| Abd paracentesis w/imaging (49083) |
$1,350 |
$1,500 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$921 |
$1,023 |
1.0× |
| Amniocentesis therapeutic (59001) |
$631 |
$701 |
2.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$360 |
$400 |
2.1× |
| Application finger splint static (29130) |
$150 |
$167 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$238 |
$264 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$218 |
$242 |
1.6× |
| Application short leg splint calf foot (29515) |
$230 |
$255 |
1.4× |
| Apply short leg cast (29405) |
$266 |
$296 |
0.9× |
| Arterial puncture (36600) |
$116 |
$129 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$144 |
$160 |
0.5× |
| Biopsy of mouth lesion (40808) |
$365 |
$406 |
0.7× |
| Biopsy of ovary(s) (58900) |
$2,181 |
$2,423 |
0.6× |
| Biopsy of tongue (41100) |
$368 |
$409 |
0.7× |
| Bladder Scan (51798) |
$214 |
$237.50 |
3.5× |
| Blood patch (62273) |
$1,229 |
$1,365 |
1.7× |
| Blood transfusion service (36430) |
$1,109 |
$1,232 |
2.4× |
| Bone marrow aspiration only (38220) |
$900 |
$1,000 |
0.5× |
| Bone Marrow Biopsy (38221) |
$1,800 |
$2,000 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,070 |
$2,300 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$3,240 |
$3,600 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$2,498 |
$2,775 |
1.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$251 |
$279 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$405 |
$450 |
1.6× |
| Chemical Cautery Tissue (17250) |
$154 |
$171 |
0.7× |
| Chest tube placement (32551) |
$1,088 |
$1,209 |
0.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$116 |
$129 |
0.8× |
| Closed Rx Med Malleolus Fx (27760) |
$539.50 |
$599.50 |
2.1× |
| Closed Rx Radial Shaft Fx (25500) |
$296 |
$329 |
1.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$914 |
$1,016 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$609.50 |
$677 |
2.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$943 |
$1,048 |
3.7× |
| Closed Rx Trimalleolar Fx (27816) |
$360 |
$400 |
1.4× |
| Closed Treatment Coccygeal Fracture (27200) |
$500 |
$555 |
2.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$646 |
$718 |
0.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$555 |
$616.50 |
2.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$465.50 |
$517 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$216 |
$240 |
0.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$270 |
$300 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$748 |
$831 |
2.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$296 |
$329 |
1.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$396 |
$440 |
1.5× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,650 |
$4,055 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$425.50 |
$472.50 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,390 |
$1,544 |
5.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$515 |
$572 |
2.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$596 |
$662 |
2.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$472 |
$524.50 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$460 |
$511 |
1.8× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$2,582 |
$2,869 |
0.8× |
Closure of urethrovaginal fistula; (57310)
likely a partial charge, not the full procedure |
$1,876 |
$2,084 |
0.2× |
Closure of vagina (57120)
likely a partial charge, not the full procedure |
$493 |
$548 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$498 |
$553.50 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,194 |
$1,327 |
0.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$270 |
$300 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$296 |
$329 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$379 |
$421 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$788 |
$875 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,122 |
$1,247 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$270 |
$300 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$374 |
$416 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$230 |
$255 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$335 |
$372 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$316 |
$351 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$761 |
$845 |
3.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$203 |
$225 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$695 |
$772 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$794 |
$882 |
3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$519 |
$576.50 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$695 |
$772 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$792 |
$880 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$403.50 |
$448.50 |
1.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,409 |
$1,565 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$424 |
$471 |
1.7× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$3,669 |
$4,077 |
0.7× |
| Colpotomy; with exploration (57000) |
$788 |
$876 |
0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$283 |
$314 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$750 |
$833 |
1.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,069 |
$1,188 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,111 |
$2,346 |
1.2× |
| Declot vascular device (36593) |
$436 |
$484 |
1.3× |
| Destruction Lesions Vulva Extensive (56515) |
$844 |
$938 |
0.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$298 |
$331 |
1.4× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$231 |
$257 |
0.5× |
| Dilation & curettage cervical stump (57558) |
$584 |
$649 |
0.2× |
| Dilation of cervical canal (57800) |
$282 |
$313 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$357 |
$397 |
0.5× |
| Drainage of hematoma/fluid (10140) |
$2,029 |
$2,254 |
1.2× |
| Drainage of hydrocele (55000) |
$282 |
$313 |
0.4× |
| Drainage of ovarian cyst(s) (58800) |
$1,535 |
$1,705 |
0.5× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,750 |
$1,944 |
0.5× |
| Draw blood off venous device (36591) |
$116 |
$129 |
0.8× |
| Dstrj lesion anus simple chemical (46900) |
$501 |
$557 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$2,520 |
$2,800 |
0.8× |
| Evacuate mole of uterus (59870) |
$1,831 |
$2,034 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$939 |
$1,043 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$541 |
$601 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$1,043 |
$1,159 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$497 |
$552 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$356 |
$395 |
0.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$639 |
$710 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,192 |
$1,324 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$993 |
$1,103 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$993 |
$1,103 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$844 |
$938 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$596 |
$662 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$892 |
$991 |
0.3× |
| Excision of vaginal septum (57130) |
$1,876 |
$2,084 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$1,043 |
$1,159 |
0.6× |
| Fetal non-stress test (59025) |
$108 |
$120 |
0.5× |
| Fetal Scalp Blood Sampling (59030) |
$375 |
$417 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$289.50 |
$321.50 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$1,402 |
$1,558 |
0.4× |
| I&d abscess simple (10060) |
$371 |
$412 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$388 |
$431 |
0.5× |
| Image Cath Fluid Colxn Visc (49405) |
$1,260 |
$1,400 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$432 |
$480 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$394 |
$438 |
0.9× |
| Incision and drainage of abscess of pelvis (57010) |
$1,812 |
$2,013 |
0.5× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$721 |
$801 |
0.2× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$6,137 |
$6,819 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$365 |
$405 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,404 |
$2,671 |
2.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,870 |
$2,078 |
2.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,816 |
$2,018 |
2.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,076 |
$2,307 |
2.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,404 |
$2,671 |
2.6× |
| Inject Tendon Origin/Insert (20551) |
$140 |
$155 |
0.4× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$2,404 |
$2,671 |
2.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,870 |
$2,078 |
2.6× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,870 |
$2,078 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$2,404 |
$2,671 |
3.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$120 |
$133 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$101 |
$112 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$194 |
$216 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$248 |
$276 |
1.9× |
| Insert cervical dilator (59200) |
$347 |
$385 |
1.1× |
| Insert pessary/other device (57160) |
$187 |
$208 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$172.50 |
$191.50 |
1.2× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$21,373 |
$23,748 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$600.50 |
$667 |
2.4× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,070 |
$2,300 |
0.3× |
| Late closure of wound (13160) |
$3,384 |
$3,760 |
0.9× |
| Liver Biopsy (47000) |
$2,475 |
$2,750 |
1.4× |
| Marsup Bartholin Gland Cyst (56440) |
$1,074 |
$1,193 |
0.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$360 |
$400 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,935 |
$2,150 |
2.6× |
| Ovarian cystectomy (58925) |
$3,348 |
$3,720 |
0.6× |
| Perq device breast 1st imag (19281) |
$412 |
$458 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$497 |
$552 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$314 |
$349 |
0.7× |
| Plastic Repair Of Urethrocele (57230) |
$1,581 |
$1,757 |
0.5× |
| Prostatic microwave thermotx (53850) |
$15,709 |
$17,454 |
4.3× |
| Punch biopsy skin single lesion (11104) |
$254 |
$282 |
0.6× |
| Removal foreign body pharynx (42809) |
$423 |
$470 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72 |
$80 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$86 |
$96 |
1.4× |
| Removal of infusion pump (36262) |
$3,276 |
$3,640 |
0.8× |
Removal of residual cervix (57550)
unusually low: confirm this is the full procedure |
$1,913 |
$2,126 |
0.4× |
| Removal subq cardiac rhythm monitor (33286) |
$557 |
$619 |
0.8× |
| Remove cervix repair bowel (57556) |
$2,655 |
$2,950 |
0.5× |
| Remove cervix/repair vagina (57555) |
$2,822 |
$3,136 |
0.5× |
| Remove uterus lesion (59100) |
$3,178 |
$3,531 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$104 |
$116 |
0.8× |
| Renal biopsy (50200) |
$1,530 |
$1,700 |
0.9× |
Repair bladder-vagina lesion (57320)
unusually low: confirm this is the full procedure |
$2,104 |
$2,338 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$806 |
$895.50 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$841 |
$934 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$588 |
$653 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$660 |
$733 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$802 |
$891 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,970 |
$3,300 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$510 |
$566.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$518 |
$575 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$516 |
$573 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$477 |
$530 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$593 |
$659 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$590 |
$656 |
1.4× |
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure |
$2,130 |
$2,367 |
0.4× |
| Repair of nail bed (11760) |
$571 |
$634 |
0.7× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$1,255 |
$1,394 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,565 |
$3,961 |
1.0× |
| Salpingostomy (salpingoneostomy) (58770) |
$4,247 |
$4,719 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$282 |
$313 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$341 |
$379 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$359.50 |
$399.50 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$346 |
$384.50 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$304 |
$338 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$350.50 |
$389.50 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$675 |
$750 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$360 |
$400 |
0.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,260 |
$1,400 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$1,170 |
$1,300 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$335.50 |
$373 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$451 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$851 |
$946 |
1.2× |
| Strapping ankle (29540) |
$143 |
$159 |
0.8× |
| Strapping elbow/wrist (29260) |
$120.50 |
$134 |
2.0× |
| Strapping hand/finger (29280) |
$96 |
$107 |
1.6× |
| Strapping Hip (29520) |
$145 |
$161 |
1.0× |
| Strapping knee (29530) |
$150 |
$166.50 |
1.1× |
| Strapping shoulder (29240) |
$127 |
$141 |
0.9× |
| Strapping unna boot (29580) |
$180 |
$200 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$204 |
$227 |
0.5× |
| Thyroid biopsy (60100) |
$495 |
$550 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$1,547 |
$1,719 |
4.9× |
| Treat finger dislocation (26775) |
$844 |
$938 |
2.9× |
| Treat Fracture Radius & Ulna (25560) |
$425.50 |
$472.50 |
1.7× |
| Treat humerus fracture (24500) |
$575.50 |
$639.50 |
2.2× |
| Treat humerus fracture (23600) |
$770 |
$855 |
3.0× |
| Treat wrist bone fracture (25622) |
$506 |
$562.50 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$710 |
$789 |
2.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,401 |
$1,557 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$793 |
$881 |
3.1× |
| Treatment mouth roof lesion (42160) |
$491 |
$546 |
0.1× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,743 |
$1,937 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$344 |
$382 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$815 |
$906 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$306 |
$340 |
0.7× |
Unlisted laparoscopy procedure, maternity care and delivery (59898)
likely a partial charge, not the full procedure |
$971 |
$1,079 |
0.2× |
| Unlisted procedure anus (46999) |
$360 |
$400 |
0.4× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$5,206 |
$5,784 |
1.0× |
| Vag hyst complex (58290) |
$4,798 |
$5,331 |
0.6× |
| Vag hyst w/enterocele repair (58270) |
$4,304 |
$4,782 |
0.8× |
| Venipuncture (36415) |
$32 |
$36 |
3.4× |
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
unusually low: confirm this is the full procedure |
$3,511 |
$3,901 |
0.5× |