| Abd paracentesis w/imaging (49083) |
$2,599.60 |
$3,249.50 |
2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$835.60 |
$1,044.50 |
0.8× |
| Acne surgery (10040) |
$348.80 |
$436 |
1.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$3,010.40 |
$3,763 |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,864 |
$4,830 |
1.1× |
| Amputation Finger/Thumb (26951) |
$2,780 |
$3,475 |
0.8× |
| Amputation foot transmetarsal (28805) |
$6,022.40 |
$7,528 |
1.7× |
| Amputation metatarsal with toe single (28810) |
$1,354.80 |
$1,693.50 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$3,896.80 |
$4,871 |
1.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,425.20 |
$3,031.50 |
0.7× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$972 |
$1,215 |
0.9× |
| Anoscopy Ablation Lesion (46615) |
$1,134.80 |
$1,418.50 |
0.4× |
| Anoscopy diagnostic (46600) |
$333.60 |
$417 |
2.3× |
| Anoscopy w/control bleeding (46614) |
$1,080.40 |
$1,350.50 |
0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$729.20 |
$911.50 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$619.60 |
$774.50 |
0.5× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$894 |
$1,117.50 |
0.7× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$1,134.80 |
$1,418.50 |
0.4× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$972 |
$1,215 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,157.60 |
$1,447 |
0.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$3,310.40 |
$4,138 |
0.6× |
| Appendectomy (44950) |
$5,608.80 |
$7,011 |
0.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$613.60 |
$767 |
3.4× |
| Appl Multlay Comprs Arm/Hand (29584) |
$652 |
$815 |
3.6× |
| Application cast elbow finger short arm (29075) |
$478.80 |
$598.50 |
1.5× |
| Application Cast Finger (29086) |
$206.80 |
$258.50 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$615.20 |
$769 |
2.0× |
| Application finger splint static (29130) |
$360 |
$450 |
2.4× |
| Application long arm splint shoulder hand (29105) |
$566.80 |
$708.50 |
3.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$892.80 |
$1,116 |
2.9× |
| Application of long leg cast (29345) |
$808.80 |
$1,011 |
2.6× |
| Application short arm splint forearm-hand static (29125) |
$542.40 |
$678 |
3.7× |
| Apply Hand/Wrist Cast (29085) |
$307.60 |
$384.50 |
1.7× |
| Apply long leg splint (29505) |
$602.80 |
$753.50 |
3.3× |
| Apply short leg cast (29405) |
$671.20 |
$839 |
2.2× |
| Apply short leg cast (29425) |
$159.60 |
$199.50 |
0.5× |
| Apply short leg splint (29515) |
$528 |
$660 |
2.9× |
| Arterial puncture (36600) |
$169.60 |
$212 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$867.60 |
$1,084.50 |
2.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$973.60 |
$1,217 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,004.80 |
$1,256 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,004.80 |
$1,256 |
2.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$536 |
$670 |
1.6× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,524.80 |
$3,156 |
0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$4,256.40 |
$5,320.50 |
0.5× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,636.80 |
$4,546 |
1.0× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
unusually low: confirm this is the full procedure |
$6,859.60 |
$8,574.50 |
0.5× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$7,125.20 |
$8,906.50 |
0.5× |
| Arthroplasty interphalangeal joint each (26535) |
$3,644.40 |
$4,555.50 |
1.0× |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) |
$5,636.80 |
$7,046 |
0.7× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442)
likely a partial charge, not the full procedure |
$3,684.80 |
$4,606 |
0.3× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$4,972.40 |
$6,215.50 |
1.4× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
likely a partial charge, not the full procedure |
$4,092.80 |
$5,116 |
0.3× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$4,594.80 |
$5,743.50 |
2.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,484.40 |
$3,105.50 |
0.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$4,246 |
$5,307.50 |
1.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,724.40 |
$3,405.50 |
0.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,027.20 |
$5,034 |
1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,260 |
$4,075 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$5,422 |
$6,777.50 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$4,762 |
$5,952.50 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$4,760.80 |
$5,951 |
1.3× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$5,952.80 |
$7,441 |
1.6× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,478.40 |
$1,848 |
0.4× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$5,439.20 |
$6,799 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,405.20 |
$4,256.50 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$7,118.40 |
$8,898 |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$8,841.20 |
$11,051.50 |
2.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,372.80 |
$7,966 |
1.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$13,295.20 |
$16,619 |
1.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,274.80 |
$4,093.50 |
0.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,214.40 |
$6,518 |
0.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,791.20 |
$5,989 |
0.6× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,856.80 |
$6,071 |
1.3× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$4,081.20 |
$5,101.50 |
1.1× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$3,351.20 |
$4,189 |
0.9× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107)
unusually low: confirm this is the full procedure |
$2,773.60 |
$3,467 |
0.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$3,995.60 |
$4,994.50 |
1.1× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335)
unusually low: confirm this is the full procedure |
$3,744 |
$4,680 |
0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$11,124.40 |
$13,905.50 |
1.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,292.80 |
$6,616 |
1.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$4,313.20 |
$5,391.50 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,554.40 |
$1,943 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,665.60 |
$2,082 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$1,901.20 |
$2,376.50 |
2.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$382.40 |
$478 |
1.1× |
| Aspiration bladder needle (51100) |
$466.80 |
$583.50 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$525.60 |
$657 |
2.4× |
| Biopsy bone open deep (20245) |
$2,070.80 |
$2,588.50 |
0.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$344 |
$430 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,382.40 |
$1,728 |
0.8× |
| Biopsy of breast; open, incisional (19101) |
$2,562.40 |
$3,203 |
0.6× |
| Biopsy of floor of mouth (41108) |
$495.20 |
$619 |
0.3× |
| Biopsy of palate, uvula (42100) |
$671.20 |
$839 |
0.4× |
| Biopsy of tongue (41100) |
$674 |
$842.50 |
1.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,768.80 |
$2,211 |
0.4× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$5,883.60 |
$7,354.50 |
1.6× |
| Biopsy soft tissue neck/thorax (21550) |
$1,247.20 |
$1,559 |
0.7× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,860.80 |
$2,326 |
0.6× |
| Biopsy Tongue Posterior One-Third (41105) |
$810 |
$1,012.50 |
0.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,359.20 |
$2,949 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$420.80 |
$526 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$592.80 |
$741 |
0.6× |
| Biopsy/removal lymph nodes (38525) |
$3,360 |
$4,200 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$2,250.40 |
$2,813 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$2,574.40 |
$3,218 |
3.3× |
| Bladder Irrigation Simple (51700) |
$560 |
$700 |
2.0× |
| Blepharotomy drain absc eyelid (67700) |
$639.60 |
$799.50 |
1.8× |
| Blood patch (62273) |
$1,770.40 |
$2,213 |
2.3× |
| Blood transfusion service (36430) |
$372.40 |
$465.50 |
0.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$1,405.60 |
$1,757 |
0.2× |
| Bone Marrow Biopsy (38221) |
$1,699.20 |
$2,124 |
0.9× |
| Bx anorectal wall anal approach (45100) |
$1,985.20 |
$2,481.50 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$2,844.40 |
$3,555.50 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$724 |
$905 |
0.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,370 |
$1,712.50 |
0.4× |
| Capsular contracture release (23020) |
$3,907.60 |
$4,884.50 |
1.1× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$6,311.60 |
$7,889.50 |
0.8× |
| Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA… (0472U) |
$168 |
$210 |
6.0× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$1,058 |
$1,322.50 |
3.1× |
| Change of cystostomy tube simple (51705) |
$351.20 |
$439 |
1.3× |
| Chemical cautery tissue (17250) |
$357.60 |
$447 |
1.6× |
| Chemodenerv musc migraine (64615) |
$1,588 |
$1,985 |
4.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,045.60 |
$2,557 |
2.6× |
| Chemodenerv trunk musc 6/> (64647) |
$2,352 |
$2,940 |
3.0× |
| Circum 28 days or older (54161) |
$2,531.20 |
$3,164 |
1.1× |
| Circumcision (54150) |
$348 |
$435 |
0.1× |
| Circumcision Neonate (54160) |
$213.20 |
$266.50 |
0.3× |
| Claviculectomy partial (23120) |
$3,640.40 |
$4,550.50 |
1.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$798.80 |
$998.50 |
2.9× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,823.60 |
$3,529.50 |
1.6× |
| Closed Rx Radial Shaft Fx (25500) |
$741.60 |
$927 |
2.7× |
| Closed treat wrist dislocation (25660) |
$1,378.40 |
$1,723 |
5.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,821.60 |
$3,527 |
0.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,352.80 |
$4,191 |
1.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,262.80 |
$2,828.50 |
0.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,030.40 |
$1,288 |
3.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,573.20 |
$4,466.50 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$4,900.40 |
$6,125.50 |
17.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,377.20 |
$1,721.50 |
5.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,816 |
$4,770 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,337.60 |
$1,672 |
4.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,833.20 |
$3,541.50 |
10.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,496 |
$3,120 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$2,216.80 |
$2,771 |
8.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$715.60 |
$894.50 |
2.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,259.20 |
$5,324 |
2.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,093.20 |
$1,366.50 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,660 |
$2,075 |
6.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,969.60 |
$2,462 |
7.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,182 |
$2,727.50 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,068 |
$1,335 |
3.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,824.80 |
$2,281 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,648.80 |
$3,311 |
1.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,384.80 |
$1,731 |
5.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$600.40 |
$750.50 |
2.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$930.40 |
$1,163 |
3.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,377.20 |
$1,721.50 |
5.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,610 |
$3,262.50 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,631.20 |
$2,039 |
5.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,418.80 |
$3,023.50 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,646 |
$2,057.50 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$2,335.60 |
$2,919.50 |
8.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,515.20 |
$1,894 |
5.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$3,283.20 |
$4,104 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,063.20 |
$2,579 |
7.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,197.60 |
$1,497 |
4.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$921.60 |
$1,152 |
3.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,852 |
$2,315 |
6.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,797.60 |
$3,497 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,595.60 |
$3,244.50 |
1.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,851.20 |
$3,564 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$840.80 |
$1,051 |
3.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,266 |
$1,582.50 |
4.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$624.80 |
$781 |
2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,553.60 |
$3,192 |
9.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,738 |
$3,422.50 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$578 |
$722.50 |
2.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,410 |
$3,012.50 |
7.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,244 |
$1,555 |
4.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,633.60 |
$2,042 |
5.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,451.20 |
$1,814 |
5.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,545.60 |
$1,932 |
5.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,782 |
$2,227.50 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,483.60 |
$1,854.50 |
5.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,329.60 |
$4,162 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,289.20 |
$1,611.50 |
4.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,238.40 |
$1,548 |
4.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$550 |
$687.50 |
2.0× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$4,656.80 |
$5,821 |
2.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$536.80 |
$671 |
2.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,348 |
$2,935 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$2,181.60 |
$2,727 |
7.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$160 |
$200 |
1.1× |
| Colonoscopy flex w/inj submuc (45381) |
$2,414 |
$3,017.50 |
1.8× |
| Colonoscopy flex w/rem forcep (45384) |
$3,389.60 |
$4,237 |
2.5× |
| Colonoscopy stoma w/biopsy (44389) |
$1,664.80 |
$2,081 |
1.2× |
| Colonoscopy thru stoma (44388) |
$2,070.80 |
$2,588.50 |
2.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,519.20 |
$1,899 |
1.1× |
| Colonoscopy w/ablation (45388) |
$5,568 |
$6,960 |
4.2× |
| Colonoscopy w/band ligation (45398) |
$6,908.80 |
$8,636 |
5.2× |
| Colonoscopy w/fb removal (45379) |
$4,585.60 |
$5,732 |
3.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$5,238.80 |
$6,548.50 |
3.9× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$704.40 |
$880.50 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,216 |
$2,770 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,843.60 |
$2,304.50 |
5.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$405.60 |
$507 |
1.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$660 |
$825 |
1.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,414.40 |
$1,768 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$560.80 |
$701 |
1.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$411.20 |
$514 |
1.2× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$1,870 |
$2,337.50 |
0.5× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,628 |
$5,785 |
0.8× |
| Conization of cervix (57520) |
$2,921.20 |
$3,651.50 |
0.8× |
| Conization of cervix (57522) |
$2,907.20 |
$3,634 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$716 |
$895 |
4.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$594.40 |
$743 |
4.0× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,778.40 |
$2,223 |
3.0× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
unusually low: confirm this is the full procedure |
$3,681.20 |
$4,601.50 |
0.5× |
| Correction hammertoe (28285) |
$2,420.40 |
$3,025.50 |
0.7× |
| Correction of bunion (28292) |
$4,132.80 |
$5,166 |
1.1× |
| Correction of bunion (28299) |
$5,332.80 |
$6,666 |
0.7× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,746.80 |
$4,683.50 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,079.20 |
$5,099 |
1.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$152 |
$190 |
2.3× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$634 |
$792.50 |
2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,661.20 |
$2,076.50 |
11.2× |
| Curettage postpartum (59160) |
$1,930.40 |
$2,413 |
0.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,402.40 |
$3,003 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,692.40 |
$4,615.50 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$3,514 |
$4,392.50 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,960.80 |
$3,701 |
1.3× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$4,042.80 |
$5,053.50 |
1.7× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$1,717.60 |
$2,147 |
0.7× |
| Cystourethroscopy (52000) |
$921.60 |
$1,152 |
1.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$6,080.40 |
$7,600.50 |
1.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,108.40 |
$2,635.50 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$2,535.20 |
$3,169 |
1.1× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$3,407.20 |
$4,259 |
0.9× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$2,282.40 |
$2,853 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$256.40 |
$320.50 |
0.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,698.40 |
$3,373 |
0.8× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,919.20 |
$2,399 |
0.5× |
| Dcmprn fasct leg post compartment only (27601) |
$1,685.20 |
$2,106.50 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$5,147.20 |
$6,434 |
6.5× |
| Debride nail 1-5 (11720) |
$150.80 |
$188.50 |
2.3× |
| Debride nail 6 or more (11721) |
$147.20 |
$184 |
2.2× |
| Debride skin musc at fx site (11011) |
$5,274 |
$6,592.50 |
6.7× |
| Debride tissue/muscle (11043) |
$1,791.20 |
$2,239 |
2.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$429.60 |
$537 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,746.40 |
$2,183 |
3.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,028.80 |
$2,536 |
1.1× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,192.80 |
$2,741 |
1.2× |
| Decompression Of Tibia Nerve (28035) |
$2,997.20 |
$3,746.50 |
1.4× |
| Decompression; plantar digital nerve Facility (64726) |
$2,039.20 |
$2,549 |
0.9× |
| Delivery placenta separate procedure (59414) |
$3,951.60 |
$4,939.50 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$8,774.80 |
$10,968.50 |
4.0× |
| Destroy lumb/sac facet jnt (64635) |
$6,250 |
$7,812.50 |
2.9× |
| Destruction anal lesion(s) (46924) |
$3,728 |
$4,660 |
1.2× |
| Destruction Benign Lesions 15/> (17111) |
$256.80 |
$321 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$489.20 |
$611.50 |
2.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$4,854.40 |
$6,068 |
4.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$5,614.80 |
$7,018.50 |
5.7× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$4,342 |
$5,427.50 |
12.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$8,888 |
$11,110 |
4.1× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$1,985.20 |
$2,481.50 |
0.6× |
| Destruction Premalignant Lesion 15/> (17004) |
$324 |
$405 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$198.40 |
$248 |
0.9× |
| Destruction Vaginal Lesions Simple (57061) |
$849.60 |
$1,062 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,357.60 |
$1,697 |
1.3× |
| Dilation and curettage (58120) |
$1,817.60 |
$2,272 |
0.5× |
| Dilation of cervical canal (57800) |
$287.20 |
$359 |
0.1× |
| Drain Spinal Cord Cyst (62268) |
$1,210 |
$1,512.50 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$1,344 |
$1,680 |
3.9× |
| Drainage Abscess Parotid Simple (42300) |
$602 |
$752.50 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$510 |
$637.50 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,235.20 |
$1,544 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$700 |
$875 |
3.1× |
| Drainage of gum lesion (41800) |
$1,030 |
$1,287.50 |
6.9× |
| Drainage of hematoma/fluid (10140) |
$931.20 |
$1,164 |
0.5× |
| Drainage of hydrocele (55000) |
$424.80 |
$531 |
0.5× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$1,903.20 |
$2,379 |
0.5× |
| Drainage of pelvic abscess (45000) |
$1,738 |
$2,172.50 |
1.3× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$3,416.80 |
$4,271 |
1.5× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,814.80 |
$2,268.50 |
0.5× |
| Draw blood off venous device (36591) |
$160 |
$200 |
1.1× |
| Dressing change under anesthesia (15852) |
$120.80 |
$151 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,075.20 |
$1,344 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$655.20 |
$819 |
2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$382.40 |
$478 |
1.7× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$864.80 |
$1,081 |
0.2× |
| Dstrj lesion anus simple chemical (46900) |
$649.60 |
$812 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$1,715.60 |
$2,144.50 |
0.6× |
| Dstrj lesion penis simple surg excision (54060) |
$1,106.40 |
$1,383 |
0.5× |
| Dx bone marrow bx & aspir (38222) |
$2,315.20 |
$2,894 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,310.40 |
$5,388 |
2.0× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,466 |
$1,832.50 |
0.7× |
| Egd flexible foreign body removal (43247) |
$1,953.60 |
$2,442 |
1.9× |
| Egd guide wire insertion (43248) |
$979.60 |
$1,224.50 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,238.40 |
$1,548 |
0.6× |
| Egd remove lesion snare (43251) |
$1,327.60 |
$1,659.50 |
0.6× |
| Endocervical Curettage (57505) |
$354.80 |
$443.50 |
0.3× |
| Endometrial Biopsy (58100) |
$280 |
$350 |
1.2× |
| Endoscopic plantar fasciotomy (29893) |
$2,246.40 |
$2,808 |
0.6× |
| Epididymectomy unilateral (54860) |
$1,983.20 |
$2,479 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$975.60 |
$1,219.50 |
0.3× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$2,051.20 |
$2,564 |
0.3× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,186.40 |
$1,483 |
1.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,620 |
$2,025 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$330 |
$412.50 |
2.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$741.20 |
$926.50 |
0.9× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,105.60 |
$1,382 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,284 |
$1,605 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,818.40 |
$2,273 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$998.40 |
$1,248 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$3,260.40 |
$4,075.50 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$591.20 |
$739 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$758.40 |
$948 |
0.4× |
| Exc ganglion wrist recurrent (25112) |
$2,147.20 |
$2,684 |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,765.20 |
$3,456.50 |
0.7× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$688 |
$860 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,376.80 |
$2,971 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,215.60 |
$2,769.50 |
1.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$3,004 |
$3,755 |
1.4× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$1,761.60 |
$2,202 |
0.8× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,166 |
$2,707.50 |
1.0× |
| Exc rect tum transanal part (45171) |
$4,509.60 |
$5,637 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$592.80 |
$741 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$553.20 |
$691.50 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,059.60 |
$1,324.50 |
1.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$660.80 |
$826 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,314.40 |
$2,893 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,486.80 |
$1,858.50 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,105.60 |
$2,632 |
1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,490 |
$1,862.50 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$11,084 |
$13,855 |
3.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,359.20 |
$1,699 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,320.80 |
$4,151 |
1.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,878.80 |
$4,848.50 |
2.1× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,996.80 |
$2,496 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,113.60 |
$2,642 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,278 |
$2,847.50 |
0.7× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,713.20 |
$2,141.50 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,116.80 |
$2,646 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,412 |
$1,765 |
0.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,984.40 |
$3,730.50 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,321.20 |
$1,651.50 |
0.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,157.60 |
$2,697 |
0.6× |
| Exc/fulguration urethral caruncle (53265) |
$1,646.80 |
$2,058.50 |
0.7× |
| Excise Inferior Turbinate (30130) |
$1,379.20 |
$1,724 |
0.4× |
| Excision Breast Lesion (19125) |
$3,470.80 |
$4,338.50 |
0.8× |
| Excision H/P/P/U Complex Repair (11471) |
$3,308.80 |
$4,136 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,836 |
$4,795 |
1.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,589.60 |
$1,987 |
0.5× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$3,308.80 |
$4,136 |
1.0× |
| Excision hydrocele bilateral (55041) |
$4,282 |
$5,352.50 |
1.1× |
| Excision interdigital morton neuroma single each (28080) |
$2,330 |
$2,912.50 |
1.3× |
| Excision lesion meniscus/capsule knee (27347) |
$9,910 |
$12,387.50 |
2.7× |
| Excision lesion mouth roof (42104) |
$916.40 |
$1,145.50 |
0.2× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,546.40 |
$1,933 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$500.80 |
$626 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$583.20 |
$729 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$658.40 |
$823 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$672 |
$840 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$743.20 |
$929 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$902 |
$1,127.50 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,216 |
$1,520 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,645.60 |
$2,057 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$528.80 |
$661 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$615.20 |
$769 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$679.20 |
$849 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$852 |
$1,065 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$681.20 |
$851.50 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,190 |
$1,487.50 |
1.5× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$4,502.40 |
$5,628 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,662 |
$2,077.50 |
0.9× |
| Excision of hydrocele unilateral (55040) |
$2,937.60 |
$3,672 |
0.7× |
| Excision of lactiferous duct fistula Facility (19112) |
$2,606 |
$3,257.50 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$606.40 |
$758 |
0.5× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$2,864.80 |
$3,581 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$773.20 |
$966.50 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,641.60 |
$4,552 |
1.1× |
| Excision of single external papilla or tag, anus (46220) |
$927.60 |
$1,159.50 |
0.7× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$3,973.20 |
$4,966.50 |
1.7× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,237.20 |
$1,546.50 |
0.9× |
| Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) |
$4,225.60 |
$5,282 |
0.6× |
| Excision of tonsil tags (42860) |
$1,778.40 |
$2,223 |
0.5× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$4,449.60 |
$5,562 |
0.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$4,244.40 |
$5,305.50 |
1.1× |
| Excision olecranon bursa (24105) |
$1,978 |
$2,472.50 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$4,366.40 |
$5,458 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$2,798.80 |
$3,498.50 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$4,941.60 |
$6,177 |
0.6× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$1,049.60 |
$1,312 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,294 |
$5,367.50 |
1.3× |
| Excision prepatellar bursa (27340) |
$1,569.60 |
$1,962 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,701.60 |
$2,127 |
0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,063.20 |
$5,079 |
2.2× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,182.80 |
$2,728.50 |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,302 |
$1,627.50 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$3,095.20 |
$3,869 |
1.0× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$1,166.80 |
$1,458.50 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$2,589.20 |
$3,236.50 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,822.40 |
$2,278 |
0.6× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,268.40 |
$1,585.50 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,104 |
$1,380 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$2,028.40 |
$2,535.50 |
1.1× |
| Exploration of knee joint (27310) |
$5,045.60 |
$6,307 |
1.4× |
| Exploration penetrating wound spx extremity (20103) |
$5,124.40 |
$6,405.50 |
2.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,487.60 |
$1,859.50 |
2.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,344.80 |
$4,181 |
0.9× |
| Explore/Treat Elbow Joint (24101) |
$4,509.20 |
$5,636.50 |
1.2× |
| Explore/Treat Knee Joint (27331) |
$2,514.80 |
$3,143.50 |
0.7× |
| External cephalic version (59412) |
$1,525.60 |
$1,907 |
0.4× |
| Fasciectomy Palm Only (26121) |
$2,336.80 |
$2,921 |
0.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,255.20 |
$4,069 |
0.9× |
| Fasciotomy foot and/or toe (28008) |
$1,790.40 |
$2,238 |
0.5× |
| Fasciotomy palmar open partial (26045) |
$2,627.60 |
$3,284.50 |
0.7× |
| Fasciotomy palmar percutaneous (26040) |
$1,827.20 |
$2,284 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$8,352.40 |
$10,440.50 |
2.3× |
| Fetal non-stress test (59025) |
$540.80 |
$676 |
2.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$483.20 |
$604 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$494.40 |
$618 |
1.1× |
| Fitting of diaphragm/cap (57170) |
$289.60 |
$362 |
1.3× |
| Fixation of shoulder (23700) |
$1,642.40 |
$2,053 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,581.60 |
$4,477 |
1.6× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$3,351.60 |
$4,189.50 |
0.4× |
| Fusion of thumb (26841) |
$5,948 |
$7,435 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$287.20 |
$359 |
1.2× |
| Gastrocnemius recession (27687) |
$2,798 |
$3,497.50 |
0.8× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$4,434.40 |
$5,543 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$2,167.60 |
$2,709.50 |
0.6× |
| Hemorrhoidectomy (46255) |
$4,138.80 |
$5,173.50 |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,711.20 |
$8,389 |
2.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$5,432.40 |
$6,790.50 |
1.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$5,690.40 |
$7,113 |
1.8× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$4,397.20 |
$5,496.50 |
1.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$4,655.60 |
$5,819.50 |
1.5× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,318 |
$1,647.50 |
0.4× |
| Hysteroscopy biopsy (58558) |
$3,308.80 |
$4,136 |
0.9× |
| Hysteroscopy w endometrial ablation (58563) |
$6,333.20 |
$7,916.50 |
1.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$2,146.40 |
$2,683 |
0.6× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,838 |
$4,797.50 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$1,114 |
$1,392.50 |
4.2× |
| I&d abscess simple (10060) |
$512 |
$640 |
2.3× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$916.40 |
$1,145.50 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,131.60 |
$3,914.50 |
1.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,494.80 |
$4,368.50 |
1.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,333.60 |
$1,667 |
0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,118.80 |
$3,898.50 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$671.20 |
$839 |
0.9× |
| I&d submucosal abscess rectum (45005) |
$1,388.80 |
$1,736 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$518 |
$647.50 |
0.3× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$1,492.80 |
$1,866 |
0.5× |
| I&d vulva/perineal abscess (56405) |
$532.80 |
$666 |
1.6× |
| Incise external hemorrhoid (46083) |
$948 |
$1,185 |
3.4× |
| Incise finger tendon sheath (26055) |
$2,595.60 |
$3,244.50 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,332 |
$1,665 |
2.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,407.60 |
$3,009.50 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,335.60 |
$1,669.50 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,493.20 |
$1,866.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$710.40 |
$888 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$961.60 |
$1,202 |
4.3× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$2,232.40 |
$2,790.50 |
0.7× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$7,309.60 |
$9,137 |
2.4× |
| Incision and drainage perianal abscess superficial (46050) |
$1,518.40 |
$1,898 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,760 |
$3,450 |
0.9× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,114 |
$1,392.50 |
0.3× |
| Incision bone cortex hand/finger (26034) |
$2,401.60 |
$3,002 |
1.3× |
| Incision Drainage Lacrimal Sac (68420) |
$2,535.20 |
$3,169 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,687.20 |
$2,109 |
0.9× |
| Incision of eardrum (69421) |
$836 |
$1,045 |
0.2× |
| Incision of labial frenum (frenotomy) (40806) |
$1,013.60 |
$1,267 |
1.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$832 |
$1,040 |
0.5× |
| Incision of rectal abscess (46045) |
$3,241.20 |
$4,051.50 |
1.0× |
| Incision of rectal abscess (46040) |
$2,898.80 |
$3,623.50 |
2.2× |
| Incision of urethra (53020) |
$1,612 |
$2,015 |
0.7× |
| Incision&drainage bursa foot (28001) |
$1,036.40 |
$1,295.50 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$428.80 |
$536 |
0.5× |
| Induced abortion by d&c (59840) |
$1,114.80 |
$1,393.50 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$382.40 |
$478 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,539.60 |
$4,424.50 |
3.6× |
| Inj tendon sheath/ligament (20550) |
$554.80 |
$693.50 |
1.6× |
| Inj therapeutic carpal tunnel (20526) |
$1,094.40 |
$1,368 |
3.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$830.40 |
$1,038 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$4,909.20 |
$6,136.50 |
5.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,994.40 |
$3,743 |
3.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,371.20 |
$1,714 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$885.60 |
$1,107 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$3,542.40 |
$4,428 |
3.6× |
| Inject Tendon Origin/Insert (20551) |
$209.60 |
$262 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$3,934 |
$4,917.50 |
5.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$3,898.40 |
$4,873 |
5.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,784.40 |
$2,230.50 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$2,356.80 |
$2,946 |
6.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$815.60 |
$1,019.50 |
2.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$2,540 |
$3,175 |
3.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,944.40 |
$2,430.50 |
2.5× |
| Injection into skin lesions (11900) |
$209.60 |
$262 |
0.9× |
| Injection sclerosing solution hemorrhoids (46500) |
$492 |
$615 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$623.20 |
$779 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$743.60 |
$929.50 |
2.2× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$369.60 |
$462 |
0.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$154.40 |
$193 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$639.20 |
$799 |
4.5× |
| Insert cervical dilator (59200) |
$352.40 |
$440.50 |
1.0× |
| Insert Drug Implant Device (11981) |
$428.80 |
$536 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$2,058 |
$2,572.50 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$374.40 |
$468 |
2.5× |
| Insert tunneled cv cath (36561) |
$4,251.20 |
$5,314 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$304.40 |
$380.50 |
2.1× |
| Insj picc rs&i 5 yr+ (36573) |
$2,628.40 |
$3,285.50 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,082 |
$3,852.50 |
0.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,362.80 |
$2,953.50 |
0.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$522 |
$652.50 |
0.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,644.40 |
$4,555.50 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$1,238 |
$1,547.50 |
4.7× |
| Knee Arthroscopy/Surgery (29874) |
$5,025.20 |
$6,281.50 |
1.4× |
| Labyrinthotomy Transcanal (69801) |
$2,192 |
$2,740 |
1.3× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,181.60 |
$2,727 |
0.3× |
| Laparoscopy appendectomy (44970) |
$3,436.40 |
$4,295.50 |
0.5× |
| Laparoscopy biopsy (49321) |
$3,635.60 |
$4,544.50 |
0.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,884.80 |
$8,606 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$7,671.20 |
$9,589 |
1.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$7,137.20 |
$8,921.50 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,841.60 |
$9,802 |
1.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,994.80 |
$4,993.50 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$2,452 |
$3,065 |
0.4× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
unusually low: confirm this is the full procedure |
$3,353.60 |
$4,192 |
0.5× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$5,434.40 |
$6,793 |
0.8× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure |
$3,045.60 |
$3,807 |
0.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,897.60 |
$8,622 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,399.20 |
$4,249 |
0.5× |
| Laryngoscopy diagnostic (31505) |
$204.80 |
$256 |
0.9× |
| Laryngoscopy flexible diagnostic (31575) |
$348.80 |
$436 |
1.6× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$2,013.20 |
$2,516.50 |
4.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$1,746.40 |
$2,183 |
7.9× |
| Late closure of wound (13160) |
$2,442 |
$3,052.50 |
0.6× |
| Lateral retinacular release open (27425) |
$2,103.60 |
$2,629.50 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$1,496.40 |
$1,870.50 |
1.4× |
| Ligation Of Neck Artery (37615) |
$7,661.20 |
$9,576.50 |
2.2× |
| Ligation or biopsy temporal artery (37609) |
$2,274.80 |
$2,843.50 |
1.2× |
| Liver Biopsy (47000) |
$282.40 |
$353 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$605.60 |
$757 |
0.3× |
| Manipulation knee joint under general anesthesia (27570) |
$3,089.60 |
$3,862 |
1.7× |
| Manipulation, elbow, under anesthesia (24300) |
$1,661.20 |
$2,076.50 |
0.9× |
| Manipulation, wrist, under anesthesia (25259) |
$588 |
$735 |
0.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$791.20 |
$989 |
0.2× |
| Mast mod rad (19307) |
$5,480.80 |
$6,851 |
0.7× |
| Mastoidectomy; complete (69502) |
$4,756.80 |
$5,946 |
0.7× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$4,644 |
$5,805 |
1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$4,116.80 |
$5,146 |
5.2× |
| N Block Inj, Plantar Digit (64455) |
$144 |
$180 |
0.4× |
| Nasal endoscopy dx (31231) |
$643.20 |
$804 |
2.9× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$1,728.80 |
$2,161 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$412.80 |
$516 |
0.8× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$4,613.20 |
$5,766.50 |
1.2× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,156.80 |
$2,696 |
1.0× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,282.40 |
$2,853 |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$4,488.80 |
$5,611 |
2.1× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$4,982.40 |
$6,228 |
2.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,091.60 |
$5,114.50 |
1.9× |
| Nipple exploration (19110) |
$2,635.60 |
$3,294.50 |
0.6× |
| Njx aa&/strd sciatic nerve (64445) |
$844.40 |
$1,055.50 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,870.40 |
$3,588 |
2.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,392.40 |
$4,240.50 |
3.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$4,329.20 |
$5,411.50 |
4.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,464 |
$4,330 |
4.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$4,342 |
$5,427.50 |
4.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,428.40 |
$4,285.50 |
4.4× |
| Occipital Nerve Block (64405) |
$1,481.60 |
$1,852 |
4.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,394.40 |
$6,743 |
0.7× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$3,941.20 |
$4,926.50 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$3,929.20 |
$4,911.50 |
0.5× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,754 |
$3,442.50 |
0.3× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) |
$5,723.20 |
$7,154 |
0.7× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$4,907.60 |
$6,134.50 |
0.6× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
unusually low: confirm this is the full procedure |
$3,496.80 |
$4,371 |
0.4× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge, not the full procedure |
$2,559.60 |
$3,199.50 |
0.2× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$6,774.80 |
$8,468.50 |
0.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$4,173.20 |
$5,216.50 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,845.20 |
$3,556.50 |
0.8× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$3,626.40 |
$4,533 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$2,106.40 |
$2,633 |
0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,906.80 |
$4,883.50 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,793.20 |
$4,741.50 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,296.40 |
$7,870.50 |
0.8× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$2,963.20 |
$3,704 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,972.80 |
$3,716 |
0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$5,506.40 |
$6,883 |
0.7× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$2,910.80 |
$3,638.50 |
0.4× |
| Ostectomy complete 1st metatarsal head (28111) |
$1,665.60 |
$2,082 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,367.20 |
$1,709 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,080.40 |
$2,600.50 |
0.6× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$1,983.20 |
$2,479 |
0.2× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$2,937.60 |
$3,672 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,226.40 |
$2,783 |
0.6× |
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure |
$3,616.80 |
$4,521 |
0.4× |
| Ovarian cystectomy (58925) |
$7,084.80 |
$8,856 |
1.3× |
| Palatopharyngoplasty (42145) |
$5,686.80 |
$7,108.50 |
0.9× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$5,441.20 |
$6,801.50 |
1.0× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Facility (24145)
unusually low: confirm this is the full procedure |
$3,596.80 |
$4,496 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,456.80 |
$3,071 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,932.40 |
$3,665.50 |
0.8× |
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure |
$2,686.40 |
$3,358 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,022.80 |
$2,528.50 |
1.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,899.60 |
$2,374.50 |
1.1× |
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure |
$2,278.80 |
$2,848.50 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$704.40 |
$880.50 |
0.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,910.80 |
$2,388.50 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$624.80 |
$781 |
2.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,029.20 |
$3,786.50 |
0.8× |
| Picc line placement (36569) |
$2,000.40 |
$2,500.50 |
1.1× |
| Pin hand dislocation (26676) |
$5,862.40 |
$7,328 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$699.20 |
$874 |
1.4× |
| Placement of seton (46020) |
$1,182.80 |
$1,478.50 |
0.4× |
| Plastic operation on penis to correct angulation Facility (54360) |
$5,668.80 |
$7,086 |
1.4× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,627.20 |
$2,034 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$368.40 |
$460.50 |
0.4× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$845.60 |
$1,057 |
0.3× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$845.60 |
$1,057 |
0.6× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$845.60 |
$1,057 |
0.3× |
| Proctosigmoid w/biopsy (45305) |
$592.80 |
$741 |
0.4× |
| Proctosigmoidoscopy dilate (45303) |
$504 |
$630 |
0.4× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$1,277.20 |
$1,596.50 |
0.4× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,263.60 |
$1,579.50 |
0.9× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$1,131.20 |
$1,414 |
0.4× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$1,348 |
$1,685 |
1.0× |
| Prostate Saturation Sampling (55706) |
$2,744.80 |
$3,431 |
0.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,455.60 |
$1,819.50 |
0.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$2,320.80 |
$2,901 |
0.6× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$11,893.60 |
$14,867 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$346.40 |
$433 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$689.60 |
$862 |
0.9× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$474.40 |
$593 |
1.0× |
| Radical styloidectomy separate procedure (25230) |
$2,726 |
$3,407.50 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$10,369.60 |
$12,962 |
4.8× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$575.20 |
$719 |
0.6× |
| Reconstruct Shoulder Joint (23470) |
$7,390.80 |
$9,238.50 |
0.5× |
| Reconstruction of nail bed with graft (11762) |
$1,591.20 |
$1,989 |
0.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$5,486.80 |
$6,858.50 |
0.7× |
| Release wrist/forearm tendon (25295) |
$2,389.60 |
$2,987 |
0.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,012.40 |
$2,515.50 |
0.6× |
| Removal foreign body foot deep (28192) |
$2,145.60 |
$2,682 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$938.40 |
$1,173 |
1.2× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$4,585.60 |
$5,732 |
1.4× |
| Removal foreign body intranasal (30300) |
$468.80 |
$586 |
3.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$843.20 |
$1,054 |
0.5× |
| Removal foreign body pharynx (42809) |
$742 |
$927.50 |
1.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,856.80 |
$2,321 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$98.40 |
$123 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$322.40 |
$403 |
4.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$710 |
$887.50 |
0.2× |
| Removal implant deep (20680) |
$3,078 |
$3,847.50 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,365.20 |
$1,706.50 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$253.60 |
$317 |
0.3× |
| Removal of adenoids (42831) |
$878.80 |
$1,098.50 |
0.2× |
| Removal of adenoids (42830) |
$1,126.80 |
$1,408.50 |
0.3× |
| Removal of anal fissure (46200) |
$3,212.80 |
$4,016 |
1.0× |
| Removal of ankle implant (27704) |
$2,217.20 |
$2,771.50 |
0.6× |
| Removal of arm foreign body (24200) |
$184.40 |
$230.50 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,040.80 |
$2,551 |
1.5× |
| Removal of finger lesion (26210) |
$2,854.80 |
$3,568.50 |
1.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$544 |
$680 |
1.1× |
| Removal of heel spur (28119) |
$2,333.60 |
$2,917 |
0.6× |
| Removal of iud (58301) |
$292.40 |
$365.50 |
0.9× |
| Removal of knee cartilage (27332) |
$3,451.20 |
$4,314 |
0.9× |
| Removal of nail bed (11750) |
$1,528.80 |
$1,911 |
3.4× |
| Removal of sesamoid bone (28315) |
$1,847.60 |
$2,309.50 |
0.5× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$1,702 |
$2,127.50 |
0.5× |
| Removal Of Tendon Lesion (27630) |
$6,878.80 |
$8,598.50 |
1.9× |
| Removal of testis (54520) |
$2,571.60 |
$3,214.50 |
0.7× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$1,662.80 |
$2,078.50 |
0.3× |
| Removal of tonsils (42826) |
$3,552 |
$4,440 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$556.40 |
$695.50 |
2.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$300.40 |
$375.50 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,386 |
$1,732.50 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$276 |
$345 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$176 |
$220 |
0.6× |
| Remove anal fist subq (46270) |
$3,105.60 |
$3,882 |
1.0× |
| Remove drug implant device (11982) |
$368 |
$460 |
0.7× |
| Remove ext hem groups 2+ (46250) |
$3,392 |
$4,240 |
1.1× |
| Remove foreign body from eye (65235) |
$1,656 |
$2,070 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$4,170.80 |
$5,213.50 |
1.3× |
| Remove Tendon Sheath Lesion (26160) |
$2,015.20 |
$2,519 |
1.1× |
| Remove/Insert Drug Implant (11983) |
$526.40 |
$658 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,456.80 |
$1,821 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$602 |
$752.50 |
4.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$520.40 |
$650.50 |
3.5× |
| Renal Biopsy Percutaneous (50200) |
$3,955.20 |
$4,944 |
2.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$2,421.20 |
$3,026.50 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$2,380 |
$2,975 |
2.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$4,646 |
$5,807.50 |
5.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,899.20 |
$2,374 |
4.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$3,672 |
$4,590 |
8.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,631.20 |
$2,039 |
3.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,669.60 |
$3,337 |
5.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,198.80 |
$1,498.50 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,711.20 |
$2,139 |
2.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,188 |
$3,985 |
1.8× |
| Repair eyelid wound (67930) |
$2,698.40 |
$3,373 |
1.0× |
| Repair hand tendon (26410) |
$2,971.20 |
$3,714 |
1.7× |
| Repair incomplete circumcision (54163) |
$820 |
$1,025 |
0.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,040.40 |
$5,050.50 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$5,608.40 |
$7,010.50 |
1.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,850.80 |
$6,063.50 |
1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$8,550 |
$10,687.50 |
2.1× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$5,776.40 |
$7,220.50 |
1.4× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$4,998.40 |
$6,248 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$3,042 |
$3,802.50 |
6.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,195.20 |
$1,494 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,588 |
$1,985 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,832.40 |
$2,290.50 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$2,724.80 |
$3,406 |
6.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$2,147.60 |
$2,684.50 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,135.20 |
$1,419 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,481.60 |
$1,852 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,445.60 |
$1,807 |
1.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,836.80 |
$2,296 |
4.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$920.40 |
$1,150.50 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,196.80 |
$1,496 |
2.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$5,715.20 |
$7,144 |
6.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,568 |
$1,960 |
3.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,579.60 |
$3,224.50 |
1.1× |
| Repair lumbar hernia (49540) |
$5,608.40 |
$7,010.50 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$7,927.60 |
$9,909.50 |
1.1× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$2,991.60 |
$3,739.50 |
0.4× |
| Repair of nail bed (11760) |
$1,826 |
$2,282.50 |
2.2× |
| Repair of nasal septum (30520) |
$5,862.40 |
$7,328 |
1.6× |
| Repair of rectocele (45560) |
$4,075.60 |
$5,094.50 |
1.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$5,884.40 |
$7,355.50 |
0.7× |
| Repair of shoulder (23420) |
$8,123.20 |
$10,154 |
1.0× |
Repair paravag defect vag (57285)
unusually low: confirm this is the full procedure |
$3,482.80 |
$4,353.50 |
0.4× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$6,034.80 |
$7,543.50 |
1.5× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$5,704 |
$7,130 |
1.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$8,744.40 |
$10,930.50 |
1.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$7,634 |
$9,542.50 |
1.9× |
| Repair rotator cuff acute (23410) |
$5,336.80 |
$6,671 |
0.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,670.40 |
$7,088 |
0.7× |
| Repair tongue laceration (41252) |
$3,485.60 |
$4,357 |
13.2× |
| Repair Tongue Laceration (41250) |
$634 |
$792.50 |
1.3× |
| Repair tympanic membrane (69610) |
$640.80 |
$801 |
0.4× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$2,291.20 |
$2,864 |
0.3× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$6,230.40 |
$7,788 |
0.8× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$4,489.20 |
$5,611.50 |
0.6× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$3,180 |
$3,975 |
0.4× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$5,377.60 |
$6,722 |
0.7× |
| Repair/graft wrist bone (25440) |
$4,797.20 |
$5,996.50 |
0.6× |
| Repair/revise wrist joint (25320) |
$6,569.60 |
$8,212 |
0.8× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$2,463.20 |
$3,079 |
0.6× |
| Revise Hand/Foot Nerve (64704) |
$2,628.40 |
$3,285.50 |
1.2× |
| Revise Lower Leg Tendon (27691) |
$4,835.20 |
$6,044 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$3,170.40 |
$3,963 |
1.5× |
| Revise vag graft via vagina (57295) |
$2,467.20 |
$3,084 |
0.7× |
| Revision of lower leg tendon (27685) |
$3,032.40 |
$3,790.50 |
0.8× |
| Revision of penis (54300) |
$2,808.40 |
$3,510.50 |
0.7× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$6,780.80 |
$8,476 |
0.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,315.20 |
$4,144 |
0.9× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$9,834.40 |
$12,293 |
1.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$642.80 |
$803.50 |
4.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$297.20 |
$371.50 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,464.40 |
$3,080.50 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,326.40 |
$1,658 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$792 |
$990 |
1.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$9,536.40 |
$11,920.50 |
1.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$7,182 |
$8,977.50 |
1.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,492 |
$11,865 |
1.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$8,495.20 |
$10,619 |
2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$7,554.80 |
$9,443.50 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$9,163.60 |
$11,454.50 |
1.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,151.20 |
$5,189 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$2,442.80 |
$3,053.50 |
3.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$8,062.40 |
$10,078 |
4.7× |
| Rpr non-union mtcrpl/phalanx (26546) |
$5,283.60 |
$6,604.50 |
0.7× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
$6,391.60 |
$7,989.50 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,950.40 |
$2,438 |
1.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,916 |
$3,645 |
2.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$274.40 |
$343 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$671.20 |
$839 |
3.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$518.40 |
$648 |
2.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$333.60 |
$417 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$346.40 |
$433 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$366.40 |
$458 |
0.8× |
| Shoulder arthroscopy (29805) |
$2,567.60 |
$3,209.50 |
0.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$7,344.80 |
$9,181 |
2.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$561.60 |
$702 |
2.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$332 |
$415 |
1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$235.20 |
$294 |
1.1× |
| Sigmoidoscopy & decompress (45337) |
$2,204 |
$2,755 |
2.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,724.40 |
$3,405.50 |
2.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$2,492 |
$3,115 |
2.4× |
| Sigmoidoscopy w/biopsy (45331) |
$1,450.40 |
$1,813 |
1.4× |
| Sigmoidoscopy w/fb removal (45332) |
$1,575.20 |
$1,969 |
1.2× |
| Simple Cystometrogram (51725) |
$592 |
$740 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,808.80 |
$2,261 |
4.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$822.40 |
$1,028 |
3.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$902.40 |
$1,128 |
4.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,057.20 |
$1,321.50 |
4.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$1,461.20 |
$1,826.50 |
6.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$735.20 |
$919 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,102.80 |
$1,378.50 |
4.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,018.40 |
$1,273 |
4.6× |
| Skin tissue rearrangement (14040) |
$3,522 |
$4,402.50 |
1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,658.40 |
$7,073 |
1.0× |
| Slitting of prepuce (54001) |
$371.20 |
$464 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$862.80 |
$1,078.50 |
3.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,249.60 |
$1,562 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,536 |
$1,920 |
3.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,394 |
$4,242.50 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$769.60 |
$962 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$835.20 |
$1,044 |
1.1× |
| Strapping ankle (29540) |
$199.20 |
$249 |
1.1× |
| Strapping elbow or wrist (29260) |
$203.20 |
$254 |
3.1× |
| Strapping hand/finger (29280) |
$182.80 |
$228.50 |
2.8× |
| Strapping Hip (29520) |
$255.60 |
$319.50 |
1.7× |
| Strapping knee (29530) |
$256 |
$320 |
1.7× |
| Strapping shoulder (29240) |
$188.80 |
$236 |
1.3× |
| Strapping thorax (29200) |
$232.40 |
$290.50 |
1.3× |
| Strapping toes (29550) |
$105.20 |
$131.50 |
1.6× |
| Strapping unna boot (29580) |
$364.80 |
$456 |
2.0× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$5,441.20 |
$6,801.50 |
1.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,552.80 |
$5,691 |
1.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$1,660.80 |
$2,076 |
0.5× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$2,414 |
$3,017.50 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$2,784.80 |
$3,481 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,498.40 |
$4,373 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$445.20 |
$556.50 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,422.40 |
$3,028 |
0.7× |
| Tenodesis at wrist; extensors of fingers Facility (25301) |
$3,982.40 |
$4,978 |
1.1× |
| Tenodesis long tendon biceps (23430) |
$6,030 |
$7,537.50 |
0.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$795.20 |
$994 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,443.20 |
$1,804 |
0.8× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$3,517.20 |
$4,396.50 |
0.4× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$3,342 |
$4,177.50 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$839.60 |
$1,049.50 |
0.5× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,097.60 |
$1,372 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,304.80 |
$1,631 |
1.9× |
| Tnot elbow lateral/medial debride open (24358) |
$3,874.40 |
$4,843 |
1.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,304 |
$5,380 |
1.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,836.40 |
$2,295.50 |
0.5× |
| Total hip arthroplasty (27130) |
$13,978.40 |
$17,473 |
1.0× |
| Total Knee Arthroplasty (27447) |
$15,406 |
$19,257.50 |
1.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,463.20 |
$1,829 |
5.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,932 |
$3,665 |
1.7× |
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400)
unusually low: confirm this is the full procedure |
$3,776.80 |
$4,721 |
0.5× |
| Transur electr resection of prostate (52601) |
$4,030 |
$5,037.50 |
0.7× |
| Transurethral incision of prostate (52450) |
$2,516.80 |
$3,146 |
0.6× |
| Transurethral resection bladder neck (52500) |
$3,002.80 |
$3,753.50 |
0.8× |
| Treat clavicle fracture (23505) |
$1,778.40 |
$2,223 |
1.0× |
| Treat Hand Dislocation (26685) |
$8,052.40 |
$10,065.50 |
2.2× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$3,130 |
$3,912.50 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$1,791.20 |
$2,239 |
6.5× |
| Treat Thumb Dislocation (26641) |
$1,079.60 |
$1,349.50 |
3.9× |
| Treat Vaginal Bleeding (57180) |
$404.80 |
$506 |
1.8× |
| Treatment closed elbow dislocation req anes (24605) |
$2,281.60 |
$2,852 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,833.20 |
$2,291.50 |
6.7× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$3,559.60 |
$4,449.50 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$2,156.80 |
$2,696 |
0.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,816.40 |
$2,270.50 |
0.5× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$2,181.60 |
$2,727 |
0.3× |
| Trim skin lesion (11055) |
$242.40 |
$303 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$284.40 |
$355.50 |
1.3× |
| Trim skin lesions over 4 (11057) |
$168.80 |
$211 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$82.40 |
$103 |
1.3× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,096 |
$1,370 |
0.6× |
| Tubal ligation (58600) |
$5,115.60 |
$6,394.50 |
1.4× |
| Tube thoracostomy includes water seal (32551) |
$2,109.20 |
$2,636.50 |
1.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,278 |
$6,597.50 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,566 |
$5,707.50 |
1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,355.20 |
$2,944 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,358 |
$2,947.50 |
2.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,688 |
$2,110 |
3.7× |
| Tympanostomy (69433) |
$702.80 |
$878.50 |
1.2× |
| Tympanostomy general anesthesia (69436) |
$952.40 |
$1,190.50 |
0.6× |
| Unlisted procedure anus (46999) |
$1,965.60 |
$2,457 |
1.9× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,790.40 |
$3,488 |
10.2× |
| Unlisted procedure rectum (45999) |
$3,543.20 |
$4,429 |
3.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,500 |
$1,875 |
6.7× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$6,957.20 |
$8,696.50 |
1.2× |
| Us urine capacity measure (51798) |
$204.80 |
$256 |
3.1× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$2,343.20 |
$2,929 |
0.6× |
| Vaginal delivery only (59409) |
$5,132 |
$6,415 |
1.4× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$4,281.60 |
$5,352 |
1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,092 |
$2,615 |
0.9× |
| Venipuncture (36415) |
$37.60 |
$47 |
4.0× |
| Vulvectomy Simple Partial (56620) |
$3,204.80 |
$4,006 |
0.9× |
| Wedge excision skin nail fold (11765) |
$1,482.80 |
$1,853.50 |
3.3× |
| Wedging of cast (29740) |
$224.40 |
$280.50 |
0.7× |
| Wrist arthroscopy (29840) |
$2,912.40 |
$3,640.50 |
0.8× |