| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,305.60 |
$2,176 |
1.4× |
| Ablate inf turbinate submuc (30802) |
$1,979.40 |
$3,299 |
1.3× |
| Acne Surgery (10040) |
$207 |
$345 |
1.0× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,622.60 |
$4,371 |
1.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,730 |
$4,550 |
1.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,973 |
$4,955 |
1.4× |
| Amputation toe interphalangeal joint (28825) |
$3,685.80 |
$6,143 |
1.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,758.20 |
$4,597 |
0.8× |
| Analyze infusn pump+reprogram (62368) |
$427.20 |
$712 |
1.4× |
| Anoscopy diagnostic (46600) |
$153 |
$255 |
1.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,017.60 |
$1,696 |
0.8× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$221.10 |
$368.50 |
1.4× |
| Application cast elbow finger short arm (29075) |
$270.60 |
$451 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$157.80 |
$263 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$193.20 |
$322 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$112.80 |
$188 |
1.9× |
| Application finger splint static (29130) |
$130.20 |
$217 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$153 |
$255 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$200.40 |
$334 |
1.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$286.80 |
$478 |
1.0× |
| Application of long leg cast (29345) |
$249.60 |
$416 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$467.70 |
$779.50 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$135 |
$225 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$153.60 |
$256 |
1.2× |
| Application short leg splint calf foot (29515) |
$159 |
$265 |
1.0× |
| Apply patella tendon bearing cast (29435) |
$396.90 |
$661.50 |
1.4× |
| Apply short leg cast (29405) |
$156 |
$260 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$352.80 |
$588 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$831.60 |
$1,386 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$381.60 |
$636 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$360 |
$600 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$543.60 |
$906 |
1.8× |
| Artificial insemination (58322) |
$138 |
$230 |
0.7× |
| Aspir/inj thyroid cyst (60300) |
$419.10 |
$698.50 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$230.40 |
$384 |
0.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,036.40 |
$3,394 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$177.60 |
$296 |
0.9× |
| Biopsy bone open superficial (20240) |
$3,160.20 |
$5,267 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$890.70 |
$1,484.50 |
0.5× |
| Biopsy Breast Open Incisional (19101) |
$3,031.80 |
$5,053 |
0.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$673.80 |
$1,123 |
0.7× |
| Biopsy external auditory canal (69105) |
$1,802.10 |
$3,003.50 |
1.2× |
| Biopsy external ear (69100) |
$342.60 |
$571 |
1.4× |
| Biopsy intranasal (30100) |
$819.90 |
$1,366.50 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$655.20 |
$1,092 |
0.4× |
| Biopsy of floor of mouth (41108) |
$1,040.10 |
$1,733.50 |
0.6× |
| Biopsy of lip (40490) |
$372.60 |
$621 |
1.6× |
| Biopsy of mouth lesion (40808) |
$363 |
$605 |
0.7× |
| Biopsy of palate, uvula (42100) |
$870.90 |
$1,451.50 |
0.6× |
| Biopsy of penis (54100) |
$1,952.10 |
$3,253.50 |
1.2× |
| Biopsy of tongue (41100) |
$1,062 |
$1,770 |
2.0× |
| Biopsy of uterus lining (58100) |
$348.60 |
$581 |
1.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$220.80 |
$368 |
0.1× |
| Biopsy Oropharynx (42800) |
$1,874.70 |
$3,124.50 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$3,604.20 |
$6,007 |
2.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,030.50 |
$1,717.50 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$984.60 |
$1,641 |
0.6× |
| Biopsy soft tissue of back (21920) |
$2,122.80 |
$3,538 |
1.3× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,312.80 |
$2,188 |
0.8× |
| Biopsy testis incisional separate procedure (54505) |
$4,754.40 |
$7,924 |
1.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$1,959.30 |
$3,265.50 |
0.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$483.60 |
$806 |
0.5× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$411.60 |
$686 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$220.80 |
$368 |
0.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$399 |
$665 |
0.6× |
| Bladder Irrigation Simple (51700) |
$330.90 |
$551.50 |
1.3× |
| Bladder Scan (51798) |
$75.60 |
$126 |
1.3× |
| Blood transfusion service (36430) |
$315 |
$525 |
0.7× |
| Bone marrow aspiration only (38220) |
$474.30 |
$790.50 |
0.3× |
| Bone Marrow Biopsy (38221) |
$1,274.70 |
$2,124.50 |
0.8× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$551.10 |
$918.50 |
0.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$538.80 |
$898 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$673.80 |
$1,123 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$852.60 |
$1,421 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$307.20 |
$512 |
1.4× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$437.40 |
$729 |
1.4× |
| Cautery Cervix Electro/Thermal (57510) |
$3,557.40 |
$5,929 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$350.10 |
$583.50 |
1.4× |
| Chemical Cautery Tissue (17250) |
$225 |
$375 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$683.70 |
$1,139.50 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$660.90 |
$1,101.50 |
0.9× |
| Chemodenerv Musc Migraine (64615) |
$458.70 |
$764.50 |
1.5× |
| Chemodenerv Musc Neck Dyston (64616) |
$223.20 |
$372 |
0.7× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$523.20 |
$872 |
1.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$448.20 |
$747 |
1.5× |
| Circumcision (54150) |
$3,104.40 |
$5,174 |
1.5× |
| Clean out mastoid cavity (69222) |
$921.30 |
$1,535.50 |
1.7× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$245.40 |
$409 |
0.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$378.30 |
$630.50 |
1.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$648 |
$1,080 |
2.6× |
| Closed Rx Med Malleolus Fx (27760) |
$592.20 |
$987 |
2.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,036.80 |
$1,728 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$375.90 |
$626.50 |
1.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,717.10 |
$4,528.50 |
1.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$646.20 |
$1,077 |
2.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$663 |
$1,105 |
2.7× |
| Closed Rx Trimalleolar Fx (27816) |
$717.60 |
$1,196 |
2.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,941.60 |
$3,236 |
0.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$602.70 |
$1,004.50 |
2.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$500.70 |
$834.50 |
2.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$402 |
$670 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$781.50 |
$1,302.50 |
3.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$722.70 |
$1,204.50 |
2.9× |
| Closed Treatment Sternum Fracture (21820) |
$497.70 |
$829.50 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$603.60 |
$1,006 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,174.20 |
$1,957 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$599.70 |
$999.50 |
2.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$509.10 |
$848.50 |
2.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,070.70 |
$1,784.50 |
0.7× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$2,858.40 |
$4,764 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,008.60 |
$1,681 |
4.1× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,372.10 |
$8,953.50 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$245.40 |
$409 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,352.30 |
$3,920.50 |
1.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$581.70 |
$969.50 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$525 |
$875 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,112.10 |
$1,853.50 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$423.90 |
$706.50 |
1.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$437.10 |
$728.50 |
1.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$394.80 |
$658 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$419.10 |
$698.50 |
1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$399.30 |
$665.50 |
1.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$897.60 |
$1,496 |
1.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$810 |
$1,350 |
3.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$798 |
$1,330 |
3.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$496.80 |
$828 |
2.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$574.20 |
$957 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$487.50 |
$812.50 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$582 |
$970 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$370.20 |
$617 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$553.50 |
$922.50 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,223.70 |
$2,039.50 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$781.20 |
$1,302 |
3.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$292.20 |
$487 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$431.40 |
$719 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$296.10 |
$493.50 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$597 |
$995 |
2.4× |
| Cltx greater trochanteric fx w/o manj (27246) |
$768.60 |
$1,281 |
3.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$590.70 |
$984.50 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$502.20 |
$837 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$678 |
$1,130 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$638.40 |
$1,064 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$386.40 |
$644 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$661.50 |
$1,102.50 |
2.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,326.20 |
$3,877 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$313.20 |
$522 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$849.30 |
$1,415.50 |
3.4× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$896.10 |
$1,493.50 |
3.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$369 |
$615 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$348.60 |
$581 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,772.90 |
$4,621.50 |
0.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,184.90 |
$3,641.50 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$433.50 |
$722.50 |
1.4× |
| Colposcopy vulva (56820) |
$299.10 |
$498.50 |
1.5× |
| Colposcopy vulva w/biopsy (56821) |
$384 |
$640 |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$248.40 |
$414 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$691.80 |
$1,153 |
0.7× |
| Complex Cystometrogram (51726) |
$652.80 |
$1,088 |
2.6× |
| Complex Drainage, Wound (10180) |
$2,463.90 |
$4,106.50 |
0.8× |
| Complex Uroflowmetry (51741) |
$199.50 |
$332.50 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$358.20 |
$597 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$186 |
$310 |
1.4× |
| Correction of inverted nipples (19355) |
$1,328.70 |
$2,214.50 |
0.3× |
| Create eardrum opening (69436) |
$1,802.10 |
$3,003.50 |
1.2× |
| Cryotherapy of skin (17340) |
$163.80 |
$273 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$358.20 |
$597 |
2.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,953.20 |
$4,922 |
0.8× |
| Cysto w/destruction of lesions (52214) |
$2,843.40 |
$4,739 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,855.20 |
$3,092 |
0.9× |
| Cystometrogram w/vp (51728) |
$563.40 |
$939 |
0.8× |
| Cystometrogram W/Vp&Up (51729) |
$924.30 |
$1,540.50 |
1.3× |
| Cystoscopy w/biopsy (52204) |
$2,797.50 |
$4,662.50 |
1.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,811.40 |
$3,019 |
0.9× |
| Cystourethroscopy (52000) |
$985.20 |
$1,642 |
1.4× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,938.60 |
$3,231 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$360.60 |
$601 |
0.9× |
| Debride nail 1-5 (11720) |
$135 |
$225 |
2.3× |
| Debride nail 6 or more (11721) |
$149.10 |
$248.50 |
2.5× |
| Debride skin musc at fx site (11011) |
$1,127.10 |
$1,878.50 |
1.6× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$283.20 |
$472 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$554.40 |
$924 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$451.20 |
$752 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,435.20 |
$2,392 |
0.9× |
| Declot vascular device (36593) |
$527.70 |
$879.50 |
1.6× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$2,167.20 |
$3,612 |
1.0× |
| Dermabrasion segmental face (15781) |
$1,260.60 |
$2,101 |
1.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$360 |
$600 |
0.9× |
| Destruction anal lesion(s) (46924) |
$1,243.80 |
$2,073 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$247.20 |
$412 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$198.60 |
$331 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$2,305.20 |
$3,842 |
1.1× |
| Destruction Lesions Vulva Simple (56501) |
$1,972.20 |
$3,287 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$360.60 |
$601 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$368.40 |
$614 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$385.20 |
$642 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$380.40 |
$634 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$704.10 |
$1,173.50 |
1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$295.80 |
$493 |
1.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$298.20 |
$497 |
1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$298.20 |
$497 |
1.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$445.20 |
$742 |
1.1× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$569.70 |
$949.50 |
1.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$265.80 |
$443 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$247.20 |
$412 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$397.80 |
$663 |
2.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$335.40 |
$559 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$400.80 |
$668 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$271.80 |
$453 |
1.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$224.40 |
$374 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$315.60 |
$526 |
0.8× |
| Destruction of multiple growths of penis (54065) |
$224.40 |
$374 |
0.1× |
| Destruction of skin lesions (17106) |
$636.60 |
$1,061 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$167.40 |
$279 |
0.8× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,811.20 |
$6,352 |
1.2× |
| Destruction vaginal lesions simple (57061) |
$2,451.60 |
$4,086 |
0.8× |
| Dil urethra,female,subsequent (53661) |
$154.80 |
$258 |
1.2× |
| Dilate urethra stricture (53620) |
$1,955.70 |
$3,259.50 |
2.8× |
| Dilate urethra stricture (53621) |
$362.70 |
$604.50 |
1.4× |
| Dilate Urethra Stricture (53600) |
$358.50 |
$597.50 |
1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,072.10 |
$3,453.50 |
0.6× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$156.60 |
$261 |
1.2× |
| Dilation of salivary duct (42650) |
$1,738.80 |
$2,898 |
1.1× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$177.90 |
$296.50 |
1.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,105.20 |
$1,842 |
0.7× |
| Drain outer ear canal lesion (69020) |
$378.60 |
$631 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$391.50 |
$652.50 |
1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$869.40 |
$1,449 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$372.60 |
$621 |
0.5× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$950.10 |
$1,583.50 |
1.8× |
| Drainage of eyelid abscess (67700) |
$212.40 |
$354 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$2,277 |
$3,795 |
1.4× |
| Drainage of hydrocele (55000) |
$645.90 |
$1,076.50 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,103.40 |
$1,839 |
0.7× |
| Draw blood off venous device (36591) |
$107.40 |
$179 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$194.40 |
$324 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$390.90 |
$651.50 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$381.30 |
$635.50 |
1.9× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$2,054.40 |
$3,424 |
0.6× |
| Dstrj lesion anus simple chemical (46900) |
$710.70 |
$1,184.50 |
1.7× |
| Dstrj lesion anus simple cryosurgery (46916) |
$426.30 |
$710.50 |
2.1× |
| Dstrj lesion penis simple surg excision (54060) |
$2,134.20 |
$3,557 |
1.0× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$597.90 |
$996.50 |
1.5× |
| Dx bone marrow bx & aspir (38222) |
$1,781.70 |
$2,969.50 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,322.40 |
$2,204 |
0.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$361.20 |
$602 |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$318.90 |
$531.50 |
2.5× |
| Endocervical Curettage (57505) |
$484.20 |
$807 |
0.5× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,343.40 |
$7,239 |
1.4× |
| Endoven ther chem adhes 1st (36482) |
$4,510.50 |
$7,517.50 |
0.8× |
| Endovenous rf 1st vein (36475) |
$4,806 |
$8,010 |
1.5× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$3,472.20 |
$5,787 |
1.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,396.50 |
$2,327.50 |
0.7× |
| Escharotomy initial incision (16035) |
$390.90 |
$651.50 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$541.80 |
$903 |
4.1× |
| Exc abd les sc 3 cm/> (22903) |
$2,803.80 |
$4,673 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,768.40 |
$4,614 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,495.80 |
$2,493 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,091 |
$3,485 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,091 |
$3,485 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$2,108.40 |
$3,514 |
1.3× |
| Exc face les sbq 2 cm/> (21012) |
$1,252.50 |
$2,087.50 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$582.60 |
$971 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,091 |
$3,485 |
1.3× |
| Exc forearm les sc 3 cm/> (25071) |
$3,169.20 |
$5,282 |
1.9× |
| Exc forearm les sc < 3 cm (25075) |
$2,062.50 |
$3,437.50 |
1.2× |
| Exc frenum labial/buccal (40819) |
$1,590.60 |
$2,651 |
1.0× |
| Exc hand les sc < 1.5 cm (26115) |
$2,089.80 |
$3,483 |
1.3× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$156 |
$260 |
0.1× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,590.60 |
$2,651 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,606.40 |
$4,344 |
1.6× |
| Exc neck tum deep < 5 cm (21556) |
$2,265.60 |
$3,776 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,784.90 |
$4,641.50 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$988.20 |
$1,647 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$285.60 |
$476 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$652.80 |
$1,088 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,236.60 |
$2,061 |
1.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,091 |
$3,485 |
1.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,208.60 |
$3,681 |
1.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,289 |
$3,815 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,033.40 |
$3,389 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,147.40 |
$3,579 |
1.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,137 |
$1,895 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,422.50 |
$4,037.50 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,033.40 |
$3,389 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,033.40 |
$3,389 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$910.20 |
$1,517 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,625.40 |
$2,709 |
1.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$619.20 |
$1,032 |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,133.30 |
$3,555.50 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,966.70 |
$4,944.50 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,057.10 |
$3,428.50 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,318.10 |
$3,863.50 |
1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,818.20 |
$4,697 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,037.90 |
$3,396.50 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,150.40 |
$3,584 |
0.7× |
| Excise Inferior Turbinate (30130) |
$3,789.30 |
$6,315.50 |
1.1× |
| Excise pharynx lesion (42808) |
$3,359.40 |
$5,599 |
1.0× |
| Excise/repair mouth lesion (40812) |
$1,940.40 |
$3,234 |
1.2× |
| Excision external ear partial simple repair (69110) |
$2,232.30 |
$3,720.50 |
0.8× |
| Excision lesion mouth roof (42104) |
$1,815.90 |
$3,026.50 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,052.10 |
$1,753.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,171.80 |
$1,953 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$582 |
$970 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$585.60 |
$976 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,171.80 |
$1,953 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,171.20 |
$1,952 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$795.60 |
$1,326 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$795.60 |
$1,326 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$840.60 |
$1,401 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,091 |
$3,485 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,171.80 |
$1,953 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$582.60 |
$971 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$583.80 |
$973 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,171.80 |
$1,953 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,091 |
$3,485 |
1.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$582.60 |
$971 |
0.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,170 |
$1,950 |
1.6× |
| Excision of bone lower jaw (21025) |
$5,303.40 |
$8,839 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$743.40 |
$1,239 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$987 |
$1,645 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,171.80 |
$1,953 |
0.7× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$2,868 |
$4,780 |
0.9× |
| Excision of nail fold toe (11765) |
$281.40 |
$469 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,197.40 |
$5,329 |
1.1× |
| Excision of single external papilla or tag, anus (46220) |
$1,993.20 |
$3,322 |
1.7× |
| Excision of tongue lesion (41112) |
$1,590.60 |
$2,651 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$3,423 |
$5,705 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$531.60 |
$886 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,968.30 |
$3,280.50 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,263.80 |
$3,773 |
1.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,986.50 |
$4,977.50 |
1.8× |
| Excision, nasal polyp(s), simple (30110) |
$1,212.90 |
$2,021.50 |
0.8× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$3,818.70 |
$6,364.50 |
1.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,093 |
$5,155 |
1.1× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,476.60 |
$2,461 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,247.70 |
$2,079.50 |
0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,263.80 |
$3,773 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,263.80 |
$3,773 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,680.60 |
$2,801 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,360.30 |
$5,600.50 |
2.1× |
| Explo/Drain Breast Abscess (19020) |
$2,047.80 |
$3,413 |
1.2× |
| Fetal non-stress test (59025) |
$274.20 |
$457 |
1.4× |
| Fill contour defct <1cc (11950) |
$171 |
$285 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$449.40 |
$749 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$232.20 |
$387 |
0.6× |
| Fitting of diaphragm/cap (57170) |
$87.30 |
$145.50 |
0.4× |
| Fluid pressure muscle (20950) |
$1,133.70 |
$1,889.50 |
1.6× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$2,580.90 |
$4,301.50 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,561.40 |
$4,269 |
1.2× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,100.20 |
$5,167 |
1.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,713.80 |
$4,523 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$2,490 |
$4,150 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,946.20 |
$6,577 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$548.40 |
$914 |
2.3× |
| I&d abscess simple (10060) |
$210 |
$350 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,459 |
$5,765 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$162 |
$270 |
0.1× |
| I&d perianal abscess superficial (46050) |
$619.20 |
$1,032 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$514.20 |
$857 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$873.90 |
$1,456.50 |
0.3× |
| Incise finger tendon sheath (26055) |
$2,505 |
$4,175 |
1.6× |
| Incise inner ear (69801) |
$1,839 |
$3,065 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$370.80 |
$618 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,972.10 |
$4,953.50 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,102.80 |
$1,838 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,658.40 |
$2,764 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$267 |
$445 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$191.40 |
$319 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$537.60 |
$896 |
1.8× |
| Incision labial frenum frenotomy (40806) |
$507.60 |
$846 |
0.9× |
| Incision of eardrum (69420) |
$581.40 |
$969 |
2.5× |
| Incision of lingual frenum (41010) |
$713.40 |
$1,189 |
0.5× |
| Incision of rectal abscess (46045) |
$925.20 |
$1,542 |
0.3× |
| Incision of rectal abscess (46040) |
$1,851 |
$3,085 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$190.20 |
$317 |
0.8× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$472.50 |
$787.50 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$177.60 |
$296 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$255 |
$425 |
1.3× |
| Inj dupuytren cord w/enzyme (20527) |
$346.50 |
$577.50 |
1.1× |
| Inj subq fill material 1.1-5.0 (11951) |
$214.20 |
$357 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$108 |
$180 |
0.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$282.60 |
$471 |
0.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$463.20 |
$772 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$522.90 |
$871.50 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$109.20 |
$182 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$538.50 |
$897.50 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$359.10 |
$598.50 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$533.40 |
$889 |
0.8× |
| Injection peyronie disease (54200) |
$387 |
$645 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$111 |
$185 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$127.80 |
$213 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$266.40 |
$444 |
0.9× |
| Injection(s) spider veins (36468) |
$349.80 |
$583 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$489.60 |
$816 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$487.50 |
$812.50 |
1.6× |
| Injection, anesthetic agent; vagus nerve (64408) |
$367.20 |
$612 |
1.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$172.20 |
$287 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$112.80 |
$188 |
0.6× |
| Ins vag brachytx device (57156) |
$289.20 |
$482 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$387 |
$645 |
3.0× |
| Insert Drug Implant Device (11981) |
$259.20 |
$432 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$1,267.20 |
$2,112 |
0.4× |
| Insert pessary/other device (57160) |
$235.80 |
$393 |
1.2× |
| Insert picc cath (36569) |
$2,142.60 |
$3,571 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$159.60 |
$266 |
1.2× |
| Insert tunneled cv cath (36561) |
$220.80 |
$368 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131.40 |
$219 |
1.0× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
unusually low: confirm this is the full procedure |
$2,108.40 |
$3,514 |
0.4× |
| Irrigate corpora cavernosa for priapism (54220) |
$437.40 |
$729 |
1.7× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,212.80 |
$3,688 |
0.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$256.80 |
$428 |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$287.70 |
$479.50 |
1.4× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,788.30 |
$2,980.50 |
1.0× |
| Laryngoscopy with biopsy (31576) |
$1,735.80 |
$2,893 |
1.0× |
| Late closure of wound (13160) |
$1,491 |
$2,485 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$619.20 |
$1,032 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$1,873.20 |
$3,122 |
1.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,037.10 |
$6,728.50 |
1.1× |
| Lysis Intranasal Synechia (30560) |
$823.80 |
$1,373 |
1.5× |
| Lysis of labial adhesions (56441) |
$1,960.20 |
$3,267 |
0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,576.10 |
$4,293.50 |
1.2× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$1,163.40 |
$1,939 |
0.4× |
| Middle ear surgery proc unlisted (69799) |
$113.40 |
$189 |
0.5× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$799.50 |
$1,332.50 |
1.1× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$799.50 |
$1,332.50 |
1.1× |
| Myringoplasty (69620) |
$3,256.50 |
$5,427.50 |
1.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$499.20 |
$832 |
2.5× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$4,806.90 |
$8,011.50 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,946.10 |
$3,243.50 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,050.20 |
$3,417 |
4.9× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$376.20 |
$627 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,122.10 |
$5,203.50 |
3.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$744.60 |
$1,241 |
1.1× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,283.10 |
$2,138.50 |
0.6× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,320 |
$2,200 |
0.6× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$349.80 |
$583 |
0.9× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$349.80 |
$583 |
0.9× |
| Open nasoethmoid fx w/ fixj (21339) |
$3,412.20 |
$5,687 |
0.6× |
| Open rx carpal bone fx,each bone (25645) |
$4,313.10 |
$7,188.50 |
1.3× |
| Opn tx orbit fx w/implant (21407) |
$5,423.10 |
$9,038.50 |
0.9× |
| Optx complicated mndblr fx (21470) |
$5,888.70 |
$9,814.50 |
1.0× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) (21208) |
$6,837 |
$11,395 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$255.60 |
$426 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,767.70 |
$6,279.50 |
1.2× |
| Plmt expandable cath brst following prtl mast (19296) |
$7,404.30 |
$12,340.50 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,548.60 |
$2,581 |
1.1× |
| Pr sperm washing artificial insemination (58323) |
$77.70 |
$129.50 |
0.4× |
| Preputial Stretching (54450) |
$282 |
$470 |
1.1× |
| Proctosigmoidoscopy (45303) |
$741.30 |
$1,235.50 |
0.6× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,190.70 |
$1,984.50 |
1.3× |
| Prostatic microwave thermotx (53850) |
$5,025.30 |
$8,375.50 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$186 |
$310 |
0.5× |
| Puncture Aspiration (10160) |
$415.80 |
$693 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$616.80 |
$1,028 |
0.9× |
| Removal fb intranasal (30300) |
$433.80 |
$723 |
3.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,688.80 |
$6,148 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$837.60 |
$1,396 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$96.30 |
$160.50 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95.40 |
$159 |
1.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,229.90 |
$3,716.50 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$315 |
$525 |
0.4× |
| Removal of arm foreign body (24200) |
$219.60 |
$366 |
0.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,253.70 |
$2,089.50 |
2.0× |
| Removal of intrauterine device (iud) (58301) |
$367.20 |
$612 |
1.2× |
| Removal of nail bed (11750) |
$616.80 |
$1,028 |
1.5× |
| Removal of nose lesion (30124) |
$2,001 |
$3,335 |
1.3× |
| Removal of salivary stone (42330) |
$1,797.90 |
$2,996.50 |
0.5× |
| Removal of salivary stone (42335) |
$3,466.50 |
$5,777.50 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$165 |
$275 |
0.8× |
| Removal subq cardiac rhythm monitor (33286) |
$3,855 |
$6,425 |
5.4× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,196.10 |
$6,993.50 |
1.3× |
| Remove cerclage suture (59871) |
$4,329.90 |
$7,216.50 |
1.3× |
| Remove drug implant device (11982) |
$316.80 |
$528 |
0.7× |
| Remove elbow lesion (24120) |
$2,829.60 |
$4,716 |
0.9× |
| Remove shoulder foreign body (23330) |
$1,290.90 |
$2,151.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$223.80 |
$373 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$238.20 |
$397 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$836.40 |
$1,394 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$884.10 |
$1,473.50 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$733.50 |
$1,222.50 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,101 |
$1,835 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$675.30 |
$1,125.50 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,039.80 |
$1,733 |
2.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$930.60 |
$1,551 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$657.60 |
$1,096 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$442.20 |
$737 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$867.30 |
$1,445.50 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$546.60 |
$911 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$555.30 |
$925.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$235.20 |
$392 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$638.40 |
$1,064 |
1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,009.80 |
$1,683 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$406.80 |
$678 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$593.40 |
$989 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$564.60 |
$941 |
1.4× |
| Repair of nail bed (11760) |
$465.90 |
$776.50 |
0.6× |
| Repair of nasal septum (30520) |
$4,150.50 |
$6,917.50 |
1.2× |
| Repair tympanic membrane (69610) |
$4,430.10 |
$7,383.50 |
2.9× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$220.20 |
$367 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$190.50 |
$317.50 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,173 |
$1,955 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$645.60 |
$1,076 |
1.0× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$316.80 |
$528 |
0.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,094.10 |
$1,823.50 |
4.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$191.40 |
$319 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$359.40 |
$599 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$210.60 |
$351 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$210.60 |
$351 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$224.10 |
$373.50 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$393.30 |
$655.50 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$172.80 |
$288 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$263.70 |
$439.50 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$286.80 |
$478 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$204.60 |
$341 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$399.30 |
$665.50 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$240.60 |
$401 |
1.2× |
| Simple biopsy of growth of throat behind nose (42804) |
$1,814.10 |
$3,023.50 |
0.5× |
| Simple destruction of growth of penis using electric current (54055) |
$2,202.30 |
$3,670.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$405.60 |
$676 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$260.40 |
$434 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$268.20 |
$447 |
1.3× |
| Skin pinch graft (15050) |
$1,233.60 |
$2,056 |
1.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,873.10 |
$4,788.50 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,017.60 |
$1,696 |
1.4× |
| Skin sub graft trnk/arm/leg (15271) |
$993.30 |
$1,655.50 |
1.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,516.50 |
$2,527.50 |
0.7× |
| Skin tissue rearrangement (14040) |
$2,706.30 |
$4,510.50 |
1.3× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,873.10 |
$4,788.50 |
0.8× |
| Slitting of prepuce (54001) |
$2,169.90 |
$3,616.50 |
1.0× |
| Slitting of prepuce (54000) |
$2,122.80 |
$3,538 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312 |
$520 |
1.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,602.10 |
$6,003.50 |
1.1× |
| Strapping hand/finger (29280) |
$63.60 |
$106 |
1.1× |
| Strapping shoulder (29240) |
$78.30 |
$130.50 |
0.6× |
| Strapping unna boot (29580) |
$221.10 |
$368.50 |
1.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$262.20 |
$437 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$186 |
$310 |
0.5× |
| Tenotomy percutaneous single each digit (26060) |
$1,849.50 |
$3,082.50 |
1.1× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,535.70 |
$2,559.50 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,453.50 |
$2,422.50 |
2.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,456.20 |
$2,427 |
2.3× |
| Thyroid biopsy (60100) |
$640.80 |
$1,068 |
0.9× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,739 |
$4,565 |
1.3× |
| Trach Tube Change (31502) |
$233.70 |
$389.50 |
1.0× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,295.40 |
$7,159 |
0.8× |
| Treat Fracture Radius & Ulna (25560) |
$481.80 |
$803 |
2.0× |
| Treat humerus fracture (24500) |
$607.20 |
$1,012 |
2.5× |
| Treat humerus fracture (23600) |
$524.10 |
$873.50 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$257.40 |
$429 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$710.40 |
$1,184 |
0.4× |
| Treat wrist bone fracture (25622) |
$494.70 |
$824.50 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$633.90 |
$1,056.50 |
2.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$742.80 |
$1,238 |
3.0× |
| Treatment mouth roof lesion (42160) |
$1,876.20 |
$3,127 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$381 |
$635 |
1.5× |
| Trim skin lesion (11055) |
$114.60 |
$191 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$114.60 |
$191 |
0.6× |
| Trim skin lesions over 4 (11057) |
$153.60 |
$256 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$112.80 |
$188 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$904.50 |
$1,507.50 |
1.2× |
| Tympanostomy (69433) |
$645.30 |
$1,075.50 |
1.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$233.10 |
$388.50 |
1.4× |
| Unlisted procedure, stomach (43999) |
$52.20 |
$87 |
0.1× |
| Uvulectomy excision uvula (42140) |
$1,791.30 |
$2,985.50 |
0.5× |
| Vasectomy (55250) |
$2,022.60 |
$3,371 |
1.0× |
| Venipuncture (36415) |
$13.50 |
$22.50 |
1.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,721.40 |
$2,869 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$1,035.30 |
$1,725.50 |
2.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,966.20 |
$3,277 |
2.7× |