| Abd paracentesis w/imaging (49083) |
$1,929.90 |
$2,757 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$184.10 |
$263 |
0.2× |
| Acne Surgery (10040) |
$249.38 |
$356.25 |
1.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,726.90 |
$2,467 |
0.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,507.80 |
$2,154 |
0.7× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,200.50 |
$1,715 |
0.6× |
| Amniocentesis diagnostic (59000) |
$1,382.50 |
$1,975 |
1.5× |
| Amputate metacarpal bone (26910) |
$1,950.20 |
$2,786 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,794.10 |
$2,563 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,300.60 |
$1,858 |
0.4× |
| Amputation of finger/thumb (26952) |
$1,797.60 |
$2,568 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,061.20 |
$1,516 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$487.90 |
$697 |
0.1× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,639 |
$3,770 |
0.4× |
| Anoscopy control bleeding (46614) |
$154 |
$220 |
0.1× |
| Anoscopy diagnostic (46600) |
$100.10 |
$143 |
0.7× |
| Anoscopy w/rmvl lesion cautery (46610) |
$198.80 |
$284 |
0.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$217 |
$310 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$308 |
$440 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
unusually low: confirm this is the full procedure |
$1,560.13 |
$2,228.76 |
0.3× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,580.60 |
$2,258 |
0.2× |
| Application cast elbow finger short arm (29075) |
$151.85 |
$216.93 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$167.62 |
$239.46 |
0.6× |
| Application finger splint static (29130) |
$91.03 |
$130.04 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$266.70 |
$381 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$254.42 |
$363.46 |
1.6× |
| Application of long leg cast (29345) |
$249.60 |
$356.56 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$209.72 |
$299.61 |
1.6× |
| Application short leg splint calf foot (29515) |
$454.80 |
$649.72 |
2.8× |
| Apply of clubfoot cast (29450) |
$280.88 |
$401.25 |
1.7× |
| Apply short leg cast (29405) |
$147.34 |
$210.48 |
0.5× |
| Arterial puncture (36600) |
$157.50 |
$225 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$117.04 |
$167.20 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$494.20 |
$706 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,159.90 |
$1,657 |
3.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$346.15 |
$494.50 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$89.77 |
$128.24 |
0.3× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$1,934.80 |
$2,764 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,489.50 |
$4,985 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$2,750.30 |
$3,929 |
0.2× |
Arthroplasty, patella; with prosthesis (27438)
likely a partial charge, not the full procedure |
$2,002 |
$2,860 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure |
$2,445.80 |
$3,494 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,746.50 |
$2,495 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,920.10 |
$2,743 |
0.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,628.90 |
$2,327 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,760.50 |
$2,515 |
0.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,451.80 |
$2,074 |
0.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,318.80 |
$1,884 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,476.30 |
$2,109 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,381.10 |
$1,973 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,719.20 |
$2,456 |
0.5× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,522.80 |
$3,604 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,527.40 |
$2,182 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,400.70 |
$2,001 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,659 |
$2,370 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,542.40 |
$3,632 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,646.70 |
$3,781 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$130.31 |
$186.15 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$274.36 |
$391.94 |
1.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$191.37 |
$273.38 |
0.2× |
| Biopsy of ovary(s) (58900) |
$817.60 |
$1,168 |
0.3× |
| Biopsy of uterus lining (58100) |
$243.05 |
$347.22 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$602.70 |
$861 |
0.2× |
| Biopsy testis incisional separate procedure (54505) |
$521.50 |
$745 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$171.10 |
$244.43 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,036.70 |
$1,481 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,200.50 |
$1,715 |
0.3× |
| Bladder Irrigation Simple (51700) |
$269.50 |
$385 |
1.1× |
| Blood patch (62273) |
$1,465.80 |
$2,094 |
2.1× |
| Blood transfusion service (36430) |
$451.50 |
$645 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$368.90 |
$527 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$427 |
$610 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$217 |
$310 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$172.12 |
$245.88 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$828.80 |
$1,184 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$645.40 |
$922 |
2.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,191.30 |
$4,559 |
1.0× |
| Chemical Cautery Tissue (17250) |
$77.22 |
$110.31 |
0.4× |
| Chest tube placement (32551) |
$946.05 |
$1,351.50 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$120.40 |
$172 |
0.9× |
Chromotubation of oviduct, including materials (58350)
likely a partial charge, not the full procedure |
$239.40 |
$342 |
0.0× |
| Circum 28 days or older (54161) |
$531.30 |
$759 |
0.3× |
| Circumcision (54150) |
$424.20 |
$606 |
0.2× |
| Claviculectomy; partial (23120) |
$1,428 |
$2,040 |
0.4× |
| Claviculectomy; total (23125) |
$1,913.80 |
$2,734 |
0.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$718.51 |
$1,026.44 |
2.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$849.07 |
$1,212.96 |
3.4× |
| Closed Rx Med Malleolus Fx (27760) |
$745.41 |
$1,064.87 |
3.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,157.36 |
$1,653.37 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$620.32 |
$886.17 |
2.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$774.24 |
$1,106.06 |
3.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$679.17 |
$970.24 |
2.7× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,897.48 |
$2,710.68 |
1.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$888.41 |
$1,269.16 |
3.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,066.80 |
$1,524 |
4.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$693.18 |
$990.26 |
2.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$732.96 |
$1,047.10 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$361.20 |
$516 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$844.34 |
$1,206.20 |
3.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$560 |
$800 |
2.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,176.34 |
$1,680.48 |
4.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$502.70 |
$718.14 |
2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,323 |
$1,890 |
5.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$342.30 |
$489 |
1.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$717.37 |
$1,024.82 |
2.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$581.38 |
$830.54 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,133.30 |
$1,619 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$587.25 |
$838.93 |
2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$264.60 |
$378 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$302.33 |
$431.90 |
1.2× |
| Closure of gastrostomy surgical (43870) |
$1,750 |
$2,500 |
0.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,653.70 |
$3,791 |
1.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$540.11 |
$771.58 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$989.70 |
$1,413.86 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$805.70 |
$1,151 |
3.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$293.30 |
$419 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$698.27 |
$997.52 |
2.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$898.14 |
$1,283.06 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$448.54 |
$640.78 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$591.85 |
$845.50 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,260.90 |
$1,801.28 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,814.40 |
$2,592 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$303.62 |
$433.74 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$249.90 |
$357 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$293.45 |
$419.22 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$743.48 |
$1,062.12 |
3.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$267.40 |
$382 |
1.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,365.04 |
$3,378.62 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$713.52 |
$1,019.31 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$956.14 |
$1,365.92 |
3.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$669.44 |
$956.34 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$752.42 |
$1,074.88 |
3.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$446.62 |
$638.02 |
1.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,429.57 |
$2,042.24 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$410.20 |
$586 |
1.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,599.47 |
$2,284.96 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$681.80 |
$974 |
0.6× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$395.50 |
$565 |
0.3× |
| Colonoscopy w/ablation (45388) |
$835.10 |
$1,193 |
0.7× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$1,264.40 |
$1,806.29 |
0.2× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge, not the full procedure |
$1,742.82 |
$2,489.74 |
0.2× |
| Colporrhaphy suture injury vagina (57200) |
$742.70 |
$1,061 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$428.12 |
$611.60 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$303.57 |
$433.67 |
1.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$479.30 |
$684.72 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$414.64 |
$592.34 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$231.64 |
$330.92 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$282.94 |
$404.20 |
0.9× |
| Colposcopy vulva (56820) |
$219.37 |
$313.38 |
1.1× |
| Colposcopy vulva w/biopsy (56821) |
$294.83 |
$421.18 |
1.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$376.16 |
$537.38 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$313.34 |
$447.63 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$608.30 |
$869 |
0.5× |
| Complex Drainage, Wound (10180) |
$424.20 |
$606 |
0.1× |
| Complex Uroflowmetry (51741) |
$21.56 |
$30.80 |
0.1× |
| Conization of cervix (57520) |
$667.80 |
$954 |
0.2× |
| Conization of cervix (57522) |
$609.42 |
$870.60 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$630 |
$900 |
4.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$630 |
$900 |
4.7× |
| Correction hammertoe (28285) |
$1,085.70 |
$1,551 |
0.3× |
| Correction of bunion (28292) |
$1,388.80 |
$1,984 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,298.50 |
$1,855 |
0.4× |
| Create eardrum opening (69436) |
$427.70 |
$611 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$630 |
$900 |
4.7× |
| Curettage postpartum (59160) |
$401.10 |
$573 |
0.1× |
| Cystometrogram W/Vp&Up (51729) |
$321.93 |
$459.90 |
0.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$1,852.20 |
$2,646 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$534.10 |
$763 |
0.3× |
| Cystourethroscopy (52000) |
$317.64 |
$453.77 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$72.55 |
$103.64 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,149.40 |
$1,642 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$683.20 |
$976 |
1.0× |
| Debride nail 1-5 (11720) |
$60.58 |
$86.54 |
1.0× |
| Debride skin musc at fx site (11011) |
$858.20 |
$1,226 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$216.43 |
$309.18 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$393.16 |
$561.66 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$582.40 |
$832 |
0.4× |
| Delivery placenta separate procedure (59414) |
$205.10 |
$293 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,635.15 |
$3,764.50 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,745.40 |
$2,031 |
1.4× |
| Destruction anal lesion(s) (46924) |
$503.66 |
$719.51 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$152.60 |
$218 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$166.31 |
$237.58 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$927.15 |
$1,324.50 |
1.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$1,678.95 |
$2,398.50 |
5.4× |
| Destruction Lesions Vulva Extensive (56515) |
$504.53 |
$720.76 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$656.60 |
$938 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$129.25 |
$184.64 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$434.34 |
$620.48 |
0.1× |
| Destruction vaginal lesions simple (57061) |
$247.44 |
$353.49 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$866.95 |
$1,238.50 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$157.11 |
$224.44 |
0.2× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$554.40 |
$792 |
0.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$547.40 |
$782 |
0.2× |
| Division of fallopian tube (58600) |
$883.40 |
$1,262 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$285.60 |
$408 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$452.84 |
$646.91 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$337.88 |
$482.68 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$291.52 |
$416.46 |
0.2× |
| Drainage of hydrocele (55000) |
$208.60 |
$298 |
0.3× |
| Drainage of palmar bursa; single, bursa (26025) |
$586.14 |
$837.34 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$512.40 |
$732 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$445.90 |
$637 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$169.35 |
$241.93 |
0.8× |
| Dstrj lesion anus simple chemical (46900) |
$223.36 |
$319.08 |
0.5× |
| Dstrj lesion anus simple surg excision (46922) |
$332.50 |
$475 |
0.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$642.60 |
$918 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$410.20 |
$586 |
0.2× |
| Egd flexible foreign body removal (43247) |
$467.60 |
$668 |
0.5× |
| Egd guide wire insertion (43248) |
$446.60 |
$638 |
0.5× |
| Egd place gastrostomy tube (43246) |
$534.10 |
$763 |
0.3× |
| Egd rem tumr/polyp forcep (43250) |
$358.40 |
$512 |
0.2× |
| Egd remove lesion snare (43251) |
$522.20 |
$746 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$602.70 |
$861 |
0.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$194.52 |
$277.89 |
1.5× |
| Endocervical Curettage (57505) |
$228 |
$325.71 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$3,364.90 |
$4,807 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$422.80 |
$604 |
0.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,371.30 |
$1,959 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$223.30 |
$319 |
1.7× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,544.20 |
$2,206 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,020.90 |
$1,458.42 |
0.6× |
| Exc abd les sc 3 cm/> (22903) |
$1,041.60 |
$1,488 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,149.40 |
$1,642 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$930.30 |
$1,329 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$384.67 |
$549.52 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$470.34 |
$671.90 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$1,043.06 |
$1,490.10 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,572.20 |
$2,246 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$807.10 |
$1,153 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$291.52 |
$416.46 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$436.80 |
$624 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$655.07 |
$935.82 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,007.30 |
$1,439 |
0.6× |
| Exc forearm les sc < 3 cm (25075) |
$747.60 |
$1,068 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$1,092.14 |
$1,560.19 |
0.7× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,022 |
$1,460 |
0.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,694 |
$2,420 |
0.6× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$3,228.40 |
$4,612 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$272.08 |
$388.68 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$284.90 |
$407.01 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$279.08 |
$398.68 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$404.44 |
$577.78 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$565 |
$807.14 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$395.18 |
$564.54 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$259.33 |
$370.47 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$688.90 |
$984.14 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$603.20 |
$861.71 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$568.40 |
$812 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$986.20 |
$1,408.86 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$839.30 |
$1,199 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$791.76 |
$1,131.09 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,020.60 |
$1,458 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,876.70 |
$2,681 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$265.09 |
$378.70 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$226.07 |
$322.96 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,765.40 |
$2,522 |
0.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,544.20 |
$2,206 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,603.70 |
$2,291 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$935.90 |
$1,337 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,736.70 |
$2,481 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,268.40 |
$1,812 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$868 |
$1,240 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,515.50 |
$2,165 |
0.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$775.60 |
$1,108 |
0.5× |
| Excise cutaneous neurofibroma (64788) |
$1,085.70 |
$1,551 |
0.6× |
| Excise/repair mouth lesion (40812) |
$477.40 |
$682 |
0.3× |
| Excision Breast Lesion (19125) |
$1,302 |
$1,860 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$689.50 |
$985 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$339.46 |
$484.94 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$357 |
$510 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$467.60 |
$668 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$571.97 |
$817.10 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$354.26 |
$506.08 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$522.20 |
$746 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$816.38 |
$1,166.26 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$344.44 |
$492.06 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$368.28 |
$526.12 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$606.90 |
$867 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$655.90 |
$937 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$267.93 |
$382.76 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$320.35 |
$457.64 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$356.63 |
$509.47 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$937.30 |
$1,339 |
0.6× |
| Excision of hydrocele; unilateral (55040) |
$835.10 |
$1,193 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$420.70 |
$601 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$330.86 |
$472.66 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$218.27 |
$311.82 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$830.90 |
$1,187 |
0.5× |
| Excision of nail fold toe (11765) |
$109.07 |
$155.81 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$450.10 |
$643 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$204.90 |
$292.71 |
0.2× |
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure |
$1,180.20 |
$1,686 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$587.01 |
$838.59 |
0.2× |
| Excision olecranon bursa (24105) |
$985.60 |
$1,408 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,447.60 |
$2,068 |
0.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,628.20 |
$2,326 |
0.6× |
| Excision Prepatellar Bursa (27340) |
$1,043 |
$1,490 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,334.20 |
$1,906 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$763 |
$1,090 |
0.5× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,426.60 |
$2,038 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$728 |
$1,040 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,140.30 |
$1,629 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$1,787.10 |
$2,553 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,963.50 |
$2,805 |
0.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$791 |
$1,130 |
0.2× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure |
$2,069.90 |
$2,957 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$666.40 |
$952 |
0.4× |
| Exploration of knee joint (27310) |
$1,790.60 |
$2,558 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$861 |
$1,230 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$917.70 |
$1,311 |
0.3× |
| Explore limb vessels (35860) |
$2,153.90 |
$3,077 |
0.7× |
Explore parathyroid glands (60500)
unusually low: confirm this is the full procedure |
$2,317 |
$3,310 |
0.4× |
| Explore/treat elbow joint (24101) |
$1,408.40 |
$2,012 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$1,110.90 |
$1,587 |
0.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,030 |
$2,900 |
0.6× |
| Fetal non-stress test (59025) |
$422.80 |
$604 |
2.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$157.50 |
$225 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$172.90 |
$247 |
0.4× |
| Fixation of knee joint (27570) |
$375.90 |
$537 |
0.2× |
| Fixation of shoulder (23700) |
$486.50 |
$695 |
0.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,905.40 |
$2,722 |
0.9× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,903.20 |
$5,576 |
1.0× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,002 |
$2,860 |
1.0× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$2,601.20 |
$3,716 |
0.8× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$2,714.60 |
$3,878 |
0.2× |
| Hemorrhoidectomy (46255) |
$865.20 |
$1,236 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$767.20 |
$1,096 |
0.3× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$938 |
$1,340 |
0.3× |
Hysteroscopy ablation (58563)
likely a partial charge, not the full procedure |
$875.69 |
$1,250.99 |
0.2× |
| Hysteroscopy biopsy (58558) |
$677.24 |
$967.48 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$477.33 |
$681.90 |
0.1× |
| I&d abscess simple (10060) |
$263.44 |
$376.34 |
1.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,217.61 |
$1,739.44 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$526.40 |
$752 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,749.30 |
$2,499 |
0.5× |
| I&d perianal abscess superficial (46050) |
$239.04 |
$341.48 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$243.90 |
$348.42 |
0.3× |
| Incise finger tendon sheath (26055) |
$744.80 |
$1,064 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$506.10 |
$723 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$923.30 |
$1,319 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$459.85 |
$656.92 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$318.51 |
$455.02 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$289.80 |
$414 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$305.54 |
$436.49 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$931 |
$1,330 |
0.6× |
| Incision labial frenum frenotomy (40806) |
$209.83 |
$299.75 |
0.4× |
| Incision of eardrum (69421) |
$401.80 |
$574 |
0.1× |
| Incision of lingual frenum (41010) |
$254.92 |
$364.18 |
0.2× |
| Incision of rectal abscess (46040) |
$1,171.80 |
$1,674 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$299.72 |
$428.16 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$427.32 |
$610.45 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$152.46 |
$217.80 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,558.20 |
$2,226 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$105.29 |
$150.42 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$163.10 |
$233 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$219.80 |
$314 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$990.50 |
$1,415 |
1.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$285.95 |
$408.50 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$169.75 |
$242.50 |
0.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$857.15 |
$1,224.50 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$318.34 |
$454.78 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$739.90 |
$1,057 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$924 |
$1,320 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$829.85 |
$1,185.50 |
0.9× |
| Inject Nerv Blck,Pudendal (64430) |
$824.60 |
$1,178 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$108.80 |
$155.43 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$644.70 |
$921 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$674.10 |
$963 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$244.30 |
$349 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$227.32 |
$324.74 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$385.35 |
$550.50 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$115.82 |
$165.46 |
0.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$884.10 |
$1,263 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$111.90 |
$159.85 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$268.48 |
$383.55 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$104.44 |
$149.20 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$178.12 |
$254.46 |
0.6× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$212.35 |
$303.35 |
0.3× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$339.50 |
$485 |
1.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$226.80 |
$324 |
1.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$198.45 |
$283.50 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$459.20 |
$656 |
3.6× |
| Insert cervical dilator (59200) |
$393.40 |
$562 |
1.3× |
| Insert Drug Implant Device (11981) |
$388.01 |
$554.30 |
2.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$547.40 |
$782 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$3,497.90 |
$4,997 |
1.1× |
| Insert pessary/other device (57160) |
$118.72 |
$169.60 |
0.6× |
| Insert picc cath (36569) |
$2,370.90 |
$3,387 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$295.40 |
$422 |
2.2× |
| Insert tunneled cv cath (36561) |
$1,360.10 |
$1,943 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$227.50 |
$325 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,065.40 |
$1,522 |
0.3× |
| Intro Gastrointestinal Tube (44500) |
$56.70 |
$81 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$1,188.60 |
$1,698 |
5.0× |
| Irrigate vagina w meds (57150) |
$75.46 |
$107.80 |
1.3× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,047.20 |
$1,496 |
0.2× |
Laparo sling operation (51992)
unusually low: confirm this is the full procedure |
$2,018.10 |
$2,883 |
0.3× |
Laparo-myomectomy complex (58546)
likely a partial charge, not the full procedure |
$2,875.40 |
$4,107.72 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,472.10 |
$2,103 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$985.60 |
$1,408 |
0.2× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,624.70 |
$2,321 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,501.61 |
$3,573.73 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure |
$3,361.40 |
$4,802 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$922.32 |
$1,317.60 |
0.2× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$921.10 |
$1,315.85 |
0.2× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,701.56 |
$2,430.79 |
0.3× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$811.66 |
$1,159.50 |
0.1× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$2,396.04 |
$3,422.92 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,279.69 |
$3,256.70 |
0.4× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,667.70 |
$3,811 |
0.2× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545)
unusually low: confirm this is the full procedure |
$2,271.10 |
$3,244.43 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
unusually low: confirm this is the full procedure |
$4,288.90 |
$6,127 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$3,813.60 |
$5,448 |
0.4× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,352.59 |
$3,360.84 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge, not the full procedure |
$2,459.80 |
$3,514 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,778 |
$2,540 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,736.30 |
$3,909 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,362.90 |
$1,947 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence (51990)
likely a partial charge, not the full procedure |
$1,817.20 |
$2,596 |
0.3× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,786.11 |
$2,551.58 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,058.40 |
$1,512 |
0.2× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,633.86 |
$3,762.66 |
0.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$2,248.90 |
$3,212.72 |
0.4× |
| Laryngoscopy Direct Aspiration (31515) |
$277.20 |
$396 |
0.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$216.30 |
$309 |
1.1× |
| Late closure of wound (13160) |
$2,296 |
$3,280 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$515.60 |
$736.58 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$592.20 |
$846 |
0.4× |
| Lysis of labial adhesions (56441) |
$340.90 |
$487 |
0.1× |
| Manipulation, elbow, under anesthesia (24300) |
$984.20 |
$1,406 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$1,012.90 |
$1,447 |
0.6× |
| Marsup Bartholin Gland Cyst (56440) |
$462.41 |
$660.59 |
0.1× |
| Mastectomy gynecomastia (19300) |
$1,149.40 |
$1,642 |
0.3× |
| Mastectomy partial (19301) |
$1,592.50 |
$2,275 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$120.40 |
$172 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48.30 |
$69 |
1.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$1,019.20 |
$1,456 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$310.10 |
$443 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,008 |
$1,440 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$688.10 |
$983 |
1.0× |
| Occlude fallopian tube(s) (58615) |
$472.50 |
$675 |
0.1× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure |
$1,968.40 |
$2,812 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,047.20 |
$1,496 |
0.3× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$2,013.90 |
$2,877 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,821.40 |
$2,602 |
0.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,157.80 |
$1,654 |
0.4× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,722.70 |
$2,461 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,307.60 |
$1,868 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$1,356.60 |
$1,938 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,766.80 |
$2,524 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$2,759.40 |
$3,942 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,951.90 |
$4,217 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$3,781.40 |
$5,402 |
0.3× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$2,489.20 |
$3,556 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,793.40 |
$2,562 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
unusually low: confirm this is the full procedure |
$2,213.40 |
$3,162 |
0.3× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$2,128.70 |
$3,041 |
0.2× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
unusually low: confirm this is the full procedure |
$2,378.60 |
$3,398 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,533 |
$2,190 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,765.40 |
$2,522 |
0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,807.40 |
$2,582 |
0.5× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$2,956.10 |
$4,223 |
0.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$921.90 |
$1,317 |
0.3× |
| Open tx interphalangeal joint dislocation (26785) |
$1,326.50 |
$1,895 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,414 |
$2,020 |
0.4× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,690.50 |
$2,415 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,464.40 |
$2,092 |
0.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$2,188.90 |
$3,127 |
0.2× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
unusually low: confirm this is the full procedure |
$3,184.30 |
$4,549 |
0.4× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$2,557.80 |
$3,654 |
0.2× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$2,284.10 |
$3,263 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,229.90 |
$1,757 |
0.4× |
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure |
$3,271.10 |
$4,673 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$962.50 |
$1,375 |
0.1× |
| Osteotomy Phalanx Finger Each (26567) |
$1,897.70 |
$2,711 |
0.6× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,003.40 |
$2,862 |
0.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,036.70 |
$1,481 |
0.6× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,757.70 |
$2,511 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,749.30 |
$2,499 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$823.20 |
$1,176 |
0.3× |
| Pelvic exam under anesthesia (57410) |
$273.76 |
$391.09 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,316.70 |
$1,881 |
0.4× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$2,272.90 |
$3,247 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,166.90 |
$1,667 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$919.10 |
$1,313 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$907.20 |
$1,296 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$137.49 |
$196.42 |
0.5× |
| Pin finger fracture each (26756) |
$1,157.80 |
$1,654 |
0.4× |
Placement of implants to block fallopian tubes using an endoscope (58565)
likely a partial charge, not the full procedure |
$1,102.08 |
$1,574.40 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$415.80 |
$594 |
0.9× |
| Placement of seton (46020) |
$574 |
$820 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$2,022.30 |
$2,889 |
1.0× |
Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500)
likely a partial charge, not the full procedure |
$984.20 |
$1,406 |
0.2× |
| Preputial Stretching (54450) |
$137.20 |
$196 |
0.5× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$269.50 |
$385 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$133.58 |
$190.84 |
0.1× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
likely a partial charge, not the full procedure |
$1,836.80 |
$2,624 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$226.78 |
$323.98 |
0.6× |
| Puncture Aspiration (10160) |
$235.80 |
$336.85 |
0.6× |
| Pvb thoracic single inj site (64461) |
$670.60 |
$958 |
0.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,886.50 |
$2,695 |
1.0× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,228.50 |
$1,755 |
0.2× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$2,039.80 |
$2,914 |
0.3× |
| Release i-p jt contracture (26525) |
$2,074.10 |
$2,963 |
1.3× |
| Release palm contracture (26121) |
$1,688.40 |
$2,412 |
0.5× |
| Removal fb intranasal (30300) |
$325 |
$464.30 |
2.4× |
| Removal foreign body foot subcutaneous (28190) |
$273.82 |
$391.18 |
0.4× |
| Removal foreign body pharynx (42809) |
$338.10 |
$483 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,017.80 |
$1,454 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$50.02 |
$71.45 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$181.44 |
$259.20 |
3.1× |
| Removal Implant Deep (20680) |
$1,048.60 |
$1,498 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$396.70 |
$566.71 |
0.6× |
| Removal of anal fissure (46200) |
$781.20 |
$1,116 |
0.3× |
| Removal of arm foreign body (24200) |
$339.50 |
$485 |
0.2× |
| Removal of heel bone (28118) |
$1,153.60 |
$1,648 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$263.50 |
$376.43 |
0.9× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
likely a partial charge, not the full procedure |
$2,875.60 |
$4,108 |
0.2× |
| Removal of nail bed (11750) |
$430.58 |
$615.12 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$207.23 |
$296.04 |
1.0× |
| Removal of sperm cord lesion (55520) |
$1,108.80 |
$1,584 |
0.3× |
| Removal of testis (54520) |
$804.30 |
$1,149 |
0.2× |
| Removal of tonsils (42826) |
$597.10 |
$853 |
0.2× |
| Removal subq cardiac rhythm monitor (33286) |
$214.08 |
$305.83 |
0.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$114.80 |
$164 |
0.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$916.30 |
$1,309 |
0.3× |
| Remove anal fist subq (46270) |
$926.10 |
$1,323 |
0.3× |
| Remove by ligat int hem grp (46945) |
$298.25 |
$426.07 |
0.1× |
| Remove by ligat int hem grps (46946) |
$546.98 |
$781.40 |
0.2× |
| Remove cerclage suture (59871) |
$340.45 |
$486.36 |
0.1× |
| Remove drug implant device (11982) |
$244.12 |
$348.74 |
0.5× |
| Remove foreign body from eye (65210) |
$657.30 |
$939 |
1.5× |
| Remove in/ex hem groups 2+ (46260) |
$823.19 |
$1,175.98 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$1,095.50 |
$1,565 |
0.4× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,229.90 |
$1,757 |
0.2× |
| Remove vagina wall partial (57106) |
$1,393 |
$1,990 |
0.4× |
| Remove wrist tendon lesion (25111) |
$773.50 |
$1,105 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$231.70 |
$331 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$203.38 |
$290.54 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$205.28 |
$293.26 |
1.5× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,876.70 |
$2,681 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,262.40 |
$3,232 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$858.20 |
$1,226 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$902.87 |
$1,289.82 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$582.52 |
$832.17 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$657.30 |
$939 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$625.46 |
$893.50 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,591.80 |
$2,274 |
1.0× |
| Repair finger/hand tendon (26350) |
$1,948.80 |
$2,784 |
0.6× |
| Repair hallux rigidus (28289) |
$1,557.50 |
$2,225 |
0.5× |
| Repair hand tendon (26410) |
$1,548.40 |
$2,212 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,395.10 |
$1,993 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,514.80 |
$2,164 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,435 |
$2,050 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$490.25 |
$700.36 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$500.76 |
$715.38 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$582.40 |
$832 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$431.37 |
$616.24 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$572 |
$817.15 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$660.10 |
$943 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$434.52 |
$620.75 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$536.68 |
$766.70 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$510.50 |
$729.28 |
1.3× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$1,450.40 |
$2,072 |
0.2× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$1,185.80 |
$1,694 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,869.70 |
$2,671 |
0.3× |
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure |
$1,219.66 |
$1,742.37 |
0.2× |
| Repair Of Foot Tendon (28208) |
$550.90 |
$787 |
0.2× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$2,620.80 |
$3,744 |
0.2× |
| Repair of leg tendon each (27658) |
$1,056.30 |
$1,509 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400)
unusually low: confirm this is the full procedure |
$2,200.10 |
$3,143 |
0.3× |
| Repair of rectum (45505) |
$1,458.80 |
$2,084 |
0.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure |
$2,417.10 |
$3,453 |
0.3× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,378.60 |
$3,398 |
0.3× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,446.90 |
$2,067 |
0.2× |
Repair of vagina (57260)
unusually low: confirm this is the full procedure |
$2,120.80 |
$3,029.71 |
0.4× |
Repair rectum & vagina (57250)
unusually low: confirm this is the full procedure |
$1,719.86 |
$2,456.95 |
0.3× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$2,032.10 |
$2,903 |
0.3× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472)
unusually low: confirm this is the full procedure |
$3,394.30 |
$4,849 |
0.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$560.70 |
$801 |
0.2× |
Repair/graft hand tendon (26358)
unusually low: confirm this is the full procedure |
$2,682.40 |
$3,832 |
0.4× |
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure |
$1,878.10 |
$2,683 |
0.3× |
| Replace g/c tube perc (49450) |
$170.10 |
$243 |
0.2× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,755.60 |
$2,508 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$1,548.40 |
$2,212 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$1,040.70 |
$1,486.72 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$1,452.96 |
$2,075.66 |
0.7× |
| Revise ulnar nerve at wrist (64719) |
$970.20 |
$1,386 |
0.5× |
| Revision of cervix (57720) |
$861 |
$1,230 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$325.89 |
$465.56 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$137.76 |
$196.80 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$513.80 |
$734 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,121.70 |
$3,031 |
3.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$441.98 |
$631.39 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$200.90 |
$287 |
0.8× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,765.40 |
$2,522 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,209.60 |
$1,728 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$1,003.80 |
$1,434 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$721.70 |
$1,031 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$707 |
$1,010 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$242.18 |
$345.97 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$216.73 |
$309.62 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$151.80 |
$216.86 |
0.8× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$101.79 |
$145.41 |
0.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,428 |
$2,040 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$26.33 |
$37.61 |
0.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$127.23 |
$181.76 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$158.82 |
$226.88 |
0.8× |
| Sigmoidoscopy & decompress (45337) |
$336.70 |
$481 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$186.90 |
$267 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$178.12 |
$254.46 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$455.19 |
$650.27 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$202.69 |
$289.56 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$446.98 |
$638.54 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$235.16 |
$335.94 |
1.2× |
| Skin pinch graft (15050) |
$1,097.66 |
$1,568.08 |
1.5× |
| Skin splt grft trnk/arm/leg (15100) |
$1,762.60 |
$2,518 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,286.90 |
$3,267 |
0.6× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,754.44 |
$2,506.34 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$188.65 |
$269.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$315.88 |
$451.26 |
0.8× |
| Sphincterotomy (46080) |
$453.60 |
$648 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$977.55 |
$1,396.50 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$487.90 |
$697 |
0.7× |
| Strapping ankle (29540) |
$64.67 |
$92.39 |
0.4× |
| Strapping elbow/wrist (29260) |
$86.10 |
$123 |
1.5× |
| Strapping shoulder (29240) |
$205.10 |
$293 |
1.5× |
| Strapping unna boot (29580) |
$181.65 |
$259.50 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$160.08 |
$228.68 |
0.4× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$933.80 |
$1,334 |
0.6× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$956.20 |
$1,366 |
0.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$692.65 |
$989.50 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$567.35 |
$810.50 |
0.9× |
| Thyroid biopsy (60100) |
$1,704.50 |
$2,435 |
2.4× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,282 |
$3,260 |
0.4× |
Tibial arthroscopy/surgery (29855)
likely a partial charge, not the full procedure |
$1,943.90 |
$2,777 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$715.40 |
$1,022 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,359.30 |
$4,799 |
0.3× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,376.47 |
$4,823.52 |
0.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$3,096.80 |
$4,424 |
2.0× |
| Tracheostomy planned (31600) |
$709.80 |
$1,014 |
0.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$457.80 |
$654 |
1.5× |
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure |
$1,878.10 |
$2,683 |
0.3× |
| Treat finger dislocation (26775) |
$844.90 |
$1,207 |
3.0× |
| Treat Finger Fracture Each (26727) |
$1,147.30 |
$1,639 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$611 |
$872.85 |
2.5× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$2,223.90 |
$3,177 |
0.3× |
| Treat fx distal radial (25606) |
$1,578.50 |
$2,255 |
0.5× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,808.80 |
$2,584 |
0.2× |
Treat heel fracture (28415)
unusually low: confirm this is the full procedure |
$3,079.30 |
$4,399 |
0.4× |
| Treat humerus fracture (24500) |
$789.04 |
$1,127.21 |
3.2× |
| Treat humerus fracture (23600) |
$746.20 |
$1,066 |
3.0× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$3,860.50 |
$5,515 |
0.3× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$3,045 |
$4,350 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$578.90 |
$827 |
2.3× |
| Treat thumb fracture (26650) |
$1,204.70 |
$1,721 |
0.4× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,850.80 |
$2,644 |
0.3× |
| Treat wrist bone fracture (25622) |
$674.88 |
$964.10 |
2.7× |
| Treat Wrist Bone Fracture (25630) |
$686.96 |
$981.38 |
2.8× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$2,378.60 |
$3,398 |
0.3× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,614.20 |
$2,306 |
0.2× |
Treatment of heel fracture (28406)
likely a partial charge, not the full procedure |
$1,239 |
$1,770 |
0.2× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$3,515.40 |
$5,022 |
0.5× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,052.26 |
$4,360.37 |
0.4× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$888.30 |
$1,269 |
0.3× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$2,552.20 |
$3,646 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$473.08 |
$675.82 |
1.9× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$2,375.80 |
$3,394 |
0.2× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,432.90 |
$2,047 |
0.2× |
| Trim skin lesion (11055) |
$104.08 |
$148.70 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$71.07 |
$101.53 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$42.99 |
$61.42 |
0.7× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$2,036.30 |
$2,909 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$736.40 |
$1,052 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$882.70 |
$1,261 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$471.15 |
$673.07 |
0.6× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$399.70 |
$571 |
2.0× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$606.90 |
$867 |
0.1× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$2,180.50 |
$3,115 |
0.4× |
| Unlisted procedure anus (46999) |
$964.60 |
$1,378 |
1.0× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$481.60 |
$688 |
1.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,811.60 |
$2,588 |
2.0× |
| Unlisted procedure, forearm or wrist (25999) |
$242.20 |
$346 |
1.0× |
| Unlisted procedure, hands or fingers (26989) |
$492.10 |
$703 |
2.0× |
| Vaginal delivery only (59409) |
$2,270.80 |
$3,244 |
0.7× |
Vaginal hysterectomy (58260)
unusually low: confirm this is the full procedure |
$2,081.10 |
$2,973 |
0.4× |
| Vasectomy (55250) |
$550.20 |
$786 |
0.3× |
| Vbac delivery only (59612) |
$2,639.30 |
$3,770.42 |
0.8× |
| Venipuncture (36415) |
$28 |
$40 |
3.0× |
| Vulvectomy simple partial (56620) |
$1,256.50 |
$1,795 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$901.60 |
$1,288 |
2.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$562.10 |
$803 |
0.8× |