| Abd paracentesis w/imaging (49083) |
$856.70 |
$1,318 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$663.65 |
$1,021 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,636.70 |
$2,518 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$2,129.40 |
$3,276 |
0.8× |
| Amputation thigh through femur any level (27590) |
$1,950 |
$3,000 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,073.50 |
$3,190 |
0.7× |
| Amputation, foot; transmetatarsal (28805) |
$3,130.40 |
$4,816 |
1.1× |
| Amputation, leg, through tibia and fibula; (27880) |
$3,644.55 |
$5,607 |
0.6× |
| Analyze infusn pump+reprogram (62368) |
$176.80 |
$272 |
0.7× |
| Anoscopy diagnostic (46600) |
$180.05 |
$277 |
1.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,714.91 |
$2,638.33 |
0.7× |
| Application finger splint static (29130) |
$85.48 |
$131.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$183.95 |
$283 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$117 |
$180 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$101.72 |
$156.50 |
0.9× |
| Application short leg splint calf foot (29515) |
$108.22 |
$166.50 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$117.32 |
$180.50 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$129.68 |
$199.50 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$104.32 |
$160.50 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,793.35 |
$2,759 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$128.70 |
$198 |
0.7× |
| Biopsy Breast Open Incisional (19101) |
$2,184.32 |
$3,360.50 |
0.6× |
| Biopsy of nail unit (11755) |
$345.15 |
$531 |
0.6× |
| Biopsy of ovary(s) (58900) |
$845 |
$1,300 |
0.3× |
| Biopsy of tongue (41100) |
$841.10 |
$1,294 |
1.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,948.70 |
$2,998 |
0.6× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$2,235.35 |
$3,439 |
0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$923 |
$1,420 |
0.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,238.60 |
$3,444 |
0.9× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,012.70 |
$1,558 |
0.7× |
| Biopsy testis incisional separate procedure (54505) |
$2,003.30 |
$3,082 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$1,758.25 |
$2,705 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$2,668.90 |
$4,106 |
0.8× |
| Bladder Irrigation Simple (51700) |
$134.55 |
$207 |
0.6× |
| Blood patch (62273) |
$442.98 |
$681.50 |
0.7× |
| Blood transfusion service (36430) |
$516.10 |
$794 |
1.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$551.85 |
$849 |
0.4× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$3,019.25 |
$4,645 |
0.9× |
| Cataract surgery complex (66982) |
$2,275 |
$3,500 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$535.60 |
$824 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$212.55 |
$327 |
1.0× |
| Chemical Cautery Tissue (17250) |
$189.15 |
$291 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$492.70 |
$758 |
1.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$231.72 |
$356.50 |
0.9× |
| Chest tube placement (32551) |
$468.65 |
$721 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$61.10 |
$94 |
0.5× |
| Circum 28 days or older (54161) |
$2,674.75 |
$4,115 |
1.5× |
| Closed Rx Med Malleolus Fx (27760) |
$259.02 |
$398.50 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$341.58 |
$525.50 |
1.6× |
| Closed Rx Trimalleolar Fx (27816) |
$514.80 |
$792 |
2.4× |
| Closed Treat Vert Body Fract (22310) |
$305.18 |
$469.50 |
1.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$185.90 |
$286 |
0.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$213.20 |
$328 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$107.90 |
$166 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$189.80 |
$292 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$225.55 |
$347 |
1.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$236.60 |
$364 |
1.1× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$813.80 |
$1,252 |
0.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$499.85 |
$769 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$176.80 |
$272 |
0.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$236.60 |
$364 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$247 |
$380 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$190.12 |
$292.50 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$183.30 |
$282 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$194.35 |
$299 |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$472.55 |
$727 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$168.02 |
$258.50 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$540.15 |
$831 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$318.50 |
$490 |
1.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$470.28 |
$723.50 |
0.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$280.48 |
$431.50 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$292.50 |
$450 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$246.68 |
$379.50 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$191.75 |
$295 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$346.12 |
$532.50 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$263.90 |
$406 |
1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$339.30 |
$522 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$128.38 |
$197.50 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$175.50 |
$270 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$215.15 |
$331 |
1.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$285.68 |
$439.50 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$214.50 |
$330 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$220.35 |
$339 |
1.0× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,019.85 |
$1,569 |
0.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$180.05 |
$277 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$245.05 |
$377 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$190.45 |
$293 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$200.52 |
$308.50 |
0.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$189.80 |
$292 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$181.02 |
$278.50 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$185.90 |
$286 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$1,359.15 |
$2,091 |
1.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,268.80 |
$1,952 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,350.70 |
$2,078 |
1.3× |
| Colonoscopy stoma w/snare (44394) |
$1,299.35 |
$1,999 |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,263.60 |
$1,944 |
1.6× |
| Colonoscopy w/ablation (45388) |
$1,042.60 |
$1,604 |
1.0× |
| Complex Drainage, Wound (10180) |
$1,382.55 |
$2,127 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$157.30 |
$242 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$134.55 |
$207 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$193.05 |
$297 |
1.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$187.85 |
$289 |
0.9× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,524.25 |
$2,345 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$186.55 |
$287 |
0.5× |
| Debride nail 1-5 (11720) |
$28.28 |
$43.50 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$426.40 |
$656 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$514.80 |
$792 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,067.95 |
$1,643 |
0.8× |
| Declot vascular device (36593) |
$291.85 |
$449 |
1.0× |
| Delivery placenta separate procedure (59414) |
$483.92 |
$744.50 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,362.40 |
$2,096 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,422.20 |
$2,188 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$229.45 |
$353 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$133.90 |
$206 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$178.75 |
$275 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$739.38 |
$1,137.50 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$487.50 |
$750 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$180.70 |
$278 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$206.05 |
$317 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$220.35 |
$339 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$240.50 |
$370 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$321.10 |
$494 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$175.50 |
$270 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$175.50 |
$270 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$178.75 |
$275 |
1.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$325 |
$500 |
0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$325 |
$500 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$126.10 |
$194 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$175.50 |
$270 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$175.50 |
$270 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$175.50 |
$270 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$325 |
$500 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$325 |
$500 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$175.50 |
$270 |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$970.45 |
$1,493 |
0.5× |
| Destruction of skin lesions (17106) |
$504.72 |
$776.50 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$72.80 |
$112 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$924.30 |
$1,422 |
1.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$741.65 |
$1,141 |
0.9× |
| Dilation of anal sphincter (45905) |
$1,676.35 |
$2,579 |
1.6× |
| Drain lower leg bursa (27604) |
$3,435.25 |
$5,285 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$243.75 |
$375 |
0.4× |
| Drain outer ear canal lesion (69020) |
$179.40 |
$276 |
0.3× |
| Drain ovary abscess open (58820) |
$2,437.50 |
$3,750 |
0.9× |
| Drain penis lesion (54015) |
$1,158.95 |
$1,783 |
0.8× |
| Drain shoulder bursa (23031) |
$2,526.55 |
$3,887 |
1.0× |
| Drain shoulder lesion (23030) |
$2,133.30 |
$3,282 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$183.62 |
$282.50 |
1.1× |
| Drainage of deep rectal abscess (45020) |
$2,359.50 |
$3,630 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$995.80 |
$1,532 |
0.7× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$3,094 |
$4,760 |
2.2× |
| Drainage of mouth lesion (41015) |
$420.55 |
$647 |
0.9× |
| Drainage of mouth lesion (41017) |
$1,681.55 |
$2,587 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$853.45 |
$1,313 |
0.6× |
| Draw blood off venous device (36591) |
$65.65 |
$101 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$244.40 |
$376 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$216.45 |
$333 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$185.25 |
$285 |
1.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$462.80 |
$712 |
1.3× |
| Dx gastr intub w/asp spec (43754) |
$97.50 |
$150 |
0.5× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$806 |
$1,240 |
0.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,643.20 |
$2,528 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,318.20 |
$2,028 |
1.7× |
| Egd place gastrostomy tube (43246) |
$1,554.15 |
$2,391 |
0.9× |
| Egd rem tumr/polyp forcep (43250) |
$1,270.75 |
$1,955 |
0.8× |
| Egd remove lesion snare (43251) |
$1,287 |
$1,980 |
0.8× |
| Esophagus Surg Procedure Unlisted (43499) |
$1,643.20 |
$2,528 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$67.28 |
$103.50 |
0.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$422.50 |
$650 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$933.40 |
$1,436 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$973.05 |
$1,497 |
0.7× |
| Exc excessive skin &subq tissue forearm/hand (15837) |
$1,849.90 |
$2,846 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$367.90 |
$566 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$648.05 |
$997 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,564.55 |
$2,407 |
1.1× |
| Exc skin abd (15830) |
$3,846.05 |
$5,917 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$624 |
$960 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$323.70 |
$498 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$432.90 |
$666 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$689 |
$1,060 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$620.10 |
$954 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$912.60 |
$1,404 |
0.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,139.45 |
$1,753 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,313 |
$2,020 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,284.40 |
$1,976 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$815.10 |
$1,254 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,326.65 |
$2,041 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,374.10 |
$2,114 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,134.90 |
$1,746 |
0.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$241.80 |
$372 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,528.15 |
$2,351 |
1.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,622.40 |
$2,496 |
1.2× |
| Excise excess skin & tissue (15839) |
$1,643.20 |
$2,528 |
0.7× |
| Excise excess skin fat pad (15838) |
$1,114.75 |
$1,715 |
0.4× |
| Excise excess skin tissue,thigh (15832) |
$3,894.80 |
$5,992 |
1.6× |
| Excise excessive skin arm (15836) |
$1,960.40 |
$3,016 |
0.8× |
| Excise excessive skin buttck (15835) |
$1,833 |
$2,820 |
0.7× |
| Excise excessive skin hip (15834) |
$621.40 |
$956 |
0.2× |
| Excise excessive skin leg (15833) |
$2,705.95 |
$4,163 |
1.1× |
| Excision Breast Lesion (19125) |
$2,417.35 |
$3,719 |
0.7× |
| Excision external ear partial simple repair (69110) |
$1,218.10 |
$1,874 |
0.5× |
| Excision hydrocele bilateral (55041) |
$3,405.35 |
$5,239 |
1.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$712.40 |
$1,096 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$395.85 |
$609 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$395.85 |
$609 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$624 |
$960 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$847.60 |
$1,304 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$585 |
$900 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$497.25 |
$765 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$536.90 |
$826 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,267.50 |
$1,950 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$998.40 |
$1,536 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$447.20 |
$688 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$651.30 |
$1,002 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,181.70 |
$1,818 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,439.10 |
$2,214 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$2,889.90 |
$4,446 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$397.80 |
$612 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$592.15 |
$911 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,935.70 |
$2,978 |
1.4× |
| Excision of hydrocele; unilateral (55040) |
$2,746.25 |
$4,225 |
0.9× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$2,052.05 |
$3,157 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$716.95 |
$1,103 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$715 |
$1,100 |
0.5× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,971.45 |
$3,033 |
1.4× |
| Excision of nail fold toe (11765) |
$131.30 |
$202 |
0.4× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,334.20 |
$6,668 |
0.8× |
| Excision olecranon bursa (24105) |
$2,535 |
$3,900 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$474.18 |
$729.50 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$2,135.25 |
$3,285 |
0.8× |
| Hemorrhoidectomy external complete (46250) |
$2,250.95 |
$3,463 |
0.9× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$2,643.55 |
$4,067 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$287.95 |
$443 |
1.4× |
| I&d abscess simple (10060) |
$156.98 |
$241.50 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,766.70 |
$2,718 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,150.20 |
$3,308 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,830.40 |
$2,816 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,149.55 |
$3,307 |
0.8× |
| I&d forearm/wrist bursa (25031) |
$2,639 |
$4,060 |
1.9× |
| I&d mouth/tong extra,masticator (41018) |
$877.50 |
$1,350 |
0.7× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,924.35 |
$4,499 |
1.0× |
| I&d perianal abscess superficial (46050) |
$796.90 |
$1,226 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$226.85 |
$349 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,019.20 |
$1,568 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,145 |
$3,300 |
0.9× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,422.20 |
$2,188 |
0.3× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure |
$1,594.12 |
$2,452.50 |
0.2× |
| Incise finger tendon sheath (26055) |
$1,292.20 |
$1,988 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$274.30 |
$422 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,865.50 |
$2,870 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$360.10 |
$554 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$985.72 |
$1,516.50 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$213.52 |
$328.50 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$240.50 |
$370 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$306.15 |
$471 |
1.2× |
| Incision of lingual frenum (41010) |
$954.85 |
$1,469 |
0.7× |
| Incision of rectal abscess (46040) |
$1,736.80 |
$2,672 |
1.7× |
| Incision of urethra (53020) |
$1,703 |
$2,620 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$273 |
$420 |
1.3× |
| Incision&drainage bursa foot (28001) |
$486.20 |
$748 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$94.58 |
$145.50 |
0.5× |
| Inj neurolytic subarachnoid (62280) |
$660.72 |
$1,016.50 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$993.85 |
$1,529 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$100.10 |
$154 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$235.30 |
$362 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$696.80 |
$1,072 |
0.9× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$497.58 |
$765.50 |
0.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$281.78 |
$433.50 |
0.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$476.45 |
$733 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$297.70 |
$458 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$545.02 |
$838.50 |
0.7× |
| Inject Rx Celiac Plexus Nerve (64680) |
$713.05 |
$1,097 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$100.42 |
$154.50 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$307.12 |
$472.50 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$310.70 |
$478 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$87.75 |
$135 |
0.1× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$828.75 |
$1,275 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$157.30 |
$242 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$177.78 |
$273.50 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$116.02 |
$178.50 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$255.12 |
$392.50 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$238.55 |
$367 |
0.9× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$81.25 |
$125 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$85.80 |
$132 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$167.05 |
$257 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$102.05 |
$157 |
0.9× |
| Insert tunneled cv cath (36561) |
$1,495.32 |
$2,300.50 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$97.50 |
$150 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,413.75 |
$2,175 |
1.0× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$2,278.58 |
$3,505.50 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$284.05 |
$437 |
1.4× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure |
$2,679.62 |
$4,122.50 |
0.2× |
| Lap ing hernia repair init (49650) |
$3,449.55 |
$5,307 |
0.7× |
| Laparoscopy appendectomy (44970) |
$4,050.80 |
$6,232 |
0.8× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,139.50 |
$4,830 |
0.6× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,073.55 |
$6,267 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,648.45 |
$5,613 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$3,003.65 |
$4,621 |
0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,019.90 |
$4,646 |
0.6× |
| Laryngoscopy w/biopsy (31535) |
$2,372.50 |
$3,650 |
0.7× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,444.95 |
$2,223 |
0.9× |
| Late closure of wound (13160) |
$2,445.95 |
$3,763 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$2,429.70 |
$3,738 |
1.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,895.40 |
$2,916 |
1.1× |
| Mastectomy gynecomastia (19300) |
$2,822.30 |
$4,342 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$850.20 |
$1,308 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$975 |
$1,500 |
1.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,904.50 |
$2,930 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$237.90 |
$366 |
1.1× |
| Puncture Aspiration (10160) |
$162.82 |
$250.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$358.80 |
$552 |
0.6× |
| Removal fb intranasal (30300) |
$137.48 |
$211.50 |
1.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,337.05 |
$2,057 |
0.5× |
| Removal foreign body foot deep (28192) |
$1,084.20 |
$1,668 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$585 |
$900 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$175.50 |
$270 |
0.1× |
| Removal foreign body pharynx (42809) |
$265.20 |
$408 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$43.88 |
$67.50 |
0.9× |
| Removal Implant Deep (20680) |
$2,755.35 |
$4,239 |
1.1× |
| Removal of arm foreign body (24200) |
$719.55 |
$1,107 |
0.5× |
| Removal of finger lesion (26210) |
$1,402.05 |
$2,157 |
1.0× |
| Removal of nail bed (11750) |
$270.72 |
$416.50 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$76.70 |
$118 |
0.4× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,424.50 |
$3,730 |
0.5× |
| Removal of tonsils (42826) |
$2,184.65 |
$3,361 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$117 |
$180 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$176.15 |
$271 |
0.7× |
| Remove by ligat int hem grps (46946) |
$1,877.85 |
$2,889 |
0.8× |
| Remove foreign body from eye (65210) |
$188.50 |
$290 |
0.5× |
| Remove shoulder foreign body (23330) |
$417.30 |
$642 |
0.3× |
| Remove wrist tendon lesion (25111) |
$1,937 |
$2,980 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$100.75 |
$155 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$78.32 |
$120.50 |
0.7× |
| Remv/revisn shldr/hip spica cast (29710) |
$143 |
$220 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$488.15 |
$751 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$525.85 |
$809 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$345.80 |
$532 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$366.60 |
$564 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$365.30 |
$562 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$290.88 |
$447.50 |
0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$603.85 |
$929 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$521.30 |
$802 |
0.8× |
| Repair incomplete circumcision (54163) |
$1,802.45 |
$2,773 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,532.10 |
$5,434 |
1.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,985.45 |
$4,593 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$375.05 |
$577 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$298.35 |
$459 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$274.95 |
$423 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$302.90 |
$466 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$295.75 |
$455 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$274.30 |
$422 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$202.80 |
$312 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$365.95 |
$563 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$227.50 |
$350 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$263.90 |
$406 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$290.55 |
$447 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$523.90 |
$806 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$340.60 |
$524 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$286.65 |
$441 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$283.40 |
$436 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$390 |
$600 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$318.50 |
$490 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$451.75 |
$695 |
0.3× |
| Repair Laceration Palate </2 Cm (42180) |
$471.25 |
$725 |
1.0× |
| Repair of hydrocele (55060) |
$2,460.90 |
$3,786 |
0.8× |
| Repair Tongue Laceration (41250) |
$179.40 |
$276 |
0.5× |
| Rerepair ing hernia blocked (49521) |
$2,997.15 |
$4,611 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$2,796.95 |
$4,303 |
0.9× |
| Revise median n/carpal tunnel surg (64721) |
$2,225.60 |
$3,424 |
1.3× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$1,710.80 |
$2,632 |
0.6× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$3,381.30 |
$5,202 |
1.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$661.05 |
$1,017 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$225.55 |
$347 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$143.32 |
$220.50 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,267.50 |
$1,950 |
0.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$582.40 |
$896 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,266.20 |
$1,948 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$938.83 |
$1,444.35 |
1.7× |
| Rplc gtube revj gstrst trc (43763) |
$393.90 |
$606 |
1.8× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$3,532.10 |
$5,434 |
0.6× |
| Rpr ing hernia baby blocked (49496) |
$3,532.10 |
$5,434 |
1.1× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,532.10 |
$5,434 |
1.1× |
| Rpr ing hernia init blocked (49501) |
$3,532.10 |
$5,434 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$315.90 |
$486 |
0.5× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,028.95 |
$1,583 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,180.40 |
$1,816 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,042.60 |
$1,604 |
1.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,079 |
$1,660 |
1.3× |
| Sigmoidoscopy w/fb removal (45332) |
$1,174.55 |
$1,807 |
1.1× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,568.45 |
$2,413 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$233.02 |
$358.50 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$168.02 |
$258.50 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$172.58 |
$265.50 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$319.15 |
$491 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$189.48 |
$291.50 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$207.68 |
$319.50 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$263.58 |
$405.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$154.70 |
$238 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$262.60 |
$404 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$174.85 |
$269 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$173.88 |
$267.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$198.58 |
$305.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$255.45 |
$393 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$484.90 |
$746 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$344.18 |
$529.50 |
0.6× |
| Strapping ankle (29540) |
$94.25 |
$145 |
0.7× |
| Strapping elbow/wrist (29260) |
$78 |
$120 |
1.5× |
| Strapping hand/finger (29280) |
$76.70 |
$118 |
1.5× |
| Strapping Hip (29520) |
$100.10 |
$154 |
0.9× |
| Strapping shoulder (29240) |
$90.68 |
$139.50 |
0.8× |
| Strapping thorax (29200) |
$100.10 |
$154 |
0.7× |
| Strapping toes (29550) |
$151.45 |
$233 |
3.0× |
| Tangential biopsy skin single lesion (11102) |
$137.80 |
$212 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$601.25 |
$925 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$601.25 |
$925 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,386.80 |
$3,672 |
0.8× |
| Trach Tube Change (31502) |
$233.02 |
$358.50 |
1.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$881.40 |
$1,356 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$241.48 |
$371.50 |
1.1× |
| Treat humerus fracture (24500) |
$227.50 |
$350 |
1.1× |
| Treat humerus fracture (23600) |
$210.60 |
$324 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$345.15 |
$531 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$286 |
$440 |
1.3× |
| Trim skin lesion (11055) |
$111.80 |
$172 |
0.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,689.05 |
$4,137 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$573.30 |
$882 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$283.40 |
$436 |
0.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$3,562.65 |
$5,481 |
0.7× |
| Unlisted Procedure Small Intestine (44799) |
$1,372.15 |
$2,111 |
1.8× |
| Vaginal delivery only (59409) |
$1,079 |
$1,660 |
0.4× |
| Vasectomy (55250) |
$1,621.75 |
$2,495 |
0.9× |
| Venipuncture (36415) |
$9.75 |
$15 |
1.0× |
Xtroral i&d absc cst/hmtma floor mouth subment (41016)
likely a partial charge, not the full procedure |
$1,128.40 |
$1,736 |
0.2× |