpal tunne (64721) $1,251 $1,668 0.6×
Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) $1,263 $1,684 0.6×
Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) $1,154.25 $1,539 0.6×
Neuroplasty; nerve of hand or foot Age Under 21 (64704) $734.25 $979 0.4×
Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) $996 $1,328 0.2×
Njx anes stellate ganglion crv sympathetic (64510) $3,061.50 $4,082 3.3×
Njx cholangio prq w/img gid rs&i existing access (47531) $538.12 $717.50 0.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,838.25 $2,451 2.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,548 $2,064 2.1×
Non stress test (59025) $261.38 $348.50 1.2×
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
likely a partial charge — not the full procedure		 $1,680 $2,240 0.2×
Open Biopsy/Excision Inguinofemoral Nodes (38531) $1,263.75 $1,685 0.3×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge — not the full procedure		 $1,583.25 $2,111 0.2×
Open treatment bimalleolar ankle fracture (27814)
unusually low — confirm this is the full procedure		 $2,454 $3,272 0.3×
Open treatment calcaneal fracture (28415)
unusually low — confirm this is the full procedure		 $2,394.75 $3,193 0.3×
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure		 $1,696.50 $2,262 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure		 $2,565.75 $3,421 0.2×
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure		 $1,944 $2,592 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure		 $1,691.25 $2,255 0.2×
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550)
likely a partial charge — not the full procedure		 $1,586.25 $2,115 0.2×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
likely a partial charge — not the full procedure		 $1,451.25 $1,935 0.2×
Open Treatment Of Acute Or Chronic Elbow Dislocation (24615)
likely a partial charge — not the full procedure		 $2,069.25 $2,759 0.3×
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848)
likely a partial charge — not the full procedure		 $2,032.50 $2,710 0.3×
Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) $1,587.75 $2,117 0.5×
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
likely a partial charge — not the full procedure		 $1,498.50 $1,998 0.2×
Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) $1,420.50 $1,894 0.4×
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure		 $1,572 $2,096 0.2×
Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21 (25676)
likely a partial charge — not the full procedure		 $1,993.50 $2,658 0.3×
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
likely a partial charge — not the full procedure		 $1,609.50 $2,146 0.2×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge — not the full procedure		 $2,452.50 $3,270 0.2×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
unusually low — confirm this is the full procedure		 $3,071.25 $4,095 0.4×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low — confirm this is the full procedure		 $2,821.50 $3,762 0.4×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge — not the full procedure		 $2,793.75 $3,725 0.2×
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge — not the full procedure		 $2,418 $3,224 0.2×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828)
likely a partial charge — not the full procedure		 $2,415 $3,220 0.2×
Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) $1,590.75 $2,121 0.5×
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254)
unusually low — confirm this is the full procedure		 $2,548.50 $3,398 0.3×
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579)
likely a partial charge — not the full procedure		 $2,222.25 $2,963 0.2×
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575)
likely a partial charge — not the full procedure		 $2,223.75 $2,965 0.2×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure		 $2,346 $3,128 0.2×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge — not the full procedure		 $2,407.50 $3,210 0.2×
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure		 $1,703.25 $2,271 0.2×
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
likely a partial charge — not the full procedure		 $1,120.50 $1,494 0.1×
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587)
likely a partial charge — not the full procedure		 $3,388.50 $4,518 0.3×
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure		 $1,996.50 $2,662 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
likely a partial charge — not the full procedure		 $1,991.25 $2,655 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
likely a partial charge — not the full procedure		 $1,873.50 $2,498 0.2×
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure		 $2,021.25 $2,695 0.1×
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
likely a partial charge — not the full procedure		 $2,150.25 $2,867 0.3×
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age Under 21 (28555)
likely a partial charge — not the full procedure		 $1,575 $2,100 0.2×
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
unusually low — confirm this is the full procedure		 $3,006.75 $4,009 0.4×
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
likely a partial charge — not the full procedure		 $1,923.75 $2,565 0.3×
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge — not the full procedure		 $1,972.50 $2,630 0.1×
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge — not the full procedure		 $2,025 $2,700 0.3×
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
likely a partial charge — not the full procedure		 $1,318.50 $1,758 0.2×
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure		 $1,762.50 $2,350 0.2×
Open treatment posterior malleolus fracture (27769)
likely a partial charge — not the full procedure		 $2,129.25 $2,839 0.3×
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure		 $1,388.25 $1,851 0.2×
Open treatment talus fracture (28445)
unusually low — confirm this is the full procedure		 $2,664.75 $3,553 0.3×
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge — not the full procedure		 $1,746 $2,328 0.2×
Open tx distal fibular fracture lat malleolus (27792)
likely a partial charge — not the full procedure		 $2,084.25 $2,779 0.3×
Open tx distal phalangeal fracture each (26765) $1,065 $1,420 0.3×
Open tx fracture phalanx/phalanges not great toe (28525) $1,281.75 $1,709 0.4×
Open tx interphalangeal joint dislocation 1 (26785) $1,385.25 $1,847 0.4×
Open tx metacarpal fracture single ea bone (26615) $1,856.25 $2,475 0.5×
Open tx phalangeal shaft fracture prox/middle ea (26735) $1,277.25 $1,703 0.4×
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure		 $1,953 $2,604 0.1×
Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Age Under 21 (26492) $1,814.25 $2,419 0.5×
Orchiectomy, partial Age Under 21 (54522) $1,006.50 $1,342 0.3×
Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) $729.75 $973 0.2×
Ostectomy, calcaneus; Age Under 21 (28118) $1,869.75 $2,493 0.5×
Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) $1,035.75 $1,381 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) $925.50 $1,234 0.3×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) $1,376.25 $1,835 0.4×
Osteotomy tibia (27705)
likely a partial charge — not the full procedure		 $1,605 $2,140 0.2×
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure		 $2,171.25 $2,895 0.2×
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457)
likely a partial charge — not the full procedure		 $2,281.50 $3,042 0.3×
Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age Under 21 (28312) $1,611.75 $2,149 0.5×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306)
likely a partial charge — not the full procedure		 $1,299.75 $1,733 0.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) $1,435.50 $1,914 0.4×
Other procedure on fallopian tube or ovary using an endoscope (58679)
likely a partial charge — not the full procedure		 $1,228.50 $1,638 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low — confirm this is the full procedure		 $1,623.75 $2,165 0.3×
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
likely a partial charge — not the full procedure		 $1,730.25 $2,307 0.3×
Parathyroidectomy or exploration of parathyroid(s); re-exploration (60502) $3,363 $4,484 0.5×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) $150.75 $201 0.7×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) $353.25 $471 1.7×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) $129.75 $173 0.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Age Under 21 (23180)
likely a partial charge — not the full procedure		 $1,698 $2,264 0.2×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) $1,325.25 $1,767 0.4×
Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) $2,440.50 $3,254 0.7×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) $1,727.25 $2,303 0.5×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) $1,901.25 $2,535 0.6×
Partial excision bone tibia (27640) $3,280.50 $4,374 1.0×
Partial hymenectomy or revision of hymenal ring (56700) $561 $748 0.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low — confirm this is the full procedure		 $2,226.75 $2,969 0.3×
Partical excision bone phalanx toe (28124) $1,497.75 $1,997 0.4×
Pelvic examination under anesthesia (other than local) Age Under 21 (57410) $439.50 $586 0.1×
Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) $1,584.75 $2,113 0.5×
Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) $1,275.75 $1,701 0.4×
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge — not the full procedure		 $1,912.50 $2,550 0.2×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $1,616.25 $2,155 0.5×
Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) $777.75 $1,037 0.2×
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
unusually low — confirm this is the full procedure		 $2,362.50 $3,150 0.3×
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
likely a partial charge — not the full procedure		 $1,153.50 $1,538 0.2×
Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) $1,115.25 $1,487 0.3×
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) $1,760.25 $2,347 0.4×
Perq replacement gtube not req revj gstrst trc (43762) $502.12 $669.50 1.9×
Pf-as amputation leg through tibia & fibula (27880)
unusually low — confirm this is the full procedure		 $2,820 $3,760 0.4×
Phalangectomy, toe, each toe Age Under 21 (28150) $1,328.25 $1,771 0.4×
Pin finger fracture each (26756) $1,052.25 $1,403 0.3×
Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) $849.75 $1,133 1.1×
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) $3,204 $4,272 2.2×
Placement of seton (46020) $397.50 $530 0.1×
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) (44300) $1,767.75 $2,357 0.9×
Plastic repair of canaliculi (68700) $2,010 $2,680 0.8×
Plastic repair of introitus Age Under 21 (56800) $357 $476 0.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure		 $946.50 $1,262 0.2×
Pr closed treatment sesamoid fracture (28530) $296.25 $395 1.1×
Pr inj. intralesional gt 7 lesions (11901) $180 $240 0.9×
Pr resection partial/complete phalangeal base each (28126) $755.25 $1,007 0.2×
Pr rmvl lens material phacofragmentation aspir (66850) $6,279.75 $8,373 2.6×
Pr transfusion intrauterine fetal (36460) $957 $1,276 2.1×
Prineoplasty rpr pr nonobal spx (56810) $663.75 $885 0.2×
Probing of nasolacrimal duct, with or without irrigation; Age Under 21 (68810) $804 $1,072 2.4×
Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Age Under 21 (68811) $687.75 $917 0.3×
Proctosigmoidoscopy dx (45300) $174.75 $233 0.2×
Proctosigmoidoscopy fb (45307) $394.50 $526 0.1×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $363.75 $485 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) $286.50 $382 0.2×
Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) $361.50 $482 0.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus Age Under 21 (45321) $185.25 $247 0.1×
Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (45303) $215.25 $287 0.2×
Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) $441.75 $589 0.3×
Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar… (45308) $252.75 $337 0.1×
Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) $1,718.25 $2,291 3.0×
Prq skel fixj iphal jt dislc 1 w/mnpj (26776) $1,115.25 $1,487 0.3×
Punch biopsy skin single lesion (11104) $318.38 $424.50 0.7×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $517.88 $690.50 1.2×
Puncture aspiration of cyst of breast (19000) $138.75 $185 0.2×
Push transfusion, blood, 2 years or younger (36440) $139.50 $186 0.3×
Pvb thoracic single injection site w/img gid (64461) $222.75 $297 0.3×
Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430)
unusually low — confirm this is the full procedure		 $2,327.25 $3,103 0.3×
Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) $5,746.50 $7,662 1.9×
Rad resection tumor soft tissue back/flank <5cm (21935) $3,478.50 $4,638 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Age Under 21 (22904) $4,299 $5,732 1.4×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Age Under 21 (21936) $5,746.50 $7,662 1.9×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Age Under 21 (21016) $5,746.50 $7,662 1.9×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Age Under 21 (21015) $1,311.75 $1,749 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Age Under 21 (28047) $5,444.25 $7,259 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Age Under 21 (28046) $4,074.75 $5,433 1.3×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Age Under 21 (25078) $5,445 $7,260 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Age Under 21 (26118) $5,445 $7,260 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age Under 21 (27616) $5,445 $7,260 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Age Under 21 (21558) $5,742.75 $7,657 1.9×
Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Age Under 21 (27059) $5,746.50 $7,662 1.9×
Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Age Under 21 (27049) $3,030 $4,040 1.0×
Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Age Under 21 (23078) $5,445 $7,260 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Age Under 21 (23077) $3,370.50 $4,494 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Age Under 21 (27364) $5,445 $7,260 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Age Under 21 (24079) $5,746.50 $7,662 1.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $530.25 $707 0.3×
Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455)
likely a partial charge — not the full procedure		 $2,121.75 $2,829 0.3×
Reconstr mcp jnt col ligam w graft (26541) $1,587.75 $2,117 0.5×
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238)
likely a partial charge — not the full procedure		 $1,293 $1,724 0.2×
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24344)
unusually low — confirm this is the full procedure		 $2,403 $3,204 0.3×
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24346)
likely a partial charge — not the full procedure		 $3,084 $4,112 0.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge — not the full procedure		 $1,876.50 $2,502 0.2×
Reconstruction of nail bed with graft Age Under 21 (11762) $572.25 $763 0.3×
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Age Under 21 (26500)
likely a partial charge — not the full procedure		 $1,389 $1,852 0.2×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $1,533.75 $2,045 0.4×
Reduction of incarcerated uterus in maternity care and/or delivery (59899) $352.50 $470 1.7×
Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) $213 $284 0.2×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
likely a partial charge — not the full procedure		 $1,633.50 $2,178 0.2×
Release of ligaments at outer side of knee joint using an endoscope (29873) $1,071.75 $1,429 0.3×
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure		 $2,089.50 $2,786 0.3×
Release or recession, hamstring, proximal Age Under 21 (27097) $1,719 $2,292 0.5×
Removal foreign body foot complicated (28193) $1,315.50 $1,754 0.8×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $1,155.38 $1,540.50 1.5×
Removal foreign body upper arm/elbow deep (24201) $3,601.50 $4,802 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $33.75 $45 0.5×
Removal impacted cerumen requiring instrumentation, unilateral (69210) $220.12 $293.50 3.5×
Removal implant deep (20680) $1,355.25 $1,807 0.4×
Removal implant superficial (20670) $1,228.50 $1,638 0.7×
Removal implantable contraceptive capsules (11976) $346.50 $462 0.5×
Removal of anal fissure (46200) $766.50 $1,022 0.3×
Removal of anal seton, other marker Age Under 21 (46030) $176.25 $235 0.1×
Removal of ankle implant (27704) $1,621.50 $2,162 0.5×
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure		 $1,515 $2,020 0.2×
Removal of chronic growth of eyelid|RIGHT SIDE (67800) $420 $560 1.3×
Removal of extensive damaged tissue from elbow joint using an endoscope (29838) $1,302.75 $1,737 0.4×
Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) $972.75 $1,297 0.6×
Removal of eye lesion (65400) $1,664.25 $2,219 1.6×
Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) $165.75 $221 1.2×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $730.50 $974 0.6×
Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) $969.75 $1,293 0.3×
Removal of fluid-filled sac (bursa) of pelvis (27060)
likely a partial charge — not the full procedure		 $1,314 $1,752 0.2×
Removal of fluid-filled sac from joint at front of knee (27340) $1,158.75 $1,545 0.3×
Removal of foreign body in muscle or tendon sheath; simple (20520) $624 $832 0.4×
Removal of foreign body in voice box using an endoscope with mirror (31511) $453 $604 2.2×
Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) $371.25 $495 0.2×
Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) $1,423.50 $1,898 0.5×
Removal of foreign body, external eye; conjunctival superficial (65205) $246.38 $328.50 1.8×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $305.25 $407 0.6×
Removal of foreign body, foot; deep (28192) $1,649.62 $2,199.50 0.9×
Removal of growth of eyelid lining 1.0 cm or less|RIGHT SIDE (68110) $750.75 $1,001 0.3×
Removal of heel spur (28119) $1,671.75 $2,229 0.5×
Removal of iud (58301) $238.50 $318 0.7×
Removal of lens material; aspiration technique, 1 or more stages Age Under 21 (66840) $5,731.50 $7,642 2.4×
Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) $1,093.50 $1,458 0.4×
Removal of nail bed (11750) $281.25 $375 0.7×
Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) $2,908.50 $3,878 0.8×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age Under 21 (24160) $1,794 $2,392 0.5×
Removal of recurrent cyst of thyroid or drainage of thyroid gland duct (60281)
likely a partial charge — not the full procedure		 $1,275 $1,700 0.2×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $155.25 $207 0.7×
Removal of small bone underlying long bone of foot at big toe joint (28315) $1,028.25 $1,371 0.3×
Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) $723.75 $965 0.2×
Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) $150.75 $201 0.1×
Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225)
unusually low — confirm this is the full procedure		 $2,924.25 $3,899 0.5×
Removal of tissue expander without insertion of implant Age Under 21 (11971) $888.75 $1,185 0.3×
Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270)
unusually low — confirm this is the full procedure		 $2,046 $2,728 0.4×
Removal of wrist bone (25210) $1,679.25 $2,239 0.5×
Removal or bivalving; full arm or full leg cast Age Under 21 (29705) $162 $216 0.5×
Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) $2,141.25 $2,855 0.9×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) $2,058 $2,744 0.6×
Removal tunneled cv cath (36590) $1,713.75 $2,285 1.0×
Removal with reinsertion, non-biodegradable drug delivery implant (11983) $454.50 $606 1.0×
Removal, non-biodegradable drug delivery implant (11982) $232.50 $310 0.5×
Removal/revision of cast (29700) $119.25 $159 0.4×
Remove eyelid foreign body (67938) $224.25 $299 0.7×
Remove foreign body from eye (65210) $178.50 $238 0.4×
Remove lung catheter (32552) $335.25 $447 0.5×
Remove pharynx foreign body (42809) $452.25 $603 1.0×
Remove vaginal foreign body (57415) $555.75 $741 0.2×
Repair achilles tendon (27650)
likely a partial charge — not the full procedure		 $1,491.75 $1,989 0.2×
Repair blood vessel lesion (35226) $1,688.25 $2,251 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $936 $1,248 2.2×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $1,292.25 $1,723 3.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,103.25 $1,471 2.6×
Repair complex trunk 2.6-7.5 cm (13101) $787.88 $1,050.50 1.0×
Repair elbow deb/attch open (24359) $1,438.50 $1,918 0.4×
Repair entropion suture (67921) $1,238.25 $1,651 0.5×
Repair extensor tendon hand w/o graft each (26410) $1,861.50 $2,482 1.1×
Repair eyelid defect (67924) $1,947.75 $2,597 0.8×
Repair eyelid wound (67930) $640.50 $854 0.3×
Repair finger tendon (26418) $1,876.50 $2,502 1.1×
Repair finger tendon (26433) $1,086 $1,448 0.3×
Repair forearm tendon/muscle (25260) $2,040.75 $2,721 0.6×
Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) $1,504.50 $2,006 0.4×
Repair initial femoral hernia, any age; reducible Age Under 21 (49550) $1,032 $1,376 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) $1,730.25 $2,307 0.5×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $1,410 $1,880 0.4×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Age… (49500)
likely a partial charge — not the full procedure		 $930.75 $1,241 0.1×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $612 $816 1.4×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $726 $968 1.7×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $750 $1,000 1.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $892.88 $1,190.50 2.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $784.88 $1,046.50 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $573 $764 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $672 $896 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $720 $960 0.9×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $610.88 $814.50 1.4×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $656.25 $875 1.5×
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) $986.25 $1,315 1.3×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $729.75 $973 1.7×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) $1,088.25 $1,451 2.5×
Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) $1,337.25 $1,783 3.1×
Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) $1,137.38 $1,516.50 0.5×
Repair lac palate<2 cm (42180) $631.50 $842 1.1×
Repair lip full thickness vermillion only - lac - lip rn (40650) $1,181.25 $1,575 2.1×
Repair lip, full thickness; up to half vertical height Age Under 21 (40652) $1,316.25 $1,755 2.3×
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345)
likely a partial charge — not the full procedure		 $1,418.25 $1,891 0.2×
Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Age Under 21 (46707) $7,492.50 $9,990 2.6×
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge — not the full procedure		 $1,822.50 $2,430 0.3×
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614)
likely a partial charge — not the full procedure		 $1,352.25 $1,803 0.2×
Repair of blocked uterine tube opening (58770) $2,009.25 $2,679 0.6×
Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) $1,036.50 $1,382 0.3×
Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) $1,942.50 $2,590 0.8×
Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268)
likely a partial charge — not the full procedure		 $1,121.25 $1,495 0.2×
Repair of fibrous tissue of arch of foot using an endoscope (29893) $1,367.25 $1,823 0.4×
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) $491.25 $655 1.0×
Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) $727.50 $970 2.9×
Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Age Under 21 (65280)
likely a partial charge — not the full procedure		 $1,035.75 $1,381 0.2×
Repair of nail bed (11760) $438.75 $585 0.6×
Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430)
likely a partial charge — not the full procedure		 $3,617.25 $4,823 0.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400)
unusually low — confirm this is the full procedure		 $2,353.50 $3,138 0.3×
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440)
likely a partial charge — not the full procedure		 $1,621.50 $2,162 0.2×
Repair of rectocele (separate procedure) Age Under 21 (45560) $1,638 $2,184 0.6×
Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21 (67105) $2,096.25 $2,795 3.6×
Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) $5,205.75 $6,941 1.2×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
likely a partial charge — not the full procedure		 $1,807.50 $2,410 0.2×
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) $1,929.75 $2,573 0.6×
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) $2,595 $3,460 0.8×
Repair palate (42182)
likely a partial charge — not the full procedure		 $903 $1,204 0.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
likely a partial charge — not the full procedure		 $1,861.50 $2,482 0.3×
Repair tongue lacer,post 1/3 (41251) $666 $888 2.7×
Repair vagina/perineum (57210) $975.75 $1,301 0.3×
Repair wrist joints (25447) $1,714.50 $2,286 0.5×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $1,085.25 $1,447 1.4×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $1,346.25 $1,795 1.7×
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) $829.50 $1,106 1.9×
Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) $729.38 $972.50 0.9×
Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664)
likely a partial charge — not the full procedure		 $1,019.25 $1,359 0.1×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49495) $1,002.75 $1,337 0.3×
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) $1,232.25 $1,643 0.6×
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322)
likely a partial charge — not the full procedure		 $2,153.25 $2,871 0.3×
Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696)
likely a partial charge — not the full procedure		 $1,236.75 $1,649 0.2×
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure		 $1,201.50 $1,602 0.2×
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405)
likely a partial charge — not the full procedure		 $1,641.75 $2,189 0.2×
Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407)
likely a partial charge — not the full procedure		 $1,621.50 $2,162 0.2×
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
likely a partial charge — not the full procedure		 $1,502.25 $2,003 0.2×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,765.50 $2,354 1.8×
Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970)
likely a partial charge — not the full procedure		 $1,354.50 $1,806 0.2×
Repr elbow lat ligmnt w/tiss (24343) $1,423.50 $1,898 0.4×
Reset dislocated jaw (21480) $316.50 $422 1.2×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low — confirm this is the full procedure		 $5,547 $7,396 0.4×
Revise ulnar nerve at elbow (64718) $1,261.50 $1,682 0.6×
Revise ulnar nerve at wrist (64719) $840.75 $1,121 0.4×
Revision of cervix (59320) $374.25 $499 0.1×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) (44345) $3,267 $4,356 0.9×
Revision of cornea (65600) $1,293.75 $1,725 0.5×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) (44314) $2,616.75 $3,489 0.7×
Revision of iris (66761) $975 $1,300 1.7×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft (27137)
likely a partial charge — not the full procedure		 $3,479.25 $4,639 0.3×
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low — confirm this is the full procedure		 $5,171.25 $6,895 0.4×
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
unusually low — confirm this is the full procedure		 $4,437.75 $5,917 0.3×
Revision of upper eyelid (15823) $2,010.75 $2,681 0.9×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $210.75 $281 1.5×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) $504.38 $672.50 3.6×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $840 $1,120 0.3×
Rmvl of access device (36589) $1,639.50 $2,186 2.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,649.75 $3,533 1.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge — not the full procedure		 $1,764 $2,352 0.3×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure		 $1,355.25 $1,807 0.2×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge — not the full procedure		 $1,125 $1,500 0.2×
Rpr aa hernia 1st < 3 cm reducible (49591) $810 $1,080 0.2×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge — not the full procedure		 $1,512.75 $2,017 0.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $998.25 $1,331 0.3×
Rpr Ingun Hernia Sliding Any Age (49525) $1,868.25 $2,491 0.5×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,066.12 $1,421.50 1.4×
Rpr Recrt Inguinal Hernia Any Age Reducible (49520) $1,575.75 $2,101 0.4×
Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) $1,240.50 $1,654 0.4×
Scraping of cornea, diagnostic, for smear and/or culture (65430) $339 $452 0.7×
Scrotal exploration Age Under 21 (55110) $969.75 $1,293 0.3×
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) $3,193.12 $4,257.50 0.9×
Severing adhesions of anterior segment, laser technique (separate procedure) Age Under 21 (65860) $1,085.25 $1,447 1.9×
Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) $1,265.25 $1,687 2.2×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) $140.25 $187 0.3×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) $177.75 $237 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $116.25 $155 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $330.75 $441 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $95.25 $127 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $127.50 $170 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $244.50 $326 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $277.50 $370 0.6×
Shortening of tendon, extensor, hand or finger, each tendon Age Under 21 (26477) $1,469.25 $1,959 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $139.50 $186 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $273 $364 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $210.75 $281 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $205.50 $274 1.0×
Sigmoidoscopy & polypectomy (45333) $436.50 $582 0.4×
Sigmoidoscopy flx control bleeding (45334) $1,513.50 $2,018 1.2×
Sigmoidoscopy w/fb removal (45332) $625.50 $834 0.5×
Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) $345 $460 0.4×
Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) $160.50 $214 0.2×
Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347)
likely a partial charge — not the full procedure		 $417.75 $557 0.1×
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) $1,414.50 $1,886 1.1×
Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) $717 $956 2.7×
Simple partial removal of external female genitals (56620) $1,188 $1,584 0.3×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $366.75 $489 1.7×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $418.50 $558 2.0×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $563.25 $751 2.7×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $625.50 $834 3.0×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $966.75 $1,289 4.6×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $337.50 $450 1.6×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) $944.25 $1,259 4.5×
Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) $746.25 $995 1.7×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $784.12 $1,045.50 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $601.88 $802.50 2.8×
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
unusually low — confirm this is the full procedure		 $1,885.50 $2,514 0.4×
Slitting of prepuce (54001) $757.50 $1,010 0.3×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $533.25 $711 2.5×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $570.75 $761 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $752.25 $1,003 1.8×
Sphincteroplasty, anal, for incontinence or prolapse; adult Age Under 21 (46750) $1,701.75 $2,269 0.6×
Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) $336.75 $449 0.1×
Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) $2,019.75 $2,693 0.5×
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) $1,695 $2,260 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $576.75 $769 0.2×
Stimulus evoked response (51792) $129.75 $173 2.1×
Strapping ankle (29540) $100.50 $134 0.6×
Strapping hand/finger (29280) $87.75 $117 1.4×
Strapping of shoulder (29240) $152.25 $203 1.1×
Strapping of toes (29550) $217.88 $290.50 3.5×
Strapping unna boot (29580) $252 $336 1.5×
Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) $1,628.25 $2,171 2.1×
Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21 (11950) $224.25 $299 1.1×
Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21 (11951) $273 $364 0.4×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21 (11952) $368.25 $491 0.5×
Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21 (11954) $489.75 $653 0.6×
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Age Under 21 (61000) $368.25 $491 0.5×
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Age Under 21 (61001) $390 $520 0.5×
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) $717 $956 0.9×
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) $761.25 $1,015 1.8×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) $1,005.75 $1,341 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) $924.75 $1,233 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) $688.50 $918 0.2×
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure		 $1,389 $1,852 0.2×
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385)
likely a partial charge — not the full procedure		 $1,389 $1,852 0.2×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386)
likely a partial charge — not the full procedure		 $2,148 $2,864 0.3×
Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) $1,670.25 $2,227 0.7×
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) $2,415 $3,220 0.6×
Suture of tendon to joint of finger near top of finger (26474) $1,218.75 $1,625 0.7×
Synovectomy; intertarsal or tarsometatarsal joint, each Age Under 21 (28070)
likely a partial charge — not the full procedure		 $1,363.50 $1,818 0.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,112.25 $1,483 0.7×
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) $400.50 $534 0.5×
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) $516 $688 0.7×
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924)
likely a partial charge — not the full procedure		 $1,597.50 $2,130 0.2×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) $736.50 $982 0.2×
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure		 $1,634.25 $2,179 0.2×
Tenodesis proximal interphalangeal joint each (26471) $1,318.50 $1,758 0.4×
Tenolysis, extensor, foot; single tendon Age Under 21 (28225) $963.75 $1,285 0.3×
Tenotomy percutaneous toe single tendon (28010) $570.75 $761 0.3×
Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) $1,050.75 $1,401 0.3×
Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) $963.75 $1,285 0.6×
Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25290) $1,107.75 $1,477 0.3×
Tenotomy, shoulder area; multiple tendons through same incision Age Under 21 (23406)
likely a partial charge — not the full procedure		 $2,253.75 $3,005 0.3×
Tenotomy, shoulder area; single tendon Age Under 21 (23405)
likely a partial charge — not the full procedure		 $1,395.75 $1,861 0.2×
Therapeutic spinal puncture drainage csf (62272) $228.75 $305 0.3×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $1,749.75 $2,333 2.6×
Thyroidectomy, total or complete (60240)
unusually low — confirm this is the full procedure		 $2,655.75 $3,541 0.4×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $3,529.50 $4,706 0.6×
Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Age Under 21 (15150) $2,170.50 $2,894 1.0×
Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) $882.75 $1,177 0.3×
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure		 $3,450.75 $4,601 0.3×
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
unusually low — confirm this is the full procedure		 $2,103 $2,804 0.3×
Trabeculoplasty by laser surgery Age Under 21 (65855) $978 $1,304 1.7×
Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21 (57530)
likely a partial charge — not the full procedure		 $959.25 $1,279 0.2×
Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) $648.75 $865 2.6×
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Age Under 21 (27400)
likely a partial charge — not the full procedure		 $1,737 $2,316 0.2×
Transfusion, blood or blood components (36430) $1,348.50 $1,798 2.9×
Transplant hand tendon (26480) $1,549.50 $2,066 0.4×
Transurethral destruction of prostate tissue; by microwave thermotherapy Age Under 21 (53850) $857.25 $1,143 0.2×
Treat big toe fracture (28495) $492.75 $657 1.9×
Treat dental ridge fracture (21440) $1,464.75 $1,953 0.4×
Treat elbow fracture (24586)
likely a partial charge — not the full procedure		 $2,292 $3,056 0.2×
Treat finger dislocation (26775) $1,098 $1,464 3.7×
Treat fx distal radial (25606) $1,868.25 $2,491 0.5×
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure		 $1,506 $2,008 0.2×
Treat lower leg fracture (27825) $1,263.75 $1,685 0.7×
Treat pleurodesis w/agent (32560) $1,318.50 $1,758 2.0×
Treat radius fracture (24665)
likely a partial charge — not the full procedure		 $1,593 $2,124 0.2×
Treat tail bone fracture (27200) $585 $780 2.2×
Treat toe dislocation (28630) $501.75 $669 1.9×
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) $1,473.38 $1,964.50 0.9×
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
unusually low — confirm this is the full procedure		 $2,302.50 $3,070 0.3×
Treatment of ankle fracture (27822)
likely a partial charge — not the full procedure		 $2,016 $2,688 0.3×
Treatment of bladder lesion (51720) $686.25 $915 0.9×
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure		 $1,969.50 $2,626 0.3×
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure		 $1,833.75 $2,445 0.1×
Treatment of choroid lesion (67220) $1,767 $2,356 3.0×
Treatment of closed elbow dislocation; without anesthesia (24600) $877.50 $1,170 3.4×
Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) $3,091.50 $4,122 5.3×
Treatment of foot infection (28003) $2,096.25 $2,795 0.6×
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516)
likely a partial charge — not the full procedure		 $1,825.50 $2,434 0.1×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
unusually low — confirm this is the full procedure		 $2,578.50 $3,438 0.3×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $3,888 $5,184 0.5×
Treatment of miscarriage (59812) $741.75 $989 0.2×
Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) $802.50 $1,070 0.2×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $1,916.25 $2,555 0.6×
Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) $1,448.25 $1,931 5.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $723 $964 2.8×
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
likely a partial charge — not the full procedure		 $2,112 $2,816 0.2×
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236)
unusually low — confirm this is the full procedure		 $2,519.25 $3,359 0.3×
Trimming of nondystrophic nails, any number (11719) $97.12 $129.50 1.6×
Tx superficial wound dehiscence simple closure (12020) $514.12 $685.50 0.7×
Tx superficial wound dehiscence w/packing (12021) $341.62 $455.50 0.8×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) $1,428 $1,904 0.4×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low — confirm this is the full procedure		 $1,985.25 $2,647 0.3×
Unlisted procedure anus (46999) $167.25 $223 0.2×
Uterine evacuation & curettage hydatidiform mole (59870) $992.25 $1,323 0.3×
Vaginal delivery (59409) $5,371.50 $7,162 1.6×
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
unusually low — confirm this is the full procedure		 $1,978.50 $2,638 0.4×
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262)
unusually low — confirm this is the full procedure		 $2,235.75 $2,981 0.4×
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263)
unusually low — confirm this is the full procedure		 $2,295 $3,060 0.4×
Vaginal hysterectomy, for uterus greater than 250 g; (58290)
unusually low — confirm this is the full procedure		 $2,856.75 $3,809 0.4×
Vasectomy (55250) $1,027.50 $1,370 0.5×
Vbac delivery only (59612) $1,985.25 $2,647 0.6×
Venipuncture (36415) $39.75 $53 4.3×
Version cephalic external (59412) $2,990.25 $3,987 0.9×
Vitrectomy mechanical pars plana (67036) $3,114 $4,152 0.7×
Vitrectomy pars plana remove int memb retina (67042) $4,900.50 $6,534 1.1×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21 (67039) $4,074 $5,432 0.9×
Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age… (67041) $4,293 $5,724 1.0×
Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) $5,243.25 $6,991 1.2×
Wedge excision skin nail fold (11765) $227.25 $303 0.5×
Wedge resection or bisection of ovary, unilateral or bilateral (58920)
likely a partial charge — not the full procedure		 $1,593 $2,124 0.2×
Windowing of cast (29730) $157.50 $210 0.9×
Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) $6,028.50 $8,038 2.5×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
likely a partial charge — not the full procedure		 $1,634.25 $2,179 0.3×