| Abd paracentesis w/imaging (49083) |
$2,109.75 |
$2,813 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$716.62 |
$955.50 |
0.7× |
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× |
| Abortion (59841) |
$1,118.25 |
$1,491 |
0.3× |
| Acne Surgery (10040) |
$223.50 |
$298 |
1.1× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,505.25 |
$2,007 |
0.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,571 |
$7,428 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,311.50 |
$3,082 |
1.1× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,989 |
$2,652 |
0.9× |
| Amniocentesis diagnostic (59000) |
$339 |
$452 |
0.3× |
| Amputate Thigh,Re-Amputatn (27596) |
$2,424 |
$3,232 |
0.7× |
| Amputation Finger/Thumb (26951) |
$1,911.75 |
$2,549 |
0.6× |
| Amputation Foot Midtarsal (28800) |
$1,887.75 |
$2,517 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,475.25 |
$1,967 |
0.4× |
| Amputation thigh through femur any level (27590) |
$2,577.75 |
$3,437 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$5,469 |
$7,292 |
1.6× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,286.25 |
$1,715 |
0.4× |
| 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; transmetatarsal (28805) |
$1,816.50 |
$2,422 |
0.5× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,820 |
$3,760 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,151.75 |
$2,869 |
0.6× |
Ankle arthroscopy/surgery (29892)
likely a partial charge, not the full procedure |
$1,302.75 |
$1,737 |
0.2× |
| Ankle arthroscopy/surgery (29894) |
$1,081.50 |
$1,442 |
0.3× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,946.25 |
$2,595 |
0.6× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$940.50 |
$1,254 |
0.3× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$513.75 |
$685 |
0.2× |
| Anoscopy Ablation Lesion (46615) |
$235.50 |
$314 |
0.1× |
| Anoscopy control bleeding (46614) |
$320.25 |
$427 |
0.3× |
| Anoscopy diagnostic (46600) |
$618 |
$824 |
4.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$273 |
$364 |
0.3× |
| Anoscopy w/rmvl lesion cautery (46610) |
$288 |
$384 |
0.1× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$237 |
$316 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$185.25 |
$247 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$141.75 |
$189 |
0.0× |
Ant Vesicourethropexy/Urethropexy Smpl (51840)
unusually low: confirm this is the full procedure |
$1,644 |
$2,192 |
0.3× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (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× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,098 |
$1,464 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$310.88 |
$414.50 |
1.8× |
| Application cast elbow finger short arm (29075) |
$414.38 |
$552.50 |
1.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$220.50 |
$294 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$454.88 |
$606.50 |
1.5× |
| Application finger splint static (29130) |
$114.38 |
$152.50 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$401.62 |
$535.50 |
2.3× |
| Application long leg splint thigh ankle/toes (29505) |
$393.38 |
$524.50 |
2.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$294.75 |
$393 |
1.0× |
| Application of long leg cast (29345) |
$295.50 |
$394 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$469.12 |
$625.50 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$215.25 |
$287 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$391.12 |
$521.50 |
2.8× |
| Application short leg splint calf foot (29515) |
$385.50 |
$514 |
2.2× |
| Apply multlay comprs arm/hand (29584) |
$268.50 |
$358 |
1.6× |
| Apply of clubfoot cast (29450) |
$187.50 |
$250 |
1.1× |
| Apply short leg cast (29405) |
$429.75 |
$573 |
1.5× |
| Apply short leg cast (29425) |
$237.75 |
$317 |
0.8× |
| Arterial puncture (36600) |
$113.62 |
$151.50 |
0.8× |
| 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× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,217.75 |
$2,957 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,053 |
$1,404 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal deskectomy 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; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,906.50 |
$2,542 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,351.75 |
$4,469 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$2,349 |
$3,132 |
0.2× |
Arthroplasty radial head w/implant (24366)
likely a partial charge, not the full procedure |
$1,505.25 |
$2,007 |
0.1× |
Arthroplasty, patella; with prosthesis (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 (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 (29889)
likely a partial charge, not the full procedure |
$2,810.25 |
$3,747 |
0.2× |
| Arthroscopy ankle; ext debridem (29898) |
$1,224.75 |
$1,633 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,656.75 |
$2,209 |
0.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$1,080 |
$1,440 |
0.3× |
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914)
unusually low: confirm this is the full procedure |
$2,693.25 |
$3,591 |
0.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,466.25 |
$1,955 |
0.4× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,384.50 |
$1,846 |
0.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,367.25 |
$1,823 |
0.4× |
| 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 (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; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
likely a partial charge, not the full procedure |
$3,777.75 |
$5,037 |
0.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,028.25 |
$1,371 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,071.75 |
$1,429 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,443 |
$1,924 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,451.25 |
$1,935 |
0.4× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
$1,128 |
$1,504 |
0.3× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$2,089.50 |
$2,786 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,372.25 |
$3,163 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,395.75 |
$1,861 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,457.25 |
$1,943 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,412.25 |
$1,883 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$2,178.75 |
$2,905 |
0.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$1,660.50 |
$2,214 |
0.5× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
likely a partial charge, not the full procedure |
$1,133.25 |
$1,511 |
0.1× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,301.25 |
$1,735 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,973.75 |
$3,965 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,416 |
$1,888 |
0.4× |
Arthrs hip debridement/shaving articular crtlg (29862)
likely a partial charge, not the full procedure |
$1,705.50 |
$2,274 |
0.2× |
| 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× |
| Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) |
$300 |
$400 |
0.1× |
| Aspirat/Injection Ganglion Cyst(S) (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 nail plate partial/complete simple 1 (11730) |
$195 |
$260 |
0.9× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$1,137.75 |
$1,517 |
0.2× |
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure |
$2,226 |
$2,968 |
0.3× |
| Biopsy Bone Open Deep (20245) |
$1,586.25 |
$2,115 |
0.5× |
| Biopsy bone open superficial (20240) |
$765 |
$1,020 |
0.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$663.75 |
$885 |
0.4× |
| Biopsy Breast Open Incisional (19101) |
$861.75 |
$1,149 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$231.75 |
$309 |
0.2× |
| Biopsy muscle deep (20205) |
$695.25 |
$927 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$324 |
$432 |
0.2× |
| Biopsy Muscle Superficial (20200) |
$330.75 |
$441 |
0.2× |
| Biopsy of lip (40490) |
$288.75 |
$385 |
1.2× |
| Biopsy of nail unit (11755) |
$260.25 |
$347 |
0.3× |
| Biopsy of ovary(s) (58900) |
$908.25 |
$1,211 |
0.3× |
| Biopsy of tongue (41100) |
$469.50 |
$626 |
0.8× |
| Biopsy of uterus lining (58100) |
$300 |
$400 |
1.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$752.25 |
$1,003 |
0.2× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$1,500.75 |
$2,001 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$761.25 |
$1,015 |
0.4× |
| Biopsy soft tissue shoulder superficial (23065) |
$529.50 |
$706 |
0.3× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,284 |
$1,712 |
0.4× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$399 |
$532 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$264 |
$352 |
0.3× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$1,140 |
$1,520 |
0.4× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$463.50 |
$618 |
0.3× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$979.50 |
$1,306 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$1,227 |
$1,636 |
0.3× |
| Bl exchange/transfuse nb (36450) |
$305.25 |
$407 |
0.7× |
| Bl push transfuse 2 yr/< (36440) |
$139.50 |
$186 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$686.25 |
$915 |
0.9× |
| Bladder Irrigation Simple (51700) |
$71.25 |
$95 |
0.3× |
| Bladder Scan (51798) |
$41.25 |
$55 |
0.7× |
| Blood patch (62273) |
$755.62 |
$1,007.50 |
1.0× |
| Blood transfusion service (36430) |
$1,348.50 |
$1,798 |
2.9× |
Bone graft, any donor area; major or large (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) (20900)
likely a partial charge, not the full procedure |
$1,426.50 |
$1,902 |
0.2× |
Bronchoscopy w/markers (31626)
unusually low: confirm this is the full procedure |
$2,459.25 |
$3,279 |
0.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$772.50 |
$1,030 |
0.4× |
| Bx anorectal wall anal approach (45100) |
$799.50 |
$1,066 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$2,166.75 |
$2,889 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$326.25 |
$435 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$205.50 |
$274 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$468.75 |
$625 |
0.3× |
Capsulorrhaphy anterior w/labral repair (23455)
likely a partial charge, not the full procedure |
$2,121.75 |
$2,829 |
0.3× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,259.25 |
$1,679 |
0.7× |
| Cataract surgery complex (66982) |
$6,028.50 |
$8,038 |
2.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$132 |
$176 |
0.6× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$327 |
$436 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$279 |
$372 |
0.1× |
| Cautery cervix laser ablation (57513) |
$506.25 |
$675 |
0.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$374.25 |
$499 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$190.50 |
$254 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$252 |
$336 |
1.0× |
| Chemical Cautery Tissue (17250) |
$334.12 |
$445.50 |
1.6× |
| Chemical exfoliation for acne (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× |
| Chemodenerv Musc Migraine (64615) |
$367.50 |
$490 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$321.75 |
$429 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$324 |
$432 |
1.0× |
| Chest tube placement (32551) |
$2,407.88 |
$3,210.50 |
1.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$229.50 |
$306 |
1.6× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$152.25 |
$203 |
0.1× |
Chromotubation of oviduct, including materials (58350)
likely a partial charge, not the full procedure |
$293.25 |
$391 |
0.1× |
| Circum 28 days or older (54161) |
$582.75 |
$777 |
0.3× |
| Circumcision (54150) |
$703.88 |
$938.50 |
0.3× |
| Circumcision Neonate (54160) |
$690 |
$920 |
0.9× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,439 |
$3,252 |
1.4× |
| Close tear duct opening (68761) |
$489.75 |
$653 |
1.5× |
| Close Tear Duct Opening (68760) |
$671.25 |
$895 |
2.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$803.25 |
$1,071 |
3.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,090.50 |
$1,454 |
4.2× |
| Closed Rx Med Malleolus Fx (27760) |
$966 |
$1,288 |
3.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,268.25 |
$1,691 |
0.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,014 |
$1,352 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$602.25 |
$803 |
0.4× |
| Closed Rx Radial Shaft Fx (25500) |
$771 |
$1,028 |
3.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,022.25 |
$1,363 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,448.25 |
$1,931 |
5.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,053.75 |
$1,405 |
4.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,189.50 |
$1,586 |
4.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,652 |
$3,536 |
1.6× |
| Closed Rx Trimalleolar Fx (27816) |
$903.75 |
$1,205 |
3.5× |
| Closed Treat Vert Body Fract (22310) |
$915.75 |
$1,221 |
3.5× |
| Closed treat wrist dislocation (25660) |
$1,258.50 |
$1,678 |
4.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$585 |
$780 |
2.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$1,109.25 |
$1,479 |
4.3× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$956.25 |
$1,275 |
3.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$898.50 |
$1,198 |
3.5× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$954.75 |
$1,273 |
0.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$775.50 |
$1,034 |
3.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$622.50 |
$830 |
2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,223.25 |
$1,631 |
4.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$704.25 |
$939 |
2.7× |
| Closed Treatment Sesamoid Fracture (28530) |
$296.25 |
$395 |
1.1× |
| Closed Treatment Sternum Fracture (21820) |
$447.75 |
$597 |
1.7× |
| Closed Treatment 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 Manip (27810) |
$915 |
$1,220 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$948.75 |
$1,265 |
3.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$838.50 |
$1,118 |
3.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,577.25 |
$2,103 |
6.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,071.50 |
$2,762 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,602.75 |
$2,137 |
6.2× |
| 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 Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,101 |
$1,468 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$503.25 |
$671 |
0.3× |
| 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 patellar fracture w/o manipulation (27520) |
$927.75 |
$1,237 |
3.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$742.50 |
$990 |
2.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,299.75 |
$1,733 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$1,243.50 |
$1,658 |
4.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,067.25 |
$1,423 |
4.1× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$1,154.25 |
$1,539 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$316.50 |
$422 |
1.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$827.25 |
$1,103 |
3.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$731.25 |
$975 |
2.8× |
| Closure cystostomy separate procedure (51880) |
$946.50 |
$1,262 |
0.3× |
| Closure of gastrostomy surgical (43870) |
$2,158.50 |
$2,878 |
0.5× |
| 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× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$705 |
$940 |
2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$690.75 |
$921 |
2.7× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$489.75 |
$653 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,329.50 |
$3,106 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$786 |
$1,048 |
3.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$723 |
$964 |
0.4× |
| Cltr skin autograft t/a/l 1st 25 cm/< (15150) |
$2,170.50 |
$2,894 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,720.50 |
$2,294 |
6.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,617 |
$2,156 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$671.25 |
$895 |
2.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,088.25 |
$1,451 |
4.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$886.88 |
$1,182.50 |
3.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$840 |
$1,120 |
3.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$909.75 |
$1,213 |
3.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$875.25 |
$1,167 |
3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$565.50 |
$754 |
2.2× |
| 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 Fem Fx Prox End Nck W/O Manj (27230) |
$1,529.25 |
$2,039 |
5.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$492.75 |
$657 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$397.50 |
$530 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$526.12 |
$701.50 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$445.12 |
$593.50 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,263.75 |
$1,685 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$972 |
$1,296 |
3.7× |
| Cltx greater trochanteric fx w/o manj (27246) |
$1,408.50 |
$1,878 |
5.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$664.88 |
$886.50 |
2.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,438.50 |
$1,918 |
0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$466.88 |
$622.50 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$653.62 |
$871.50 |
2.5× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,464.75 |
$1,953 |
0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$676.12 |
$901.50 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$834.75 |
$1,113 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$729.38 |
$972.50 |
2.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$461.25 |
$615 |
0.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$501.75 |
$669 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$794.25 |
$1,059 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$564.75 |
$753 |
2.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,848.75 |
$2,465 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$996.75 |
$1,329 |
3.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$870.75 |
$1,161 |
3.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$927 |
$1,236 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$261.38 |
$348.50 |
1.0× |
| 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 (27752) |
$1,487.25 |
$1,983 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,548 |
$2,064 |
0.9× |
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure |
$1,750.50 |
$2,334 |
0.3× |
| Coccygectomy Primary (27080) |
$1,467.75 |
$1,957 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$2,236.50 |
$2,982 |
1.8× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,349.75 |
$3,133 |
1.9× |
| Colonoscopy stoma w/biopsy (44389) |
$3,865.50 |
$5,154 |
3.1× |
| Colonoscopy w/band ligation (45398) |
$2,102.62 |
$2,803.50 |
1.7× |
| Colonoscopy w/fb removal (45379) |
$1,315.50 |
$1,754 |
1.0× |
| Colonoscopy w/resection (45390) |
$2,349.75 |
$3,133 |
0.8× |
Colpocentesis (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 injury vagina (57200) |
$1,026 |
$1,368 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$350.25 |
$467 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$262.50 |
$350 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$463.50 |
$618 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$552 |
$736 |
0.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$424.50 |
$566 |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$362.25 |
$483 |
1.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,530.50 |
$3,374 |
2.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,422.88 |
$3,230.50 |
1.9× |
| Complete replacement picc rs&i (36584) |
$3,148.50 |
$4,198 |
1.9× |
| Complex Cystometrogram (51726) |
$197.25 |
$263 |
0.7× |
| Complex Drainage, Wound (10180) |
$503.25 |
$671 |
0.2× |
| Complex Uroflowmetry (51741) |
$20.25 |
$27 |
0.1× |
| Conization of cervix (57520) |
$792 |
$1,056 |
0.2× |
| Conization of cervix (57522) |
$361.50 |
$482 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$580.88 |
$774.50 |
4.1× |
| Control Nasal Hemorrhage Anterior Simple (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 Oropharyngeal Hemorrhage Simple (42960) |
$487.50 |
$650 |
0.9× |
| Corneal smear (65430) |
$339 |
$452 |
0.7× |
| Correction hammertoe (28285) |
$1,201.50 |
$1,602 |
0.3× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,526.25 |
$2,035 |
0.2× |
| Correction of bunion (28292) |
$1,920.75 |
$2,561 |
0.6× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$1,896 |
$2,528 |
0.2× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$1,861.50 |
$2,482 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,656 |
$2,208 |
0.5× |
| Cryotherapy of skin (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 postpartum (59160) |
$617.25 |
$823 |
0.2× |
| Curette/treat cornea (65435) |
$213.75 |
$285 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$471 |
$628 |
0.1× |
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure |
$914.25 |
$1,219 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$407.25 |
$543 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$573.75 |
$765 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$478.50 |
$638 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$825 |
$1,100 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$972 |
$1,296 |
0.2× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$969 |
$1,292 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$913.50 |
$1,218 |
0.2× |
| Cystometrogram w/vp (51728) |
$241.50 |
$322 |
0.3× |
| Cystometrogram W/Vp&Up (51729) |
$293.25 |
$391 |
0.4× |
| Cystoscopy w/biopsy (52204) |
$332.25 |
$443 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$357.75 |
$477 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$365.25 |
$487 |
0.1× |
| Cystourethroscopy (52000) |
$189 |
$252 |
0.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$395.25 |
$527 |
0.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$671.25 |
$895 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$707.25 |
$943 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$674.25 |
$899 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$129.75 |
$173 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,081.50 |
$1,442 |
0.4× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$1,259.25 |
$1,679 |
0.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,700.25 |
$2,267 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$708 |
$944 |
0.9× |
| Debride nail 1-5 (11720) |
$56.25 |
$75 |
0.9× |
| Debride nail 6 or more (11721) |
$149.62 |
$199.50 |
2.4× |
| Debride skin musc at fx site (11011) |
$734.25 |
$979 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$694.88 |
$926.50 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,023.75 |
$1,365 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$827.25 |
$1,103 |
0.5× |
| Declot vascular device (36593) |
$1,001.25 |
$1,335 |
2.9× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,710.75 |
$2,281 |
1.0× |
| Decompress forearm 1 space (25023) |
$2,310 |
$3,080 |
0.7× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$2,770.50 |
$3,694 |
0.8× |
Decompression of forearm (24495)
likely a partial charge, not the full procedure |
$2,025 |
$2,700 |
0.3× |
| Decompression of leg (27894) |
$2,160 |
$2,880 |
0.6× |
| Decompression of leg (27892) |
$1,650 |
$2,200 |
0.5× |
| Decompression of thigh/knee (27498) |
$1,714.50 |
$2,286 |
1.0× |
| Decompression; plantar digital nerve (64726) |
$633 |
$844 |
0.3× |
| Delivery placenta separate procedure (59414) |
$239.25 |
$319 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$3,369.75 |
$4,493 |
1.6× |
| Destroy internal hemorrhoids (46930) |
$474 |
$632 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$3,061.50 |
$4,082 |
1.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$480.75 |
$641 |
1.1× |
| Destruc retinal lesn,photocoag (67210) |
$1,637.25 |
$2,183 |
2.8× |
| Destruction anal lesion(s) (46924) |
$774 |
$1,032 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$358.50 |
$478 |
1.7× |
| 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 by neurolytic agent; other peripheral nerve or branch (64640) |
$1,766.25 |
$2,355 |
1.9× |
| Destruction Lesions Vulva Extensive (56515) |
$550.50 |
$734 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$367.50 |
$490 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$373.50 |
$498 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$427.50 |
$570 |
2.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$494.25 |
$659 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$616.50 |
$822 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$828.75 |
$1,105 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$283.50 |
$378 |
1.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$332.25 |
$443 |
1.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$366.75 |
$489 |
1.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$410.25 |
$547 |
1.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$474 |
$632 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$277.50 |
$370 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$294 |
$392 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$339.75 |
$453 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$380.25 |
$507 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$427.50 |
$570 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$489.75 |
$653 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$237 |
$316 |
1.1× |
| 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 (17107) |
$1,648.50 |
$2,198 |
2.1× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$2,400 |
$3,200 |
1.1× |
| Destruction of growth of rectum (45190) |
$1,853.25 |
$2,471 |
0.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$273 |
$364 |
1.3× |
| Destruction of multiple growths of penis (54065) |
$414.75 |
$553 |
0.2× |
| Destruction of skin lesions (17106) |
$1,023.75 |
$1,365 |
2.4× |
| Destruction premalignant lesion 1st (17000) |
$135.75 |
$181 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$562.50 |
$750 |
0.2× |
| Destruction vaginal lesions simple (57061) |
$356.25 |
$475 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$1,228.88 |
$1,638.50 |
1.3× |
| Dilate urethra stricture (53620) |
$321 |
$428 |
0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$715.50 |
$954 |
0.2× |
| Dilation of vagina (57400) |
$327.75 |
$437 |
0.1× |
| Division of fallopian tube (58600) |
$848.25 |
$1,131 |
0.2× |
| Drain hand tendon sheath (26020) |
$1,828.50 |
$2,438 |
0.5× |
| Drain outer ear canal lesion (69020) |
$480.75 |
$641 |
0.6× |
| Drain shoulder lesion (23030) |
$1,072.50 |
$1,430 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$126 |
$168 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$398.25 |
$531 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,869.38 |
$2,492.50 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$601.88 |
$802.50 |
2.8× |
| Drainage of eyelid abscess (67700) |
$890.25 |
$1,187 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$340.50 |
$454 |
0.2× |
| Drainage of hydrocele (55000) |
$394.50 |
$526 |
0.5× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$614.25 |
$819 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$405 |
$540 |
0.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$899.25 |
$1,199 |
0.3× |
| Dressing change under anesthesia (15852) |
$62.25 |
$83 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$447 |
$596 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$470.62 |
$627.50 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$370.50 |
$494 |
1.8× |
| Dry Needling 3+ Muscles (20561) |
$79.50 |
$106 |
2.6× |
| Dstrj lesion anus simple chemical (46900) |
$552.75 |
$737 |
1.3× |
| Dstrj lesion anus simple cryosurgery (46916) |
$518.25 |
$691 |
2.4× |
| Dstrj lesion anus simple surg excision (46922) |
$596.25 |
$795 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$612.75 |
$817 |
0.3× |
| Dstrj lesion penis simple surg excision (54060) |
$318 |
$424 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$582.75 |
$777 |
1.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,876.50 |
$2,502 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,637.62 |
$2,183.50 |
1.7× |
| Egd guide wire insertion (43248) |
$2,851.50 |
$3,802 |
3.0× |
| Egd place gastrostomy tube (43246) |
$633.75 |
$845 |
0.3× |
| Egd remove lesion snare (43251) |
$2,871 |
$3,828 |
1.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$818.25 |
$1,091 |
0.4× |
| Elbow arthroscopy/surgery (29838) |
$1,302.75 |
$1,737 |
0.4× |
| Elbow arthroscopy/surgery (29837) |
$1,099.50 |
$1,466 |
0.3× |
| Electrolysis epilation each 30 min (17380) |
$147.75 |
$197 |
0.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$87 |
$116 |
0.6× |
| Endocervical Curettage (57505) |
$251.25 |
$335 |
0.3× |
Endometrial abltj thermal w/o hysteroscopic guid (58353)
likely a partial charge, not the full procedure |
$615.75 |
$821 |
0.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$1,367.25 |
$1,823 |
0.4× |
| Endoscopic us exam esoph (43237) |
$476.25 |
$635 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$2,415 |
$3,220 |
0.6× |
| Episiotomy or vaginal repair (59300) |
$452.25 |
$603 |
0.1× |
| Escharotomy initial incision (16035) |
$588.75 |
$785 |
1.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,516.75 |
$4,689 |
3.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,862.25 |
$2,483 |
1.9× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$2,260.50 |
$3,014 |
1.1× |
| Evacuate mole of uterus (59870) |
$992.25 |
$1,323 |
0.3× |
| Evacuation of 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× |
| Exc abd les sc 3 cm/> (22903) |
$5,445 |
$7,260 |
1.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$5,746.50 |
$7,662 |
1.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,274.25 |
$1,699 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$384 |
$512 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$467.25 |
$623 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$1,050 |
$1,400 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$4,299 |
$5,732 |
1.4× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$1,222.50 |
$1,630 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$2,012.25 |
$2,683 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$297.75 |
$397 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$452.25 |
$603 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,201.50 |
$1,602 |
0.7× |
| Exc forearm les sc 3 cm/> (25071) |
$5,746.50 |
$7,662 |
3.3× |
| Exc forearm les sc < 3 cm (25075) |
$1,181.25 |
$1,575 |
0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$969.75 |
$1,293 |
0.3× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$1,626.75 |
$2,169 |
0.5× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$645.75 |
$861 |
0.2× |
| 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 neurofibroma/neurolemmoma major prph nrv (64790) |
$1,326.75 |
$1,769 |
0.6× |
| 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 shoulder les sc 3 cm/> (23071) |
$5,445 |
$7,260 |
3.1× |
| Exc shoulder tum deep 5 cm/> (23073) |
$5,746.50 |
$7,662 |
1.9× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,546.25 |
$3,395 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$300.75 |
$401 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$603 |
$804 |
1.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$340.12 |
$453.50 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$384.75 |
$513 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$609.75 |
$813 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,004.25 |
$1,339 |
0.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$756.75 |
$1,009 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$602.25 |
$803 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$501.75 |
$669 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$568.50 |
$758 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,032.75 |
$1,377 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$784.50 |
$1,046 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,149.88 |
$2,866.50 |
1.2× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$1,082.25 |
$1,443 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,444.25 |
$7,259 |
1.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,633.25 |
$3,511 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$365.25 |
$487 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$256.50 |
$342 |
0.3× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$1,434 |
$1,912 |
0.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,760.25 |
$2,347 |
0.6× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,016 |
$2,688 |
1.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,431 |
$1,908 |
0.8× |
| 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 (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 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 Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,445 |
$7,260 |
1.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$5,746.50 |
$7,662 |
1.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$944.25 |
$1,259 |
0.5× |
| 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 thigh/knee subfasc <5cm (27328) |
$1,329 |
$1,772 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,100.25 |
$1,467 |
0.6× |
| Exchange transfusion, blood; other than newborn (36455) |
$348 |
$464 |
0.7× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$750.75 |
$1,001 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,203.75 |
$1,605 |
0.7× |
| Excise excess skin & tissue (15839) |
$1,431 |
$1,908 |
0.5× |
| Excise excessive skin buttck (15835) |
$2,604 |
$3,472 |
0.8× |
| Excise excessive skin hip (15834) |
$2,043.75 |
$2,725 |
0.7× |
| Excise parotid gland/lesion (42420) |
$4,779 |
$6,372 |
0.8× |
| Excision Breast Lesion (19125) |
$1,191.75 |
$1,589 |
0.3× |
| Excision Chalazion Single (67800) |
$420 |
$560 |
1.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$896.25 |
$1,195 |
0.3× |
| Excision hidradenitis axillary complex repair (11451) |
$1,002.75 |
$1,337 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$742.50 |
$990 |
0.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$627 |
$836 |
0.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$319.50 |
$426 |
0.4× |
| 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 0.5 cm/< (11640) |
$344.25 |
$459 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$471.75 |
$629 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$537.75 |
$717 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,016.25 |
$1,355 |
0.6× |
| 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 malignant tumor mandible (21044)
unusually low: confirm this is the full procedure |
$2,084.25 |
$2,779 |
0.3× |
| 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 benign lesion other than skin tag 0.6-1.0 cm (11441) |
$348.75 |
$465 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$580.50 |
$774 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,242.75 |
$1,657 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$969.75 |
$1,293 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$911.25 |
$1,215 |
0.9× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,602 |
$2,136 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$349.50 |
$466 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$249.75 |
$333 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,300.50 |
$1,734 |
0.8× |
| Excision of nail fold toe (11765) |
$227.25 |
$303 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$589.50 |
$786 |
0.2× |
Excision of rib partial (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, inguinal; with complex repair (11463) |
$1,050.75 |
$1,401 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$714.75 |
$953 |
0.2× |
Excision of thyroglossal duct cyst or sinus; recurrent (60281)
likely a partial charge, not the full procedure |
$1,275 |
$1,700 |
0.2× |
| Excision of tongue lesion (41112) |
$645.75 |
$861 |
0.2× |
| Excision of Umbilicus (49250) |
$1,428 |
$1,904 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$537.75 |
$717 |
0.2× |
| Excision of vaginal septum (57130) |
$462 |
$616 |
0.1× |
| Excision olecranon bursa (24105) |
$737.25 |
$983 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$926.25 |
$1,235 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,470.75 |
$1,961 |
0.4× |
| Excision or fulguration; urethral caruncle (53265) |
$450.75 |
$601 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,450.50 |
$1,934 |
0.5× |
| Excision Prepatellar Bursa (27340) |
$1,158.75 |
$1,545 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,125 |
$1,500 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$709.50 |
$946 |
0.4× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,701.75 |
$2,269 |
1.0× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$1,674 |
$2,232 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$5,745 |
$7,660 |
1.9× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,398 |
$1,864 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,910.25 |
$2,547 |
1.1× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,445 |
$7,260 |
1.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$5,445 |
$7,260 |
1.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,222 |
$4,296 |
1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$5,746.50 |
$7,662 |
1.9× |
| 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 pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$5,746.50 |
$7,662 |
1.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$843.75 |
$1,125 |
0.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$5,445 |
$7,260 |
1.8× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$811.50 |
$1,082 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$765 |
$1,020 |
0.4× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$2,139 |
$2,852 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,713 |
$2,284 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,158.75 |
$1,545 |
0.7× |
| Exploration of knee joint (27310) |
$1,833.75 |
$2,445 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,017 |
$1,356 |
0.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$654.75 |
$873 |
0.2× |
Explore parathyroid glands (60500)
likely a partial charge, not the full procedure |
$1,730.25 |
$2,307 |
0.3× |
Explore treat shoulder joint (23107)
likely a partial charge, not the full procedure |
$1,455 |
$1,940 |
0.2× |
| Explore/irrigate tear ducts (68840) |
$427.50 |
$570 |
1.3× |
| Explore/treat hand joint (26070) |
$992.25 |
$1,323 |
0.6× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$787.50 |
$1,050 |
0.5× |
| External Cephalic Version (59412) |
$2,990.25 |
$3,987 |
0.9× |
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991)
likely a partial charge, not the full procedure |
$1,634.25 |
$2,179 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$735 |
$980 |
0.2× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$2,280 |
$3,040 |
0.7× |
| Fasciotomy Iliotibial Open (27305) |
$1,626.75 |
$2,169 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,812.75 |
$2,417 |
0.5× |
| Fetal non-stress test (59025) |
$261.38 |
$348.50 |
1.2× |
| Fill contour defct <1cc (11950) |
$224.25 |
$299 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$181.50 |
$242 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$559.12 |
$745.50 |
1.3× |
| Fitting of diaphragm/cap (57170) |
$207.75 |
$277 |
1.0× |
| Fix ectropion,entensv lid repair (67917) |
$1,942.50 |
$2,590 |
0.8× |
| Fixation of knee joint (27570) |
$305.25 |
$407 |
0.2× |
| Fixation of shoulder (23700) |
$622.50 |
$830 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$594 |
$792 |
2.4× |
| Frenulotomy of penis (54164) |
$470.25 |
$627 |
0.2× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,956 |
$2,608 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,876.50 |
$2,502 |
0.9× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,635.75 |
$2,181 |
0.8× |
| Fusion Finger Joint (26860) |
$1,793.25 |
$2,391 |
0.5× |
| Fusion of finger tendons (26474) |
$1,218.75 |
$1,625 |
0.7× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$2,973.75 |
$3,965 |
0.2× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,991.25 |
$2,655 |
0.3× |
Fusion of hand bones (25820)
likely a partial charge, not the full procedure |
$1,985.25 |
$2,647 |
0.3× |
Fusion of wrist joint (25800)
likely a partial charge, not the full procedure |
$1,548.75 |
$2,065 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (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 opn w/o constj gstr tube spx (43830) |
$1,081.50 |
$1,442 |
0.5× |
| Glaucoma surgery (66170) |
$3,899.25 |
$5,199 |
1.6× |
Hand tendon pulley reconstruction (26500)
likely a partial charge, not the full procedure |
$1,389 |
$1,852 |
0.2× |
| Hand tendon reconstruction (26502) |
$1,533.75 |
$2,045 |
0.4× |
| Harvest cultured skin graft (15040) |
$706.50 |
$942 |
0.3× |
Hemiarthroplasty Hip Partial (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 (46255) |
$1,146.75 |
$1,529 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$736.50 |
$982 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$596.25 |
$795 |
0.2× |
Hip arthro acetabuloplasty (29915)
unusually low: confirm this is the full procedure |
$2,750.25 |
$3,667 |
0.4× |
Hip arthro w/fb removal (29861)
likely a partial charge, not the full procedure |
$2,126.25 |
$2,835 |
0.3× |
Hip arthro w/labral repair (29916)
unusually low: confirm this is the full procedure |
$2,750.25 |
$3,667 |
0.4× |
| Hymenotomy Simple Incision (56442) |
$152.25 |
$203 |
0.0× |
Hysteroscopy ablation (58563)
likely a partial charge, not the full procedure |
$834.75 |
$1,113 |
0.2× |
| Hysteroscopy biopsy (58558) |
$783 |
$1,044 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$589.50 |
$786 |
0.2× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$831.75 |
$1,109 |
0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$714.75 |
$953 |
0.2× |
Hysteroscopy resect septum (58560)
likely a partial charge, not the full procedure |
$1,194 |
$1,592 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure |
$1,252.50 |
$1,670 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$467.25 |
$623 |
1.9× |
| I&d abscess simple (10060) |
$426.38 |
$568.50 |
2.0× |
| I&d below fascia foot 1 bursal space (28002) |
$1,187.25 |
$1,583 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,247 |
$2,996 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$907.50 |
$1,210 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,243.50 |
$1,658 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,524 |
$2,032 |
0.4× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,418.75 |
$3,225 |
0.7× |
| I&d perianal abscess superficial (46050) |
$517.50 |
$690 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$362.25 |
$483 |
0.5× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$993 |
$1,324 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$323.25 |
$431 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$815.25 |
$1,087 |
0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$981.75 |
$1,309 |
0.3× |
| I&d vaginal hematoma, non-ob (57023) |
$402 |
$536 |
0.1× |
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure |
$1,033.50 |
$1,378 |
0.1× |
| Implant Removal Elbow Joint (24160) |
$1,794 |
$2,392 |
0.5× |
| Incise finger tendon sheath (26055) |
$1,113.75 |
$1,485 |
0.7× |
| Incise inner eye adhesns,laser (65860) |
$1,085.25 |
$1,447 |
1.9× |
| Incise wrist/forearm tendon (25290) |
$1,107.75 |
$1,477 |
0.3× |
| Incise/drain eyelid lining (68020) |
$393 |
$524 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$775.88 |
$1,034.50 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,213.50 |
$1,618 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$580.50 |
$774 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$588.75 |
$785 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$308.25 |
$411 |
0.7× |
| Incision and drainage of abscess of pelvis (57010) |
$1,004.25 |
$1,339 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$324 |
$432 |
1.5× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$1,044.75 |
$1,393 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$574.50 |
$766 |
1.8× |
| Incision bone cortex foot (28005) |
$2,096.25 |
$2,795 |
0.6× |
| Incision bone cortex hand/finger (26034) |
$1,591.50 |
$2,122 |
0.9× |
| Incision bone cortex shoulder area (23035) |
$2,712.75 |
$3,617 |
1.6× |
| Incision extensor tendon sheath wrist (25000) |
$1,000.50 |
$1,334 |
0.6× |
| Incision of eardrum (69420) |
$246.75 |
$329 |
1.0× |
| Incision of eye (66172) |
$4,920.75 |
$6,561 |
2.0× |
| Incision of lingual frenum (41010) |
$406.50 |
$542 |
0.2× |
| Incision of metatarsal (28308) |
$1,435.50 |
$1,914 |
0.4× |
| Incision of rectal abscess (46045) |
$564 |
$752 |
0.2× |
| Incision of rectal abscess (46040) |
$1,092.75 |
$1,457 |
0.9× |
Incision of tibia (27705)
likely a partial charge, not the full procedure |
$1,605 |
$2,140 |
0.2× |
Incision of tibia & fibula (27709)
likely a partial charge, not the full procedure |
$2,421 |
$3,228 |
0.2× |
| Incision of urethra (53020) |
$227.25 |
$303 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$539.62 |
$719.50 |
2.0× |
| Incision&drainage bursa foot (28001) |
$861 |
$1,148 |
0.5× |
| Induced abortion by d&c (59840) |
$672.75 |
$897 |
0.2× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure |
$1,275.75 |
$1,701 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$354.75 |
$473 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,838.25 |
$2,451 |
2.0× |
| Inj subq fill material 1.1-5.0 (11951) |
$273 |
$364 |
0.4× |
| Inj subq fill material >10cc (11954) |
$489.75 |
$653 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$139.50 |
$186 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,665.12 |
$3,553.50 |
2.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,893 |
$2,524 |
2.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,989 |
$2,652 |
2.7× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$321.75 |
$429 |
1.0× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$153.75 |
$205 |
0.5× |
| Inject Intravitreal Pharmcologic (67028) |
$330.75 |
$441 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,182.75 |
$1,577 |
1.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$961.50 |
$1,282 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,893 |
$2,524 |
2.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$914.25 |
$1,219 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,712.25 |
$2,283 |
1.8× |
| Inject Nerv Blck,Pudendal (64430) |
$402 |
$536 |
0.4× |
| Inject scleros soln in hemorrhoids (46500) |
$324 |
$432 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$192.75 |
$257 |
0.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$2,456.62 |
$3,275.50 |
2.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$142.50 |
$190 |
0.2× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,893 |
$2,524 |
2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,205.25 |
$1,607 |
1.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$899.25 |
$1,199 |
1.2× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,893 |
$2,524 |
2.0× |
| 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 anes other peripheral nerve/branch (64450) |
$861.38 |
$1,148.50 |
1.2× |
| Injection for identification of sentinel node (38792) |
$57 |
$76 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$430.12 |
$573.50 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$480 |
$640 |
1.5× |
| Injection therapeutic carpal tunnel (20526) |
$114 |
$152 |
0.4× |
| Injection(s) spider veins (36468) |
$399.75 |
$533 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$272.25 |
$363 |
0.8× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$273 |
$364 |
0.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$2,296.50 |
$3,062 |
7.1× |
| Injection, anesthetic agent; vagus nerve (64408) |
$444 |
$592 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$180 |
$240 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$137.25 |
$183 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$484.88 |
$646.50 |
3.6× |
| 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 (36556) |
$1,042.88 |
$1,390.50 |
0.3× |
| 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× |
| Insert picc cath (36569) |
$1,752.38 |
$2,336.50 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$293.25 |
$391 |
2.1× |
| Insert Tissue Expander(S) (11960) |
$2,133 |
$2,844 |
0.6× |
| Insert tun ip cath perc (49418) |
$721.50 |
$962 |
0.2× |
| Insert tunneled cv cath (36561) |
$681 |
$908 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$253.50 |
$338 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,113.75 |
$1,485 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,220 |
$2,960 |
1.3× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$2,504.25 |
$3,339 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$712.50 |
$950 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$900.75 |
$1,201 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$676.50 |
$902 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$893.25 |
$1,191 |
3.6× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$260.25 |
$347 |
7.1× |
Knee arthroscopy/surgery (29887)
likely a partial charge, not the full procedure |
$2,217.75 |
$2,957 |
0.3× |
| Knee arthroscopy/surgery (29876) |
$1,367.25 |
$1,823 |
0.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,010.25 |
$1,347 |
0.2× |
Laparo-myomectomy complex (58546)
likely a partial charge, not the full procedure |
$2,019 |
$2,692 |
0.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure |
$1,479.75 |
$1,973 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,515 |
$2,020 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$841.50 |
$1,122 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,564.50 |
$2,086 |
0.2× |
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure |
$1,978.50 |
$2,638 |
0.2× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,096.25 |
$2,795 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$882 |
$1,176 |
0.1× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$879.75 |
$1,173 |
0.1× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,617 |
$2,156 |
0.3× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$772.50 |
$1,030 |
0.1× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; 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, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,361.75 |
$3,149 |
0.4× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,705.25 |
$3,607 |
0.2× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545)
unusually low: confirm this is the full procedure |
$2,019 |
$2,692 |
0.3× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$4,038.75 |
$5,385 |
0.4× |
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure |
$2,592.75 |
$3,457 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,830.75 |
$2,441 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,160.75 |
$2,881 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,329 |
$1,772 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,739.25 |
$2,319 |
0.3× |
Laps surg bilateral total pelvic lmphadectomy (38571)
likely a partial charge, not the full procedure |
$2,175.75 |
$2,901 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,458 |
$1,944 |
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× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,739.25 |
$2,319 |
0.3× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$2,018.25 |
$2,691 |
0.3× |
| Laryngoscopy Direct Aspiration (31515) |
$388.50 |
$518 |
0.9× |
| Laryngoscopy Flexible Diagnostic (31575) |
$363.75 |
$485 |
1.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$525 |
$700 |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$169.50 |
$226 |
0.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$453 |
$604 |
2.2× |
| Laryngoscopy w/biopsy (31535) |
$327.75 |
$437 |
0.1× |
| Laser repair to improve eye fluid flow (65855) |
$978 |
$1,304 |
1.7× |
| Laser surgery, anal lesion(s) (46917) |
$774 |
$1,032 |
0.3× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,265.25 |
$1,687 |
2.2× |
| Laser treatment of retina (67039) |
$4,074 |
$5,432 |
0.9× |
| Laser treatment of retina (67040) |
$4,611 |
$6,148 |
1.1× |
| Late closure of wound (13160) |
$3,193.12 |
$4,257.50 |
0.9× |
| 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 Other Surgical… (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) (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 hemorrhoid(s) (46221) |
$393.75 |
$525 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$1,100.25 |
$1,467 |
0.6× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,200 |
$1,600 |
0.4× |
| Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) |
$6,188.25 |
$8,251 |
1.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$807 |
$1,076 |
0.2× |
| Liver Biopsy (47000) |
$1,034.25 |
$1,379 |
0.6× |
| Lysis of labial adhesions (56441) |
$436.50 |
$582 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$402 |
$536 |
0.2× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$369 |
$492 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$620.25 |
$827 |
0.2× |
| Mastectomy partial (19301) |
$1,112.25 |
$1,483 |
0.3× |
| Multiple Punctures Anterior Cornea (65600) |
$1,293.75 |
$1,725 |
0.5× |
| Muscle-skin graft trunk (15734) |
$2,982 |
$3,976 |
0.8× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,240.50 |
$1,654 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$79.50 |
$106 |
2.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$1,154.25 |
$1,539 |
0.6× |
| Neuroplasty; nerve of hand or foot (64704) |
$734.25 |
$979 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,314 |
$1,752 |
3.2× |
| Nipple exploration (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 Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,531.50 |
$2,042 |
1.6× |
| 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× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$748.88 |
$998.50 |
1.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$433.50 |
$578 |
1.0× |
Omntc Epiploectomy Rescj Omentum Spx (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 rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,696.50 |
$2,262 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,454 |
$3,272 |
0.3× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$2,222.25 |
$2,963 |
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; (23550)
likely a partial charge, not the full procedure |
$1,586.25 |
$2,115 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,572 |
$2,096 |
0.2× |
Open treatment of distal radioulnar dislocation, acute or chronic (25676)
likely a partial charge, not the full procedure |
$1,993.50 |
$2,658 |
0.3× |
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 fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,519.25 |
$3,359 |
0.3× |
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 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 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 shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$1,833.75 |
$2,445 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,120.50 |
$1,494 |
0.1× |
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; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,923.75 |
$2,565 |
0.3× |
Open treatment of tibial shaft 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; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$2,025 |
$2,700 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,762.50 |
$2,350 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,969.50 |
$2,626 |
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 Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure |
$1,575 |
$2,100 |
0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,587.75 |
$2,117 |
0.5× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$1,498.50 |
$1,998 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,065 |
$1,420 |
0.3× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$2,302.50 |
$3,070 |
0.3× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,590.75 |
$2,121 |
0.5× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$2,223.75 |
$2,965 |
0.2× |
| Open tx interphalangeal joint dislocation (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 of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,609.50 |
$2,146 |
0.2× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
likely a partial charge, not the full procedure |
$1,746 |
$2,328 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,277.25 |
$1,703 |
0.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,953 |
$2,604 |
0.1× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$1,873.50 |
$2,498 |
0.2× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$2,021.25 |
$2,695 |
0.1× |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
$1,814.25 |
$2,419 |
0.5× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
unusually low: confirm this is the full procedure |
$2,821.50 |
$3,762 |
0.4× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$2,407.50 |
$3,210 |
0.2× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$2,346 |
$3,128 |
0.2× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$2,129.25 |
$2,839 |
0.3× |
| Orchiectomy, partial (54522) |
$1,006.50 |
$1,342 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,035.75 |
$1,381 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$925.50 |
$1,234 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,376.25 |
$1,835 |
0.4× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$4,482.75 |
$5,977 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,299.75 |
$1,733 |
0.2× |
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure |
$2,171.25 |
$2,895 |
0.2× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,623.75 |
$2,165 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,440.50 |
$3,254 |
0.7× |
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure |
$1,698 |
$2,264 |
0.2× |
| Partial Excision Bone Olecranon Process (24147) |
$1,325.25 |
$1,767 |
0.4× |
| Partial excision bone talus/calcaneus (28120) |
$1,727.25 |
$2,303 |
0.5× |
| Partial Excision Bone Tibia (27640) |
$3,280.50 |
$4,374 |
1.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,901.25 |
$2,535 |
0.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$561 |
$748 |
0.2× |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$2,103 |
$2,804 |
0.3× |
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 exam under anesthesia (57410) |
$439.50 |
$586 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$777.75 |
$1,037 |
0.2× |
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 interphalangeal joint dislocation, single, with manipulation (26776) |
$1,115.25 |
$1,487 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,616.25 |
$2,155 |
0.5× |
| Peri-implant capsulectomy breast complete (19371) |
$1,760.25 |
$2,347 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$663.75 |
$885 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$502.12 |
$669.50 |
1.9× |
| Phalangectomy toe each toe (28150) |
$1,328.25 |
$1,771 |
0.4× |
| Pin finger fracture each (26756) |
$1,052.25 |
$1,403 |
0.3× |
| Pin hand dislocation (26676) |
$1,584.75 |
$2,113 |
0.5× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$3,204 |
$4,272 |
2.2× |
| Placement of needle for intraosseous infusion (36680) |
$216.75 |
$289 |
0.5× |
| Placement of seton (46020) |
$397.50 |
$530 |
0.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,767.75 |
$2,357 |
0.9× |
| Plastic repair of canaliculi (68700) |
$2,010 |
$2,680 |
0.8× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$6,279.75 |
$8,373 |
2.6× |
Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679)
likely a partial charge, not the full procedure |
$1,228.50 |
$1,638 |
0.2× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$1,985.25 |
$2,647 |
0.3× |
| Probe nasolacrimal duct (68810) |
$804 |
$1,072 |
2.4× |
| Probe nasolacrimal duct (68811) |
$687.75 |
$917 |
0.3× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$361.50 |
$482 |
0.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$394.50 |
$526 |
0.1× |
| Proctosigmoidoscopy (45303) |
$215.25 |
$287 |
0.2× |
| Proctosigmoidoscopy ablate (45320) |
$363.75 |
$485 |
0.1× |
| Proctosigmoidoscopy removal (45308) |
$252.75 |
$337 |
0.1× |
| Proctosigmoidoscopy removal (45315) |
$441.75 |
$589 |
0.3× |
| Proctosigmoidoscopy w/bx (45305) |
$286.50 |
$382 |
0.2× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$185.25 |
$247 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$174.75 |
$233 |
0.2× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$1,718.25 |
$2,291 |
3.0× |
| Prostatic microwave thermotx (53850) |
$857.25 |
$1,143 |
0.2× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
unusually low: confirm this is the full procedure |
$2,362.50 |
$3,150 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$318.38 |
$424.50 |
0.7× |
| Puncture Aspiration (10160) |
$517.88 |
$690.50 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$138.75 |
$185 |
0.2× |
| Pvb thoracic single inj site (64461) |
$222.75 |
$297 |
0.3× |
Quadricepsplasty (eg, Bennett or Thompson type) (27430)
unusually low: confirm this is the full procedure |
$2,327.25 |
$3,103 |
0.3× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$5,742.75 |
$7,657 |
1.9× |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
$5,445 |
$7,260 |
1.8× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$3,478.50 |
$4,638 |
1.1× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$4,074.75 |
$5,433 |
1.3× |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
$5,445 |
$7,260 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$5,746.50 |
$7,662 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) |
$4,299 |
$5,732 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
$5,746.50 |
$7,662 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater (21016) |
$5,746.50 |
$7,662 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
$5,444.25 |
$7,259 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
$5,445 |
$7,260 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
$5,445 |
$7,260 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater (27059) |
$5,746.50 |
$7,662 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
$5,445 |
$7,260 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$5,746.50 |
$7,662 |
1.9× |
Radical resection tumor clavicle (23200)
unusually low: confirm this is the full procedure |
$2,918.25 |
$3,891 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$530.25 |
$707 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,293 |
$1,724 |
0.2× |
| Re-explore parathyroids (60502) |
$3,363 |
$4,484 |
0.5× |
Realignment of knee (27457)
likely a partial charge, not the full procedure |
$2,281.50 |
$3,042 |
0.3× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$1,876.50 |
$2,502 |
0.2× |
Reconstruct head of radius (24365)
likely a partial charge, not the full procedure |
$1,344 |
$1,792 |
0.1× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$2,702.25 |
$3,603 |
0.2× |
Reconstruct wrist joint (25442)
likely a partial charge, not the full procedure |
$1,665 |
$2,220 |
0.1× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$1,587.75 |
$2,117 |
0.5× |
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (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 (24346)
likely a partial charge, not the full procedure |
$3,084 |
$4,112 |
0.2× |
| Reconstruction of nail bed with graft (11762) |
$572.25 |
$763 |
0.3× |
Reconstruction, knee (27429)
likely a partial charge, not the full procedure |
$3,151.50 |
$4,202 |
0.2× |
| Reduction of rectal prolapse (45900) |
$213 |
$284 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,633.50 |
$2,178 |
0.2× |
| Release elbow joint (24006) |
$1,484.25 |
$1,979 |
0.4× |
Release hip flexion contracture (27036)
unusually low: confirm this is the full procedure |
$2,670.75 |
$3,561 |
0.3× |
| Release/Recession Hamstring Proximal (27097) |
$1,719 |
$2,292 |
0.5× |
| Removal Anal Seton Other Marker (46030) |
$176.25 |
$235 |
0.1× |
| Removal fb intranasal (30300) |
$2,725.50 |
$3,634 |
19.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,423.50 |
$1,898 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,315.50 |
$1,754 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,649.62 |
$2,199.50 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$1,155.38 |
$1,540.50 |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$624 |
$832 |
0.4× |
| Removal foreign body pharynx (42809) |
$452.25 |
$603 |
1.0× |
| 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 impacted vag fb spx w/anes oth/thn local (57415) |
$555.75 |
$741 |
0.2× |
| Removal Implant Deep (20680) |
$1,355.25 |
$1,807 |
0.4× |
| Removal Implant Superficial Separate Procedure (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 ankle implant (27704) |
$1,621.50 |
$2,162 |
0.5× |
| Removal of arm foreign body (24200) |
$371.25 |
$495 |
0.2× |
| Removal of bone lesion (23140) |
$1,586.25 |
$2,115 |
0.5× |
Removal of cervix (57530)
likely a partial charge, not the full procedure |
$959.25 |
$1,279 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$972.75 |
$1,297 |
0.6× |
| Removal of eye lesion (65400) |
$1,664.25 |
$2,219 |
1.6× |
Removal of foot joint lining (28070)
likely a partial charge, not the full procedure |
$1,363.50 |
$1,818 |
0.2× |
| Removal of heel bone (28118) |
$1,869.75 |
$2,493 |
0.5× |
| Removal of heel spur (28119) |
$1,671.75 |
$2,229 |
0.5× |
| Removal of humerus lesion (23150) |
$2,062.50 |
$2,750 |
0.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$335.25 |
$447 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$238.50 |
$318 |
0.7× |
Removal of ischial bursa (27060)
likely a partial charge, not the full procedure |
$1,314 |
$1,752 |
0.2× |
| Removal of knee cartilage (27332) |
$1,631.25 |
$2,175 |
0.5× |
| Removal of lens material (66840) |
$5,731.50 |
$7,642 |
2.4× |
| Removal of nail bed (11750) |
$281.25 |
$375 |
0.7× |
| Removal of sesamoid bone (28315) |
$1,028.25 |
$1,371 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$155.25 |
$207 |
0.7× |
| Removal of testis (54520) |
$729.75 |
$973 |
0.2× |
| Removal of wrist bone (25210) |
$1,679.25 |
$2,239 |
0.5× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,683 |
$2,244 |
0.7× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$2,141.25 |
$2,855 |
0.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$2,058 |
$2,744 |
0.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$150.75 |
$201 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$162 |
$216 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$119.25 |
$159 |
0.4× |
| Remove anal fist subq (46270) |
$924.75 |
$1,233 |
0.3× |
| Remove bladder stone (52318) |
$1,101.75 |
$1,469 |
0.3× |
| Remove by ligat int hem grp (46945) |
$602.25 |
$803 |
0.2× |
| Remove cranial cavity fluid (61000) |
$368.25 |
$491 |
0.5× |
| Remove drug implant device (11982) |
$232.50 |
$310 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$224.25 |
$299 |
0.7× |
| Remove eyelid lining lesion (68135) |
$396 |
$528 |
0.2× |
| Remove femur lesion (27355) |
$1,254.75 |
$1,673 |
0.4× |
| Remove foreign body from eye (65210) |
$178.50 |
$238 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$1,093.50 |
$1,458 |
0.4× |
| Remove Peritoneal Foreign Body (49402) |
$2,908.50 |
$3,878 |
0.8× |
| Remove Pilonidal Cyst Exten (11771) |
$782.25 |
$1,043 |
0.3× |
| Remove sacrum pressure sore (15937) |
$2,759.25 |
$3,679 |
1.3× |
| Remove skin nerve lesion (64774) |
$818.25 |
$1,091 |
0.4× |
| Remove spine infusion device (62365) |
$723.75 |
$965 |
0.2× |
| Remove thigh pressure sore (15956) |
$2,904 |
$3,872 |
1.3× |
| Remove thigh pressure sore (15958) |
$2,799.75 |
$3,733 |
0.7× |
| Remove tissue expander (11971) |
$888.75 |
$1,185 |
0.3× |
| Remove tumor hip/pelvis (27049) |
$3,030 |
$4,040 |
1.0× |
| Remove wrist tendon lesion (25111) |
$1,101 |
$1,468 |
0.6× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$922.50 |
$1,230 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$210.75 |
$281 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$246.38 |
$328.50 |
1.8× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,491.75 |
$1,989 |
0.2× |
| Repair anorectal fistula w/plug (46707) |
$7,492.50 |
$9,990 |
2.6× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,502.25 |
$2,003 |
0.2× |
Repair bladder-vagina lesion (57320)
likely a partial charge, not the full procedure |
$1,344 |
$1,792 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,085.25 |
$1,447 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,346.25 |
$1,795 |
1.7× |
| 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 (13132) |
$1,292.25 |
$1,723 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$829.50 |
$1,106 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,103.25 |
$1,471 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$729.38 |
$972.50 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$787.88 |
$1,050.50 |
1.0× |
| Repair detached retina (67105) |
$2,096.25 |
$2,795 |
3.6× |
| 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 finger w/o graft each (26418) |
$1,876.50 |
$2,502 |
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 (26432) |
$989.25 |
$1,319 |
0.6× |
| Repair finger tendon (26433) |
$1,086 |
$1,448 |
0.3× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$2,595 |
$3,460 |
0.8× |
| Repair forearm tendon/muscle (25270) |
$1,240.50 |
$1,654 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$2,040.75 |
$2,721 |
0.6× |
| Repair hallux rigidus (28289) |
$1,760.25 |
$2,347 |
0.5× |
| Repair hand tendon (26410) |
$1,861.50 |
$2,482 |
1.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,868.25 |
$2,491 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,504.50 |
$2,006 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,032 |
$1,376 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,730.25 |
$2,307 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$892.88 |
$1,190.50 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$612 |
$816 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$726 |
$968 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,088.25 |
$1,451 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$729.75 |
$973 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$750 |
$1,000 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,337.25 |
$1,783 |
3.1× |
| 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 n/h/f/xtrnl gent >30.0 cm (12047) |
$1,232.25 |
$1,643 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$750 |
$1,000 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$610.88 |
$814.50 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$656.25 |
$875 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$986.25 |
$1,315 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$687 |
$916 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,137.38 |
$1,516.50 |
0.5× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$1,389 |
$1,852 |
0.2× |
| Repair Laceration Palate </2 Cm (42180) |
$631.50 |
$842 |
1.1× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$903 |
$1,204 |
0.1× |
Repair medial collateral ligament, elbow w/local tissue (24345)
likely a partial charge, not the full procedure |
$1,418.25 |
$1,891 |
0.2× |
| Repair of anal sphincter (46750) |
$1,701.75 |
$2,269 |
0.6× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$1,201.50 |
$1,602 |
0.2× |
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 enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure |
$1,121.25 |
$1,495 |
0.2× |
Repair of eye wound (65280)
likely a partial charge, not the full procedure |
$1,035.75 |
$1,381 |
0.2× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$3,617.25 |
$4,823 |
0.3× |
Repair of knee ligament (27407)
likely a partial charge, not the full procedure |
$1,621.50 |
$2,162 |
0.2× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,019.25 |
$1,359 |
0.1× |
| Repair of nail bed (11760) |
$438.75 |
$585 |
0.6× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400)
unusually low: confirm this is the full procedure |
$2,353.50 |
$3,138 |
0.3× |
| Repair of rectocele (45560) |
$1,638 |
$2,184 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,807.50 |
$2,410 |
0.2× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,389 |
$1,852 |
0.2× |
Repair of vagina (57260)
likely a partial charge, not the full procedure |
$1,336.50 |
$1,782 |
0.3× |
| Repair of vagina (56800) |
$357 |
$476 |
0.1× |
Repair rectum & vagina (57250)
likely a partial charge, not the full procedure |
$946.50 |
$1,262 |
0.2× |
Repair shldr capsu,ant,coracoid xfer (23462)
unusually low: confirm this is the full procedure |
$2,383.50 |
$3,178 |
0.3× |
Repair shoulder capsule (23466)
likely a partial charge, not the full procedure |
$2,258.25 |
$3,011 |
0.3× |
| Repair Tongue Laceration (41250) |
$491.25 |
$655 |
1.0× |
| Repair vagina/perineum (57210) |
$975.75 |
$1,301 |
0.3× |
| Repair wrist joints (25447) |
$1,714.50 |
$2,286 |
0.5× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$1,036.50 |
$1,382 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,641.75 |
$2,189 |
0.2× |
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure |
$1,621.50 |
$2,162 |
0.2× |
Replace elbow joint (24363)
likely a partial charge, not the full procedure |
$3,165 |
$4,220 |
0.2× |
| Replace g/c tube perc (49450) |
$1,765.50 |
$2,354 |
1.8× |
Replace Tissue Expander (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× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,861.50 |
$2,482 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$1,575.75 |
$2,101 |
0.4× |
| Resect face/scalp tum < 2 cm (21015) |
$1,311.75 |
$1,749 |
0.4× |
| Resect shoulder tumor < 5 cm (23077) |
$3,370.50 |
$4,494 |
1.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$755.25 |
$1,007 |
0.2× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$5,547 |
$7,396 |
0.4× |
| Revise arm/leg nerve (64708) |
$1,263 |
$1,684 |
0.6× |
| Revise eyelashes (67825) |
$428.25 |
$571 |
1.3× |
| Revise Eyelashes,Forceps (67820) |
$165.75 |
$221 |
1.2× |
| Revise hernia & sperm veins (55540) |
$1,701 |
$2,268 |
0.5× |
| Revise median n/carpal tunnel surg (64721) |
$1,251 |
$1,668 |
0.6× |
| Revise tear duct opening (68705) |
$786.75 |
$1,049 |
2.3× |
| 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 arm tendon (24310) |
$1,178.25 |
$1,571 |
0.3× |
| Revision of cervix (57700) |
$651 |
$868 |
0.2× |
| Revision of eyelid (67961) |
$1,908 |
$2,544 |
0.8× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$2,544 |
$3,392 |
1.0× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$2,616.75 |
$3,489 |
0.7× |
| Revision of iris (66761) |
$975 |
$1,300 |
1.7× |
| Revision of iris (66762) |
$1,544.25 |
$2,059 |
2.7× |
| Revision of toe (28312) |
$1,611.75 |
$2,149 |
0.5× |
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; one 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× |
| Revj clst comp rcnstj in-depth spx (44345) |
$3,267 |
$4,356 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$305.25 |
$407 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$504.38 |
$672.50 |
3.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$730.50 |
$974 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$840 |
$1,120 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,713.75 |
$2,285 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,639.50 |
$2,186 |
2.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$454.50 |
$606 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,649.75 |
$3,533 |
1.6× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$930.75 |
$1,241 |
0.1× |
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 Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,352.25 |
$1,803 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$998.25 |
$1,331 |
0.3× |
| Rpr blood vessel direct lower extremity (35226) |
$1,688.25 |
$2,251 |
2.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,578.75 |
$2,105 |
0.5× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$1,002.75 |
$1,337 |
0.3× |
| Rpr ing hernia init blocked (49501) |
$1,410 |
$1,880 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,066.12 |
$1,421.50 |
1.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$666 |
$888 |
2.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$727.50 |
$970 |
2.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,316.25 |
$1,755 |
2.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,181.25 |
$1,575 |
2.1× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$2,153.25 |
$2,871 |
0.3× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure |
$1,236.75 |
$1,649 |
0.2× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$5,205.75 |
$6,941 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,929.75 |
$2,573 |
0.6× |
| Salpingostomy (salpingoneostomy) (58770) |
$2,009.25 |
$2,679 |
0.6× |
| Scrotal exploration (55110) |
$969.75 |
$1,293 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$160.50 |
$214 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,414.50 |
$1,886 |
1.1× |
| 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× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$140.25 |
$187 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,594.50 |
$2,126 |
0.5× |
| 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 0.6-1.0 Cm (11301) |
$177.75 |
$237 |
0.8× |
| 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 & decompress (45337) |
$345 |
$460 |
0.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,513.50 |
$2,018 |
1.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,352.62 |
$1,803.50 |
1.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$436.50 |
$582 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$625.50 |
$834 |
0.5× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347)
likely a partial charge, not the full procedure |
$417.75 |
$557 |
0.1× |
| Simple Cystometrogram (51725) |
$717 |
$956 |
2.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$784.12 |
$1,045.50 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$366.75 |
$489 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$418.50 |
$558 |
2.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$746.25 |
$995 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$563.25 |
$751 |
2.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (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/< (12001) |
$337.50 |
$450 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$944.25 |
$1,259 |
4.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$601.88 |
$802.50 |
2.8× |
| Skin pinch graft (15050) |
$849.75 |
$1,133 |
1.1× |
| Skin splt grft trnk/arm/leg (15100) |
$1,695 |
$2,260 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$1,628.25 |
$2,171 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,665 |
$2,220 |
2.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$598.50 |
$798 |
0.3× |
| Skin tissue rearrangement (14040) |
$1,648.50 |
$2,198 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,019.75 |
$2,693 |
0.5× |
| Skn sub grft f/n/hf/g child (15277) |
$654 |
$872 |
0.3× |
Sling operation for stress incontinence (eg, fascia or synthetic) (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 (12002) |
$533.25 |
$711 |
2.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$570.75 |
$761 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$752.25 |
$1,003 |
1.8× |
| Sphincterotomy (46080) |
$336.75 |
$449 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$765.75 |
$1,021 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$228.75 |
$305 |
0.3× |
| 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 shoulder (29240) |
$152.25 |
$203 |
1.1× |
| Strapping toes (29550) |
$217.88 |
$290.50 |
3.5× |
| Strapping unna boot (29580) |
$252 |
$336 |
1.5× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services (11952) |
$368.25 |
$491 |
0.5× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps (61001) |
$390 |
$520 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,005.75 |
$1,341 |
0.3× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386)
likely a partial charge, not the full procedure |
$2,148 |
$2,864 |
0.3× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,670.25 |
$2,227 |
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 excision palm/finger (26145) |
$1,112.25 |
$1,483 |
0.7× |
Tendon graft, from a distance (20924)
likely a partial charge, not the full procedure |
$1,597.50 |
$2,130 |
0.2× |
| Tendon shortening (26477) |
$1,469.25 |
$1,959 |
0.4× |
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 (28225) |
$963.75 |
$1,285 |
0.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,050.75 |
$1,401 |
0.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$963.75 |
$1,285 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$570.75 |
$761 |
0.3× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,395.75 |
$1,861 |
0.2× |
Tenotomy shoulder multiple thru same incision (23406)
likely a partial charge, not the full procedure |
$2,253.75 |
$3,005 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,749.75 |
$2,333 |
2.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$825.38 |
$1,100.50 |
1.2× |
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× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$909.75 |
$1,213 |
0.4× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,768.50 |
$2,358 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$882.75 |
$1,177 |
0.3× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,056.25 |
$4,075 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,450.75 |
$4,601 |
0.3× |
Total thyroid lobectomy unilateral (60225)
unusually low: confirm this is the full procedure |
$2,924.25 |
$3,899 |
0.5× |
| Trach Tube Change (31502) |
$126.75 |
$169 |
0.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$648.75 |
$865 |
2.6× |
Transfer Tendon/Muscle Hamstrings Femur (27400)
likely a partial charge, not the full procedure |
$1,737 |
$2,316 |
0.2× |
| Transfusion intrauterine fetal (36460) |
$957 |
$1,276 |
2.1× |
| Transplant forearm tendon (25310) |
$736.50 |
$982 |
0.2× |
| Transplant hand tendon (26480) |
$1,549.50 |
$2,066 |
0.4× |
Treat ankle dislocation (27848)
likely a partial charge, not the full procedure |
$2,032.50 |
$2,710 |
0.3× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$1,451.25 |
$1,935 |
0.2× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,778.25 |
$2,371 |
0.3× |
Treat elbow dislocation (24615)
likely a partial charge, not the full procedure |
$2,069.25 |
$2,759 |
0.3× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,292 |
$3,056 |
0.2× |
Treat elbow fracture (24635)
likely a partial charge, not the full procedure |
$1,703.25 |
$2,271 |
0.2× |
Treat elbow fracture (24587)
likely a partial charge, not the full procedure |
$3,388.50 |
$4,518 |
0.3× |
| Treat finger dislocation (26775) |
$1,098 |
$1,464 |
3.7× |
| Treat Finger Fracture Each (26727) |
$1,115.25 |
$1,487 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$721.12 |
$961.50 |
2.8× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,991.25 |
$2,655 |
0.3× |
| 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 hand dislocation (26685) |
$1,420.50 |
$1,894 |
0.4× |
Treat heel fracture (28415)
unusually low: confirm this is the full procedure |
$2,394.75 |
$3,193 |
0.3× |
| Treat humerus fracture (24500) |
$894 |
$1,192 |
3.4× |
| Treat humerus fracture (23600) |
$956.25 |
$1,275 |
3.7× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$2,415 |
$3,220 |
0.2× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$2,565.75 |
$3,421 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$536.25 |
$715 |
2.1× |
| 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 scapula fracture (23585)
likely a partial charge, not the full procedure |
$2,150.25 |
$2,867 |
0.3× |
| Treat thumb fracture (26650) |
$1,275.75 |
$1,701 |
0.4× |
| Treat toe fracture (28525) |
$1,281.75 |
$1,709 |
0.4× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,318.50 |
$1,758 |
0.2× |
| Treat wrist bone fracture (25622) |
$860.25 |
$1,147 |
3.3× |
| Treat Wrist Bone Fracture (25630) |
$882 |
$1,176 |
3.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,473.38 |
$1,964.50 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$877.50 |
$1,170 |
3.4× |
| Treatment extensive retinopathy photocoagulation (67228) |
$3,091.50 |
$4,122 |
5.3× |
| Treatment of anal fissure (46942) |
$501 |
$668 |
0.5× |
| Treatment of anal fissure (46940) |
$592.50 |
$790 |
0.2× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$2,016 |
$2,688 |
0.3× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$2,084.25 |
$2,779 |
0.3× |
| Treatment of choroid lesion (67220) |
$1,767 |
$2,356 |
3.0× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,996.50 |
$2,662 |
0.3× |
| Treatment of foot infection (28003) |
$2,096.25 |
$2,795 |
0.6× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,578.50 |
$3,438 |
0.3× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$3,888 |
$5,184 |
0.5× |
| Treatment of missed abortion, completed surgically; second trimester (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 tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$723 |
$964 |
2.8× |
Treatment of thigh fracture (27513)
likely a partial charge, not the full procedure |
$2,793.75 |
$3,725 |
0.2× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$2,112 |
$2,816 |
0.2× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,153.50 |
$1,538 |
0.2× |
| Trim skin lesion (11055) |
$129.75 |
$173 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$150.75 |
$201 |
0.7× |
| Trim skin lesions over 4 (11057) |
$353.25 |
$471 |
1.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$97.12 |
$129.50 |
1.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$688.50 |
$918 |
0.2× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,825.50 |
$2,434 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$741.75 |
$989 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$663.75 |
$885 |
0.2× |
| 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× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,607.25 |
$2,143 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$979.50 |
$1,306 |
0.2× |
| Unlisted laparoscopy procedure, stomach (43659) |
$4,191 |
$5,588 |
0.7× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$3,045.75 |
$4,061 |
0.5× |
| Unlisted procedure anus (46999) |
$167.25 |
$223 |
0.2× |
| Unlisted procedure maternity care & delivery (59899) |
$352.50 |
$470 |
1.7× |
Vag hyst complex (58290)
unusually low: confirm this is the full procedure |
$2,856.75 |
$3,809 |
0.4× |
Vag hyst w/enterocele repair (58270)
unusually low: confirm this is the full procedure |
$2,046 |
$2,728 |
0.4× |
| Vaginal delivery only (59409) |
$5,371.50 |
$7,162 |
1.6× |
Vaginal hysterectomy (58260)
unusually low: confirm this is the full procedure |
$1,978.50 |
$2,638 |
0.4× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,235.75 |
$2,981 |
0.4× |
Vaginal hysterectomy; 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× |
| 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× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$178.50 |
$238 |
1.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$141 |
$188 |
0.3× |
| Vit for macular pucker (67041) |
$4,293 |
$5,724 |
1.0× |
| Vit for membrane dissect (67043) |
$5,243.25 |
$6,991 |
1.2× |
| 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× |
| Vulvectomy simple partial (56620) |
$1,188 |
$1,584 |
0.3× |
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure |
$1,593 |
$2,124 |
0.2× |
| Windowing of cast (29730) |
$157.50 |
$210 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$761.25 |
$1,015 |
1.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$717 |
$956 |
0.9× |
| Wrist arthroscop,excis triang cart (29846) |
$1,083 |
$1,444 |
0.3× |
| Wrist arthroscopy (29843) |
$1,512.75 |
$2,017 |
0.4× |