| Abd paracentesis w/imaging (49083) |
$1,157.02 |
$1,652.89 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$722.05 |
$1,031.50 |
0.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,178.10 |
$1,683 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$760.90 |
$1,087 |
0.2× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,532.30 |
$2,189 |
0.7× |
| Amputate Thigh,Re-Amputatn (27596) |
$520.80 |
$744 |
0.2× |
| Amputation Finger/Thumb (26951) |
$1,023.40 |
$1,462 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$910.70 |
$1,301 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,347.87 |
$1,925.53 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$392 |
$560 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$485.80 |
$694 |
0.1× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$473.20 |
$676 |
0.1× |
| Anoscopy diagnostic (46600) |
$109.90 |
$157 |
0.8× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,143.80 |
$1,634 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$760.90 |
$1,087 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$77 |
$110 |
0.0× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure |
$481.60 |
$688 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,858.50 |
$2,655 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$44.80 |
$64 |
0.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$67.90 |
$97 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$133.70 |
$191 |
2.3× |
| Application finger splint static (29130) |
$97.65 |
$139.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$206.93 |
$295.61 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$92.40 |
$132 |
0.6× |
| Application of long leg cast (29345) |
$172.55 |
$246.50 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$165.38 |
$236.25 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$108.15 |
$154.50 |
0.8× |
| Application short leg splint calf foot (29515) |
$117.60 |
$168 |
0.7× |
| Apply patella tendon bearing cast (29435) |
$82.60 |
$118 |
0.3× |
| Apply short leg cast (29425) |
$180.60 |
$258 |
0.6× |
| Arterial puncture (36600) |
$22.40 |
$32 |
0.2× |
Artery-vein autograft (36825)
likely a partial charge, not the full procedure |
$576.80 |
$824 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$164.85 |
$235.50 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$243.95 |
$348.50 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$177.08 |
$252.98 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$69.30 |
$99 |
0.2× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$588.70 |
$841 |
0.1× |
| Aspiration bladder needle (51100) |
$43.40 |
$62 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$168.35 |
$240.50 |
0.8× |
| Axillary lymphadenectomy; complete (38745) |
$4,783.10 |
$6,833 |
0.8× |
| Biopsy bone open superficial (20240) |
$157.50 |
$225 |
0.1× |
| Biopsy Breast Open Incisional (19101) |
$550.20 |
$786 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$402.15 |
$574.50 |
0.4× |
| Biopsy external ear (69100) |
$70.70 |
$101 |
0.3× |
| Biopsy muscle deep (20205) |
$203 |
$290 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$102.20 |
$146 |
0.1× |
| Biopsy of nail unit (11755) |
$198.10 |
$283 |
0.3× |
| Biopsy of tongue (41100) |
$123.20 |
$176 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,356.25 |
$1,937.50 |
0.3× |
| Biopsy soft tissue shoulder superficial (23065) |
$294 |
$420 |
0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$182 |
$260 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$2,928.80 |
$4,184 |
0.7× |
| Biopsy/removal lymph nodes (38510) |
$2,478 |
$3,540 |
0.6× |
| Bladder Irrigation Simple (51700) |
$217.70 |
$311 |
0.9× |
| Blood patch (62273) |
$322.70 |
$461 |
0.5× |
| Blood transfusion service (36430) |
$674.45 |
$963.50 |
1.5× |
Bone graft with microvascular anastomosis fibula- iliac crest (20956)
likely a partial charge, not the full procedure |
$1,886.50 |
$2,695 |
0.3× |
| Bone marrow aspiration only (38220) |
$2,674 |
$3,820 |
1.6× |
| Bone Marrow Biopsy (38221) |
$122.50 |
$175 |
0.1× |
| Bx anorectal wall anal approach (45100) |
$2,454.20 |
$3,506 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$723.80 |
$1,034 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$2,044.63 |
$2,920.90 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,188.73 |
$3,126.76 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$196.70 |
$281 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$267.40 |
$382 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$355.60 |
$508 |
0.1× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$280 |
$400 |
0.9× |
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure |
$1,170.40 |
$1,672 |
0.1× |
| Chemical Cautery Tissue (17250) |
$101.50 |
$145 |
0.5× |
| Chest tube placement (32551) |
$927.47 |
$1,324.96 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$18.90 |
$27 |
0.1× |
| Circum 28 days or older (54161) |
$2,408.70 |
$3,441 |
1.1× |
| Circumcision (54150) |
$219.10 |
$313 |
0.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$488.60 |
$698 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$598.15 |
$854.50 |
0.4× |
| Closed Rx Radial Shaft Fx (25500) |
$280 |
$400 |
1.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$302.40 |
$432 |
0.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$429.80 |
$614 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$378.70 |
$541 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$410.90 |
$587 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$332.15 |
$474.50 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$463.40 |
$662 |
0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$271.60 |
$388 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$268.10 |
$383 |
1.1× |
| Closure of gastrostomy surgical (43870) |
$503.30 |
$719 |
0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,593.20 |
$2,276 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$347.55 |
$496.50 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$266 |
$380 |
1.1× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,132.40 |
$3,046.29 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$191.10 |
$273 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$159.60 |
$228 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$594.65 |
$849.50 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,478.75 |
$2,112.50 |
0.9× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$350 |
$500 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$212.80 |
$304 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$299.25 |
$427.50 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$361.24 |
$516.05 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$320.60 |
$458 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$290.50 |
$415 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$189 |
$270 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$420.70 |
$601 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$585.20 |
$836 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$829.15 |
$1,184.50 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,590.83 |
$2,272.62 |
1.3× |
| Colonoscopy for bleeding (44391) |
$354.90 |
$507 |
0.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$313.60 |
$448 |
0.3× |
| Colonoscopy stoma w/biopsy (44389) |
$954.80 |
$1,364 |
0.8× |
| Colonoscopy stoma w/snare (44394) |
$954.80 |
$1,364 |
0.8× |
| Colonoscopy thru stoma (44388) |
$1,029.38 |
$1,470.54 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$1,520.37 |
$2,171.96 |
1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$409.50 |
$585 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$303.10 |
$433 |
1.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$338.10 |
$483 |
1.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,213.80 |
$1,734 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$476 |
$680 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$331.80 |
$474 |
0.3× |
| Complete replacement picc rs&i (36584) |
$146.30 |
$209 |
0.1× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$77.70 |
$111 |
0.1× |
| Complex Drainage, Wound (10180) |
$408.80 |
$584 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$161.70 |
$231 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$138.95 |
$198.50 |
1.0× |
| Correction hammertoe (28285) |
$385.70 |
$551 |
0.1× |
| Correction of bunion (28297) |
$8,474.42 |
$12,106.31 |
0.7× |
| Cryotherapy of skin (17340) |
$37.10 |
$53 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$248.85 |
$355.50 |
1.9× |
| Cult skin graft f/n/hf/g (15155) |
$502.60 |
$718 |
0.1× |
| Curettage postpartum (59160) |
$146.30 |
$209 |
0.0× |
| Cystometrogram w/vp (51728) |
$222.60 |
$318 |
0.3× |
| Cystometrogram W/Vp&Up (51729) |
$241.50 |
$345 |
0.3× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$196.70 |
$281 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$125.30 |
$179 |
0.3× |
| Debride nail 1-5 (11720) |
$54.03 |
$77.18 |
0.9× |
| Debride nail 6 or more (11721) |
$87.80 |
$125.42 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$104.04 |
$148.63 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$261.10 |
$373 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$629.30 |
$899 |
0.4× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$262.50 |
$375 |
0.1× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$324.80 |
$464 |
0.2× |
| Delivery placenta separate procedure (59414) |
$66.50 |
$95 |
0.0× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$607.60 |
$868 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$311.50 |
$445 |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,537.37 |
$3,624.82 |
1.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$172.90 |
$247 |
0.4× |
| Destruction anal lesion(s) (46924) |
$2,148.30 |
$3,069 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$95.90 |
$137 |
0.1× |
| Destruction ciliary body (66720) |
$342.30 |
$489 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$276.50 |
$395 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$196 |
$280 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$252.70 |
$361 |
0.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$187.60 |
$268 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$300.30 |
$429 |
1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$133.70 |
$191 |
0.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$143.50 |
$205 |
0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$163.10 |
$233 |
0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$178.50 |
$255 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$114.80 |
$164 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$330.40 |
$472 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$172.20 |
$246 |
0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$203 |
$290 |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$308 |
$440 |
0.4× |
| Destruction of multiple growths of penis (54065) |
$256.20 |
$366 |
0.1× |
| Destruction of skin lesions (17106) |
$238 |
$340 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$70.70 |
$101 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$550.20 |
$786 |
0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,118.95 |
$1,598.50 |
0.3× |
| Division of fallopian tube (58600) |
$1,881.25 |
$2,687.50 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$153.65 |
$219.50 |
0.2× |
| Drain spinal cord cyst (62268) |
$189.70 |
$271 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$397.31 |
$567.58 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$165.55 |
$236.50 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$134.05 |
$191.50 |
0.7× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$118.30 |
$169 |
0.2× |
| Drainage of deep rectal abscess (45020) |
$405.30 |
$579 |
0.1× |
| Drainage of eyelid abscess (67700) |
$192.50 |
$275 |
0.6× |
| Drainage of gum lesion (41800) |
$178.50 |
$255 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$723.10 |
$1,033 |
0.4× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$1,247.40 |
$1,782 |
0.4× |
| Drainage of pelvic abscess (45000) |
$304.50 |
$435 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$154 |
$220 |
0.1× |
| Draw blood off venous device (36591) |
$16.80 |
$24 |
0.1× |
| Dressing change under anesthesia (15852) |
$33.60 |
$48 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$133 |
$190 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$158.20 |
$226 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$2,148.30 |
$3,069 |
0.8× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$182 |
$260 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$199.50 |
$285 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,617.64 |
$2,310.92 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$442.40 |
$632 |
0.2× |
| Egd flexible foreign body removal (43247) |
$1,062.44 |
$1,517.76 |
1.2× |
| Egd guide wire insertion (43248) |
$917.70 |
$1,311 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,231.98 |
$3,188.54 |
1.2× |
| Egd remove lesion snare (43251) |
$917.70 |
$1,311 |
0.5× |
| Egd tube/cath insertion (43241) |
$109.90 |
$157 |
0.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$954.10 |
$1,363 |
0.3× |
| Endovenous rf 1st vein (36475) |
$1,198.40 |
$1,712 |
0.4× |
| Enterorrhaphy single perforation (44602) |
$2,122.40 |
$3,032 |
0.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$612.50 |
$875 |
0.3× |
| Esoph endoscopy dilation (43226) |
$273.70 |
$391 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$917.70 |
$1,311 |
0.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$917.70 |
$1,311 |
1.0× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$917.70 |
$1,311 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$90.17 |
$128.82 |
0.7× |
| Exc abd les sc 3 cm/> (22903) |
$306.60 |
$438 |
0.1× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,488.03 |
$4,982.90 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$472.50 |
$675 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$262.50 |
$375 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$301.70 |
$431 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$1,045.80 |
$1,494 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$466.90 |
$667 |
0.2× |
| Exc face les sbq 2 cm/> (21012) |
$2,006.99 |
$2,867.13 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$320.60 |
$458 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$596.40 |
$852 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$301 |
$430 |
0.2× |
| Exc forearm les sc < 3 cm (25075) |
$480.20 |
$686 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$470.40 |
$672 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$790.30 |
$1,129 |
0.3× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,948.10 |
$2,783 |
1.0× |
| Exc Rect Tum Transanal Full (45172) |
$2,732.10 |
$3,903 |
1.0× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$1,367.10 |
$1,953 |
0.7× |
| Exc shoulder les sc 3 cm/> (23071) |
$919.10 |
$1,313 |
0.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,271.50 |
$3,245 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$172.20 |
$246 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$156.80 |
$224 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$2,353.54 |
$3,362.20 |
3.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$236.60 |
$338 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$318.50 |
$455 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$282.10 |
$403 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$532.35 |
$760.50 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$457.10 |
$653 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,076.60 |
$1,538 |
0.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$943.60 |
$1,348 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,257.20 |
$1,796 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,115.10 |
$1,593 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$631.40 |
$902 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$500.80 |
$715.44 |
0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$531.30 |
$759 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,454.20 |
$3,506 |
2.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$295.40 |
$422 |
0.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$373.80 |
$534 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$520.10 |
$743 |
0.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$648.20 |
$926 |
0.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$786.10 |
$1,123 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$786.10 |
$1,123 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$786.10 |
$1,123 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$331.80 |
$474 |
0.1× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,084.30 |
$1,549 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$833 |
$1,190 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$517.30 |
$739 |
0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$825.30 |
$1,179 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$921.90 |
$1,317 |
0.6× |
| Excision brach clft cyst,superficial (42810) |
$284.20 |
$406 |
0.1× |
| Excision Breast Lesion (19125) |
$1,299.20 |
$1,856 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$164.50 |
$235 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$298.90 |
$427 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$275.16 |
$393.09 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$392 |
$560 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$362.99 |
$518.55 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$470.40 |
$672 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$629.30 |
$899 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$786.80 |
$1,124 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$866.60 |
$1,238 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$308 |
$440 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$817.60 |
$1,168 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$819.70 |
$1,171 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,454.20 |
$3,506 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$220.50 |
$315 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$243.60 |
$348 |
0.3× |
| Excision of hydrocele; unilateral (55040) |
$3,310.30 |
$4,729 |
0.9× |
| Excision of lesion of tongue without closure (41110) |
$156.80 |
$224 |
0.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$228.90 |
$327 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$135.80 |
$194 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$641.20 |
$916 |
0.4× |
| Excision of nail fold toe (11765) |
$221.90 |
$317 |
0.5× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$228.90 |
$327 |
0.1× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,302.90 |
$6,147 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,256.50 |
$1,795 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$332.50 |
$475 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$786.80 |
$1,124 |
0.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$716.10 |
$1,023 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$886.90 |
$1,267 |
0.3× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$368.90 |
$527 |
0.1× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$370.30 |
$529 |
0.1× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$376.60 |
$538 |
0.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$294 |
$420 |
0.1× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$485.80 |
$694 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$331.10 |
$473 |
0.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,036 |
$1,480 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$924 |
$1,320 |
0.3× |
| Excision/fulguration urethral prolapse (53275) |
$186.90 |
$267 |
0.1× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure |
$520.80 |
$744 |
0.1× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$1,809.50 |
$2,585 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$294 |
$420 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$555.80 |
$794 |
0.3× |
| Exploration of knee joint (27310) |
$520.10 |
$743 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,099.70 |
$1,571 |
0.7× |
Explore parathyroid glands (60500)
likely a partial charge, not the full procedure |
$687.40 |
$982 |
0.1× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$519.40 |
$742 |
0.3× |
| External Cephalic Version (59412) |
$74.90 |
$107 |
0.0× |
| Fetal Contraction Stress Test (59020) |
$223.30 |
$319 |
1.1× |
| Fetal non-stress test (59025) |
$133.70 |
$191 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$236.60 |
$338 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$105.70 |
$151 |
0.3× |
| Fixation of shoulder (23700) |
$139.30 |
$199 |
0.1× |
| Follow-up surgery of eye (66250) |
$550.20 |
$786 |
0.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$89.60 |
$128 |
0.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,493.10 |
$2,133 |
0.7× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,228.80 |
$3,184 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$990.50 |
$1,415 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$72.10 |
$103 |
0.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$959.70 |
$1,371 |
0.2× |
| Hemorrhoidectomy (46255) |
$2,454.20 |
$3,506 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$255.85 |
$365.50 |
1.1× |
| I&d abscess simple (10060) |
$238.35 |
$340.50 |
1.2× |
| I&d below fascia foot 1 bursal space (28002) |
$322 |
$460 |
0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,976.80 |
$2,824 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$221.20 |
$316 |
0.1× |
| I&d forearm/wrist bursa (25031) |
$258.30 |
$369 |
0.2× |
| I&d perianal abscess superficial (46050) |
$1,177.40 |
$1,682 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$162.05 |
$231.50 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$392 |
$560 |
0.2× |
| Incise finger tendon sheath (26055) |
$818.30 |
$1,169 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$235.55 |
$336.50 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$310.80 |
$444 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$318.90 |
$455.58 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$168 |
$240 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$297.50 |
$425 |
1.0× |
| Incision bone cortex foot (28005) |
$419.30 |
$599 |
0.1× |
| Incision extensor tendon sheath wrist (25000) |
$238 |
$340 |
0.1× |
| Incision of lingual frenum (41010) |
$512.40 |
$732 |
0.3× |
| Incision of metatarsal (28308) |
$406.70 |
$581 |
0.1× |
| Incision of rectal abscess (46040) |
$2,454.20 |
$3,506 |
2.0× |
| Incision thrombosed hemorrhoid external (46083) |
$217.70 |
$311 |
0.9× |
| Incision&drainage bursa foot (28001) |
$255.50 |
$365 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$659.40 |
$942 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$89.60 |
$128 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,036.96 |
$1,481.37 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$65.10 |
$93 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$172.20 |
$246 |
0.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$95.90 |
$137 |
0.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$109.90 |
$157 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$81.20 |
$116 |
0.1× |
| Inject Nerv Blck,Pudendal (64430) |
$761.60 |
$1,088 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$43.40 |
$62 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$233.10 |
$333 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$172.55 |
$246.50 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$522.90 |
$747 |
0.7× |
| Injection for identification of sentinel node (38792) |
$540.58 |
$772.25 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$251.30 |
$359 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$381.95 |
$545.64 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$54.60 |
$78 |
0.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$129.15 |
$184.50 |
0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$39.20 |
$56 |
0.2× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$1,899.80 |
$2,714 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$166.25 |
$237.50 |
1.3× |
| Insert cervical dilator (59200) |
$174.65 |
$249.50 |
0.6× |
| Insert Drug Implant Device (11981) |
$196.70 |
$281 |
1.5× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$847.70 |
$1,211 |
0.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$917.70 |
$1,311 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,131.14 |
$1,615.91 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$183.40 |
$262 |
0.1× |
| Insert pessary/other device (57160) |
$55.30 |
$79 |
0.3× |
| Insert picc cath (36569) |
$887.25 |
$1,267.50 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$223.30 |
$319 |
1.7× |
| Insert tunneled cv cath (36561) |
$3,581.52 |
$5,116.46 |
1.1× |
Insert Tunneled Cv Cath With Pump (36563)
likely a partial charge, not the full procedure |
$943.60 |
$1,348 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116.64 |
$166.62 |
0.9× |
Insertion of infusion pump (36260)
likely a partial charge, not the full procedure |
$442.40 |
$632 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,775.67 |
$2,536.67 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,913.80 |
$2,734 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$322 |
$460 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$284.90 |
$407 |
1.2× |
| Island pedicle flap graft (15740) |
$1,729.70 |
$2,471 |
0.8× |
| Lap ing hernia repair init (49650) |
$6,100.29 |
$8,714.70 |
1.0× |
Lap jejunostomy (44186)
likely a partial charge, not the full procedure |
$461.30 |
$659 |
0.1× |
| Laparoscopy appendectomy (44970) |
$6,100.32 |
$8,714.74 |
1.0× |
Laparoscopy biopsy (49321)
unusually low: confirm this is the full procedure |
$1,978.90 |
$2,827 |
0.3× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$405.30 |
$579 |
0.1× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$2,689.40 |
$3,842 |
0.4× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$264.60 |
$378 |
0.0× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$263.90 |
$377 |
0.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$3,711.40 |
$5,302 |
0.6× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,781.45 |
$3,973.50 |
0.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$765.10 |
$1,093 |
0.1× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge, not the full procedure |
$1,226.40 |
$1,752 |
0.1× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$11,311.79 |
$16,159.70 |
1.1× |
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure |
$744.10 |
$1,063 |
0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,154.90 |
$4,507 |
0.5× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$4,912.60 |
$7,018 |
0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,912.60 |
$7,018 |
0.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,912.60 |
$7,018 |
0.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,711.40 |
$5,302 |
0.6× |
Laps W/Revision Intraperitoneal Catheter (49325)
likely a partial charge, not the full procedure |
$296.80 |
$424 |
0.0× |
| Laryngoscopy Direct Aspiration (31515) |
$320.60 |
$458 |
0.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$269.50 |
$385 |
0.2× |
| Late closure of wound (13160) |
$714 |
$1,020 |
0.2× |
Ligation of abdomen artery (37617)
likely a partial charge, not the full procedure |
$958.30 |
$1,369 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$518 |
$740 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$1,998.50 |
$2,855 |
1.2× |
| Manipulation of spine (22505) |
$87.50 |
$125 |
0.1× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$840.70 |
$1,201 |
0.1× |
| Mastectomy partial (19301) |
$7,276.50 |
$10,395 |
1.8× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$2,671.20 |
$3,816 |
0.4× |
| Mastectomy simple complete (19303) |
$13,047.80 |
$18,639.72 |
2.0× |
| Measure Ureter Press,Indwell Cath (50686) |
$109.20 |
$156 |
0.8× |
| Muscle-skin graft trunk (15734) |
$1,064.70 |
$1,521 |
0.3× |
| Nasal sinus therapy (30210) |
$108.50 |
$155 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$30.10 |
$43 |
0.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,975.82 |
$2,822.60 |
1.2× |
| Nipple exploration (19110) |
$340.90 |
$487 |
0.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$64.40 |
$92 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,036.96 |
$1,481.37 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$838.60 |
$1,198 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$241.50 |
$345 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$166.59 |
$237.98 |
0.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$108.50 |
$155 |
0.3× |
| Occlude fallopian tube(s) (58615) |
$2,052.40 |
$2,932 |
0.6× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,328.25 |
$1,897.50 |
0.2× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$585.20 |
$836 |
0.1× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$377.30 |
$539 |
0.1× |
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347)
likely a partial charge, not the full procedure |
$796.60 |
$1,138 |
0.1× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
$1,105.30 |
$1,579 |
0.3× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$744.10 |
$1,063 |
0.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$354.20 |
$506 |
0.1× |
Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; thoracic (22222)
likely a partial charge, not the full procedure |
$1,113.70 |
$1,591 |
0.2× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$432.60 |
$618 |
0.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$349.30 |
$499 |
0.2× |
| Partial Removal Foot Fascia (28060) |
$373.80 |
$534 |
0.1× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$507.50 |
$725 |
0.1× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$504 |
$720 |
0.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$345.10 |
$493 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$77.70 |
$111 |
0.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$187.60 |
$268 |
0.1× |
| Peritoneal Lavage (49084) |
$73.50 |
$105 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$334.60 |
$478 |
0.5× |
| Perq device breast 1st imag (19281) |
$173.60 |
$248 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$315.95 |
$451.36 |
0.2× |
| Phalangectomy toe each toe (28150) |
$309.40 |
$442 |
0.1× |
| Phleb Veins - Extrem 20+ (37766) |
$564.90 |
$807 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$151.55 |
$216.50 |
0.3× |
| Placement of seton (46020) |
$2,900.10 |
$4,143 |
1.0× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$595.70 |
$851 |
0.3× |
Plmt radthx brachytx brst following prtl mast (19298)
likely a partial charge, not the full procedure |
$742.70 |
$1,061 |
0.1× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$6,815.05 |
$9,735.78 |
1.1× |
| Preputial Stretching (54450) |
$49.70 |
$71 |
0.2× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$1,620.50 |
$2,315 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$370.30 |
$529 |
0.9× |
| Puncture Aspiration (10160) |
$195.30 |
$279 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$875 |
$1,250 |
1.2× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$2,071.30 |
$2,959 |
0.7× |
| Reconstruct finger joint (26545) |
$484.40 |
$692 |
0.1× |
| Reconstruction of anus (46753) |
$421.40 |
$602 |
0.2× |
| Relocation of skin pocket for pacemaker (33222) |
$247.80 |
$354 |
0.1× |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
likely a partial charge, not the full procedure |
$730.80 |
$1,044 |
0.0× |
| Removal fb intranasal (30300) |
$182 |
$260 |
1.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$431.90 |
$617 |
0.1× |
| Removal foreign body foot deep (28192) |
$857.50 |
$1,225 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$548.80 |
$784 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$144.90 |
$207 |
0.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$397.60 |
$568 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$120.05 |
$171.50 |
2.0× |
| Removal Implant Deep (20680) |
$441 |
$630 |
0.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$270.20 |
$386 |
0.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$315 |
$450 |
0.4× |
| Removal neck/armpit lesion (38550) |
$358.40 |
$512 |
0.1× |
| Removal of anal fissure (46200) |
$2,900.10 |
$4,143 |
1.0× |
| Removal of arm foreign body (24200) |
$287 |
$410 |
0.2× |
| Removal of finger lesion (26210) |
$312.90 |
$447 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$136.50 |
$195 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$143.15 |
$204.50 |
0.5× |
| Removal of nail bed (11750) |
$392 |
$560 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$248.50 |
$355 |
1.2× |
Removal of thyroid (60271)
likely a partial charge, not the full procedure |
$1,588.30 |
$2,269 |
0.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$70.70 |
$101 |
0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$364.99 |
$521.42 |
1.3× |
| Remove anal fist subq (46270) |
$1,629.60 |
$2,328 |
0.6× |
| Remove by ligat int hem grp (46945) |
$697.20 |
$996 |
0.3× |
| Remove by ligat int hem grps (46946) |
$1,367.10 |
$1,953 |
0.5× |
| Remove drug implant device (11982) |
$196.70 |
$281 |
0.4× |
| Remove foreign body from eye (65210) |
$50.40 |
$72 |
0.1× |
| Remove in/ex hem groups 2+ (46260) |
$1,618.75 |
$2,312.50 |
0.6× |
| Remove Peritoneal Foreign Body (49402) |
$604.10 |
$863 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$843.50 |
$1,205 |
0.3× |
| Remove tissue expander (11971) |
$334.60 |
$478 |
0.1× |
| Remove wrist tendon lesion (25111) |
$708.40 |
$1,012 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$136.50 |
$195 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$117.60 |
$168 |
0.9× |
| Repair Blood Vessel W/Vein Graft Neck (35231) |
$882 |
$1,260 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$629.30 |
$899 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$640.50 |
$915 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$502.60 |
$718 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$819.70 |
$1,171 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$392 |
$560 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$607.95 |
$868.50 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$361.90 |
$517 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$471.10 |
$673 |
0.6× |
| Repair elbow deb/attch open (24359) |
$469 |
$670 |
0.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,857.10 |
$2,653 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,310.30 |
$4,729 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,310.30 |
$4,729 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$330.75 |
$472.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$436.10 |
$623 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$388.85 |
$555.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$311.50 |
$445 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$347.90 |
$497 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$452.20 |
$646 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$441 |
$630 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$220.50 |
$315 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$348.95 |
$498.50 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$464.50 |
$663.58 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,161.71 |
$4,516.73 |
1.5× |
| Repair of nail bed (11760) |
$302.05 |
$431.50 |
0.4× |
| Repair rectum & vagina (57250) |
$4,758.60 |
$6,798 |
0.9× |
| Repair Tongue Laceration (41250) |
$194.60 |
$278 |
0.4× |
| Repair vagina/perineum (57210) |
$264.60 |
$378 |
0.1× |
| Replace g/c tube perc (49450) |
$843.68 |
$1,205.26 |
0.9× |
| Replacement or irrigation of tube in membranes covering brain (62194) |
$311.50 |
$445 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$3,913 |
$5,590 |
1.1× |
| Resect face/scalp tum < 2 cm (21015) |
$1,256.50 |
$1,795 |
0.4× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$298.90 |
$427 |
0.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$287.70 |
$411 |
0.1× |
| Revise median n/carpal tunnel surg (64721) |
$304.50 |
$435 |
0.2× |
| Revision of colostomy simple (44340) |
$443.80 |
$634 |
0.1× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$841.40 |
$1,202 |
0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$717.50 |
$1,025 |
0.2× |
Revision of nose (30435)
likely a partial charge, not the full procedure |
$798.70 |
$1,141 |
0.1× |
| Revj clst comp rcnstj in-depth spx (44345) |
$2,228.80 |
$3,184 |
0.6× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$420 |
$600 |
0.1× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
likely a partial charge, not the full procedure |
$420 |
$600 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$160.30 |
$229 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$292.12 |
$417.32 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$49.70 |
$71 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,177.40 |
$1,682 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$416.17 |
$594.53 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$694.05 |
$991.50 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$611.10 |
$873 |
1.0× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$153.30 |
$219 |
0.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$7,420 |
$10,600 |
1.1× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$10,920 |
$15,600 |
1.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$7,420 |
$10,600 |
2.1× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$7,438.20 |
$10,626 |
1.1× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,148 |
$1,640 |
0.2× |
| Rpr ing hernia init blocked (49501) |
$426.30 |
$609 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$336.70 |
$481 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$316.40 |
$452 |
0.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$115.50 |
$165 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$109.90 |
$157 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$80.08 |
$114.40 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$308 |
$440 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$132.30 |
$189 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$187.60 |
$268 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$260.40 |
$372 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$198.10 |
$283 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$273 |
$390 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$242.90 |
$347 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$448 |
$640 |
0.5× |
| Simple destruction of growth of penis using electric current (54055) |
$143.50 |
$205 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$239.05 |
$341.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276.85 |
$395.50 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$370.30 |
$529 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$265.30 |
$379 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$448.70 |
$641 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$207.20 |
$296 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$146.30 |
$209 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$1,131.90 |
$1,617 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$268.10 |
$383 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$100.80 |
$144 |
0.1× |
| Skin Tissue Procedure (17999) |
$168 |
$240 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,044.70 |
$2,921 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$182.70 |
$261 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$463.40 |
$662 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$303.10 |
$433 |
0.7× |
| Sphincterotomy (46080) |
$2,900.10 |
$4,143 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$423.50 |
$605 |
0.6× |
| Spinal Puncture Therapeutic (62272) |
$381.50 |
$545 |
0.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$471.80 |
$674 |
0.1× |
| Strapping knee (29530) |
$118.30 |
$169 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,418.20 |
$2,026 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$573.30 |
$819 |
1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$567 |
$810 |
0.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$281.40 |
$402 |
0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$770.70 |
$1,101 |
0.5× |
| Ther Apheresis,Platelets (36513) |
$71.40 |
$102 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$212.10 |
$303 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$730.10 |
$1,043 |
1.2× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge, not the full procedure |
$718.20 |
$1,026 |
0.1× |
| Thrombolytic Therapy, Stroke (37195) |
$561.88 |
$802.68 |
1.7× |
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure |
$656.60 |
$938 |
0.1× |
Total thyroid lobectomy unilateral (60225)
likely a partial charge, not the full procedure |
$665 |
$950 |
0.1× |
| Treat finger dislocation (26775) |
$1,593.20 |
$2,276 |
5.7× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$522.20 |
$746 |
0.1× |
| Treat humerus fracture (23600) |
$356.30 |
$509 |
1.4× |
| Treatment closed elbow dislocation req anes (24605) |
$963.20 |
$1,376 |
0.6× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$466.20 |
$666 |
0.1× |
| Trim skin lesion (11055) |
$75.25 |
$107.50 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$76.30 |
$109 |
0.4× |
| Trim skin lesions over 4 (11057) |
$117.60 |
$168 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$10.50 |
$15 |
0.2× |
| Trurl drainage prostatic abscess (52700) |
$313.60 |
$448 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,140.30 |
$1,629 |
0.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$315.70 |
$451 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$489.30 |
$699 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$118.30 |
$169 |
0.3× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,593.90 |
$2,277 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,715 |
$2,450 |
0.3× |
Unlisted laparoscopy procedure, stomach (43659)
unusually low: confirm this is the full procedure |
$2,167.90 |
$3,097 |
0.4× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$3,711.40 |
$5,302 |
0.6× |
| Unlisted procedure anus (46999) |
$1,750 |
$2,500 |
1.9× |
| Unlisted Procedure Breast (19499) |
$1,467.90 |
$2,097 |
0.4× |
| Unlisted procedure colon (45399) |
$1,750 |
$2,500 |
1.9× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$270.90 |
$387 |
1.1× |
| Unlisted Procedure Nervous System (64999) |
$374.92 |
$535.60 |
1.2× |
| Unlisted procedure pancreas (48999) |
$1,128.77 |
$1,612.53 |
1.6× |
| Unlisted Procedure Small Intestine (44799) |
$959.70 |
$1,371 |
1.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,006.68 |
$1,438.11 |
1.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,135.73 |
$1,622.47 |
1.2× |
| Vaginal delivery only (59409) |
$2,036.30 |
$2,909 |
0.6× |
| Vasectomy (55250) |
$1,622.95 |
$2,318.50 |
0.8× |
| Vbac delivery only (59612) |
$660.80 |
$944 |
0.2× |
| Venipuncture (36415) |
$9.10 |
$13 |
1.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$53.90 |
$77 |
0.1× |
| Wound Prep F/N/Hf/G (15004) |
$588 |
$840 |
1.4× |