| Abd paracentesis w/imaging (49083) |
$1,572 |
$1,965 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,389.60 |
$1,737 |
1.6× |
| Amputation Finger/Thumb (26951) |
$2,745.60 |
$3,432 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$4,867.20 |
$6,084 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,531.20 |
$5,664 |
1.4× |
| Amputation, leg, through tibia and fibula; (27880) |
$9,651.20 |
$12,064 |
1.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$6,739.20 |
$8,424 |
2.1× |
| Anoscopy diagnostic (46600) |
$153.20 |
$191.50 |
1.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$2,863.20 |
$3,579 |
0.6× |
| Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) |
$9,900.80 |
$12,376 |
2.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$372 |
$465 |
2.4× |
| Application cast elbow finger short arm (29075) |
$406.40 |
$508 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$428.80 |
$536 |
1.6× |
| Application finger splint static (29130) |
$204 |
$255 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$338 |
$422.50 |
2.2× |
| Application of long leg cast (29345) |
$580.80 |
$726 |
2.2× |
| Application of rigid total contact leg cast (29445) |
$428.80 |
$536 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$268.80 |
$336 |
2.1× |
| Apply long leg splint (29505) |
$338 |
$422.50 |
2.2× |
| Apply short leg cast (29405) |
$428.80 |
$536 |
1.6× |
| Apply short leg splint (29515) |
$321.60 |
$402 |
2.1× |
| Arterial puncture (36600) |
$364.80 |
$456 |
2.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$700.80 |
$876 |
2.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$846.40 |
$1,058 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$457.60 |
$572 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$470.40 |
$588 |
1.6× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$14,661.60 |
$18,327 |
2.1× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$6,913.60 |
$8,642 |
2.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$6,659.80 |
$8,324.75 |
0.4× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$6,533.60 |
$8,167 |
2.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$5,602.14 |
$7,002.67 |
1.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,118.40 |
$5,148 |
1.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$7,867.20 |
$9,834 |
2.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,073.20 |
$7,591.50 |
1.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,654.40 |
$9,568 |
2.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,321.83 |
$2,902.29 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,317.60 |
$7,897 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$7,390.40 |
$9,238 |
2.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,400.80 |
$4,251 |
0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,391.83 |
$6,739.79 |
0.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,253.47 |
$10,316.84 |
1.2× |
| Aspirate pleura w/ imaging (32555) |
$1,174.80 |
$1,468.50 |
2.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$457.60 |
$572 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$452 |
$565 |
2.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,531.20 |
$3,164 |
1.6× |
| Biopsy muscle percutaneous needle (20206) |
$3,382 |
$4,227.50 |
2.1× |
| Biopsy Nail Unit Separate Procedure (11755) |
$1,070.40 |
$1,338 |
1.6× |
| Biopsy Salivary Gland,Needle (42400) |
$1,108.80 |
$1,386 |
1.6× |
| Biopsy soft tissue neck/thorax (21550) |
$2,491.20 |
$3,114 |
1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,411.20 |
$1,764 |
1.6× |
| Biopsy/removal lymph nodes (38525) |
$3,303.20 |
$4,129 |
0.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$408 |
$510 |
0.6× |
| Blood patch (62273) |
$1,081.60 |
$1,352 |
1.6× |
| Blood transfusion service (36430) |
$327.20 |
$409 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,464.80 |
$4,331 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$2,745.60 |
$3,432 |
1.7× |
| Bx/exc lymph node needle superficial (38505) |
$3,382 |
$4,227.50 |
2.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,481.60 |
$3,102 |
0.8× |
| Change of cystostomy tube simple (51705) |
$424 |
$530 |
1.8× |
| Chemical cautery tissue (17250) |
$304.80 |
$381 |
1.6× |
| Chemodenerv musc migraine (64615) |
$470.40 |
$588 |
1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$862.40 |
$1,078 |
2.9× |
| Circumcision (54150) |
$1,202.40 |
$1,503 |
0.6× |
| Circumcision Neonate (54160) |
$1,135.60 |
$1,419.50 |
1.7× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$378.40 |
$473 |
1.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$378.40 |
$473 |
1.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$378.40 |
$473 |
1.6× |
| Closed Rx Radial Shaft Fx (25500) |
$369.20 |
$461.50 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$360.40 |
$450.50 |
1.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$378.40 |
$473 |
1.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$378.40 |
$473 |
1.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$378.40 |
$473 |
1.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$378.40 |
$473 |
1.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$378.40 |
$473 |
1.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,706.40 |
$4,633 |
2.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$378.40 |
$473 |
1.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$378.40 |
$473 |
1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$369.20 |
$461.50 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$501.60 |
$627 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,472.80 |
$4,341 |
2.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$396 |
$495 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$378.40 |
$473 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,444 |
$3,055 |
1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$449.60 |
$562 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$501.60 |
$627 |
2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$378.40 |
$473 |
1.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,314.80 |
$4,143.50 |
2.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$396 |
$495 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,641.60 |
$3,302 |
1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$357.60 |
$447 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,747.20 |
$2,184 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$501.60 |
$627 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,779.20 |
$3,474 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$420 |
$525 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$342 |
$427.50 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$378.40 |
$473 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$357.20 |
$446.50 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,869.60 |
$3,587 |
1.9× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,641.60 |
$3,302 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$378.40 |
$473 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$374.40 |
$468 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$378.40 |
$473 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,641.60 |
$3,302 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$352 |
$440 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$670.40 |
$838 |
2.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$438.40 |
$548 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$478.80 |
$598.50 |
2.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$378.40 |
$473 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$378.40 |
$473 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$338.80 |
$423.50 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,641.60 |
$3,302 |
1.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$378 |
$472.50 |
1.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,641.60 |
$3,302 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$396 |
$495 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$387.20 |
$484 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,526.40 |
$3,158 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$501.60 |
$627 |
2.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$378.40 |
$473 |
1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$501.60 |
$627 |
2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,641.60 |
$3,302 |
1.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,641.60 |
$3,302 |
1.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$396 |
$495 |
1.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,012.40 |
$3,765.50 |
2.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$214 |
$267.50 |
1.7× |
| Colonoscopy flex w/inj submuc (45381) |
$694.40 |
$868 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$2,989.20 |
$3,736.50 |
2.6× |
| Colposcopy vulva w/biopsy (56821) |
$467.20 |
$584 |
1.6× |
| Combined anteroposterior colporrhaphy; (57260) |
$2,303.06 |
$2,878.83 |
0.5× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$5,297.60 |
$6,622 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$281.60 |
$352 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$230 |
$287.50 |
1.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,322.80 |
$2,903.50 |
1.5× |
| Correction of bunion (28292) |
$4,409.60 |
$5,512 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$281.60 |
$352 |
2.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,609.60 |
$5,762 |
1.4× |
| Cystourethroscopy (52000) |
$913.60 |
$1,142 |
1.4× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$7,734.40 |
$9,668 |
1.1× |
| Debride nail 1-5 (11720) |
$91.20 |
$114 |
1.6× |
| Debride nail 6 or more (11721) |
$139.60 |
$174.50 |
2.5× |
| Debride tissue/muscle (11043) |
$1,132.80 |
$1,416 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$623.20 |
$779 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,531.20 |
$3,164 |
1.6× |
| Declot vascular device (36593) |
$520.80 |
$651 |
1.6× |
| Destruction Benign Lesions 15/> (17111) |
$247.20 |
$309 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$308 |
$385 |
1.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,013.20 |
$2,516.50 |
2.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,070.80 |
$3,838.50 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$308 |
$385 |
1.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,142.40 |
$1,428 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$739.20 |
$924 |
0.8× |
| Dilate Urethra Stricture (53620) |
$1,068.80 |
$1,336 |
1.6× |
| Dilate urethra stricture (53621) |
$383.20 |
$479 |
1.6× |
| Dilate urethra stricture (53600) |
$383.20 |
$479 |
1.6× |
| Dilation and curettage (58120) |
$3,412.80 |
$4,266 |
1.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,160.80 |
$1,451 |
1.7× |
| Drain/inj small joint/bursa w/us (20604) |
$470.40 |
$588 |
1.6× |
| Drainage Finger Abscess Complicated (26011) |
$2,673.60 |
$3,342 |
1.7× |
| Drainage Finger Abscess Simple (26010) |
$308 |
$385 |
1.6× |
| Drainage of gum lesion (41800) |
$256.40 |
$320.50 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$2,482 |
$3,102.50 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$2,673.60 |
$3,342 |
1.7× |
| Draw blood off venous device (36591) |
$214 |
$267.50 |
1.7× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$840.80 |
$1,051 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$327.60 |
$409.50 |
1.7× |
| Dx bone marrow bx & aspir (38222) |
$4,370.80 |
$5,463.50 |
1.6× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,845.60 |
$3,557 |
1.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$985.60 |
$1,232 |
0.5× |
| Egd flexible foreign body removal (43247) |
$313.60 |
$392 |
0.4× |
| Egd remove lesion snare (43251) |
$1,579.20 |
$1,974 |
0.9× |
| Endoscopic plantar fasciotomy (29893) |
$3,933.60 |
$4,917 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$268.80 |
$336 |
2.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,486.60 |
$1,858.25 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,208.40 |
$1,510.50 |
1.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,264 |
$2,830 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,305.60 |
$2,882 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,531.20 |
$3,164 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,085.60 |
$1,357 |
1.6× |
| Exc back tum deep < 5 cm (21932) |
$4,451.20 |
$5,564 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,374.80 |
$1,718.50 |
2.0× |
| Exc rect tum transanal part (45171) |
$4,624.80 |
$5,781 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,005.60 |
$1,257 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,128 |
$1,410 |
2.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,858.80 |
$2,323.50 |
2.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,939.74 |
$3,674.67 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,097.60 |
$2,622 |
1.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,531.20 |
$3,164 |
1.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,452 |
$5,565 |
1.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,506.40 |
$3,133 |
1.6× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,606.94 |
$3,258.67 |
1.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$9,926.40 |
$12,408 |
3.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,430.40 |
$3,038 |
1.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,452 |
$5,565 |
1.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$8,403.20 |
$10,504 |
3.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,070.40 |
$1,338 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$3,579.60 |
$4,474.50 |
5.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$623.20 |
$779 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,085.60 |
$1,357 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,085.60 |
$1,357 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,832.40 |
$2,290.50 |
2.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$2,912.01 |
$3,640.01 |
4.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,719.47 |
$2,149.34 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,496 |
$3,120 |
3.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,531.20 |
$3,164 |
1.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$832 |
$1,040 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,085.60 |
$1,357 |
1.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,085.60 |
$1,357 |
1.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,664 |
$2,080 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,430.40 |
$3,038 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,664.80 |
$7,081 |
2.0× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$2,995.20 |
$3,744 |
1.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,998.80 |
$2,498.50 |
1.7× |
| Excision olecranon bursa (24105) |
$4,492.80 |
$5,616 |
1.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$6,890.40 |
$8,613 |
2.5× |
| Excision prepatellar bursa (27340) |
$4,568.80 |
$5,711 |
1.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,773.34 |
$3,466.67 |
1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,586.67 |
$4,483.34 |
1.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,869.60 |
$4,837 |
2.4× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,359.20 |
$2,949 |
1.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,525 |
$4,406.25 |
2.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,828.80 |
$3,536 |
1.0× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$8,400.80 |
$10,501 |
3.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,673.60 |
$3,342 |
1.7× |
| Fetal contraction stress test (59020) |
$375.60 |
$469.50 |
1.9× |
| Fetal non-stress test (59025) |
$366.40 |
$458 |
1.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,214.40 |
$1,518 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$623.20 |
$779 |
1.6× |
| Fit/Insert Intravag Support Device (57160) |
$332 |
$415 |
1.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$679.20 |
$849 |
3.3× |
| Hemorrhoidectomy (46255) |
$5,241.60 |
$6,552 |
2.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,120.40 |
$5,150.50 |
1.5× |
| Hysteroscopy biopsy (58558) |
$1,310.40 |
$1,638 |
0.4× |
| Hysteroscopy w endometrial ablation (58563) |
$2,579.20 |
$3,224 |
0.5× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,747.20 |
$2,184 |
0.6× |
| I&d abscess simple (10060) |
$314.40 |
$393 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$1,018 |
$1,272.50 |
1.5× |
| I&d submucosal abscess rectum (45005) |
$1,946.40 |
$2,433 |
1.7× |
| I&d vulva/perineal abscess (56405) |
$504 |
$630 |
1.7× |
| Incise external hemorrhoid (46083) |
$398.80 |
$498.50 |
1.7× |
| Incise finger tendon sheath (26055) |
$2,163.20 |
$2,704 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,046.53 |
$1,308.16 |
2.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,108 |
$1,385 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,676.80 |
$3,346 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$623.20 |
$779 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$432.80 |
$541 |
2.2× |
| Incision and drainage perianal abscess superficial (46050) |
$1,431.20 |
$1,789 |
1.6× |
| Incision extensor tendon sheath wrist (25000) |
$1,553.06 |
$1,941.33 |
1.0× |
| Incision of rectal abscess (46040) |
$2,621.60 |
$3,277 |
2.3× |
| Incisional biopsy skin single lesion (11106) |
$1,132.80 |
$1,416 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$778.60 |
$973.25 |
2.6× |
| Inj therapeutic carpal tunnel (20526) |
$548.80 |
$686 |
1.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,356 |
$1,695 |
1.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$487.20 |
$609 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,402.40 |
$1,753 |
1.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,402.40 |
$1,753 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,006.66 |
$1,258.33 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$470.40 |
$588 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,090.40 |
$1,363 |
1.6× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,356 |
$1,695 |
1.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,060 |
$1,325 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$512.80 |
$641 |
1.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,082.40 |
$1,353 |
1.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,142.40 |
$1,428 |
1.7× |
| Injection into skin lesions (11900) |
$572.80 |
$716 |
3.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$470.40 |
$588 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$470.40 |
$588 |
1.6× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$14,675.20 |
$18,344 |
0.5× |
| Insert cath pleura w/ image (32557) |
$2,564 |
$3,205 |
1.7× |
| Insert cath pleura w/o image (32556) |
$3,290.40 |
$4,113 |
1.8× |
| Insert cervical dilator (59200) |
$642.40 |
$803 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$3,696.80 |
$4,621 |
1.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$5,194.40 |
$6,493 |
1.7× |
| Insert pulse gen dual leads (33213) |
$6,651.20 |
$8,314 |
0.7× |
| Insert subq implantable defib electrode (33271) |
$4,004 |
$5,005 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$246 |
$307.50 |
1.9× |
| Insert tunneled cv cath (36561) |
$5,483.20 |
$6,854 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$198 |
$247.50 |
1.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$4,191.20 |
$5,239 |
0.5× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$4,004 |
$5,005 |
0.5× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,004 |
$5,005 |
0.5× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$6,651.20 |
$8,314 |
0.7× |
| Insj picc rs&i 5 yr+ (36573) |
$3,273.60 |
$4,092 |
2.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,820 |
$4,775 |
1.3× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$4,004 |
$5,005 |
0.5× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$363.20 |
$454 |
1.6× |
| Intro Gastrointestinal Tube (44500) |
$1,547.20 |
$1,934 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$428.80 |
$536 |
1.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$401.60 |
$502 |
1.7× |
| Knee Arthroscopy/Surgery (29879) |
$4,269.20 |
$5,336.50 |
1.4× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$4,703.60 |
$5,879.50 |
0.8× |
| Laparoscopy appendectomy (44970) |
$8,701.60 |
$10,877 |
1.5× |
| Laparoscopy biopsy (49321) |
$3,577.60 |
$4,472 |
0.6× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,681.87 |
$7,102.34 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,463.20 |
$10,579 |
1.5× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$5,840.80 |
$7,301 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$3,319.52 |
$4,149.40 |
0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,827.20 |
$4,784 |
0.7× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$612 |
$765 |
1.6× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
unusually low: confirm this is the full procedure |
$3,369.60 |
$4,212 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,425.60 |
$1,782 |
1.6× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,067.20 |
$5,084 |
1.3× |
| Liver Biopsy (47000) |
$2,491.20 |
$3,114 |
1.6× |
| Manipulation knee joint under general anesthesia (27570) |
$2,481.60 |
$3,102 |
1.6× |
| Myelography Lumbar Injection (62305) |
$1,201.60 |
$1,502 |
1.6× |
| Myelography Lumbar Injection (62304) |
$1,711.20 |
$2,139 |
2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,579.60 |
$1,974.50 |
2.3× |
| N Block Inj, Plantar Digit (64455) |
$470.40 |
$588 |
1.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$641.20 |
$801.50 |
1.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$4,076.80 |
$5,096 |
2.2× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,831.20 |
$3,539 |
1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$601.20 |
$751.50 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$1,060.40 |
$1,325.50 |
1.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$401.60 |
$502 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,486 |
$1,857.50 |
2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,355.20 |
$1,694 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,453.20 |
$1,816.50 |
2.1× |
| Occipital Nerve Block (64405) |
$487.20 |
$609 |
1.7× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$1,200 |
$1,500 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$3,600 |
$4,500 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,458.40 |
$10,573 |
1.2× |
| Open treatment fracture distal tibia only (27827) |
$12,901.60 |
$16,127 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,986.40 |
$9,983 |
1.1× |
| Open treatment metatarsal fracture each (28485) |
$8,197.60 |
$10,247 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$13,827.20 |
$17,284 |
2.0× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
unusually low: confirm this is the full procedure |
$4,450.14 |
$5,562.67 |
0.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$5,778.40 |
$7,223 |
0.8× |
| Open Treatment Proximal Humeral Fracture (23615) |
$10,966.40 |
$13,708 |
0.9× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$6,079.20 |
$7,599 |
1.9× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,390.40 |
$9,238 |
1.1× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$2,423.73 |
$3,029.66 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,354.40 |
$6,693 |
1.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,529.60 |
$5,662 |
1.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$11,920 |
$14,900 |
1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$4,768 |
$5,960 |
0.7× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$11,681.60 |
$14,602 |
1.7× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$3,933.60 |
$4,917 |
0.6× |
| Ostectomy complete 5th metatarsal head (28113) |
$4,647.60 |
$5,809.50 |
1.5× |
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure |
$1,684.80 |
$2,106 |
0.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,993.60 |
$4,992 |
1.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$5,241.60 |
$6,552 |
3.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,388.80 |
$5,486 |
1.4× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,359.20 |
$4,199 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$497.60 |
$622 |
2.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,226.80 |
$5,283.50 |
1.3× |
| Picc line placement (36569) |
$3,437.60 |
$4,297 |
2.3× |
| Placement of needle for intraosseous infusion (36680) |
$684.80 |
$856 |
1.6× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$3,644 |
$4,555 |
1.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,172 |
$5,215 |
1.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$2,542.93 |
$3,178.66 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$577.20 |
$721.50 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$1,153.20 |
$1,441.50 |
1.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$610.80 |
$763.50 |
1.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,082.40 |
$1,353 |
1.6× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$17,760.80 |
$22,201 |
2.6× |
| Reduce testis torsion (54600) |
$5,691.20 |
$7,114 |
1.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$4,950.40 |
$6,188 |
0.7× |
| Relocation of skin pocket for pacemaker (33222) |
$2,744 |
$3,430 |
1.4× |
| Removal Anal Seton Other Marker (46030) |
$1,834.40 |
$2,293 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,085.60 |
$1,357 |
1.6× |
| Removal foreign body intranasal (30300) |
$268.80 |
$336 |
2.1× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,673.60 |
$3,342 |
1.7× |
| Removal foreign body upper arm/elbow deep (24201) |
$4,722.40 |
$5,903 |
1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$91.20 |
$114 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$91.20 |
$114 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$5,247.20 |
$6,559 |
1.7× |
| Removal implant deep (20680) |
$4,492.40 |
$5,615.50 |
1.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,665.60 |
$3,332 |
1.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$684.80 |
$856 |
1.6× |
| Removal of iud (58301) |
$1,164.80 |
$1,456 |
4.0× |
| Removal of nail bed (11750) |
$623.20 |
$779 |
1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$308 |
$385 |
1.6× |
| Remove cerclage suture (59871) |
$1,466.40 |
$1,833 |
0.5× |
| Remove drug implant device (11982) |
$1,643.20 |
$2,054 |
3.8× |
| Remove ext hem groups 2+ (46250) |
$1,664 |
$2,080 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$5,657.60 |
$7,072 |
2.0× |
| Remv Ext Canal Foreign Body (69200) |
$204 |
$255 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$249.60 |
$312 |
2.0× |
| Repair blood vessel direct hand finger (35207) |
$5,194.40 |
$6,493 |
1.7× |
| Repair blood vessel direct neck (35201) |
$3,397.60 |
$4,247 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,067.20 |
$5,084 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,162.40 |
$1,453 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,147.60 |
$1,434.50 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,406.40 |
$1,758 |
3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,010.40 |
$1,263 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,406.40 |
$1,758 |
3.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,132.80 |
$1,416 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,232 |
$1,540 |
1.7× |
| Repair eyelid defect (67916) |
$3,644 |
$4,555 |
1.6× |
| Repair forearm tendon/muscle (25260) |
$5,354.40 |
$6,693 |
1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,743.20 |
$15,929 |
3.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$903.20 |
$1,129 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$862 |
$1,077.50 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$903.20 |
$1,129 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,132.80 |
$1,416 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$832 |
$1,040 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$862 |
$1,077.50 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,342.40 |
$1,678 |
1.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$618.40 |
$773 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$903.20 |
$1,129 |
2.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$903.20 |
$1,129 |
2.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$903.20 |
$1,129 |
2.3× |
| Repair Laceration Palate </2 Cm (42180) |
$840.80 |
$1,051 |
1.6× |
| Repair lead pace-defib dual (33220) |
$4,060 |
$5,075 |
1.1× |
| Repair lead pace-defib one (33218) |
$4,060 |
$5,075 |
1.1× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345)
unusually low: confirm this is the full procedure |
$2,225.06 |
$2,781.33 |
0.3× |
| Repair of eye wound (65270) |
$3,644 |
$4,555 |
1.6× |
| Repair of nail bed (11760) |
$3,220 |
$4,025 |
4.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$2,716.60 |
$3,395.75 |
0.4× |
| Repair of shoulder (23420) |
$6,104.54 |
$7,630.67 |
0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$17,746.40 |
$22,183 |
2.9× |
| Repair rotator cuff acute (23410) |
$3,763.60 |
$4,704.50 |
0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$11,787.20 |
$14,734 |
1.7× |
| Repeat control of nosebleed (30906) |
$363.20 |
$454 |
1.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,547.20 |
$1,934 |
1.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,060 |
$5,075 |
1.1× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$7,654.40 |
$9,568 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$231.20 |
$289 |
1.8× |
| Rmvl of subq defibrillator (33272) |
$4,060 |
$5,075 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,329.60 |
$2,912 |
1.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,491.20 |
$6,864 |
1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,905.60 |
$8,632 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$11,315.20 |
$14,144 |
2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,489.60 |
$8,112 |
1.1× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,160.80 |
$1,451 |
1.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$840.80 |
$1,051 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$470.40 |
$588 |
0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,612.80 |
$2,016 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$624.80 |
$781 |
1.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$304.40 |
$380.50 |
1.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$331.20 |
$414 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$409.60 |
$512 |
2.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$308 |
$385 |
1.6× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,551.47 |
$3,189.34 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$322.40 |
$403 |
1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$308 |
$385 |
1.6× |
| Sigmoidoscopy w/biopsy (45331) |
$593.60 |
$742 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$659.20 |
$824 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$417.60 |
$522 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$417.60 |
$522 |
2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$417.60 |
$522 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$407.60 |
$509.50 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$417.60 |
$522 |
2.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,869.60 |
$2,337 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,869.60 |
$2,337 |
2.6× |
| Skin Tissue Procedure (17999) |
$308 |
$385 |
1.6× |
| Skin tissue rearrangement (14040) |
$1,206.40 |
$1,508 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$417.60 |
$522 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$862 |
$1,077.50 |
2.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,089.60 |
$1,362 |
1.6× |
| Spinal Puncture Therapeutic (62272) |
$1,595.20 |
$1,994 |
2.4× |
| Strapping ankle (29540) |
$249.60 |
$312 |
1.6× |
| Strapping toes (29550) |
$91.20 |
$114 |
1.6× |
| Strapping unna boot (29580) |
$372 |
$465 |
2.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,435.60 |
$1,794.50 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,530.40 |
$5,663 |
1.7× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$4,160 |
$5,200 |
0.6× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$9,178.40 |
$11,473 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$623.20 |
$779 |
1.6× |
| Tenodesis long tendon biceps (23430) |
$7,915.20 |
$9,894 |
1.1× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$2,464 |
$3,080 |
1.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,464.80 |
$3,081 |
1.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$3,600 |
$4,500 |
2.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,062.40 |
$3,828 |
2.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$10,131.20 |
$12,664 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$973.60 |
$1,217 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$522.80 |
$653.50 |
1.6× |
| Thyroid biopsy (60100) |
$1,108.80 |
$1,386 |
1.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,013.34 |
$2,516.67 |
0.6× |
| Total hip arthroplasty (27130) |
$7,652.75 |
$9,565.94 |
0.6× |
| Total Knee Arthroplasty (27447) |
$11,562.40 |
$14,453 |
0.9× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$5,080.80 |
$6,351 |
1.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$383.20 |
$479 |
1.7× |
| Tracheostomy planned (31600) |
$5,080.80 |
$6,351 |
1.6× |
| Transplant hand tendon (26480) |
$4,529.60 |
$5,662 |
1.4× |
| Treat humerus fracture (24500) |
$378.40 |
$473 |
1.6× |
| Treat humerus fracture (23600) |
$355.60 |
$444.50 |
1.5× |
| Treat Knee Fracture (27535) |
$11,684.80 |
$14,606 |
1.7× |
| Treat Kneecap Fracture (27524) |
$10,191.60 |
$12,739.50 |
1.5× |
| Treat Lower Leg Fracture (27828) |
$23,601.60 |
$29,502 |
1.9× |
| Treat shoulder blade fx (23575) |
$2,641.60 |
$3,302 |
1.7× |
| Treat Thigh Fracture (27245) |
$8,582.40 |
$10,728 |
1.2× |
| Treat thumb fracture (26665) |
$4,291.20 |
$5,364 |
1.4× |
| Treat wrist bone fracture (25622) |
$338.80 |
$423.50 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$378.40 |
$473 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$478.80 |
$598.50 |
2.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$2,256 |
$2,820 |
0.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$378.40 |
$473 |
1.6× |
| Trim skin lesion (11055) |
$308 |
$385 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$420 |
$525 |
2.2× |
| Trim skin lesions over 4 (11057) |
$311.60 |
$389.50 |
1.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$89.20 |
$111.50 |
1.6× |
| Tube thoracostomy includes water seal (32551) |
$3,601.60 |
$4,502 |
2.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,030.40 |
$2,538 |
0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,641.60 |
$3,302 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,132.80 |
$1,416 |
1.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$9,297.60 |
$11,622 |
0.8× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$5,990.40 |
$7,488 |
1.7× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$1,913.60 |
$2,392 |
9.9× |
| Unlisted laparoscopic procedure liver (47379) |
$8,344 |
$10,430 |
1.4× |
| Unlisted procedure arthroscopy (29999) |
$2,582.66 |
$3,228.33 |
10.9× |
| Unlisted procedure colon (45399) |
$1,396.40 |
$1,745.50 |
1.6× |
| Unlisted Procedure Conjunctiva (68399) |
$486.40 |
$608 |
1.6× |
| Unlisted procedure femur or knee (27599) |
$1,996.80 |
$2,496 |
8.4× |
| Unlisted procedure nervous system (64999) |
$470.40 |
$588 |
1.6× |
| Unlisted procedure rectum (45999) |
$3,078.40 |
$3,848 |
3.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$973.60 |
$1,217 |
1.6× |
| Unlisted procedure, hands or fingers (26989) |
$2,246.40 |
$2,808 |
9.5× |
| Unlisted procedure, maternity care and delivery (59899) |
$356 |
$445 |
1.8× |
| Upgrade of pacemaker system (33214) |
$6,651.20 |
$8,314 |
0.7× |
| Us urine capacity measure (51798) |
$94.40 |
$118 |
1.7× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$5,247.20 |
$6,559 |
1.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$7,488 |
$9,360 |
1.6× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$6,418.40 |
$8,023 |
1.3× |
| Venipuncture (36415) |
$9.60 |
$12 |
1.0× |
| Wedge excision skin nail fold (11765) |
$623.20 |
$779 |
1.6× |
| Wound Prep F/N/Hf/G (15004) |
$623.20 |
$779 |
1.6× |