| Abd paracentesis w/imaging (49083) |
$756.30 |
$1,260.50 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$294 |
$490 |
0.4× |
| Acne Surgery (10040) |
$180 |
$300 |
1.0× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,200 |
$2,000 |
0.6× |
| Amp thigh thru femur sec closure/scar revision (27594) |
$940.80 |
$1,568 |
0.3× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,804.20 |
$3,007 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,068 |
$1,780 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$720 |
$1,200 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,440 |
$2,400 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$213 |
$355 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$702 |
$1,170 |
0.2× |
| Amputation, foot; transmetatarsal (28805) |
$1,329 |
$2,215 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,710 |
$2,850 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,171.20 |
$1,952 |
0.4× |
| Anoscopy (46611) |
$204 |
$340 |
0.2× |
| Anoscopy Ablation Lesion (46615) |
$336 |
$560 |
0.1× |
| Anoscopy diagnostic (46600) |
$593.10 |
$988.50 |
4.9× |
| Anoscopy w/rmvl lesion cautery (46610) |
$143.40 |
$239 |
0.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$190.20 |
$317 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$184.20 |
$307 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,132.80 |
$1,888 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$30 |
$50 |
0.2× |
| Application cast elbow finger short arm (29075) |
$332.40 |
$554 |
1.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$240.60 |
$401 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$315 |
$525 |
1.2× |
| Application finger splint static (29130) |
$67.20 |
$112 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$240.60 |
$401 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$240.60 |
$401 |
1.6× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$1,338 |
$2,230 |
0.1× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$720 |
$1,200 |
0.1× |
| Application of long leg cast (29345) |
$147 |
$245 |
0.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$264 |
$440 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$240.60 |
$401 |
2.0× |
| Application short leg splint calf foot (29515) |
$240.60 |
$401 |
1.6× |
| Apply short leg cast (29405) |
$103.56 |
$172.60 |
0.4× |
| Arterial puncture (36600) |
$177 |
$295 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$90 |
$150 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$114 |
$190 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$90 |
$150 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$90 |
$150 |
0.3× |
Arthrodesis knee any technique (27580)
likely a partial charge, not the full procedure |
$1,779 |
$2,965 |
0.2× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810)
likely a partial charge, not the full procedure |
$1,560 |
$2,600 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$2,640 |
$4,400 |
0.2× |
Arthroplasty, patella; with prosthesis (27438)
likely a partial charge, not the full procedure |
$1,011 |
$1,685 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,839 |
$3,065 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$726 |
$1,210 |
0.2× |
| Arthroscopy of joint (29999) |
$150 |
$250 |
0.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$738 |
$1,230 |
0.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,158 |
$1,930 |
0.4× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$591 |
$985 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$617.40 |
$1,029 |
0.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$924 |
$1,540 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,050 |
$1,750 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,260 |
$2,100 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$570 |
$950 |
0.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,243.20 |
$2,072 |
0.4× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
likely a partial charge, not the full procedure |
$996 |
$1,660 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,968 |
$3,280 |
0.3× |
Arthrotomy hip w/drainage (27030)
likely a partial charge, not the full procedure |
$1,725 |
$2,875 |
0.3× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$660 |
$1,100 |
0.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$720 |
$1,200 |
0.2× |
| Aspir/inj thyroid cyst (60300) |
$600 |
$1,000 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$105 |
$175 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$387 |
$645 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$166.50 |
$277.50 |
0.9× |
| Biopsy Bone Open Deep (20245) |
$423 |
$705 |
0.2× |
| Biopsy bone open superficial (20240) |
$210 |
$350 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,134.20 |
$3,557 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,273.50 |
$2,122.50 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$546.60 |
$911 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$187.20 |
$312 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$105 |
$175 |
0.1× |
| Biopsy of eyelid lining (68100) |
$159 |
$265 |
0.1× |
| Biopsy of lip (40490) |
$223.80 |
$373 |
1.0× |
| Biopsy of prostate (55705) |
$486 |
$810 |
0.2× |
| Biopsy of uterus lining (58100) |
$199.20 |
$332 |
1.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$444 |
$740 |
0.1× |
| Biopsy pleura percutaneous needle (32400) |
$2,260.80 |
$3,768 |
1.5× |
| Biopsy Salivary Gland,Needle (42400) |
$715.20 |
$1,192 |
1.1× |
| Biopsy soft tissue neck/thorax (21550) |
$293.40 |
$489 |
0.2× |
| Biopsy soft tissue of back (21920) |
$330 |
$550 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$760.80 |
$1,268 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$636 |
$1,060 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$457.50 |
$762.50 |
0.7× |
| Bladder Irrigation Simple (51700) |
$139.20 |
$232 |
0.6× |
| Bladder Scan (51798) |
$118.50 |
$197.50 |
2.2× |
| Blood transfusion service (36430) |
$513.60 |
$856 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$283.20 |
$472 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$558 |
$930 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$315 |
$525 |
0.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$151.20 |
$252 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$711 |
$1,185 |
0.5× |
| Canthotomy Separate Procedure (67715) |
$4,080 |
$6,800 |
1.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$109.50 |
$182.50 |
0.6× |
| Change Cystostomy Tube Complicated (51710) |
$225.60 |
$376 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$264 |
$440 |
1.2× |
| Chemical Cautery Tissue (17250) |
$90 |
$150 |
0.5× |
| Chest tube placement (32551) |
$372 |
$620 |
0.3× |
| Circum 28 days or older (54161) |
$345 |
$575 |
0.2× |
| Circumcision (54150) |
$276 |
$460 |
0.1× |
| Claviculectomy; partial (23120) |
$1,050 |
$1,750 |
0.4× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,785 |
$2,975 |
1.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$738 |
$1,230 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$416.40 |
$694 |
1.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,752 |
$2,920 |
1.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$2,169 |
$3,615 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$540 |
$900 |
2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$416.40 |
$694 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$454.50 |
$757.50 |
2.0× |
| Closed tx femoral fracture prox head w manip (27268) |
$987 |
$1,645 |
0.7× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$2,751 |
$4,585 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$259.80 |
$433 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$416.40 |
$694 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$736.20 |
$1,227 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$201.60 |
$336 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$438 |
$730 |
2.0× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$1,384.20 |
$2,307 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$196.20 |
$327 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,770.80 |
$4,618 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$460.20 |
$767 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,389.20 |
$3,982 |
1.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$489 |
$815 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$456 |
$760 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$448.20 |
$747 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$358.50 |
$597.50 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$416.40 |
$694 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$888 |
$1,480 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,253.60 |
$3,756 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$240 |
$400 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,005.40 |
$5,009 |
2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$416.40 |
$694 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,599 |
$2,665 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,260 |
$2,100 |
5.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$198 |
$330 |
0.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,758 |
$2,930 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$317.10 |
$528.50 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$360 |
$600 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$472.20 |
$787 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$363 |
$605 |
1.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,056 |
$1,760 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$298.20 |
$497 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,631.60 |
$4,386 |
1.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$900 |
$1,500 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$792 |
$1,320 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$632.40 |
$1,054 |
0.6× |
| Colonoscopy thru stoma (44388) |
$300 |
$500 |
0.4× |
| Colonoscopy w/ablation (45388) |
$634.80 |
$1,058 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$285 |
$475 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$218.40 |
$364 |
0.8× |
| Colposcopy vulva (56820) |
$152.40 |
$254 |
0.8× |
| Colposcopy vulva w/biopsy (56821) |
$233.10 |
$388.50 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$459.28 |
$765.46 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$390 |
$650 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$434.40 |
$724 |
0.4× |
| Complete replacement picc rs&i (36584) |
$1,271.10 |
$2,118.50 |
0.9× |
| Complex Drainage, Wound (10180) |
$321 |
$535 |
0.1× |
| Complex Uroflowmetry (51741) |
$15 |
$25 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$172.50 |
$287.50 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$153 |
$255 |
1.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge, not the full procedure |
$1,521 |
$2,535 |
0.1× |
Coracoacromial ligament release, with or without acromioplasty (23415)
likely a partial charge, not the full procedure |
$786 |
$1,310 |
0.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,505.10 |
$2,508.50 |
1.0× |
| Correction of bunion (28292) |
$870 |
$1,450 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$191.10 |
$318.50 |
1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,136.30 |
$3,560.50 |
1.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$504.60 |
$841 |
0.2× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$969 |
$1,615 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$435 |
$725 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$607.80 |
$1,013 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$422.40 |
$704 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$702 |
$1,170 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$867 |
$1,445 |
0.3× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$292.80 |
$488 |
0.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$912.60 |
$1,521 |
0.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$1,080 |
$1,800 |
0.2× |
| Cysto/uretero w/lithotripsy (52356) |
$1,017 |
$1,695 |
0.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$718.20 |
$1,197 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$827.40 |
$1,379 |
0.4× |
| Cystoscopy w/complex removal stone & stent (52315) |
$513.60 |
$856 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$453 |
$755 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$381 |
$635 |
0.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$713.40 |
$1,189 |
0.4× |
| Cystourethroscopy (52000) |
$675.90 |
$1,126.50 |
1.1× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$291 |
$485 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$521.40 |
$869 |
0.3× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$714 |
$1,190 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$609 |
$1,015 |
0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$654 |
$1,090 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$615 |
$1,025 |
0.3× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$748.80 |
$1,248 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$713.40 |
$1,189 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$69 |
$115 |
0.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$888 |
$1,480 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$330 |
$550 |
0.5× |
| Debride nail 1-5 (11720) |
$65.10 |
$108.50 |
1.2× |
| Debride nail 6 or more (11721) |
$136.20 |
$227 |
2.5× |
| Debride skin musc at fx site (11011) |
$558 |
$930 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$174 |
$290 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$279.60 |
$466 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$417 |
$695 |
0.3× |
| Declot vascular device (36593) |
$294 |
$490 |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$825 |
$1,375 |
0.6× |
| Decompression of leg (27892) |
$1,000.80 |
$1,668 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$159 |
$265 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$213.60 |
$356 |
1.2× |
| Destruction of skin lesions (17106) |
$480 |
$800 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$112.80 |
$188 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$147.30 |
$245.50 |
0.2× |
| Dil urethra,female,subsequent (53661) |
$147 |
$245 |
1.2× |
| Dilate urethra stricture (53620) |
$273 |
$455 |
0.4× |
| Dilate Urethra Stricture (53600) |
$254.10 |
$423.50 |
1.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$297 |
$495 |
0.4× |
| Dilation of cervical canal (57800) |
$2,997.72 |
$4,996.20 |
1.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$168.90 |
$281.50 |
1.4× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$155.10 |
$258.50 |
1.3× |
| Drain hand tendon sheath (26020) |
$648.60 |
$1,081 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$390 |
$650 |
0.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$216.60 |
$361 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$201.60 |
$336 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$317.40 |
$529 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$279 |
$465 |
1.5× |
| Drainage mouth roof lesion (42000) |
$273 |
$455 |
1.3× |
| Drainage of bone lesion (27303) |
$747 |
$1,245 |
0.3× |
| Drainage of gum lesion (41800) |
$398.40 |
$664 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$232.80 |
$388 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$306 |
$510 |
0.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,200 |
$2,000 |
0.4× |
| Dressing change under anesthesia (15852) |
$57 |
$95 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$294 |
$490 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$285 |
$475 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$132 |
$220 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$51 |
$85 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$252 |
$420 |
0.1× |
| Dstrj lesion penis simple surg excision (54060) |
$508.20 |
$847 |
0.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$600.60 |
$1,001 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$420 |
$700 |
0.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$324 |
$540 |
0.2× |
| Egd flexible foreign body removal (43247) |
$333.60 |
$556 |
0.4× |
| Egd guide wire insertion (43248) |
$424.20 |
$707 |
0.5× |
| Egd place gastrostomy tube (43246) |
$354 |
$590 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$324 |
$540 |
0.2× |
| Egd remove lesion snare (43251) |
$373.80 |
$623 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$390 |
$650 |
0.2× |
| Endoscopic Injection/Implant (51715) |
$423.60 |
$706 |
0.1× |
| Enterorrhaphy single perforation (44602) |
$2,508.60 |
$4,181 |
0.7× |
| Epididymectomy unilateral (54860) |
$1,035 |
$1,725 |
0.3× |
| Esophagoscopy flex biopsy (43202) |
$195.60 |
$326 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$276 |
$460 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$180 |
$300 |
0.2× |
| Esophagoscopy lesion ablate (43229) |
$511.80 |
$853 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$108.90 |
$181.50 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$720 |
$1,200 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$754.80 |
$1,258 |
0.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$720 |
$1,200 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$569.40 |
$949 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$271.20 |
$452 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$310.20 |
$517 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$633.60 |
$1,056 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$1,233 |
$2,055 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$580.20 |
$967 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$198 |
$330 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$307.20 |
$512 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$653.40 |
$1,089 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$747 |
$1,245 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$545.40 |
$909 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$569.40 |
$949 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$702 |
$1,170 |
0.2× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$1,260 |
$2,100 |
0.5× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$1,539 |
$2,565 |
0.9× |
| Exc rect tum transanal part (45171) |
$1,476 |
$2,460 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$727.20 |
$1,212 |
0.5× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,140 |
$1,900 |
0.4× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,061.60 |
$3,436 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$191.40 |
$319 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$222 |
$370 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$210 |
$350 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$252.60 |
$421 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$558.60 |
$931 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$275.40 |
$459 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$570 |
$950 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$478.20 |
$797 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$393 |
$655 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$403.80 |
$673 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$698.40 |
$1,164 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$537 |
$895 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$571.80 |
$953 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$679.20 |
$1,132 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,407 |
$2,345 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$204 |
$340 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$164.70 |
$274.50 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$982.80 |
$1,638 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,827 |
$3,045 |
0.7× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$924 |
$1,540 |
0.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$936.60 |
$1,561 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$616.80 |
$1,028 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,785 |
$2,975 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,034.40 |
$1,724 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$531.60 |
$886 |
0.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$600 |
$1,000 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,753.20 |
$2,922 |
1.2× |
| Excise cutaneous neurofibroma (64788) |
$714 |
$1,190 |
0.4× |
| Excise Neurofibroma Extensive (64792) |
$1,630.80 |
$2,718 |
0.5× |
| Excision Breast Lesion (19125) |
$834 |
$1,390 |
0.2× |
| Excision external ear partial simple repair (69110) |
$679.20 |
$1,132 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$492 |
$820 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$591 |
$985 |
0.2× |
| Excision hydrocele bilateral (55041) |
$943.80 |
$1,573 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$240 |
$400 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$522 |
$870 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$338.40 |
$564 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$532.20 |
$887 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$217.20 |
$362 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$270 |
$450 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$318 |
$530 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$501 |
$835 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$225.60 |
$376 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$295.20 |
$492 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$307.20 |
$512 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$360 |
$600 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$588 |
$980 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$465 |
$775 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$264 |
$440 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$889.80 |
$1,483 |
1.4× |
| Excision of hydrocele; unilateral (55040) |
$582 |
$970 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$289.80 |
$483 |
0.3× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$699 |
$1,165 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$210 |
$350 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$138 |
$230 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$540 |
$900 |
0.4× |
| Excision of local lesion of epididymis (54830) |
$915.60 |
$1,526 |
0.3× |
| Excision of nail fold toe (11765) |
$232.20 |
$387 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$297 |
$495 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$621 |
$1,035 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$789 |
$1,315 |
0.4× |
| Excision olecranon bursa (24105) |
$420 |
$700 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$654 |
$1,090 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,421.40 |
$2,369 |
0.5× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,150.20 |
$1,917 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$819.60 |
$1,366 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$492 |
$820 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,023 |
$1,705 |
0.4× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$967.20 |
$1,612 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$440.40 |
$734 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$624 |
$1,040 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$943.20 |
$1,572 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$750 |
$1,250 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$1,224 |
$2,040 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$817.20 |
$1,362 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$1,338 |
$2,230 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$550.20 |
$917 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,727.40 |
$2,879 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$750 |
$1,250 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$524.40 |
$874 |
0.4× |
| Exploration of knee joint (27310) |
$888 |
$1,480 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$588 |
$980 |
0.4× |
| Explore limb vessels (35860) |
$1,557 |
$2,595 |
0.5× |
| Explore/treat ankle joint (27620) |
$534 |
$890 |
0.2× |
| Explore/treat ankle joint (27610) |
$1,210.80 |
$2,018 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$570 |
$950 |
0.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$150 |
$250 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$240 |
$400 |
0.7× |
| Fixation of shoulder (23700) |
$234 |
$390 |
0.2× |
| Frenulotomy of penis (54164) |
$471 |
$785 |
0.2× |
| Fusion Finger Joint (26860) |
$672 |
$1,120 |
0.2× |
Fusion of thumb (26841)
likely a partial charge, not the full procedure |
$900 |
$1,500 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$54 |
$90 |
0.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,256 |
$3,760 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,227 |
$2,045 |
0.7× |
Graft ear crtlg autogenous nose/ear (21235)
likely a partial charge, not the full procedure |
$1,052.40 |
$1,754 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,287.90 |
$2,146.50 |
2.0× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$2,364 |
$3,940 |
0.2× |
| Hemorrhoidectomy (46255) |
$690 |
$1,150 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$558 |
$930 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$1,294.80 |
$2,158 |
0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$783.60 |
$1,306 |
0.3× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$3,040.20 |
$5,067 |
1.0× |
| I&d abscess simple (10060) |
$180 |
$300 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$930 |
$1,550 |
0.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$780 |
$1,300 |
0.3× |
| I&d forearm/wrist bursa (25031) |
$510 |
$850 |
0.4× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,179 |
$1,965 |
0.4× |
| I&d perianal abscess superficial (46050) |
$324 |
$540 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$190.50 |
$317.50 |
0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$531 |
$885 |
0.2× |
| Incise finger tendon sheath (26055) |
$540 |
$900 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$322.50 |
$537.50 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$468 |
$780 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$422.40 |
$704 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$390 |
$650 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$210 |
$350 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$214.50 |
$357.50 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$204 |
$340 |
0.7× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
likely a partial charge, not the full procedure |
$1,657.20 |
$2,762 |
0.3× |
| Incision bone cortex foot (28005) |
$324.60 |
$541 |
0.1× |
| Incision extensor tendon sheath wrist (25000) |
$597.60 |
$996 |
0.4× |
| Incision of rectal abscess (46045) |
$630 |
$1,050 |
0.3× |
| Incision of rectal abscess (46040) |
$1,009.80 |
$1,683 |
0.9× |
| Incision of urethra (53020) |
$240 |
$400 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$240 |
$400 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$213 |
$355 |
0.3× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure |
$1,485.60 |
$2,476 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$150 |
$250 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$72 |
$120 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$893.40 |
$1,489 |
1.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$54 |
$90 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$46.80 |
$78 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$109.20 |
$182 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$72 |
$120 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,613.40 |
$2,689 |
2.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$349.50 |
$582.50 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$138 |
$230 |
0.2× |
| Injection for identification of sentinel node (38792) |
$72 |
$120 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$102 |
$170 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$78 |
$130 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$84 |
$140 |
0.3× |
| Inner ear surgery proc unlisted (69949) |
$101.40 |
$169 |
0.5× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$6,300 |
$10,500 |
0.7× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$6,279 |
$10,465 |
0.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$6,333 |
$10,555 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$222 |
$370 |
1.9× |
| Insert Drug Implant Device (11981) |
$80.40 |
$134 |
0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$387.60 |
$646 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$285 |
$475 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$872.70 |
$1,454.50 |
0.3× |
| Insert picc cath (36569) |
$744 |
$1,240 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$117 |
$195 |
1.0× |
| Insert tunneled cv cath (36561) |
$1,593 |
$2,655 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$91.20 |
$152 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$660 |
$1,100 |
0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,044.80 |
$9,419 |
1.5× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,886 |
$7,630 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$383.40 |
$639 |
1.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$412.20 |
$687 |
1.8× |
| Irrigate vagina w meds (57150) |
$54 |
$90 |
1.0× |
| Knee arthroscopy/surgery (29883) |
$768 |
$1,280 |
0.3× |
| Knee arthroscopy/surgery (29876) |
$1,188 |
$1,980 |
0.4× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,053.60 |
$1,756 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$643.80 |
$1,073 |
0.1× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$1,020 |
$1,700 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$597 |
$995 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,624.80 |
$2,708 |
0.3× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure |
$1,200 |
$2,000 |
0.1× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,824 |
$3,040 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge, not the full procedure |
$1,650 |
$2,750 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$2,640 |
$4,400 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,242 |
$2,070 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$942 |
$1,570 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$240 |
$400 |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$361.20 |
$602 |
2.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,410 |
$2,350 |
0.9× |
| Laser vaporization surgery prostate, complete (52648) |
$1,683 |
$2,805 |
0.3× |
| Late closure of wound (13160) |
$1,420.20 |
$2,367 |
0.4× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,320 |
$2,200 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$354 |
$590 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$369 |
$615 |
0.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$861 |
$1,435 |
0.3× |
| Lithotripsy (50590) |
$1,383.60 |
$2,306 |
0.4× |
| Liver Biopsy (47000) |
$1,215.30 |
$2,025.50 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$490.20 |
$817 |
0.3× |
| Manipulation Ankle Under General Anesthesia (27860) |
$2,770.80 |
$4,618 |
0.9× |
| Marsup Bartholin Gland Cyst (56440) |
$312 |
$520 |
0.1× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,085.60 |
$3,476 |
0.3× |
| Mastectomy gynecomastia (19300) |
$672 |
$1,120 |
0.2× |
| Mastectomy partial (19301) |
$1,012.80 |
$1,688 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,680 |
$2,800 |
0.3× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$1,038 |
$1,730 |
0.4× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$1,542 |
$2,570 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$75 |
$125 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$915 |
$1,525 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$45 |
$75 |
1.7× |
| Nipple exploration (19110) |
$634.80 |
$1,058 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$192 |
$320 |
0.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$124.20 |
$207 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$798 |
$1,330 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$1,425 |
$2,375 |
0.2× |
| Open rx carpal bone fx,each bone (25645) |
$1,060.80 |
$1,768 |
0.4× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,494 |
$2,490 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,437 |
$2,395 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,080 |
$1,800 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$987 |
$1,645 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,308 |
$2,180 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,235 |
$3,725 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge, not the full procedure |
$1,137 |
$1,895 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$1,200 |
$2,000 |
0.1× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$1,056 |
$1,760 |
0.1× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
likely a partial charge, not the full procedure |
$978 |
$1,630 |
0.1× |
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556)
likely a partial charge, not the full procedure |
$1,062 |
$1,770 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$915 |
$1,525 |
0.1× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,392 |
$2,320 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,650 |
$2,750 |
0.3× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$1,620 |
$2,700 |
0.1× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$1,179 |
$1,965 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$744 |
$1,240 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,246.80 |
$2,078 |
0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$885 |
$1,475 |
0.3× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$867 |
$1,445 |
0.1× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$1,896 |
$3,160 |
0.3× |
Open Tx Femoral Fracture Proximal End He (27269)
likely a partial charge, not the full procedure |
$1,506 |
$2,510 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$648 |
$1,080 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$684 |
$1,140 |
0.2× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,290 |
$2,150 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,065 |
$1,775 |
0.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,650 |
$2,750 |
0.1× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$792 |
$1,320 |
0.1× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$1,320 |
$2,200 |
0.1× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
likely a partial charge, not the full procedure |
$1,638 |
$2,730 |
0.2× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$1,896 |
$3,160 |
0.2× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$1,320 |
$2,200 |
0.2× |
| Orchiectomy, partial (54522) |
$1,532.40 |
$2,554 |
0.5× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$753 |
$1,255 |
0.1× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$630 |
$1,050 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,252.80 |
$2,088 |
0.2× |
| Pelvic exam under anesthesia (57410) |
$267.60 |
$446 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$450 |
$750 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,698 |
$2,830 |
0.3× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$531 |
$885 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$840 |
$1,400 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$579 |
$965 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$189 |
$315 |
0.3× |
| Perq device breast 1st imag (19281) |
$543 |
$905 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$94.20 |
$157 |
0.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$157.20 |
$262 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$117 |
$195 |
0.3× |
| Placement of seton (46020) |
$438.60 |
$731 |
0.2× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$1,080 |
$1,800 |
0.4× |
| PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) |
$1,264.80 |
$2,108 |
0.4× |
| Preputial Stretching (54450) |
$108 |
$180 |
0.5× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$168 |
$280 |
0.2× |
| Proctosigmoidoscopy w/bx (45305) |
$237 |
$395 |
0.2× |
| Prostatectomy (turp) (52601) |
$2,082 |
$3,470 |
0.4× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$285 |
$475 |
0.1× |
Prq skel fixj humrl cndylr fx medial/lat w/manj (24582)
likely a partial charge, not the full procedure |
$972 |
$1,620 |
0.1× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,192.20 |
$1,987 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$175.80 |
$293 |
0.5× |
| Puncture Aspiration (10160) |
$175.80 |
$293 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$108 |
$180 |
0.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$2,353.80 |
$3,923 |
0.9× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$678 |
$1,130 |
0.1× |
| Reconstruction tongue fold (41520) |
$449.40 |
$749 |
0.1× |
| Reduce testis torsion (54600) |
$786 |
$1,310 |
0.2× |
| Reduction of rectal prolapse (45900) |
$855 |
$1,425 |
1.0× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$930 |
$1,550 |
0.1× |
| Removal fb intranasal (30300) |
$235.80 |
$393 |
2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$471 |
$785 |
0.2× |
| Removal foreign body foot deep (28192) |
$552.60 |
$921 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$980.40 |
$1,634 |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$333 |
$555 |
0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,092 |
$1,820 |
0.4× |
| Removal foreign body pharynx (42809) |
$258.90 |
$431.50 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,751.60 |
$4,586 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72 |
$120 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$69 |
$115 |
1.3× |
| Removal Implant Deep (20680) |
$762 |
$1,270 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$258 |
$430 |
0.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$174.60 |
$291 |
0.3× |
| Removal of anal fissure (46200) |
$900 |
$1,500 |
0.4× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$405 |
$675 |
0.3× |
| Removal of finger lesion (26210) |
$525 |
$875 |
0.4× |
Removal of hip prosthesis (27090)
likely a partial charge, not the full procedure |
$975 |
$1,625 |
0.1× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge, not the full procedure |
$1,920 |
$3,200 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$204.30 |
$340.50 |
0.7× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
likely a partial charge, not the full procedure |
$1,467 |
$2,445 |
0.1× |
| Removal of nail bed (11750) |
$301.80 |
$503 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$140.10 |
$233.50 |
0.8× |
| Removal of sperm cord lesion (55520) |
$564 |
$940 |
0.2× |
| Removal of testis (54520) |
$540 |
$900 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$106.80 |
$178 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$240.60 |
$401 |
1.0× |
| Remove anal fist subq (46270) |
$723 |
$1,205 |
0.3× |
| Remove bladder stone (52318) |
$1,157.40 |
$1,929 |
0.4× |
| Remove by ligat int hem grp (46945) |
$381 |
$635 |
0.2× |
| Remove by ligat int hem grps (46946) |
$402 |
$670 |
0.2× |
| Remove drug implant device (11982) |
$94.20 |
$157 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$804 |
$1,340 |
0.3× |
| Remove knee cyst (27347) |
$948 |
$1,580 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$805.20 |
$1,342 |
0.3× |
| Remove renal tube w/fluoro (50389) |
$102 |
$170 |
0.2× |
| Remove shoulder foreign body (23330) |
$1,983 |
$3,305 |
1.3× |
| Remove wrist tendon lesion (25111) |
$534 |
$890 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$120 |
$200 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$129.60 |
$216 |
1.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$792 |
$1,320 |
0.1× |
| Repair blood vessel direct neck (35201) |
$3,043.50 |
$5,072.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$800.40 |
$1,334 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$860.40 |
$1,434 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$478.20 |
$797 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$839.40 |
$1,399 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$544.80 |
$908 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$803.40 |
$1,339 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$734.40 |
$1,224 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$576 |
$960 |
0.9× |
| Repair hallux rigidus (28289) |
$552 |
$920 |
0.2× |
| Repair incomplete circumcision (54163) |
$405 |
$675 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,071.60 |
$1,786 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,068 |
$1,780 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$954 |
$1,590 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$985.80 |
$1,643 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$345 |
$575 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$392.40 |
$654 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$478.20 |
$797 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$478.20 |
$797 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$478.20 |
$797 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$477.60 |
$796 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$336 |
$560 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$478.20 |
$797 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$478.20 |
$797 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$982.80 |
$1,638 |
2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$330 |
$550 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$392.40 |
$654 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$982.80 |
$1,638 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$478.20 |
$797 |
1.3× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$726.60 |
$1,211 |
0.1× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,386 |
$2,310 |
0.2× |
| Repair of nail bed (11760) |
$382.80 |
$638 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,545 |
$2,575 |
0.2× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,080 |
$1,800 |
0.2× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,240.80 |
$2,068 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,221 |
$2,035 |
0.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$852 |
$1,420 |
0.3× |
| Rerepair fem hernia blocked (49557) |
$1,801.20 |
$3,002 |
0.6× |
| Rerepair fem hernia reduce (49555) |
$1,080 |
$1,800 |
0.3× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,260 |
$2,100 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,068 |
$1,780 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$795 |
$1,325 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$1,062 |
$1,770 |
0.6× |
| Revision of colostomy simple (44340) |
$1,095.60 |
$1,826 |
0.3× |
| Revision of penis (54300) |
$1,182 |
$1,970 |
0.4× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
likely a partial charge, not the full procedure |
$1,782 |
$2,970 |
0.2× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge, not the full procedure |
$1,770 |
$2,950 |
0.2× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138)
likely a partial charge, not the full procedure |
$1,788 |
$2,980 |
0.2× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
likely a partial charge, not the full procedure |
$2,130 |
$3,550 |
0.1× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure |
$2,631 |
$4,385 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$225 |
$375 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$123.90 |
$206.50 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$395.40 |
$659 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$613.80 |
$1,023 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$367.20 |
$612 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$759 |
$1,265 |
1.3× |
| Rplc gtube revj gstrst trc (43763) |
$471 |
$785 |
2.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,256 |
$3,760 |
0.8× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$667.20 |
$1,112 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,344 |
$2,240 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,029 |
$1,715 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$855 |
$1,425 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$612 |
$1,020 |
0.2× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$1,149 |
$1,915 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,029 |
$1,715 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$756 |
$1,260 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$351 |
$585 |
0.2× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$675 |
$1,125 |
0.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$600 |
$1,000 |
0.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,416 |
$2,360 |
0.5× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,111.50 |
$1,852.50 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$348 |
$580 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$128.40 |
$214 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$354 |
$590 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$83.40 |
$139 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$114.60 |
$191 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$169.50 |
$282.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$136.80 |
$228 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$100.80 |
$168 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$160.20 |
$267 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$166.20 |
$277 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$166.80 |
$278 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$285 |
$475 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$129 |
$215 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$343.80 |
$573 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$135 |
$225 |
0.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$189 |
$315 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$240 |
$400 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$128.40 |
$214 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$165.60 |
$276 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$138 |
$230 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$180 |
$300 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$210 |
$350 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$385.20 |
$642 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$113.40 |
$189 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$190.50 |
$317.50 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$180 |
$300 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$1,548 |
$2,580 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$978 |
$1,630 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$932.10 |
$1,553.50 |
1.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,549.50 |
$2,582.50 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,380 |
$2,300 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$1,027.20 |
$1,712 |
0.5× |
| Slitting of prepuce (54001) |
$243.60 |
$406 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$162 |
$270 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$210 |
$350 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$324 |
$540 |
0.9× |
| Sphincterotomy (46080) |
$394.20 |
$657 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$529.80 |
$883 |
0.8× |
| Strapping ankle (29540) |
$139.20 |
$232 |
0.9× |
| Strapping elbow/wrist (29260) |
$139.20 |
$232 |
2.6× |
| Strapping hand/finger (29280) |
$139.20 |
$232 |
2.6× |
| Strapping Hip (29520) |
$126 |
$210 |
1.0× |
| Strapping knee (29530) |
$118.80 |
$198 |
1.0× |
| Strapping shoulder (29240) |
$139.20 |
$232 |
1.2× |
| Strapping toes (29550) |
$48 |
$80 |
0.9× |
| Strapping unna boot (29580) |
$96.90 |
$161.50 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$719.40 |
$1,199 |
0.3× |
| Suspension of testis (54640) |
$840 |
$1,400 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$153.90 |
$256.50 |
0.4× |
| Tenotomy elbow lateral/medial debride open (24358) |
$939.60 |
$1,566 |
0.3× |
| Tenotomy percutaneous single each digit (26060) |
$450 |
$750 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$783.30 |
$1,305.50 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$312 |
$520 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$441 |
$735 |
1.5× |
| Thyroid biopsy (60100) |
$1,153.80 |
$1,923 |
1.8× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260)
unusually low: confirm this is the full procedure |
$2,040 |
$3,400 |
0.4× |
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure |
$1,629.60 |
$2,716 |
0.3× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,537.40 |
$4,229 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,535 |
$4,225 |
0.2× |
| Trach Tube Change (31502) |
$78 |
$130 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$634.80 |
$1,058 |
3.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$720 |
$1,200 |
0.5× |
| Transurethral resection of bladder neck (52500) |
$1,206 |
$2,010 |
0.4× |
Treat ankle dislocation (27848)
likely a partial charge, not the full procedure |
$1,458 |
$2,430 |
0.2× |
Treat elbow dislocation (24615)
likely a partial charge, not the full procedure |
$858 |
$1,430 |
0.1× |
| Treat Finger Fracture Each (26727) |
$489 |
$815 |
0.2× |
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure |
$687 |
$1,145 |
0.1× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,678.80 |
$2,798 |
0.3× |
| Treat fx distal radial (25606) |
$1,194 |
$1,990 |
0.4× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,368.60 |
$2,281 |
0.2× |
Treat humerus fracture (23630)
likely a partial charge, not the full procedure |
$936 |
$1,560 |
0.1× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$1,590 |
$2,650 |
0.1× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,341 |
$2,235 |
0.1× |
| Treat toe fracture (28525) |
$468 |
$780 |
0.2× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,176 |
$1,960 |
0.2× |
| Treat Vaginal Bleeding (57180) |
$255 |
$425 |
1.4× |
| Treat wrist bone fracture (25635) |
$416.40 |
$694 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$540 |
$900 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$528 |
$880 |
2.4× |
| Treatment of anal fissure (46940) |
$258 |
$430 |
0.1× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,599 |
$2,665 |
0.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,212 |
$2,020 |
0.2× |
Treatment of heel fracture (28406)
likely a partial charge, not the full procedure |
$969 |
$1,615 |
0.1× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,248.20 |
$3,747 |
0.3× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure |
$1,506 |
$2,510 |
0.2× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,080 |
$1,800 |
0.4× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$1,202.40 |
$2,004 |
0.1× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,038 |
$1,730 |
0.2× |
| Trim skin lesion (11055) |
$91.20 |
$152 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$100.80 |
$168 |
0.6× |
| Trim skin lesions over 4 (11057) |
$171.30 |
$285.50 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$49.20 |
$82 |
0.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,124.40 |
$1,874 |
0.4× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,035 |
$1,725 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$336 |
$560 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$390 |
$650 |
1.1× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$780 |
$1,300 |
0.1× |
Unlisted laparoscopy procedure, esophagus (43289)
likely a partial charge, not the full procedure |
$1,080 |
$1,800 |
0.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$3,276 |
$5,460 |
0.6× |
Unlisted laparoscopy procedure, stomach (43659)
likely a partial charge, not the full procedure |
$1,050 |
$1,750 |
0.2× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$660 |
$1,100 |
0.1× |
| Unlisted Procedure Breast (19499) |
$91.20 |
$152 |
0.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$150 |
$250 |
0.7× |
| Unlisted Procedure Rectum (45999) |
$1,135.20 |
$1,892 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$774 |
$1,290 |
1.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,245 |
$2,075 |
1.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$90 |
$150 |
0.5× |
| Vaginal delivery only (59409) |
$2,563.80 |
$4,273 |
0.9× |
| Vasectomy (55250) |
$420 |
$700 |
0.2× |
| Venipuncture (36415) |
$7.20 |
$12 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$466.80 |
$778 |
1.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$414 |
$690 |
0.6× |