| Abd paracentesis (49082) |
$1,477 |
$2,954 |
1.5× |
| Abd paracentesis w/imaging (49083) |
$415.25 |
$830.50 |
0.4× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$3,441 |
$6,882 |
1.0× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$5,676 |
$11,352 |
2.6× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$5,100.50 |
$10,201 |
1.5× |
| Amputation of toe (28820) |
$3,870 |
$7,740 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$3,612 |
$7,224 |
1.0× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$967.50 |
$1,935 |
0.3× |
| Anoscopy diagnostic (46600) |
$201 |
$402 |
1.4× |
| Anterior tibial tubercleplasty (27418) |
$8,127 |
$16,254 |
1.1× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,580.50 |
$3,161 |
2.0× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$3,182 |
$6,364 |
1.5× |
| Application cast finger (29086) |
$442.50 |
$885 |
2.6× |
| Application Finger Splint Dynamic (29131) |
$137.50 |
$275 |
2.2× |
| Application finger splint static (29130) |
$103 |
$206 |
0.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$142 |
$284 |
0.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$176.50 |
$353 |
1.3× |
| Application of short leg splint (calf to foot) (29515) |
$142 |
$284 |
0.8× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$2,432.50 |
$4,865 |
1.1× |
| Application rigid total contact leg cast (29445) |
$315.25 |
$630.50 |
1.1× |
| Application, cast; shoulder spica Age Under 21 (29055) |
$205 |
$410 |
0.7× |
| Application, cast; shoulder to hand (long arm) (29065) |
$465 |
$930 |
1.6× |
| Apply hand/wrist cast (29085) |
$465 |
$930 |
2.7× |
| Apply long arm splint (29105) |
$203 |
$406 |
1.2× |
| Apply splint short arm dynamic (29126) |
$210.50 |
$421 |
1.5× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) |
$5,022.50 |
$10,045 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$455.50 |
$911 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$443 |
$886 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$466.50 |
$933 |
1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$12,441.50 |
$24,883 |
0.7× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$12,218 |
$24,436 |
1.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$6,034.50 |
$12,069 |
1.7× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914) |
$13,931.50 |
$27,863 |
1.8× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Age Under 21 (29861) |
$11,324 |
$22,648 |
1.5× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral (29868) |
$18,124.50 |
$36,249 |
2.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$2,967 |
$5,934 |
0.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$9,014.50 |
$18,029 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$6,332.50 |
$12,665 |
1.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$5,066 |
$10,132 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$10,467.25 |
$20,934.50 |
1.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$5,353.50 |
$10,707 |
1.6× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$12,024 |
$24,048 |
0.9× |
| Aspirate pleura w/o imaging (32554) |
$989.50 |
$1,979 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,209.50 |
$6,419 |
1.5× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$313 |
$626 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy liver needle percutaneous (47000) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy lymph node (38505) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy muscle percutaneous needle (20206) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,287.50 |
$2,575 |
1.3× |
| Biopsy of uterus lining (58100) |
$1,498.50 |
$2,997 |
7.0× |
| Biopsy pleura percutaneous needle (32400) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$2,554.50 |
$5,109 |
1.5× |
| Biopsy/removal lymph nodes (38510) |
$3,552 |
$7,104 |
0.9× |
| Bladder irrigation (51700) |
$389.50 |
$779 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$2,127.50 |
$4,255 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,729 |
$5,458 |
1.6× |
| Bx pancreas ndl perc (48102) |
$2,554.50 |
$5,109 |
1.5× |
| Care of miscarriage (59820) |
$2,386.50 |
$4,773 |
0.7× |
| Cast short arm (29075) |
$331.75 |
$663.50 |
1.1× |
| Change of windpipe airway (31502) |
$385 |
$770 |
1.5× |
| Chemical cauterization of granulation tissue (17250) |
$165.50 |
$331 |
0.8× |
| Chest tube placement (32551) |
$2,523.50 |
$5,047 |
1.5× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$2,472.25 |
$4,944.50 |
1.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,532.50 |
$5,065 |
1.5× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,532.50 |
$5,065 |
1.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$378 |
$756 |
1.5× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$371.50 |
$743 |
1.4× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$371.50 |
$743 |
1.4× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$195 |
$390 |
0.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$212.50 |
$425 |
0.8× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,381.50 |
$2,763 |
0.8× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$2,532.50 |
$5,065 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,532.50 |
$5,065 |
1.5× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,532.50 |
$5,065 |
1.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$177.50 |
$355 |
0.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$408.50 |
$817 |
0.7× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,276.50 |
$4,553 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,532.50 |
$5,065 |
1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,171.50 |
$2,343 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$959.50 |
$1,919 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$369 |
$738 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$195 |
$390 |
0.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$378 |
$756 |
1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,532.50 |
$5,065 |
1.5× |
| Collect blood from catheter venous nos (36592) |
$105.50 |
$211 |
0.8× |
| Collect blood from implant venous access device (36591) |
$115.75 |
$231.50 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,828 |
$3,656 |
1.4× |
| Complete replacement picc rs&i (36584) |
$1,320 |
$2,640 |
0.8× |
| Conization of cervix (57520) |
$2,886 |
$5,772 |
0.8× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$2,331 |
$4,662 |
0.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$155.50 |
$311 |
1.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$110.75 |
$221.50 |
0.8× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$23,797.50 |
$47,595 |
1.8× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,554.50 |
$5,109 |
1.5× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$8,381.25 |
$16,762.50 |
0.6× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$9,997.50 |
$19,995 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$290 |
$580 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$211.50 |
$423 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$4,079.25 |
$8,158.50 |
0.7× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$2,980 |
$5,960 |
0.8× |
| Deb skin bone at fx site (11012) |
$12,190.50 |
$24,381 |
4.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$513 |
$1,026 |
1.2× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,128.50 |
$4,257 |
1.2× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,264 |
$2,528 |
1.6× |
| Declot vascular device (36593) |
$181.50 |
$363 |
0.5× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$64.50 |
$129 |
0.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$316 |
$632 |
0.7× |
| Diagnostic bone marrow biopsies (38221) |
$2,554.50 |
$5,109 |
1.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$979 |
$1,958 |
1.3× |
| Drain lower leg lesion (27603) |
$4,902 |
$9,804 |
1.6× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$1,554 |
$3,108 |
6.2× |
| Drainage finger abscess simple (26010) |
$155.50 |
$311 |
0.7× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,554.50 |
$5,109 |
1.5× |
| Drainage of scrotum (54700) |
$3,209.50 |
$6,419 |
1.5× |
| Drainage of tonsil abscess (42700) |
$375.75 |
$751.50 |
1.5× |
| Ed proc remve fb nasal- hospital (30300) |
$104 |
$208 |
0.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$62.50 |
$125 |
0.4× |
| Ed prof burn - large - hospital (16030) |
$286.25 |
$572.50 |
0.7× |
| Ed prof burn medium - hospital (16025) |
$302.50 |
$605 |
1.4× |
| Ed prof burn small - hospital (16020) |
$238 |
$476 |
1.1× |
| Ed prof catheterization/straight (51701) |
$61 |
$122 |
0.4× |
| Ed prof closed tx post hip arthroplasty (27265) |
$405 |
$810 |
1.6× |
| Ed prof drain dental abscess-hospital (41800) |
$319 |
$638 |
2.3× |
| Ed prof insert foley cath simple (51702) |
$85.50 |
$171 |
0.6× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$5,022.50 |
$10,045 |
1.5× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$628.50 |
$1,257 |
1.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$414.50 |
$829 |
1.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$283 |
$566 |
1.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$628 |
$1,256 |
1.3× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$1,276.50 |
$2,553 |
0.3× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$2,257.50 |
$4,515 |
0.6× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$8,514 |
$17,028 |
1.5× |
| Endovenous rf 1st vein (36475) |
$4,957.50 |
$9,915 |
1.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,064 |
$2,128 |
1.4× |
| Esoph egd dilation <30 mm (43249) |
$1,231.50 |
$2,463 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$2,164.50 |
$4,329 |
1.1× |
| Evac subungual hematoma (11740) |
$196.25 |
$392.50 |
1.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,672.50 |
$3,345 |
1.0× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$1,770 |
$3,540 |
2.4× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,989 |
$3,978 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$4,547.25 |
$9,094.50 |
2.7× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$1,279 |
$2,558 |
1.7× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$1,371 |
$2,742 |
1.8× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,741 |
$7,482 |
2.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,612.25 |
$5,224.50 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,772 |
$11,544 |
3.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$3,741 |
$7,482 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$9,499.50 |
$18,999 |
22.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$4,644 |
$9,288 |
2.7× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$2,053.50 |
$4,107 |
1.3× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$3,225 |
$6,450 |
1.9× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$1,831.50 |
$3,663 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$3,108 |
$6,216 |
2.5× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$22,201 |
$44,402 |
3.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,889.50 |
$7,779 |
2.2× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$3,996 |
$7,992 |
1.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,515.50 |
$5,031 |
1.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$2,023 |
$4,046 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$3,781 |
$7,562 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$2,054.50 |
$4,109 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$1,289.50 |
$2,579 |
3.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,390.50 |
$2,781 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$1,378 |
$2,756 |
1.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$2,673.75 |
$5,347.50 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$9,933 |
$19,866 |
1.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$1,992.75 |
$3,985.50 |
2.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$1,283 |
$2,566 |
1.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$3,025.50 |
$6,051 |
1.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$130.50 |
$261 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$1,465 |
$2,930 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$3,160.50 |
$6,321 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$4,440 |
$8,880 |
1.4× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$6,837 |
$13,674 |
2.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,287.50 |
$2,575 |
0.7× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age Under 21 (41520) |
$3,552 |
$7,104 |
1.0× |
| Ganglion impar nerve block (64999) |
$469.25 |
$938.50 |
1.4× |
| Gastric lavage (43753) |
$494.50 |
$989 |
2.2× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$716.50 |
$1,433 |
19.6× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$2,442 |
$4,884 |
2.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,941.50 |
$5,883 |
1.0× |
| Hysteroscopy biopsy (58558) |
$2,331 |
$4,662 |
0.7× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$5,439 |
$10,878 |
1.0× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
unusually low — confirm this is the full procedure |
$2,331 |
$4,662 |
0.4× |
| I&d abscess simple/single (10060) |
$211.50 |
$423 |
1.0× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$4,708.50 |
$9,417 |
1.5× |
| I&d hematoma/seroma/fluid (10140) |
$2,554.50 |
$5,109 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$1,109 |
$2,218 |
1.5× |
| Incise & drain bladder (51040) |
$1,776 |
$3,552 |
0.8× |
| Incise external hemorrhoid (46083) |
$389.50 |
$779 |
1.5× |
| Incise finger tendon sheath (26055) |
$2,608.50 |
$5,217 |
1.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$283 |
$566 |
0.7× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$314 |
$628 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$505.50 |
$1,011 |
1.6× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,405.75 |
$2,811.50 |
1.4× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,554.50 |
$5,109 |
1.5× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$269.50 |
$539 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,887 |
$3,774 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$1,215.25 |
$2,430.50 |
1.6× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$531.50 |
$1,063 |
1.3× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$533.50 |
$1,067 |
1.5× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$315.50 |
$631 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,088.50 |
$2,177 |
1.2× |
| Inj paravert f jnt l/s 1 lev (64493) |
$740.50 |
$1,481 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$644.50 |
$1,289 |
0.9× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$644.50 |
$1,289 |
0.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,436.50 |
$2,873 |
1.5× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,090 |
$2,180 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$644.50 |
$1,289 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$455.50 |
$911 |
1.4× |
| Injection enzyme palmar fascial cord (20527) |
$199 |
$398 |
0.6× |
| Injection for identification of sentinel node (38792) |
$425.50 |
$851 |
1.0× |
| Injection sclerosant single incmptnt vein (36470) |
$629.50 |
$1,259 |
1.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$466.50 |
$933 |
1.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$2,386.50 |
$4,773 |
7.4× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$5,022.50 |
$10,045 |
1.5× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$108.75 |
$217.50 |
0.5× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$4,192.50 |
$8,385 |
1.3× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,979 |
$3,958 |
1.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,151 |
$4,302 |
1.3× |
| Intubation endotracheal (31500) |
$362.50 |
$725 |
1.5× |
| Knee arthroscopy/surgery (29876) |
$6,063 |
$12,126 |
1.8× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151) |
$5,140.50 |
$10,281 |
0.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571) |
$18,997.50 |
$37,995 |
1.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550) |
$8,940 |
$17,880 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$5,066 |
$10,132 |
0.8× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$8,493 |
$16,986 |
1.3× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$4,023 |
$8,046 |
0.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$1,887 |
$3,774 |
1.0× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$4,606.50 |
$9,213 |
0.8× |
| Lumbar puncture (62270) |
$553 |
$1,106 |
0.7× |
| Lysis intranasal synechia (30560) |
$3,805.50 |
$7,611 |
6.7× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$444 |
$888 |
0.3× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$38.50 |
$77 |
0.6× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$4,063.50 |
$8,127 |
0.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267) |
$4,869.75 |
$9,739.50 |
0.7× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$2,967 |
$5,934 |
1.6× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery (31241) |
$4,063.50 |
$8,127 |
2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$20 |
$40 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$31.50 |
$63 |
1.0× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$2,775 |
$5,550 |
1.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$740.50 |
$1,481 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$740.50 |
$1,481 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$740.50 |
$1,481 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,076.50 |
$2,153 |
1.5× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$4,063.50 |
$8,127 |
1.0× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$7,095 |
$14,190 |
2.1× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$13,484.50 |
$26,969 |
1.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$8,642 |
$17,284 |
1.1× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$14,378.50 |
$28,757 |
1.9× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$11,473 |
$22,946 |
1.5× |
| Open treatment of ulnar shaft fracture (25545) |
$9,536 |
$19,072 |
1.2× |
| Open treatment radial shaft fracture (25515) |
$9,126.25 |
$18,252.50 |
1.2× |
| Open tx distal fibular fracture lat malleolus (27792) |
$7,003 |
$14,006 |
0.9× |
| Open tx prox humeral fx (23615) |
$12,739.50 |
$25,479 |
0.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$166.50 |
$333 |
0.8× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$242 |
$484 |
1.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$172.25 |
$344.50 |
0.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,352.50 |
$6,705 |
1.0× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$5,960 |
$11,920 |
0.8× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,403.50 |
$4,807 |
1.4× |
| Perq device breast 1st imag (19281) |
$455.50 |
$911 |
0.3× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,418.50 |
$2,837 |
0.7× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$5,438.50 |
$10,877 |
0.7× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$3,971 |
$7,942 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$184 |
$368 |
0.4× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$629.50 |
$1,259 |
1.5× |
| Pvb thoracic single injection site w/img gid (64461) |
$958.75 |
$1,917.50 |
1.3× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$5,493 |
$10,986 |
1.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$811.25 |
$1,622.50 |
1.1× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$721.50 |
$1,443 |
0.4× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$66 |
$132 |
1.1× |
| Removal implant deep (20680) |
$5,740.50 |
$11,481 |
1.9× |
| Removal of appendix using an endoscope (44970) |
$4,917 |
$9,834 |
0.8× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,812.75 |
$3,625.50 |
1.4× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,382.75 |
$2,765.50 |
0.8× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$138.50 |
$277 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$283 |
$566 |
0.6× |
| Removal of foreign body, foot; deep (28192) |
$2,502.75 |
$5,005.50 |
1.4× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$3,219 |
$6,438 |
1.1× |
| Removal of nail bed (11750) |
$424.50 |
$849 |
1.0× |
| Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270) |
$11,473 |
$22,946 |
2.2× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$423 |
$846 |
1.4× |
| Removal tunneled cv cath (36590) |
$1,935 |
$3,870 |
1.2× |
| Removal/revision of cast (29700) |
$423 |
$846 |
1.4× |
| Remove eyelid foreign body (67938) |
$459 |
$918 |
1.4× |
| Remove foreign body from eye (65210) |
$1,416.50 |
$2,833 |
3.0× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$2,554.50 |
$5,109 |
1.5× |
| Repair achilles tendon (27650) |
$7,971.50 |
$15,943 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$276.25 |
$552.50 |
0.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$401.25 |
$802.50 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$690.75 |
$1,381.50 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$566.50 |
$1,133 |
0.7× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,532.50 |
$5,065 |
1.5× |
| Repair finger tendon (26418) |
$2,532.50 |
$5,065 |
1.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$8,062.50 |
$16,125 |
2.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$276.25 |
$552.50 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$354 |
$708 |
0.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$424.50 |
$849 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$263 |
$526 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$269.50 |
$539 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$989.50 |
$1,979 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$276.25 |
$552.50 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$345.50 |
$691 |
0.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$628.50 |
$1,257 |
1.5× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$2,220 |
$4,440 |
0.6× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$628 |
$1,256 |
1.3× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$385 |
$770 |
1.5× |
| Repair of leg tendon each (27658) |
$7,673.50 |
$15,347 |
2.2× |
| Repair of nail bed (11760) |
$941 |
$1,882 |
1.2× |
| Repair tongue lacer,post 1/3 (41251) |
$385 |
$770 |
1.5× |
| Repair wrist joints (25447) |
$8,901 |
$17,802 |
2.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$414 |
$828 |
0.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$411 |
$822 |
0.5× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$989.50 |
$1,979 |
2.3× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$989.50 |
$1,979 |
1.3× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$11,251.50 |
$22,503 |
1.5× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28202) |
$11,026 |
$22,052 |
1.4× |
| Reset dislocated jaw (21480) |
$371.50 |
$743 |
1.4× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$12,608.50 |
$25,217 |
0.9× |
| Revision of total knee arthroplasty, with or without allograft; 1 component (27486) |
$17,785.50 |
$35,571 |
1.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$104 |
$208 |
0.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$151.75 |
$303.50 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,477 |
$8,954 |
1.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,095 |
$14,190 |
1.1× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$10,771.50 |
$21,543 |
1.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,998.50 |
$11,997 |
1.6× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$9,513.75 |
$19,027.50 |
2.7× |
| Simple partial removal of external female genitals (56620) |
$5,418 |
$10,836 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$173.25 |
$346.50 |
0.8× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$207.50 |
$415 |
1.0× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$207.50 |
$415 |
1.0× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$308 |
$616 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$173.25 |
$346.50 |
0.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$298 |
$596 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$207.50 |
$415 |
1.0× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
unusually low — confirm this is the full procedure |
$2,193 |
$4,386 |
0.4× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$207.50 |
$415 |
1.0× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$345.50 |
$691 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$628.50 |
$1,257 |
1.5× |
| Strapping elbow or wrist (29260) |
$138.50 |
$277 |
2.2× |
| Strapping hand/finger (29280) |
$139.50 |
$279 |
2.2× |
| Strapping of knee (29530) |
$201 |
$402 |
1.4× |
| Strapping of shoulder (29240) |
$167 |
$334 |
1.2× |
| Strapping unna boot (29580) |
$134 |
$268 |
0.8× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,835.75 |
$3,671.50 |
2.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$2,608.50 |
$5,217 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$114 |
$228 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$3,352.50 |
$6,705 |
2.0× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$707.50 |
$1,415 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$3,999 |
$7,998 |
1.1× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$3,031.50 |
$6,063 |
0.9× |
| Total knee arthroplasty (27447) |
$13,026 |
$26,052 |
1.0× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$385 |
$770 |
1.5× |
| Transfusion, blood or blood components (36430) |
$620.25 |
$1,240.50 |
1.3× |
| Treat finger dislocation (26775) |
$418.50 |
$837 |
1.4× |
| Treat fx rad extra-articul (25607) |
$7,301 |
$14,602 |
1.0× |
| Treat tail bone fracture (27200) |
$371.50 |
$743 |
1.4× |
| Treat wrist dislocation (25690) |
$2,532.50 |
$5,065 |
1.5× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,633.25 |
$5,266.50 |
1.6× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$9,387 |
$18,774 |
1.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$354 |
$708 |
1.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245) |
$8,418.50 |
$16,837 |
1.1× |
| Treatment of miscarriage (59812) |
$2,941.50 |
$5,883 |
0.9× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$8,791 |
$17,582 |
0.6× |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236) |
$10,938.50 |
$21,877 |
1.4× |
| Tx superficial wound dehiscence simple closure (12020) |
$964 |
$1,928 |
1.2× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$1,332 |
$2,664 |
0.8× |
| Unlisted procedure, dentoalveolar structures (41899) |
$357.25 |
$714.50 |
1.4× |
| Vaginal delivery (59409) |
$4,926 |
$9,852 |
1.4× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262) |
$6,407 |
$12,814 |
1.2× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$13,708 |
$27,416 |
2.6× |
| Vasectomy (55250) |
$5,676 |
$11,352 |
2.6× |
| Venipuncture (36415) |
$20.50 |
$41 |
2.2× |
| Wedge excision skin nail fold (11765) |
$265.50 |
$531 |
0.6× |