| Abd paracentesis w/imaging (49083) |
$561.64 |
$748.84 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$608.01 |
$810.68 |
0.6× |
| Abdomen Surgery Procedure (22999) |
$1,058.43 |
$1,411.24 |
4.2× |
| Ablate inf turbinate submuc (30802) |
$741.68 |
$988.91 |
0.5× |
| Acne surgery (10040) |
$253.52 |
$338.03 |
1.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,239.34 |
$2,985.78 |
0.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,674.15 |
$2,232.20 |
0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,828.91 |
$2,438.55 |
0.9× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,304.67 |
$4,406.23 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,561.19 |
$2,081.59 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,264.13 |
$4,352.17 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,357.06 |
$3,142.74 |
1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,286.65 |
$3,048.86 |
0.7× |
| Amputation Finger/Thumb (26951) |
$1,589.32 |
$2,119.09 |
0.5× |
| Amputation foot transmetarsal (28805) |
$2,810.26 |
$3,747.02 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$1,948.04 |
$2,597.38 |
0.6× |
| Amputation thigh through femur any level (27590) |
$2,601.68 |
$3,468.92 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$1,253.06 |
$1,670.75 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,385.94 |
$1,847.92 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,573.44 |
$3,431.26 |
0.3× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$2,965.73 |
$3,954.30 |
0.9× |
| Anoscopy Ablation Lesion (46615) |
$444.20 |
$592.26 |
0.2× |
| Anoscopy diagnostic (46600) |
$148.65 |
$198.20 |
1.1× |
| Anoscopy w/control bleeding (46614) |
$439.95 |
$586.60 |
0.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$270.51 |
$360.68 |
0.2× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,796.25 |
$3,728.33 |
0.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$243.90 |
$325.20 |
1.5× |
| Appl Multlay Comprs Arm/Hand (29584) |
$277.74 |
$370.32 |
1.7× |
| Application cast elbow finger short arm (29075) |
$267.47 |
$356.62 |
0.9× |
| Application Cast Finger (29086) |
$196.06 |
$261.41 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$347.82 |
$463.76 |
1.2× |
| Application finger splint static (29130) |
$165.81 |
$221.08 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$238.04 |
$317.38 |
1.4× |
| Application Long Leg Cast Brace (29358) |
$499.71 |
$666.28 |
1.7× |
| Application of long leg cast (29345) |
$504.72 |
$672.96 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$204.50 |
$272.67 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$205.60 |
$274.13 |
1.5× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,907.76 |
$2,543.68 |
0.3× |
| Apply Hand/Wrist Cast (29085) |
$305.97 |
$407.96 |
1.8× |
| Apply long leg splint (29505) |
$246.20 |
$328.27 |
1.5× |
| Apply short leg cast (29405) |
$347.82 |
$463.76 |
1.2× |
| Apply short leg splint (29515) |
$204.34 |
$272.45 |
1.2× |
| Arterial puncture (36600) |
$225.44 |
$300.58 |
1.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,976.12 |
$2,634.83 |
0.6× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$2,464.86 |
$3,286.48 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$190.35 |
$253.80 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$266 |
$354.67 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$130.08 |
$173.44 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$313.64 |
$418.18 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$164.14 |
$218.85 |
0.5× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$3,647.64 |
$4,863.52 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,319.66 |
$1,759.55 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,781.50 |
$2,375.34 |
0.2× |
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure |
$2,482.20 |
$3,309.60 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$6,996.38 |
$9,328.50 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$7,497.06 |
$9,996.08 |
0.4× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737)
likely a partial charge, not the full procedure |
$2,212.47 |
$2,949.96 |
0.2× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$2,497.97 |
$3,330.63 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$5,220.50 |
$6,960.67 |
0.3× |
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure |
$1,364.33 |
$1,819.10 |
0.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,627.28 |
$3,503.04 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,287.57 |
$3,050.09 |
0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,461.94 |
$1,949.24 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$2,570.72 |
$3,427.63 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$2,151.05 |
$2,868.07 |
0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,150.99 |
$2,867.98 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,048.28 |
$4,064.38 |
0.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$752.34 |
$1,003.12 |
0.1× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,349.17 |
$3,132.22 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,629.87 |
$2,173.16 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,453.56 |
$4,604.75 |
0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,825.64 |
$5,100.85 |
0.5× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,696.99 |
$3,595.98 |
0.8× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure |
$3,603.85 |
$4,805.13 |
0.5× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335)
unusually low: confirm this is the full procedure |
$3,002.44 |
$4,003.25 |
0.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$4,856.80 |
$6,475.73 |
0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,610.81 |
$3,481.08 |
0.8× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,792.20 |
$2,389.60 |
0.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,402.98 |
$1,870.64 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$524.08 |
$698.76 |
0.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$174.75 |
$233 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$381.68 |
$508.92 |
0.5× |
| Aspiration bladder needle (51100) |
$166.37 |
$221.82 |
0.6× |
Av Fuse Uppr Arm Basilic (36819)
unusually low: confirm this is the full procedure |
$2,319.39 |
$3,092.52 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$251.85 |
$335.80 |
1.2× |
| Biopsy bone open deep (20245) |
$1,850.75 |
$2,467.67 |
0.6× |
| Biopsy bone open superficial (20240) |
$723.97 |
$965.29 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$964.22 |
$1,285.62 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$338.04 |
$450.71 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$377.84 |
$503.79 |
0.4× |
| Biopsy external ear (69100) |
$270.78 |
$361.04 |
1.1× |
| Biopsy intranasal (30100) |
$332.18 |
$442.90 |
0.2× |
| Biopsy muscle deep (20205) |
$857.38 |
$1,143.17 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$409.77 |
$546.36 |
0.2× |
| Biopsy of breast; open, incisional (19101) |
$1,319.27 |
$1,759.02 |
0.3× |
| Biopsy of lip (40490) |
$149.12 |
$198.82 |
0.6× |
| Biopsy of mouth lesion (40808) |
$323.25 |
$431 |
0.6× |
| Biopsy of penis (54100) |
$438.11 |
$584.14 |
0.3× |
| Biopsy of tongue (41100) |
$295.02 |
$393.36 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$945.28 |
$1,260.37 |
0.2× |
| Biopsy Oropharynx (42800) |
$440.74 |
$587.65 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$467.14 |
$622.85 |
0.3× |
| Biopsy Salivary Gland,Needle (42400) |
$282.47 |
$376.62 |
0.4× |
| Biopsy soft tissue back/flank deep (21925) |
$1,318.98 |
$1,758.64 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$653.22 |
$870.96 |
0.4× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$900.11 |
$1,200.15 |
0.5× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$679.46 |
$905.95 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$412.70 |
$550.26 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$386.89 |
$515.85 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$1,588.20 |
$2,117.60 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$853.92 |
$1,138.56 |
0.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$716.69 |
$955.59 |
1.0× |
| Bladder Irrigation Simple (51700) |
$285.77 |
$381.02 |
1.1× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,104.59 |
$2,806.12 |
1.0× |
| Blepharotomy drain absc eyelid (67700) |
$376.43 |
$501.91 |
1.1× |
| Blood patch (62273) |
$404.98 |
$539.97 |
0.6× |
| Blood transfusion service (36430) |
$712.68 |
$950.24 |
1.6× |
| Bone marrow aspiration only (38220) |
$518.51 |
$691.34 |
0.3× |
| Bone Marrow Biopsy (38221) |
$459.83 |
$613.10 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$724.49 |
$965.98 |
0.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$274.52 |
$366.04 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$1,227.53 |
$1,636.71 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,024.40 |
$1,365.86 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$1,835.12 |
$2,446.82 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$436.58 |
$582.10 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$371.30 |
$495.06 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,138.19 |
$1,517.58 |
0.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$766.69 |
$1,022.25 |
0.5× |
| Casting/strapping procedure (29799) |
$134.78 |
$179.70 |
0.8× |
| Cataract surgery complex (66982) |
$2,608.61 |
$3,478.15 |
1.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$511.83 |
$682.44 |
1.6× |
| Chemical cautery tissue (17250) |
$224.26 |
$299.02 |
1.1× |
| Chemodenerv musc migraine (64615) |
$573.69 |
$764.92 |
1.8× |
| Circumcision (54150) |
$380.03 |
$506.71 |
0.2× |
| Circumcision Neonate (54160) |
$693.65 |
$924.86 |
1.0× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$644.56 |
$859.41 |
2.0× |
| Claviculectomy partial (23120) |
$2,082.80 |
$2,777.06 |
0.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,498.06 |
$4,664.08 |
2.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,102.06 |
$2,802.75 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,526 |
$2,034.66 |
6.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$302.10 |
$402.80 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,879.04 |
$2,505.38 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,800.70 |
$2,400.93 |
7.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,363.36 |
$1,817.81 |
5.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$882.17 |
$1,176.22 |
3.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,691.24 |
$2,254.99 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,036.73 |
$1,382.30 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$567.83 |
$757.10 |
2.2× |
| Closure of gastrostomy, surgical (43870) |
$2,064.53 |
$2,752.70 |
0.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$637.61 |
$850.14 |
2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,018 |
$1,357.33 |
4.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,151.34 |
$1,535.12 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$784.46 |
$1,045.94 |
3.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,113.17 |
$1,484.23 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,303.68 |
$1,738.24 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,404.21 |
$1,872.28 |
5.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,029.84 |
$1,373.12 |
4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$915.67 |
$1,220.89 |
3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,370.38 |
$1,827.17 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,345 |
$3,126.67 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$470.57 |
$627.43 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,854.09 |
$3,805.45 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$115.58 |
$154.11 |
0.5× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,816.92 |
$2,422.56 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$367.64 |
$490.18 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,204.50 |
$1,606 |
4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$663.87 |
$885.16 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$820.55 |
$1,094.06 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$759.87 |
$1,013.16 |
3.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$847.64 |
$1,130.19 |
0.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$527.47 |
$703.29 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$762.37 |
$1,016.49 |
3.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,333.61 |
$3,111.48 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,459.30 |
$1,945.73 |
5.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,392.87 |
$1,857.16 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$445.57 |
$594.09 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,298.16 |
$1,730.88 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,193.54 |
$2,924.72 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$83.93 |
$111.91 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,416.93 |
$1,889.24 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,801.52 |
$2,402.02 |
1.5× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$912.07 |
$1,216.09 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$1,183.79 |
$1,578.39 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$988.68 |
$1,318.24 |
0.8× |
| Colonoscopy thru stoma (44388) |
$1,260.29 |
$1,680.38 |
1.3× |
| Colonoscopy w/ablation (45388) |
$1,964.40 |
$2,619.20 |
1.6× |
| Colonoscopy w/band ligation (45398) |
$1,547.44 |
$2,063.24 |
1.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,617.67 |
$2,156.90 |
1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$651.33 |
$868.44 |
2.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$448.47 |
$597.96 |
2.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$578.15 |
$770.87 |
1.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,294.30 |
$1,725.73 |
0.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,379.18 |
$1,838.90 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$470.49 |
$627.32 |
1.5× |
| Colposcopy vulva (56820) |
$355.38 |
$473.84 |
1.7× |
| Colposcopy vulva w/biopsy (56821) |
$449.51 |
$599.35 |
1.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$505.67 |
$674.23 |
1.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$575.69 |
$767.59 |
0.6× |
| Complex Cystometrogram (51726) |
$896.19 |
$1,194.92 |
3.5× |
| Conization of cervix (57520) |
$1,894.57 |
$2,526.09 |
0.6× |
| Conization of cervix (57522) |
$1,023.66 |
$1,364.88 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$264.06 |
$352.07 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$459.29 |
$612.39 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$347.82 |
$463.76 |
2.5× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,528.41 |
$2,037.88 |
0.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$791.21 |
$1,054.95 |
0.4× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
unusually low: confirm this is the full procedure |
$2,452.68 |
$3,270.24 |
0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$596.81 |
$795.74 |
0.4× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$3,055.70 |
$4,074.27 |
0.8× |
| Correction hammertoe (28285) |
$1,327.31 |
$1,769.74 |
0.4× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,805.48 |
$2,407.31 |
0.2× |
| Correction of bunion (28292) |
$1,823.10 |
$2,430.80 |
0.5× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,438.76 |
$3,251.68 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,237.86 |
$2,983.80 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,639.34 |
$3,519.12 |
0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,048.87 |
$2,731.82 |
0.6× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
unusually low: confirm this is the full procedure |
$2,678.36 |
$3,571.15 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$786.95 |
$1,049.27 |
5.7× |
| Curettage postpartum (59160) |
$1,363.03 |
$1,817.37 |
0.4× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
unusually low: confirm this is the full procedure |
$3,526.33 |
$4,701.77 |
0.4× |
| Cystourethroscopy (52000) |
$880.72 |
$1,174.29 |
1.2× |
| Cystourethroscopy with biopsy (52204) |
$1,103.05 |
$1,470.73 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$244.53 |
$326.04 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,077.37 |
$1,436.49 |
1.5× |
| Debride nail 1-5 (11720) |
$148.56 |
$198.08 |
2.4× |
| Debride nail 6 or more (11721) |
$207.69 |
$276.92 |
3.4× |
| Debride tissue/muscle (11043) |
$987.78 |
$1,317.04 |
1.3× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$332.84 |
$443.78 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$513.40 |
$684.53 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$513.95 |
$685.26 |
0.3× |
| Declot vascular device (36593) |
$390.89 |
$521.18 |
1.1× |
| Decompression Of Tibia Nerve (28035) |
$1,508.60 |
$2,011.48 |
0.7× |
| Delivery placenta separate procedure (59414) |
$403.88 |
$538.51 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,315.24 |
$1,753.64 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,306.97 |
$1,742.63 |
0.6× |
| Destruction anal lesion(s) (46924) |
$1,582.58 |
$2,110.10 |
0.6× |
| Destruction Benign Lesions 15/> (17111) |
$346.44 |
$461.92 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$242.88 |
$323.84 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,088.07 |
$2,784.09 |
2.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$467.65 |
$623.53 |
0.5× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$233.83 |
$311.77 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$1,035.06 |
$1,380.08 |
0.5× |
| Destruction Lesions Vulva Simple (56501) |
$372.85 |
$497.13 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$331.26 |
$441.68 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$386.91 |
$515.88 |
1.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$256.43 |
$341.91 |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$343.15 |
$457.53 |
1.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$253.50 |
$338 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$344.24 |
$458.99 |
1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$197.36 |
$263.14 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$466.50 |
$622 |
0.2× |
| Destruction of skin lesions (17106) |
$882.19 |
$1,176.25 |
2.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$917.39 |
$1,223.19 |
2.2× |
| Destruction premalignant lesion 1st (17000) |
$201.02 |
$268.02 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$779.72 |
$1,039.62 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$392.39 |
$523.18 |
0.4× |
| Dilation and curettage (58120) |
$1,465.61 |
$1,954.14 |
0.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$401.57 |
$535.42 |
0.5× |
| Drain Spinal Cord Cyst (62268) |
$1,151.26 |
$1,535.01 |
1.3× |
| Drainage external auditory canal abscess (69020) |
$498.52 |
$664.69 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$301.59 |
$402.12 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$530.51 |
$707.34 |
2.6× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$131.40 |
$175.20 |
0.2× |
| Drainage of gum lesion (41800) |
$389.73 |
$519.64 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$296.21 |
$394.95 |
0.2× |
| Drainage of hydrocele (55000) |
$325.64 |
$434.19 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$662.20 |
$882.93 |
0.4× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,476.77 |
$1,969.03 |
0.4× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,549.37 |
$2,065.83 |
0.5× |
| Draw blood off venous device (36591) |
$68.06 |
$90.75 |
0.5× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$470.17 |
$626.89 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$549.40 |
$732.53 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$385.11 |
$513.48 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$202.62 |
$270.16 |
1.0× |
| Dstrj lesion anus simple chemical (46900) |
$552.34 |
$736.45 |
1.3× |
| Dstrj lesion anus simple cryosurgery (46916) |
$577.91 |
$770.54 |
2.8× |
| Dstrj lesion anus simple surg excision (46922) |
$780.59 |
$1,040.78 |
0.3× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$605.74 |
$807.65 |
0.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$394.55 |
$526.06 |
1.9× |
| Dx bone marrow bx & aspir (38222) |
$459.28 |
$612.37 |
0.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$608.93 |
$811.90 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,069.31 |
$1,425.75 |
0.5× |
| Egd band ligation esophgeal/gastric varices (43244) |
$939.94 |
$1,253.24 |
0.5× |
| Egd control bleeding any (43255) |
$1,563.47 |
$2,084.62 |
0.8× |
| Egd dilate stricture (43245) |
$1,181.64 |
$1,575.52 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,058.43 |
$1,411.24 |
0.5× |
| Egd flexible foreign body removal (43247) |
$1,123.30 |
$1,497.74 |
1.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,086.22 |
$1,448.29 |
0.5× |
| Egd place gastrostomy tube (43246) |
$3,343.04 |
$4,457.39 |
1.7× |
| Egd remove lesion snare (43251) |
$1,311.50 |
$1,748.66 |
0.7× |
| Endocervical Curettage (57505) |
$411.37 |
$548.49 |
0.4× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure |
$2,332.89 |
$3,110.52 |
0.5× |
| Endometrial Biopsy (58100) |
$420.36 |
$560.48 |
2.0× |
| Endoscopic plantar fasciotomy (29893) |
$1,631.41 |
$2,175.21 |
0.5× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$1,931.25 |
$2,575 |
0.3× |
| Endovenous laser, 1st vein (36478) |
$3,778.54 |
$5,038.05 |
1.2× |
| Enterorrhaphy single perforation (44602) |
$3,984.72 |
$5,312.96 |
1.0× |
| Episiotomy or vaginal repair (59300) |
$544.33 |
$725.77 |
0.2× |
| Esc i p ulcer w ostect & flap (15946) |
$4,757.04 |
$6,342.72 |
2.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,352.48 |
$1,803.30 |
1.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$711.17 |
$948.23 |
0.8× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,080.70 |
$1,440.93 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,269.81 |
$1,693.08 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$178.09 |
$237.45 |
1.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,545.93 |
$2,061.24 |
0.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,972.88 |
$2,630.51 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,261.72 |
$1,682.29 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$276.64 |
$368.85 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$287.51 |
$383.34 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$733.68 |
$978.24 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$714.02 |
$952.03 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$417.20 |
$556.26 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$1,105.50 |
$1,474 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$325.60 |
$434.13 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,012.64 |
$1,350.18 |
0.6× |
| Exc Frenum Labial/Buccal (40819) |
$798.82 |
$1,065.09 |
0.5× |
| Exc ganglion wrist recurrent (25112) |
$1,881.55 |
$2,508.73 |
1.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,027.33 |
$2,703.10 |
0.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$419.32 |
$559.09 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,359.62 |
$1,812.82 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$938.14 |
$1,250.85 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$1,978.47 |
$2,637.96 |
0.7× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$1,296.78 |
$1,729.04 |
0.6× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$2,612.72 |
$3,483.62 |
0.9× |
| Exc rect tum transanal part (45171) |
$2,350.19 |
$3,133.59 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$358.35 |
$477.80 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$323.90 |
$431.86 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$498.66 |
$664.88 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,175 |
$1,566.66 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$860.40 |
$1,147.20 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,983.29 |
$2,644.39 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$905.97 |
$1,207.96 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,217.95 |
$1,623.93 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,474.37 |
$1,965.82 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$774.68 |
$1,032.91 |
0.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,866.52 |
$2,488.69 |
1.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,297.59 |
$1,730.12 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,065.59 |
$2,754.12 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,788.54 |
$2,384.72 |
0.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,401.56 |
$1,868.75 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,093.98 |
$1,458.64 |
0.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,184.24 |
$1,578.99 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,202.69 |
$1,603.59 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,081.06 |
$1,441.41 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,247.48 |
$1,663.31 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,310.63 |
$3,080.84 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,079.03 |
$1,438.70 |
0.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$2,356.75 |
$3,142.33 |
0.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,155.96 |
$1,541.28 |
0.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,280.12 |
$1,706.82 |
0.4× |
| Excise cutaneous neurofibroma (64788) |
$2,064.26 |
$2,752.34 |
1.0× |
| Excise/repair mouth lesion (40812) |
$656.57 |
$875.42 |
0.4× |
| Excision Breast Lesion (19125) |
$1,722.71 |
$2,296.94 |
0.4× |
| Excision Chalazion Single (67800) |
$379.94 |
$506.58 |
1.2× |
| Excision external ear partial simple repair (69110) |
$1,293.75 |
$1,725 |
0.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,067.05 |
$2,756.07 |
0.7× |
| Excision interdigital morton neuroma single each (28080) |
$1,461.44 |
$1,948.58 |
0.9× |
| Excision Lesion Floor Mouth (41116) |
$1,044.69 |
$1,392.92 |
0.3× |
| Excision lesion mouth roof (42104) |
$563.03 |
$750.71 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$471.82 |
$629.09 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$581.83 |
$775.77 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$582.71 |
$776.95 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$721.73 |
$962.30 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,205.45 |
$1,607.26 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$711.38 |
$948.50 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$900.10 |
$1,200.13 |
1.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,170.91 |
$1,561.21 |
1.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,441.65 |
$1,922.20 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$575.12 |
$766.82 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$781.18 |
$1,041.57 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$932.20 |
$1,242.93 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,148.81 |
$1,531.75 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$697.62 |
$930.16 |
0.2× |
| Excision nasal polyp extensive (30115) |
$1,683.22 |
$2,244.29 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$415.37 |
$553.82 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$493.77 |
$658.36 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,402.54 |
$1,870.06 |
0.8× |
| Excision of hydrocele unilateral (55040) |
$2,110.37 |
$2,813.83 |
0.6× |
| Excision of infected graft; extremity Facility (35903) |
$2,637.62 |
$3,516.83 |
0.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$681.63 |
$908.84 |
0.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,477.58 |
$1,970.10 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$604.67 |
$806.22 |
0.2× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$880.19 |
$1,173.58 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$459.71 |
$612.94 |
0.3× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$184.82 |
$246.42 |
0.1× |
| Excision of local lesion of epididymis (54830) |
$1,198.76 |
$1,598.34 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,423.76 |
$1,898.34 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$532.92 |
$710.56 |
0.4× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$2,225.46 |
$2,967.28 |
1.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$533.66 |
$711.54 |
0.4× |
| Excision of tongue lesion (41112) |
$811.59 |
$1,082.12 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$1,288.02 |
$1,717.36 |
0.4× |
| Excision olecranon bursa (24105) |
$1,182.86 |
$1,577.14 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,486.77 |
$1,982.36 |
0.4× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107)
likely a partial charge, not the full procedure |
$1,317.02 |
$1,756.02 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,060.10 |
$1,413.47 |
0.4× |
| Excision prepatellar bursa (27340) |
$1,433.42 |
$1,911.23 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,467.86 |
$1,957.15 |
0.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,271.20 |
$1,694.93 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$931.24 |
$1,241.65 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$792.82 |
$1,057.10 |
0.5× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,092.09 |
$1,456.12 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,163.57 |
$1,551.43 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$3,545.60 |
$4,727.47 |
1.2× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$3,026.05 |
$4,034.73 |
0.8× |
| Excision, nasal polyp(s), simple Facility (30110) |
$622.01 |
$829.35 |
0.4× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$2,594.22 |
$3,458.96 |
1.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,421.48 |
$1,895.31 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,084.89 |
$1,446.52 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$952.85 |
$1,270.46 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,218.50 |
$1,624.66 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$1,396.50 |
$1,862 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,516.34 |
$2,021.78 |
0.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,571.78 |
$2,095.70 |
0.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,005.43 |
$2,673.90 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$1,011.76 |
$1,349.01 |
0.6× |
| Exploration of knee joint (27310) |
$1,698.96 |
$2,265.28 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,987.21 |
$2,649.61 |
1.2× |
| Explore/irrigate tear ducts (68840) |
$321.26 |
$428.35 |
1.0× |
| Explore/Treat Knee Joint (27331) |
$2,111.18 |
$2,814.90 |
0.6× |
| External cephalic version (59412) |
$434.36 |
$579.15 |
0.1× |
| Fasciectomy Palm Only (26121) |
$2,285.72 |
$3,047.63 |
0.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,311.30 |
$1,748.40 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$1,035.72 |
$1,380.96 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$1,747.04 |
$2,329.39 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,144.49 |
$4,192.65 |
0.9× |
| Fetal non-stress test (59025) |
$229.19 |
$305.58 |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,589.45 |
$2,119.27 |
2.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$394.20 |
$525.60 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$218.27 |
$291.02 |
0.5× |
| Fit/Insert Intravag Support Device (57160) |
$192.08 |
$256.10 |
0.9× |
| Fitting of diaphragm/cap (57170) |
$169.72 |
$226.29 |
0.8× |
| Fix Entropion,Extensv Lid Repair (67924) |
$1,618.61 |
$2,158.14 |
0.7× |
| Fixation of shoulder (23700) |
$708.61 |
$944.81 |
0.4× |
| Flap; neurovascular pedicle (15750) |
$3,238.85 |
$4,318.46 |
0.9× |
| Fluid pressure muscle (20950) |
$637.61 |
$850.14 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$185.30 |
$247.06 |
0.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$971.24 |
$1,294.98 |
1.3× |
| Forehead flap w/vasc pedicle (15731) |
$4,030.51 |
$5,374.01 |
1.1× |
| Foreskin manipulation (54450) |
$466.09 |
$621.45 |
1.8× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,891.20 |
$2,521.60 |
0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,597.15 |
$3,462.86 |
1.2× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$2,291.74 |
$3,055.64 |
0.3× |
| Gastrocnemius recession (27687) |
$1,674.05 |
$2,232.06 |
0.5× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,784.47 |
$5,045.96 |
1.0× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,491.75 |
$1,989 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$817.24 |
$1,089.65 |
1.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,793.20 |
$2,390.94 |
0.5× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$967.61 |
$1,290.14 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,854.03 |
$2,472.04 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,144.91 |
$2,859.88 |
0.7× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$1,392.82 |
$1,857.09 |
0.5× |
| Hysteroscopy biopsy (58558) |
$2,012.61 |
$2,683.48 |
0.6× |
Hysteroscopy removal leiomyomata (58561)
unusually low: confirm this is the full procedure |
$1,924.48 |
$2,565.97 |
0.4× |
| Hysteroscopy w endometrial ablation (58563) |
$4,160.99 |
$5,547.98 |
0.8× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,098.48 |
$1,464.64 |
0.3× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$3,969.88 |
$5,293.17 |
0.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,913.78 |
$2,551.71 |
0.6× |
| I&D Abscess Peritonsillar (42700) |
$511.40 |
$681.86 |
2.1× |
| I&d abscess simple (10060) |
$236.03 |
$314.71 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,745.63 |
$2,327.51 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,284.77 |
$1,713.02 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$661.80 |
$882.40 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,603.01 |
$2,137.35 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$323.33 |
$431.10 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$790.34 |
$1,053.78 |
0.5× |
| I&d vulva/perineal abscess (56405) |
$467.85 |
$623.80 |
1.5× |
| Image Cath Fluid Peri/Retro (49406) |
$1,029.05 |
$1,372.07 |
0.6× |
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350)
unusually low: confirm this is the full procedure |
$3,479.58 |
$4,639.44 |
0.4× |
| Incise external hemorrhoid (46083) |
$390.53 |
$520.70 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$569.48 |
$759.30 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,412.14 |
$1,882.85 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$708.87 |
$945.16 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$681.14 |
$908.19 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$279.79 |
$373.05 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$409.19 |
$545.58 |
2.0× |
| Incision and drainage perianal abscess superficial (46050) |
$506.78 |
$675.70 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$1,287.68 |
$1,716.91 |
0.8× |
| Incision of eardrum (69421) |
$444.78 |
$593.04 |
0.1× |
| Incision of eardrum (69420) |
$432.05 |
$576.07 |
1.8× |
| Incision of eyelid fold (67715) |
$634.01 |
$845.34 |
0.3× |
| Incision of labial frenum (frenotomy) (40806) |
$470.98 |
$627.97 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$526.19 |
$701.59 |
0.3× |
| Incision of rectal abscess (46040) |
$1,282.07 |
$1,709.42 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$253.52 |
$338.03 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$175.74 |
$234.31 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$468.58 |
$624.77 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$201.02 |
$268.02 |
0.6× |
| Inj therapeutic carpal tunnel (20526) |
$207.69 |
$276.92 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$463.67 |
$618.23 |
0.5× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$260.03 |
$346.71 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$376.35 |
$501.80 |
0.4× |
| Inject Intravitreal Pharmcologic (67028) |
$137.71 |
$183.61 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$643.34 |
$857.79 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$707.34 |
$943.12 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$427.13 |
$569.51 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$998.68 |
$1,331.57 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$167.51 |
$223.35 |
0.5× |
| Inject/treat eye socket (67500) |
$83.45 |
$111.26 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$346.28 |
$461.70 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$222.30 |
$296.40 |
0.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$308.01 |
$410.68 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$536.78 |
$715.70 |
1.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$405.65 |
$540.86 |
0.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$394.14 |
$525.53 |
0.5× |
| Injection for identification of sentinel node (38792) |
$659.44 |
$879.26 |
1.6× |
| Injection into skin lesions (11900) |
$167.49 |
$223.32 |
0.8× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$434.56 |
$579.41 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$159.34 |
$212.46 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$213.90 |
$285.20 |
0.7× |
| Injection(s) spider veins (36468) |
$387.20 |
$516.27 |
0.9× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$420.36 |
$560.48 |
0.6× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$136.13 |
$181.50 |
0.7× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$1,962.04 |
$2,616.04 |
0.2× |
| Insert cath pleura w/ image (32557) |
$769.03 |
$1,025.37 |
0.5× |
| Insert cath pleura w/o image (32556) |
$893.09 |
$1,190.78 |
0.5× |
| Insert cervical dilator (59200) |
$513.53 |
$684.70 |
1.6× |
| Insert Drug Implant Device (11981) |
$485.44 |
$647.25 |
3.5× |
| Insert gastrostomy tube percutaneous (49440) |
$1,391.87 |
$1,855.83 |
0.7× |
Insert heart pm ventricular (33207)
likely a partial charge, not the full procedure |
$2,916.14 |
$3,888.19 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$630.93 |
$841.24 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,071.23 |
$1,428.31 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$215.54 |
$287.39 |
1.6× |
| Insert tunneled cv cath (36561) |
$2,279.78 |
$3,039.71 |
0.7× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,001.33 |
$2,668.44 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$200.90 |
$267.86 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,890.66 |
$2,520.88 |
0.5× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$990.83 |
$1,321.11 |
0.1× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$785.07 |
$1,046.76 |
0.0× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
likely a partial charge, not the full procedure |
$1,553.99 |
$2,071.98 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$383.03 |
$510.70 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,198.28 |
$4,264.38 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,084.64 |
$1,446.19 |
0.3× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$2,124.14 |
$2,832.18 |
0.1× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$537.91 |
$717.21 |
2.2× |
| Intro Gastrointestinal Tube (44500) |
$103.62 |
$138.16 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$632.76 |
$843.68 |
2.6× |
| Knee Arthroscopy/Surgery (29874) |
$2,119.73 |
$2,826.30 |
0.6× |
| Knee Arthroscopy/Surgery (29879) |
$2,701.40 |
$3,601.87 |
0.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,372.74 |
$1,830.32 |
0.2× |
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure |
$5,296.22 |
$7,061.62 |
0.5× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$4,944.29 |
$6,592.39 |
0.5× |
Laparoscopic surgical splenectomy (38120)
unusually low: confirm this is the full procedure |
$3,738.11 |
$4,984.14 |
0.3× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$4,302.89 |
$5,737.18 |
0.7× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,757.93 |
$2,343.90 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,297.34 |
$1,729.78 |
0.2× |
Laparoscopy tubal block (58671)
unusually low: confirm this is the full procedure |
$2,484.85 |
$3,313.13 |
0.4× |
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure |
$2,224.25 |
$2,965.66 |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,097.15 |
$5,462.86 |
0.7× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure |
$2,130.50 |
$2,840.66 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$3,005.34 |
$4,007.12 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$7,068.21 |
$9,424.28 |
0.6× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$4,813.76 |
$6,418.34 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$3,738.73 |
$4,984.97 |
0.6× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$2,889.76 |
$3,853 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure |
$5,122.80 |
$6,830.40 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,776.36 |
$5,035.14 |
0.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$3,306.02 |
$4,408.02 |
0.5× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
unusually low: confirm this is the full procedure |
$2,981.12 |
$3,974.82 |
0.5× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$3,567.78 |
$4,757.04 |
0.6× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure |
$2,768.38 |
$3,691.17 |
0.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,964.25 |
$5,285.67 |
0.6× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,181.10 |
$4,241.46 |
0.5× |
| Laryngoscopy diagnostic (31505) |
$305.97 |
$407.96 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$335.20 |
$446.93 |
1.6× |
| Late closure of wound (13160) |
$2,259.07 |
$3,012.09 |
0.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$975.64 |
$1,300.85 |
0.3× |
| Ligation of a-v fistula (37607) |
$1,329.15 |
$1,772.20 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$607.51 |
$810.02 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$976.72 |
$1,302.30 |
0.6× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$1,170.91 |
$1,561.21 |
0.4× |
| Lip shave (40500) |
$2,407.57 |
$3,210.09 |
0.7× |
| Liver Biopsy (47000) |
$609.74 |
$812.99 |
0.4× |
| Lysis of labial adhesions (56441) |
$419.69 |
$559.59 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$849.11 |
$1,132.15 |
0.4× |
| Manipulation knee joint under general anesthesia (27570) |
$701.79 |
$935.72 |
0.4× |
| Mast mod rad (19307) |
$5,342.31 |
$7,123.08 |
0.8× |
| Mastectomy partial (19301) |
$1,688.57 |
$2,251.43 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,996.34 |
$3,995.12 |
0.4× |
| Metatarsectomy (28140) |
$1,298.06 |
$1,730.75 |
0.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$5,781.16 |
$7,708.21 |
1.6× |
| Muscle-skin graft trunk (15734) |
$4,760.84 |
$6,347.79 |
1.3× |
| Myelography Lumbar Injection (62304) |
$457.98 |
$610.64 |
0.6× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$455.95 |
$607.93 |
0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$467.70 |
$623.60 |
0.6× |
| N Block Inj, Plantar Digit (64455) |
$418.76 |
$558.35 |
1.3× |
| Nasal endoscopy dx (31231) |
$491.73 |
$655.64 |
2.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$795.16 |
$1,060.22 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$744.75 |
$993 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$401.71 |
$535.61 |
0.9× |
| Needle biopsy of pancreas (48102) |
$943.13 |
$1,257.51 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$43.48 |
$57.97 |
1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$43.48 |
$57.97 |
1.5× |
| Neurectomy, intrinsic musculature of foot Facility (28055) |
$974.66 |
$1,299.55 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,339.33 |
$3,119.10 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$2,712.76 |
$3,617.01 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$382.24 |
$509.66 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$488.13 |
$650.84 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$165.60 |
$220.79 |
0.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$391.58 |
$522.10 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$442.75 |
$590.33 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,546.58 |
$2,062.10 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$442.75 |
$590.33 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,211.90 |
$1,615.87 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$533.30 |
$711.06 |
1.3× |
| Occipital Nerve Block (64405) |
$320.86 |
$427.82 |
1.0× |
| Occlude fallopian tube(s) (58615) |
$1,501.57 |
$2,002.10 |
0.4× |
Omntc epiploectomy rescj omentum spx (49255)
unusually low: confirm this is the full procedure |
$2,160.94 |
$2,881.25 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,295.70 |
$1,727.60 |
0.3× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) |
$3,829.96 |
$5,106.61 |
0.5× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,792.67 |
$3,723.56 |
0.4× |
| Open treatment calcaneal fracture (28415) |
$3,818.58 |
$5,091.44 |
0.5× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$2,029.31 |
$2,705.74 |
0.3× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,550.07 |
$2,066.76 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure |
$2,302.79 |
$3,070.39 |
0.3× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
likely a partial charge, not the full procedure |
$1,739.44 |
$2,319.25 |
0.1× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge, not the full procedure |
$1,581.17 |
$2,108.22 |
0.1× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$2,240.54 |
$2,987.38 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,802.90 |
$2,403.87 |
0.5× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$2,095.58 |
$2,794.10 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,775.15 |
$2,366.87 |
0.5× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$2,769.24 |
$3,692.32 |
0.4× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$2,397.99 |
$3,197.32 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,590.87 |
$3,454.49 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure |
$3,432.62 |
$4,576.83 |
0.5× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$2,433.15 |
$3,244.20 |
0.3× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,101 |
$5,468 |
0.5× |
| Ostectomy calcaneus (28118) |
$1,471.37 |
$1,961.83 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,206.06 |
$1,608.07 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,171.42 |
$1,561.89 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,346.28 |
$1,795.04 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,328.90 |
$1,771.86 |
0.4× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,385.55 |
$4,514.06 |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$2,730.50 |
$3,640.66 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$2,327.27 |
$3,103.03 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,702.25 |
$2,269.66 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,706.65 |
$2,275.53 |
0.5× |
| Partial excision bone tibia (27640) |
$3,788.99 |
$5,051.99 |
1.1× |
| Partial removal of hand bone (26230) |
$1,547.22 |
$2,062.96 |
0.5× |
| Partial removal of thyroid (60220) |
$3,940.64 |
$5,254.19 |
0.6× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure |
$2,198.51 |
$2,931.35 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,058.93 |
$1,411.91 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$571.25 |
$761.67 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$3,682.24 |
$4,909.65 |
0.5× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,069.99 |
$1,426.66 |
0.3× |
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure |
$1,260.83 |
$1,681.10 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$372.84 |
$497.12 |
0.5× |
| Perq device breast 1st imag (19281) |
$223.49 |
$297.98 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$343.93 |
$458.57 |
1.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,158.59 |
$2,878.12 |
0.6× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$2,149.70 |
$2,866.27 |
0.3× |
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure |
$2,351.69 |
$3,135.59 |
0.3× |
| Phleb veins - extrem 20+ (37766) |
$388.75 |
$518.33 |
0.1× |
| Picc line placement (36569) |
$186.19 |
$248.25 |
0.1× |
| Place duod/jej tube perc (49441) |
$1,573.64 |
$2,098.19 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$348.23 |
$464.30 |
0.8× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$498.29 |
$664.38 |
0.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$540.42 |
$720.56 |
0.2× |
| Proctosigmoid w/biopsy (45305) |
$412.61 |
$550.14 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$221.77 |
$295.70 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$285.28 |
$380.36 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$254.36 |
$339.15 |
0.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$654.64 |
$872.85 |
0.9× |
| Radical resection of tumor; metatarsal Facility (28173) |
$2,036.03 |
$2,714.70 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$223.89 |
$298.52 |
0.1× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,246.98 |
$1,662.64 |
0.4× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,691.97 |
$2,255.96 |
0.2× |
Reconstruct Shoulder Joint (23470)
unusually low: confirm this is the full procedure |
$4,237.73 |
$5,650.30 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure |
$3,482.05 |
$4,642.73 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$566.16 |
$754.88 |
0.8× |
| Removal foreign body intranasal (30300) |
$279.79 |
$373.05 |
2.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$558.49 |
$744.65 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$47.74 |
$63.65 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$115.06 |
$153.42 |
1.9× |
| Removal implant deep (20680) |
$1,627.64 |
$2,170.19 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$742.59 |
$990.12 |
0.4× |
| Removal of adenoids (42831) |
$756.44 |
$1,008.59 |
0.2× |
| Removal of adenoids (42830) |
$689.87 |
$919.82 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$397.21 |
$529.61 |
1.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$690.13 |
$920.17 |
0.6× |
| Removal of finger lesion (26210) |
$1,532.48 |
$2,043.30 |
0.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$348.87 |
$465.16 |
0.8× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
unusually low: confirm this is the full procedure |
$6,613.65 |
$8,818.20 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$621.36 |
$828.48 |
1.0× |
| Removal of iud (58301) |
$255.37 |
$340.49 |
0.8× |
| Removal of nail bed (11750) |
$742.59 |
$990.12 |
1.8× |
| Removal of sesamoid bone (28315) |
$1,082.95 |
$1,443.93 |
0.3× |
| Removal Of Tendon Lesion (27630) |
$1,468.76 |
$1,958.34 |
0.4× |
| Removal of testis (54520) |
$2,042.83 |
$2,723.77 |
0.6× |
| Removal of tonsils (42826) |
$1,183.96 |
$1,578.61 |
0.3× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$1,255.88 |
$1,674.51 |
0.1× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,552.10 |
$2,069.48 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$202.58 |
$270.10 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$386.82 |
$515.76 |
0.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$277.32 |
$369.76 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$173.99 |
$231.99 |
0.6× |
| Remove anal fist subq (46270) |
$1,352.78 |
$1,803.72 |
0.5× |
| Remove drug implant device (11982) |
$558.98 |
$745.30 |
1.2× |
| Remove ext hem groups 2+ (46250) |
$1,502.51 |
$2,003.34 |
0.5× |
| Remove foreign body from eye (65235) |
$2,885.52 |
$3,847.36 |
1.2× |
| Remove Peritoneal Foreign Body (49402) |
$2,409.15 |
$3,212.20 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$1,487.84 |
$1,983.78 |
0.5× |
| Remove pulse generator (33241) |
$561.15 |
$748.20 |
0.1× |
| Remove spine eltrd perq aray (63661) |
$2,046.65 |
$2,728.86 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,454.26 |
$1,939.01 |
0.9× |
| Remove thyroid duct lesion (60280) |
$3,527.26 |
$4,703.01 |
0.6× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$1,004.33 |
$1,339.10 |
0.1× |
| Remove/Insert Drug Implant (11983) |
$752.39 |
$1,003.19 |
1.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$302.36 |
$403.14 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$201.46 |
$268.61 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$253.52 |
$338.03 |
1.8× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$1,101.43 |
$1,468.57 |
0.0× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$1,231.78 |
$1,642.37 |
0.1× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$1,044.32 |
$1,392.42 |
0.1× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$789.76 |
$1,053 |
0.0× |
| Renal Biopsy Percutaneous (50200) |
$905.38 |
$1,207.17 |
0.5× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,254.34 |
$3,005.78 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,966.46 |
$3,955.28 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,221.05 |
$1,628.07 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$827.41 |
$1,103.21 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,682.87 |
$2,243.83 |
4.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$886.49 |
$1,181.98 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$672.86 |
$897.14 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,016.73 |
$1,355.64 |
1.3× |
| Repair Ectropion Extensive (67917) |
$1,731.39 |
$2,308.52 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,956.20 |
$2,608.27 |
1.2× |
| Repair eyelid defect (67904) |
$2,241.46 |
$2,988.61 |
0.9× |
Repair Fibula Nonunion (27726)
unusually low: confirm this is the full procedure |
$3,416.48 |
$4,555.30 |
0.5× |
| Repair hand tendon (26410) |
$1,961.96 |
$2,615.94 |
1.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,741.61 |
$3,655.48 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,817.52 |
$3,756.69 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$598.20 |
$797.60 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$801.79 |
$1,069.05 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$931.36 |
$1,241.81 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$140.24 |
$186.99 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$498.08 |
$664.11 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$654.88 |
$873.17 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$795.13 |
$1,060.17 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$917.36 |
$1,223.15 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$512.94 |
$683.92 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$594.98 |
$793.32 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$699.50 |
$932.67 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,563.98 |
$2,085.31 |
0.7× |
| Repair intrinsic muscles hand each muscle (26591) |
$355.39 |
$473.85 |
0.1× |
| Repair Mouth Laceration (40831) |
$233.77 |
$311.69 |
0.4× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$336.85 |
$449.13 |
0.0× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,319.39 |
$1,759.18 |
0.2× |
| Repair of leg tendon each (27658) |
$1,904.51 |
$2,539.34 |
0.6× |
| Repair of nail bed (11760) |
$654.10 |
$872.13 |
0.9× |
| Repair of nasal septum (30520) |
$2,203.76 |
$2,938.34 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
likely a partial charge, not the full procedure |
$2,016.54 |
$2,688.72 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure |
$2,730.11 |
$3,640.14 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$3,381.84 |
$4,509.12 |
0.9× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$2,463.69 |
$3,284.92 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,093.26 |
$1,457.68 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,519.08 |
$2,025.44 |
0.2× |
| Repair tongue laceration (41252) |
$1,115.51 |
$1,487.35 |
4.6× |
| Repair Tongue Laceration (41250) |
$609.68 |
$812.90 |
1.3× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,987.78 |
$2,650.38 |
0.3× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$2,243.30 |
$2,991.06 |
0.3× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
unusually low: confirm this is the full procedure |
$2,517.95 |
$3,357.26 |
0.3× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
likely a partial charge, not the full procedure |
$1,570.85 |
$2,094.47 |
0.2× |
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure |
$2,385.09 |
$3,180.12 |
0.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,281.60 |
$3,042.13 |
2.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$388.13 |
$517.51 |
0.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$5,158.34 |
$6,877.79 |
5.5× |
| Reposition gastric feeding tube thru duodenum (43761) |
$360.92 |
$481.23 |
1.4× |
| Revise Hand/Foot Nerve (64704) |
$1,161.59 |
$1,548.79 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$2,357.13 |
$3,142.84 |
1.2× |
| Revise/Remove Neuroreceiver (63688) |
$2,119.93 |
$2,826.57 |
0.6× |
| Revision of colostomy simple (44340) |
$2,559.54 |
$3,412.72 |
0.7× |
| Revision of lower leg tendon (27685) |
$1,851.27 |
$2,468.36 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$5,509.53 |
$7,346.04 |
0.4× |
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832)
unusually low: confirm this is the full procedure |
$2,305.14 |
$3,073.52 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$311.93 |
$415.90 |
2.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,120.32 |
$1,493.76 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,253.57 |
$1,671.43 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,005.53 |
$1,340.70 |
1.6× |
| Rplc gtube revj gstrst trc (43763) |
$254.22 |
$338.96 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,327.10 |
$1,769.46 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,285.24 |
$4,380.32 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,758.04 |
$3,677.40 |
0.7× |
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure |
$2,548.16 |
$3,397.54 |
0.4× |
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure |
$3,201.24 |
$4,268.32 |
0.5× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$3,105.80 |
$4,141.06 |
4.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$828.30 |
$1,104.40 |
3.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$261.23 |
$348.31 |
0.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$285.27 |
$380.36 |
0.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,252.83 |
$1,670.44 |
0.4× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$1,049.84 |
$1,399.78 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$760.17 |
$1,013.56 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$895.64 |
$1,194.18 |
0.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$194.52 |
$259.36 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$228.95 |
$305.26 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$251.04 |
$334.72 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$300.41 |
$400.55 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$225.38 |
$300.51 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$448.07 |
$597.42 |
1.1× |
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure |
$2,219.15 |
$2,958.86 |
0.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,261.31 |
$3,015.08 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$337.28 |
$449.70 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$409.49 |
$545.98 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$251.85 |
$335.80 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$460.33 |
$613.77 |
1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$309.53 |
$412.70 |
1.5× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$389.53 |
$519.37 |
0.3× |
| Sigmoidoscopy w/biopsy (45331) |
$1,036.82 |
$1,382.42 |
1.1× |
| Sigmoidoscopy w/fb removal (45332) |
$809.10 |
$1,078.80 |
0.7× |
| Simple Cystometrogram (51725) |
$686.18 |
$914.90 |
2.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,030.67 |
$1,374.23 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$419.40 |
$559.20 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$480.77 |
$641.02 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$592.41 |
$789.88 |
2.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$801.79 |
$1,069.05 |
3.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$722.52 |
$963.36 |
3.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$371.17 |
$494.90 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,144.66 |
$1,526.21 |
5.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$550.55 |
$734.07 |
2.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,483.02 |
$3,310.69 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$414.53 |
$552.71 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$758.55 |
$1,011.40 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$1,106.42 |
$1,475.23 |
0.5× |
| Skin Tissue Procedure (17999) |
$270.17 |
$360.23 |
1.3× |
| Skin tissue rearrangement (14040) |
$2,652.16 |
$3,536.21 |
1.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,523.11 |
$3,364.14 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$975.94 |
$1,301.24 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$423.40 |
$564.53 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$687.27 |
$916.36 |
1.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$1,262.06 |
$1,682.74 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$284.82 |
$379.76 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$511.18 |
$681.56 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$331.41 |
$441.88 |
0.1× |
| Strapping unna boot (29580) |
$167.17 |
$222.89 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$1,176.86 |
$1,569.15 |
0.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$7,623.41 |
$10,164.54 |
1.2× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$6,567.50 |
$8,756.67 |
1.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,152.13 |
$2,869.50 |
0.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,400.69 |
$1,867.59 |
0.5× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$2,084.16 |
$2,778.88 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,558.13 |
$2,077.50 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$253.52 |
$338.03 |
0.6× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,706.46 |
$2,275.27 |
0.2× |
| Tenolysis extensor tendon hand/finger each (26445) |
$1,961.03 |
$2,614.70 |
0.6× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,004.49 |
$1,339.32 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$678.16 |
$904.21 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,063.72 |
$1,418.29 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$855.91 |
$1,141.21 |
0.5× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$761.65 |
$1,015.53 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$680.23 |
$906.97 |
1.1× |
| Thyroid biopsy (60100) |
$333.70 |
$444.93 |
0.5× |
| Tnot elbow lateral/medial debride open (24358) |
$1,637.45 |
$2,183.27 |
0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,175.67 |
$2,900.89 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,360.29 |
$1,813.72 |
0.4× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$4,425 |
$5,899.99 |
0.3× |
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure |
$5,406.54 |
$7,208.72 |
0.4× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$4,064.94 |
$5,419.92 |
0.7× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$1,591.43 |
$2,121.91 |
0.5× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$1,743.36 |
$2,324.48 |
0.8× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$7,242.44 |
$9,656.59 |
1.0× |
| Treat clavicle fracture (23505) |
$1,128.70 |
$1,504.93 |
0.7× |
Treat Knee Fracture (27535)
likely a partial charge, not the full procedure |
$1,948.67 |
$2,598.22 |
0.3× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$2,676.18 |
$3,568.24 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$934.80 |
$1,246.40 |
3.7× |
| Treat pleurodesis w/agent (32560) |
$571.48 |
$761.97 |
0.9× |
Treat Thigh Fracture (27245)
unusually low: confirm this is the full procedure |
$2,736.62 |
$3,648.82 |
0.4× |
Treat/graft heel fracture (28420)
unusually low: confirm this is the full procedure |
$4,167.30 |
$5,556.40 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,568.09 |
$2,090.79 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$787.77 |
$1,050.36 |
3.1× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,733.58 |
$3,644.76 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,485.23 |
$1,980.30 |
0.4× |
| Trim skin lesion (11055) |
$109.15 |
$145.53 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$141.02 |
$188.03 |
0.7× |
| Trim skin lesions over 4 (11057) |
$186.71 |
$248.95 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$72.68 |
$96.91 |
1.2× |
| Tube thoracostomy includes water seal (32551) |
$1,108.54 |
$1,478.05 |
0.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,613.58 |
$2,151.43 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,186.31 |
$1,581.74 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,822.12 |
$2,429.49 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$635.54 |
$847.38 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$862.16 |
$1,149.55 |
0.5× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
unusually low: confirm this is the full procedure |
$2,752.50 |
$3,670 |
0.5× |
| Tympanostomy (69433) |
$480.54 |
$640.71 |
0.9× |
| Tympanostomy general anesthesia (69436) |
$780.06 |
$1,040.08 |
0.5× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$2,208.25 |
$2,944.33 |
10.6× |
| Unlisted laparoscopic procedure liver (47379) |
$3,276.41 |
$4,368.55 |
0.5× |
Unlisted laparoscopy procedure stomach (43659)
unusually low: confirm this is the full procedure |
$2,567.23 |
$3,422.97 |
0.4× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure |
$2,421.41 |
$3,228.55 |
0.4× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$709.43 |
$945.91 |
0.1× |
| Unlisted procedure anus (46999) |
$2,137.55 |
$2,850.07 |
2.2× |
| Unlisted procedure dentoalveolar structures (41899) |
$810.33 |
$1,080.44 |
3.3× |
| Unlisted Procedure Esophagus (43499) |
$4,567.33 |
$6,089.77 |
4.9× |
| Unlisted procedure femur or knee (27599) |
$1,741.94 |
$2,322.59 |
6.8× |
| Unlisted procedure foot or toes (28899) |
$1,092.09 |
$1,456.12 |
4.3× |
| Unlisted procedure liver (47399) |
$3,825.61 |
$5,100.81 |
5.2× |
| Unlisted procedure nervous system (64999) |
$630.24 |
$840.32 |
2.0× |
| Unlisted procedure shoulder (23929) |
$1,536.33 |
$2,048.44 |
6.0× |
| Unlisted Procedure Small Intestine (44799) |
$598.19 |
$797.58 |
0.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$273.56 |
$364.74 |
0.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,852.95 |
$5,137.26 |
4.1× |
| Unlisted procedure, leg or ankle (27899) |
$2,001.82 |
$2,669.09 |
7.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,513.03 |
$2,017.37 |
7.3× |
| Us urine capacity measure (51798) |
$104.79 |
$139.72 |
1.7× |
| Vaginal delivery only (59409) |
$3,243.83 |
$4,325.10 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$17,478.44 |
$23,304.58 |
1.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,033.50 |
$1,377.99 |
0.5× |
| Venipuncture (36415) |
$25.56 |
$34.08 |
2.7× |
| Ventilating tube removal requiring general anesthesia (69424) |
$372.38 |
$496.52 |
0.1× |
| Wedge excision skin nail fold (11765) |
$436.58 |
$582.10 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$9,301.88 |
$12,402.50 |
22.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,028.25 |
$1,371 |
1.3× |