| Abd paracentesis w/imaging (49083) |
$1,424.18 |
$1,675.50 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$190.40 |
$224 |
0.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$2,965.65 |
$3,489 |
0.9× |
| Adding Walker Previously Applied Cast (29440) |
$209.10 |
$246 |
1.2× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,907.85 |
$3,421 |
1.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,424.25 |
$5,205 |
1.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$4,134.40 |
$4,864 |
1.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,246.15 |
$3,819 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$6,183.75 |
$7,275 |
2.8× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$3,598.05 |
$4,233 |
1.7× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$5,788.50 |
$6,810 |
0.8× |
| Amputate metacarpal bone (26910) |
$3,569.58 |
$4,199.50 |
1.0× |
| Amputation Finger/Thumb (26951) |
$2,612.05 |
$3,073 |
0.8× |
| Amputation of finger/thumb (26952) |
$3,231.28 |
$3,801.50 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$2,607.80 |
$3,068 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$459.85 |
$541 |
0.1× |
| Ankle arthroscopy (29899) |
$6,373.72 |
$7,498.50 |
0.8× |
| Ankle arthroscopy/surgery (29894) |
$4,253.40 |
$5,004 |
1.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$4,211.75 |
$4,955 |
1.2× |
| Anoscopy diagnostic (46600) |
$336.60 |
$396 |
2.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$560.15 |
$659 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$544 |
$640 |
0.2× |
Anterior Tibial Tubercleplasty (27418) likely a partial charge, not the full procedure |
$2,015.35 |
$2,371 |
0.3× |
Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,454.80 |
$2,888 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$120.70 |
$142 |
0.7× |
| Application cast elbow finger short arm (29075) |
$1,031.90 |
$1,214 |
3.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$289 |
$340 |
1.7× |
| Application cast shoulder hand long arm (29065) |
$1,051.88 |
$1,237.50 |
3.6× |
| Application Cast Shoulder Spica (29055) |
$323 |
$380 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$146.20 |
$172 |
2.3× |
| Application finger splint static (29130) |
$206.12 |
$242.50 |
1.5× |
| Application Hip Spica Cast 1 Leg (29305) |
$302.60 |
$356 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$309.82 |
$364.50 |
1.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$249.48 |
$293.50 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$319.60 |
$376 |
1.9× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) likely a partial charge, not the full procedure |
$2,699.60 |
$3,176 |
0.2× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) likely a partial charge, not the full procedure |
$1,702.55 |
$2,003 |
0.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$302.60 |
$356 |
1.0× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$302.60 |
$356 |
1.0× |
| Application of long leg cast (29345) |
$315.78 |
$371.50 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$406.30 |
$478 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$255.85 |
$301 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$386.75 |
$455 |
2.8× |
| Application short leg splint calf foot (29515) |
$310.68 |
$365.50 |
1.8× |
| Apply long leg cast brace (29358) |
$302.60 |
$356 |
1.0× |
| Apply of clubfoot cast (29450) |
$217.60 |
$256 |
1.3× |
| Apply patella tendon bearing cast (29435) |
$302.60 |
$356 |
1.0× |
| Apply short leg cast (29405) |
$850.42 |
$1,000.50 |
2.9× |
| Apply short leg cast (29425) |
$243.95 |
$287 |
0.8× |
| Arterial puncture (36600) |
$152.15 |
$179 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$313.22 |
$368.50 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$670.65 |
$789 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$313.22 |
$368.50 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$413.10 |
$486 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$294.95 |
$347 |
0.9× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,920.68 |
$6,965.50 |
0.8× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) likely a partial charge, not the full procedure |
$1,246.10 |
$1,466 |
0.1× |
Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$2,324.75 |
$2,735 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,095.30 |
$4,818 |
0.2× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$11,343.68 |
$13,345.50 |
0.8× |
Arthroplasty radial head w/implant (24366) likely a partial charge, not the full procedure |
$1,649.85 |
$1,941 |
0.1× |
Arthroplasty, patella; with prosthesis (27438) unusually low: confirm this is the full procedure |
$6,147.62 |
$7,232.50 |
0.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,081.80 |
$9,508 |
1.1× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$1,805.40 |
$2,124 |
1.1× |
| Arthroscopy ankle; ext debridem (29898) |
$4,720.05 |
$5,553 |
1.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,790.10 |
$2,106 |
0.5× |
| Arthroscopy of joint (29999) |
$3,749.78 |
$4,411.50 |
14.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$4,175.62 |
$4,912.50 |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$3,172.62 |
$3,732.50 |
0.9× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,163.25 |
$2,545 |
0.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,906.55 |
$2,243 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,354.55 |
$5,123 |
1.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,726.80 |
$3,208 |
0.8× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,394.90 |
$3,994 |
1.0× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$11,536.62 |
$13,572.50 |
0.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,156.08 |
$4,889.50 |
1.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,567.40 |
$1,844 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,135.70 |
$6,042 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,779.98 |
$5,623.50 |
1.4× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
$4,289.10 |
$5,046 |
1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,757.08 |
$7,949.50 |
0.9× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$3,028.55 |
$3,563 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,189.65 |
$4,929 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,518.15 |
$4,139 |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,311.20 |
$5,072 |
1.2× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,958 |
$3,480 |
0.4× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$5,711.58 |
$6,719.50 |
0.7× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,533.05 |
$5,333 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,230.08 |
$7,329.50 |
0.8× |
Arthrotomy hip w/drainage (27030) unusually low: confirm this is the full procedure |
$2,493.90 |
$2,934 |
0.3× |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
$3,079.55 |
$3,623 |
0.9× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$496.40 |
$584 |
0.1× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$691.05 |
$813 |
0.2× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,162.80 |
$1,368 |
0.3× |
| Arthrotomy, elbow; with synovectomy (24102) |
$3,355.38 |
$3,947.50 |
1.0× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$3,198.55 |
$3,763 |
0.9× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$3,452.28 |
$4,061.50 |
1.0× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$808.35 |
$951 |
0.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,211.28 |
$2,601.50 |
1.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$578.85 |
$681 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$418.62 |
$492.50 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$403.75 |
$475 |
1.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$671.50 |
$790 |
0.4× |
| Biopsy Breast Open Incisional (19101) |
$1,203.60 |
$1,416 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$198.90 |
$234 |
0.2× |
| Biopsy external ear (69100) |
$334.05 |
$393 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,864.48 |
$2,193.50 |
1.1× |
| Biopsy of lip (40490) |
$448.80 |
$528 |
1.8× |
| Biopsy of penis (54100) |
$757.35 |
$891 |
0.4× |
| Biopsy of uterus lining (58100) |
$208.25 |
$245 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,593.75 |
$1,875 |
0.4× |
| Biopsy Salivary Gland,Needle (42400) |
$141.10 |
$166 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$488.75 |
$575 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$2,343.45 |
$2,757 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$3,969.08 |
$4,669.50 |
1.0× |
| Bladder Irrigation Simple (51700) |
$718.25 |
$845 |
2.7× |
| Bladder Scan (51798) |
$268.64 |
$316.05 |
4.3× |
| Blood patch (62273) |
$2,150.50 |
$2,530 |
2.9× |
| Blood transfusion service (36430) |
$822.80 |
$968 |
1.8× |
| Bone graft, any donor area; major or large (20902) |
$6,011.20 |
$7,072 |
0.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) likely a partial charge, not the full procedure |
$1,581.85 |
$1,861 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$583.10 |
$686 |
0.2× |
| Bx breast 1st lesion mr imag (19085) |
$2,278.85 |
$2,681 |
1.3× |
| Bx breast 1st lesion strtctc (19081) |
$2,315.82 |
$2,724.50 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$2,126.70 |
$2,502 |
1.2× |
| Bx vulva/perineum 1 lesion (56605) |
$357 |
$420 |
0.4× |
| Bx/exc lymph node needle superficial (38505) |
$1,811.78 |
$2,131.50 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$2,633.72 |
$3,098.50 |
1.1× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$6,348.22 |
$7,468.50 |
0.8× |
Capsulorrhaphy Anterior With Bone Block (23460) likely a partial charge, not the full procedure |
$1,568.25 |
$1,845 |
0.2× |
| Carpectomy All Bones Proximal Row (25215) |
$887.40 |
$1,044 |
0.3× |
| Cataract surgery complex (66982) |
$2,767.18 |
$3,255.50 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$446.25 |
$525 |
1.9× |
| Change Cystostomy Tube Complicated (51710) |
$771.38 |
$907.50 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$147.05 |
$173 |
0.6× |
| Chemical Cautery Tissue (17250) |
$295.80 |
$348 |
1.4× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$184.02 |
$216.50 |
0.6× |
| Chest tube placement (32551) |
$387.60 |
$456 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$192.10 |
$226 |
1.4× |
| Circum 28 days or older (54161) |
$2,051.90 |
$2,414 |
0.9× |
| Circumcision (54150) |
$1,685.55 |
$1,983 |
0.8× |
| Circumcision Neonate (54160) |
$587.35 |
$691 |
0.8× |
| Claviculectomy; partial (23120) |
$1,711.90 |
$2,014 |
0.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$930.32 |
$1,094.50 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$2,170.05 |
$2,553 |
8.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,176.82 |
$1,384.50 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,052.30 |
$1,238 |
4.0× |
| Closed Rx Med Malleolus Fx (27760) |
$562.70 |
$662 |
2.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,748.45 |
$2,057 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,604.38 |
$1,887.50 |
0.9× |
| Closed rx prox/neck femur fx,manip (27232) |
$933.72 |
$1,098.50 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,434.80 |
$1,688 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$629 |
$740 |
2.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,782.88 |
$2,097.50 |
1.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,105.85 |
$1,301 |
4.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,009.80 |
$1,188 |
3.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$637.92 |
$750.50 |
2.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,456.08 |
$2,889.50 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$883.15 |
$1,039 |
3.4× |
| Closed Treat Vert Body Fract (22310) |
$500.22 |
$588.50 |
1.9× |
| Closed treat wrist dislocation (25660) |
$920.12 |
$1,082.50 |
3.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$302.18 |
$355.50 |
1.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$568.22 |
$668.50 |
2.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$530.82 |
$624.50 |
2.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$679.58 |
$799.50 |
2.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$519.78 |
$611.50 |
2.0× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$2,977.55 |
$3,503 |
0.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$614.98 |
$723.50 |
2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,157.70 |
$1,362 |
4.4× |
| Closed Treatment Sternum Fracture (21820) |
$442.85 |
$521 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$568.65 |
$669 |
2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,710.20 |
$2,012 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$533.38 |
$627.50 |
2.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$408.85 |
$481 |
1.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,123.28 |
$1,321.50 |
0.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$650.25 |
$765 |
2.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$459 |
$540 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$696.15 |
$819 |
2.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,516.85 |
$2,961 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$652.38 |
$767.50 |
2.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$969.42 |
$1,140.50 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$859.35 |
$1,011 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,064.62 |
$1,252.50 |
4.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$520.62 |
$612.50 |
2.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$526.58 |
$619.50 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,091.82 |
$1,284.50 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$665.98 |
$783.50 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,519.80 |
$1,788 |
0.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$512.55 |
$603 |
2.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$413.10 |
$486 |
1.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$564.40 |
$664 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$213.35 |
$251 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,357.02 |
$1,596.50 |
0.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$568.22 |
$668.50 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$753.52 |
$886.50 |
2.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$328.95 |
$387 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$756.08 |
$889.50 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$591.60 |
$696 |
2.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$449.65 |
$529 |
1.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$639.20 |
$752 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$565.68 |
$665.50 |
2.2× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$709.75 |
$835 |
2.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$277.95 |
$327 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,066.35 |
$2,431 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$932.45 |
$1,097 |
3.6× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,464.98 |
$1,723.50 |
0.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$2,753.15 |
$3,239 |
10.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,819.42 |
$2,140.50 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$811.32 |
$954.50 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$632.82 |
$744.50 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$829.18 |
$975.50 |
3.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$485.78 |
$571.50 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$912.48 |
$1,073.50 |
3.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,827.92 |
$2,150.50 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,961.80 |
$2,308 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$720.80 |
$848 |
2.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$642.60 |
$756 |
2.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,990.28 |
$2,341.50 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$334.05 |
$393 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$373.15 |
$439 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$460.70 |
$542 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$330.22 |
$388.50 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,450.98 |
$2,883.50 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,108.82 |
$1,304.50 |
4.3× |
| Cltx greater trochanteric fx w/o manj (27246) |
$810.48 |
$953.50 |
3.1× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,959.68 |
$2,305.50 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$776.48 |
$913.50 |
3.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,522.35 |
$1,791 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$350.62 |
$412.50 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$745.45 |
$877 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$733.55 |
$863 |
2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$809.20 |
$952 |
3.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$981.32 |
$1,154.50 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$460.70 |
$542 |
1.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$392.28 |
$461.50 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$809.20 |
$952 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$535.92 |
$630.50 |
2.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,561.90 |
$3,014 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$773.08 |
$909.50 |
3.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$747.15 |
$879 |
0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$546.12 |
$642.50 |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,782.45 |
$2,097 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$327.68 |
$385.50 |
1.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$719.10 |
$846 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,752.70 |
$2,062 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,049.35 |
$2,411 |
1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,050.18 |
$1,235.50 |
4.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$433.92 |
$510.50 |
1.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,098.22 |
$2,468.50 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,874.68 |
$2,205.50 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$2,497.30 |
$2,938 |
2.0× |
| Colonoscopy thru stoma (44388) |
$899.30 |
$1,058 |
0.9× |
| Colonoscopy w/band ligation (45398) |
$2,509.62 |
$2,952.50 |
2.0× |
| Colonoscopy w/resection (45390) |
$908.65 |
$1,069 |
0.3× |
Colpocentesis (57020) likely a partial charge, not the full procedure |
$160.65 |
$189 |
0.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$351.90 |
$414 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$376.55 |
$443 |
1.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$397.80 |
$468 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$313.65 |
$369 |
1.0× |
| Colposcopy vulva (56820) |
$379.10 |
$446 |
1.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$295.80 |
$348 |
0.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,550.42 |
$3,000.50 |
2.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,451.82 |
$2,884.50 |
1.9× |
| Complex Drainage, Wound (10180) |
$782.85 |
$921 |
0.3× |
| Complex Uroflowmetry (51741) |
$22.10 |
$26 |
0.1× |
| Conization of cervix (57520) |
$1,354.05 |
$1,593 |
0.4× |
| Conization of cervix (57522) |
$591.60 |
$696 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$428.82 |
$504.50 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$351.48 |
$413.50 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$291.12 |
$342.50 |
2.1× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$334.05 |
$393 |
0.6× |
| Correction of bunion (28292) |
$3,341.78 |
$3,931.50 |
1.0× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$2,615.45 |
$3,077 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,590.40 |
$4,224 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$334.05 |
$393 |
2.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$246.50 |
$290 |
1.0× |
| Curettage postpartum (59160) |
$2,595.48 |
$3,053.50 |
0.8× |
Cysto w fulgertn lg bladder tumor(s) (52240) likely a partial charge, not the full procedure |
$1,069.30 |
$1,258 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$722.50 |
$850 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$782 |
$920 |
0.4× |
| Cystourethroscopy (52000) |
$466.65 |
$549 |
0.6× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$3,604.22 |
$4,240.25 |
1.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$585.65 |
$689 |
0.3× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$788.80 |
$928 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$406.30 |
$478 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,138.18 |
$2,515.50 |
0.7× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$1,113.50 |
$1,310 |
0.3× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$2,007.70 |
$2,362 |
0.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,440.35 |
$2,871 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$881.45 |
$1,037 |
1.2× |
| Debride nail 1-5 (11720) |
$85 |
$100 |
1.4× |
| Debride nail 6 or more (11721) |
$78.62 |
$92.50 |
1.3× |
| Debride skin musc at fx site (11011) |
$1,489.62 |
$1,752.50 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$626.02 |
$736.50 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$841.50 |
$990 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,190.45 |
$2,577 |
1.3× |
| Declot vascular device (36593) |
$818.55 |
$963 |
2.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$824.50 |
$970 |
0.5× |
| Decompress fingers/hand (26037) |
$813.45 |
$957 |
0.2× |
| Decompress forearm 1 space (25023) |
$1,592.05 |
$1,873 |
0.5× |
| Decompress forearm 2 spaces (25025) |
$1,744.20 |
$2,052 |
1.0× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$1,233.35 |
$1,451 |
0.4× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$2,315.40 |
$2,724 |
1.1× |
| Delivery placenta separate procedure (59414) |
$1,325.58 |
$1,559.50 |
0.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$623.05 |
$733 |
1.5× |
| Destruction benign lesions 15 or more (17111) |
$509.15 |
$599 |
2.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$430.95 |
$507 |
2.0× |
| Destruction Lesions Vulva Simple (56501) |
$380.80 |
$448 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$693.60 |
$816 |
3.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$794.75 |
$935 |
3.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$953.70 |
$1,122 |
2.2× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$1,092.25 |
$1,285 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$1,433.95 |
$1,687 |
1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$557.60 |
$656 |
2.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$674.90 |
$794 |
3.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$736.10 |
$866 |
3.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$789.65 |
$929 |
1.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$904.40 |
$1,064 |
2.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$535.50 |
$630 |
2.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$576.30 |
$678 |
2.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$635.80 |
$748 |
3.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$720.80 |
$848 |
3.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$805.80 |
$948 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$954.55 |
$1,123 |
2.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$395.25 |
$465 |
1.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$599.25 |
$705 |
2.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$290.70 |
$342 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$283.05 |
$333 |
1.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$968.15 |
$1,139 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$2,026.40 |
$2,384 |
2.1× |
| Dilate urethra stricture (53620) |
$776.48 |
$913.50 |
1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$428.40 |
$504 |
0.1× |
| Divisn plantar fascia/muscle (28250) |
$2,827.52 |
$3,326.50 |
0.8× |
| Drain hand tendon sheath (26020) |
$1,989 |
$2,340 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$827.05 |
$973 |
1.1× |
| Drain outer ear canal lesion (69020) |
$600.95 |
$707 |
0.8× |
| Drain shoulder lesion (23030) |
$2,427.60 |
$2,856 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$234.60 |
$276 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$445.82 |
$524.50 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,714.88 |
$2,017.50 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$771.38 |
$907.50 |
3.6× |
| Drainage of eyelid abscess (67700) |
$655.35 |
$771 |
2.0× |
| Drainage of gum lesion (41800) |
$421.60 |
$496 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$450.50 |
$530 |
0.3× |
| Drainage of hydrocele (55000) |
$404.60 |
$476 |
0.5× |
| Drainage of palm bursas (26030) |
$605.20 |
$712 |
0.2× |
| Drainage of palmar bursa; single, bursa (26025) |
$605.20 |
$712 |
0.2× |
| Draw blood off venous device (36591) |
$209.10 |
$246 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$370.60 |
$436 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$329.38 |
$387.50 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$323 |
$380 |
1.5× |
| Dry Needling 3+ Muscles (20561) |
$85.85 |
$101 |
2.8× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$513.40 |
$604 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$1,116.90 |
$1,314 |
2.6× |
| Dx gastr intub w/asp spec (43754) |
$277.95 |
$327 |
1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$788.80 |
$928 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,651.60 |
$4,296 |
1.8× |
| Egd flexible foreign body removal (43247) |
$1,978.80 |
$2,328 |
2.1× |
| Egd injection varices (43243) |
$3,795.68 |
$4,465.50 |
1.9× |
| Egd place gastrostomy tube (43246) |
$3,731.08 |
$4,389.50 |
1.8× |
| Egd rem tumr/polyp forcep (43250) |
$3,680.50 |
$4,330 |
1.8× |
| Egd remove lesion snare (43251) |
$3,724.28 |
$4,381.50 |
1.8× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$3,732.35 |
$4,391 |
1.8× |
| Egd tube/cath insertion (43241) |
$266.05 |
$313 |
0.1× |
| Egd us exam duodenum/jejunum (43259) |
$89.25 |
$105 |
0.0× |
| Egd us transmural injxn/mark (43253) |
$2,997.95 |
$3,527 |
1.5× |
| Elbow arthroscopy/surgery (29837) |
$3,023.88 |
$3,557.50 |
0.9× |
| Enterorrhaphy single perforation (44602) |
$2,665.60 |
$3,136 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$1,671.95 |
$1,967 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,912.92 |
$2,250.50 |
2.0× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,687.25 |
$1,985 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$94.35 |
$111 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,736.55 |
$2,043 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$1,269.05 |
$1,493 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,173 |
$1,380 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,249.10 |
$2,646 |
1.3× |
Exc B1 Cst/B9 Tum W/Agrft Req Sep Inc (27067) unusually low: confirm this is the full procedure |
$3,604 |
$4,240 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$836.40 |
$984 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$963.90 |
$1,134 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$4,339.25 |
$5,105 |
2.5× |
| Exc back tum deep < 5 cm (21932) |
$1,270.75 |
$1,495 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$656.20 |
$772 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$577.15 |
$679 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$934.15 |
$1,099 |
0.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$940.10 |
$1,106 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$1,225.70 |
$1,442 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$1,566.55 |
$1,843 |
0.9× |
| Exc hand les sc < 1.5 cm (26115) |
$2,265.25 |
$2,665 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,535.10 |
$1,806 |
0.5× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,490.08 |
$2,929.50 |
1.2× |
| Exc Rect Tum Transanal Full (45172) |
$3,021.75 |
$3,555 |
1.0× |
| Exc rect tum transanal part (45171) |
$2,718.30 |
$3,198 |
0.9× |
| Exc shoulder les sc 3 cm/> (23071) |
$808.35 |
$951 |
0.5× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,956.70 |
$2,302 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$623.05 |
$733 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$608.60 |
$716 |
1.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$668.95 |
$787 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$801.55 |
$943 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,164.50 |
$1,370 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$749.70 |
$882 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,036.58 |
$1,219.50 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,356.60 |
$1,596 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,097.78 |
$1,291.50 |
0.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,244.40 |
$1,464 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,021.30 |
$2,378 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,591.20 |
$1,872 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,746.75 |
$2,055 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,202.75 |
$1,415 |
0.4× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,248.68 |
$2,645.50 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$749.70 |
$882 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$497.25 |
$585 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,542.78 |
$2,991.50 |
1.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,416.95 |
$1,667 |
0.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$621.35 |
$731 |
0.4× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$744.60 |
$876 |
0.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,562.30 |
$1,838 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,658.38 |
$3,127.50 |
0.9× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,569.95 |
$1,847 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$930.75 |
$1,095 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,517.70 |
$2,962 |
0.8× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,547.02 |
$2,996.50 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,046.80 |
$2,408 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$856.80 |
$1,008 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,015.35 |
$2,371 |
1.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,745.50 |
$3,230 |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,024.25 |
$1,205 |
0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,619.28 |
$3,081.50 |
0.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,889.15 |
$3,399 |
0.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,197.25 |
$2,585 |
1.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,547.88 |
$2,997.50 |
1.5× |
| Excision Distal Ulna Partial/Complete (25240) |
$1,260.55 |
$1,483 |
0.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$746.30 |
$878 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$876.35 |
$1,031 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$943.50 |
$1,110 |
2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$731.85 |
$861 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,207.85 |
$1,421 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$770.95 |
$907 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$912.05 |
$1,073 |
1.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,040.40 |
$1,224 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,532.55 |
$1,803 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$748.85 |
$881 |
0.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$881.45 |
$1,037 |
1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$977.50 |
$1,150 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,160.25 |
$1,365 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,317.50 |
$1,550 |
0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,031.05 |
$1,213 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$704.65 |
$829 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$782.85 |
$921 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$555.90 |
$654 |
0.3× |
| Excision of hydrocele; unilateral (55040) |
$901.85 |
$1,061 |
0.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,795.20 |
$2,112 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$726.75 |
$855 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$488.75 |
$575 |
0.3× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,260.15 |
$2,659 |
1.3× |
| Excision of local lesion of epididymis (54830) |
$708.90 |
$834 |
0.2× |
| Excision of nail fold toe (11765) |
$351.90 |
$414 |
0.8× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,433.98 |
$2,863.50 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,405.90 |
$1,654 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$741.20 |
$872 |
0.6× |
| Excision olecranon bursa (24105) |
$1,513.85 |
$1,781 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$1,938.85 |
$2,281 |
1.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,297.15 |
$3,879 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,505.35 |
$1,771 |
0.5× |
| Excision Prepatellar Bursa (27340) |
$1,981.35 |
$2,331 |
0.6× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,941.85 |
$3,461 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,593.75 |
$1,875 |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,294.15 |
$2,699 |
1.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,440.35 |
$2,871 |
1.4× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,017.45 |
$1,197 |
0.6× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,006.40 |
$1,184 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,483.70 |
$2,922 |
0.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$765.85 |
$901 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,338.75 |
$1,575 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,332.85 |
$3,921 |
1.9× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,323.45 |
$1,557 |
0.4× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$712.30 |
$838 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,251.20 |
$1,472 |
0.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$592.45 |
$697 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$1,156.85 |
$1,361 |
0.7× |
| Explor ankle jt+tenosynovectomy (27626) |
$3,352.40 |
$3,944 |
1.0× |
| Exploration of knee joint (27310) |
$3,849.22 |
$4,528.50 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$2,232.52 |
$2,626.50 |
1.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,103.78 |
$3,651.50 |
0.9× |
Explore treat shoulder joint (23107) likely a partial charge, not the full procedure |
$2,065.50 |
$2,430 |
0.3× |
| Explore/treat ankle joint (27620) |
$3,774.85 |
$4,441 |
1.1× |
| Explore/treat elbow joint (24101) |
$4,641 |
$5,460 |
1.3× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,679.62 |
$3,152.50 |
1.6× |
| External Cephalic Version (59412) |
$1,484.10 |
$1,746 |
0.4× |
| Eye surgery procedure (66999) |
$2,052.75 |
$2,415 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$2,867.48 |
$3,373.50 |
0.8× |
| Fasciotomy Iliotibial Open (27305) |
$2,935.05 |
$3,453 |
0.9× |
| Fasciotomy palmar open partial (26045) |
$670.65 |
$789 |
0.2× |
| Fetal Contraction Stress Test (59020) |
$193.80 |
$228 |
0.9× |
| Fetal non-stress test (59025) |
$509.15 |
$599 |
2.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$625.60 |
$736 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$137.70 |
$162 |
0.3× |
| Fixation of knee joint (27570) |
$549.95 |
$647 |
0.3× |
| Fixation of shoulder (23700) |
$2,062.52 |
$2,426.50 |
1.2× |
| Fluid pressure muscle (20950) |
$994.08 |
$1,169.50 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$457.30 |
$538 |
1.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$551.65 |
$649 |
0.7× |
| Fna bx w/mr gdn 1st les (10011) |
$1,056.98 |
$1,243.50 |
1.4× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,770.58 |
$3,259.50 |
1.3× |
Fuse hand bones with graft (25825) likely a partial charge, not the full procedure |
$1,088.85 |
$1,281 |
0.1× |
Fusion of elbow joint (24800) likely a partial charge, not the full procedure |
$1,193.40 |
$1,404 |
0.2× |
Fusion of hand bones (25820) likely a partial charge, not the full procedure |
$884.85 |
$1,041 |
0.1× |
| Fusion of hand joint (26843) |
$6,080.90 |
$7,154 |
0.8× |
Fusion of wrist joint (25800) likely a partial charge, not the full procedure |
$1,051.45 |
$1,237 |
0.1× |
Fusion radioulnar jnt/ulna (25830) likely a partial charge, not the full procedure |
$1,368.50 |
$1,610 |
0.2× |
Fusion/graft of elbow joint (24802) likely a partial charge, not the full procedure |
$1,440.75 |
$1,695 |
0.1× |
Fusion/graft of wrist joint (25805) likely a partial charge, not the full procedure |
$1,215.50 |
$1,430 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$47.60 |
$56 |
0.2× |
| Gastrocnemius Recession (27687) |
$3,118.22 |
$3,668.50 |
0.9× |
Hemiarthroplasty Hip Partial (27125) likely a partial charge, not the full procedure |
$3,221.50 |
$3,790 |
0.2× |
| Hemorrhoidectomy (46255) |
$1,235.05 |
$1,453 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$957.95 |
$1,127 |
0.3× |
| Hysteroscopy ablation (58563) |
$4,273.80 |
$5,028 |
0.8× |
| Hysteroscopy biopsy (58558) |
$5,596.40 |
$6,584 |
1.6× |
Hysteroscopy, surgical; with removal of leiomyomata (58561) likely a partial charge, not the full procedure |
$928.20 |
$1,092 |
0.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,802.85 |
$2,121 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$475.15 |
$559 |
1.9× |
| I&d abscess simple (10060) |
$534.65 |
$629 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,260.15 |
$2,659 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$868.70 |
$1,022 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,394.02 |
$2,816.50 |
1.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,023.85 |
$2,381 |
0.6× |
| I&d forearm/wrist bursa (25031) |
$505.75 |
$595 |
0.3× |
| I&d perianal abscess superficial (46050) |
$512.55 |
$603 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$472.60 |
$556 |
0.6× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$2,062.10 |
$2,426 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,275.02 |
$2,676.50 |
1.3× |
| Incise finger tendon sheath (26055) |
$2,004.30 |
$2,358 |
1.2× |
| Incise/drain eyelid lining (68020) |
$1,891.25 |
$2,225 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$686.80 |
$808 |
1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,729.75 |
$2,035 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$924.38 |
$1,087.50 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,089.28 |
$1,281.50 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$648.55 |
$763 |
1.5× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$3,093.58 |
$3,639.50 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$233.75 |
$275 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$289 |
$340 |
0.9× |
| Incision bone cortex hand/finger (26034) |
$778.60 |
$916 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$2,190.88 |
$2,577.50 |
1.3× |
| Incision of achilles tendon (27605) |
$4,236.82 |
$4,984.50 |
2.5× |
Incision of heel bone (28300) likely a partial charge, not the full procedure |
$2,007.70 |
$2,362 |
0.3× |
| Incision of lingual frenum (41010) |
$335.75 |
$395 |
0.2× |
| Incision of rectal abscess (46045) |
$844.90 |
$994 |
0.3× |
| Incision of rectal abscess (46040) |
$1,307.30 |
$1,538 |
1.0× |
| Incision of tibia (27705) |
$6,016.30 |
$7,078 |
0.8× |
| Incision of wrist capsule (25085) |
$645.15 |
$759 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$393.98 |
$463.50 |
1.5× |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
$2,746.35 |
$3,231 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$364.65 |
$429 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$147.90 |
$174 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$599.68 |
$705.50 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$413.10 |
$486 |
1.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$908.65 |
$1,069 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$803.25 |
$945 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$433.50 |
$510 |
0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,666 |
$1,960 |
1.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$76.08 |
$89.50 |
0.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$908.65 |
$1,069 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$793.48 |
$933.50 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$586.50 |
$690 |
0.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,411 |
$1,660 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$141.10 |
$166 |
0.4× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$850.85 |
$1,001 |
0.9× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$783.70 |
$922 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$690.20 |
$812 |
0.9× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$803.25 |
$945 |
0.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,459.45 |
$1,717 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$420.75 |
$495 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$1,447.55 |
$1,703 |
1.9× |
| Injection for identification of sentinel node (38792) |
$1,304.75 |
$1,535 |
3.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$141.10 |
$166 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$150.45 |
$177 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$198.05 |
$233 |
0.6× |
| Injection(s) spider veins (36468) |
$259.25 |
$305 |
0.6× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,089.70 |
$1,282 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$688.50 |
$810 |
2.1× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$425 |
$500 |
1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$266.90 |
$314 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$205.70 |
$242 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$283.48 |
$333.50 |
2.1× |
| Insert cervical dilator (59200) |
$815.15 |
$959 |
2.5× |
| Insert Drug Implant Device (11981) |
$465.80 |
$548 |
3.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,917.60 |
$2,256 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,729.32 |
$2,034.50 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$230.35 |
$271 |
0.1× |
| Insert pessary/other device (57160) |
$206.55 |
$243 |
1.0× |
| Insert picc cath (36569) |
$1,629.45 |
$1,917 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$164.90 |
$194 |
1.2× |
| Insert tunneled cv cath (36561) |
$3,280.15 |
$3,859 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$238 |
$280 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,917.25 |
$5,785 |
1.3× |
| Insertion of vascular pedicle into carpal bone (eg, harii procedure) (25430) |
$1,050.60 |
$1,236 |
0.3× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) likely a partial charge, not the full procedure |
$511.70 |
$602 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,696.18 |
$1,995.50 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,280.18 |
$5,035.50 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,598.55 |
$7,763 |
2.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,435.28 |
$4,041.50 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$658.75 |
$775 |
2.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$379.52 |
$446.50 |
1.4× |
Knee arthroscopy/surgery (29887) likely a partial charge, not the full procedure |
$2,136.90 |
$2,514 |
0.3× |
| Knee arthroscopy/surgery (29883) |
$5,204.55 |
$6,123 |
1.5× |
| Knee arthroscopy/surgery (29876) |
$1,882.75 |
$2,215 |
0.5× |
| Knee arthroscopy/surgery (29886) |
$3,592.52 |
$4,226.50 |
1.0× |
| Lap ing hernia repair init (49650) |
$9,919.92 |
$11,670.50 |
1.6× |
| Laparoscopy appendectomy (44970) |
$9,919.92 |
$11,670.50 |
1.6× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$659.60 |
$776 |
0.1× |
Laparoscopy Remove Adnexa (58661) likely a partial charge, not the full procedure |
$1,838.55 |
$2,163 |
0.3× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$3,436.55 |
$4,043 |
0.3× |
| Laparoscopy Tubal Cautery (58670) |
$11,760.60 |
$13,836 |
1.8× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) unusually low: confirm this is the full procedure |
$2,998.80 |
$3,528 |
0.5× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) unusually low: confirm this is the full procedure |
$3,536.85 |
$4,161 |
0.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,123.35 |
$4,851 |
0.6× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$2,279.70 |
$2,682 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$14,877.55 |
$17,503 |
2.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure |
$4,379.20 |
$5,152 |
0.4× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,048.90 |
$1,234 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$913.75 |
$1,075 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) likely a partial charge, not the full procedure |
$2,176.85 |
$2,561 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$226.52 |
$266.50 |
1.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$203.15 |
$239 |
1.0× |
| Late closure of wound (13160) |
$2,893.40 |
$3,404 |
0.8× |
| Lateral retinacular release open (27425) |
$3,125.88 |
$3,677.50 |
0.9× |
Lengthen radius & ulna (25393) likely a partial charge, not the full procedure |
$1,626.90 |
$1,914 |
0.2× |
Lengthen radius or ulna (25391) likely a partial charge, not the full procedure |
$1,432.25 |
$1,685 |
0.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,726.88 |
$6,737.50 |
0.7× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) likely a partial charge, not the full procedure |
$3,201.95 |
$3,767 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$577.15 |
$679 |
0.6× |
| Liver Biopsy (47000) |
$1,095.22 |
$1,288.50 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$2,421.22 |
$2,848.50 |
1.4× |
| Mastectomy gynecomastia (19300) |
$1,854.70 |
$2,182 |
0.4× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$2,448.85 |
$2,881 |
3.1× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$1,365.95 |
$1,607 |
1.8× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$3,527.50 |
$4,150 |
0.9× |
| Muscle-skin graft trunk (15734) |
$2,844.10 |
$3,346 |
0.8× |
Muscle/tendon transfer upper arm/elbow single (24301) likely a partial charge, not the full procedure |
$2,162.40 |
$2,544 |
0.3× |
| Musculoskeletal surgery (20999) |
$1,292.85 |
$1,521 |
5.0× |
| Myelography Lumbar Injection (62304) |
$2,237.20 |
$2,632 |
2.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,845.78 |
$2,171.50 |
2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$63.75 |
$75 |
2.1× |
Nerve graft arm or leg (64892) unusually low: confirm this is the full procedure |
$2,980.10 |
$3,506 |
0.3× |
| Neuroplasty digital 1/both same digit (64702) |
$2,130.52 |
$2,506.50 |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$1,592.90 |
$1,874 |
0.8× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,148.38 |
$2,527.50 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$987.70 |
$1,162 |
2.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$7,417.10 |
$4,463 |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,201.48 |
$1,413.50 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,731.45 |
$2,037 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$987.70 |
$1,162 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$985.58 |
$1,159.50 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,077.80 |
$1,268 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,389.75 |
$1,635 |
1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$983.02 |
$1,156.50 |
1.1× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) unusually low: confirm this is the full procedure |
$3,436.55 |
$4,043 |
0.4× |
| Open rx carpal bone fx,each bone (25645) |
$2,085.90 |
$2,454 |
0.6× |
Open rx distal radius fx, intra-articular, 2 frag (25608) unusually low: confirm this is the full procedure |
$2,822.85 |
$3,321 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$3,435.70 |
$4,042 |
0.4× |
Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$2,015.35 |
$2,371 |
0.1× |
Open Treatment Lunate Dislocation (25695) likely a partial charge, not the full procedure |
$909.50 |
$1,070 |
0.1× |
Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$2,704.70 |
$3,182 |
0.4× |
Open treatment metatarsal fracture each (28485) unusually low: confirm this is the full procedure |
$2,414.85 |
$2,841 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) unusually low: confirm this is the full procedure |
$2,827.10 |
$3,326 |
0.4× |
Open treatment of acute shoulder dislocation (23660) likely a partial charge, not the full procedure |
$836.40 |
$984 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$2,907.85 |
$3,421 |
0.4× |
Open treatment of distal radioulnar dislocation, acute or chronic (25676) likely a partial charge, not the full procedure |
$903.55 |
$1,063 |
0.1× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) likely a partial charge, not the full procedure |
$2,324.75 |
$2,735 |
0.2× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$5,542 |
$6,520 |
0.7× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) unusually low: confirm this is the full procedure |
$2,334.10 |
$2,746 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$2,399.55 |
$2,823 |
0.2× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) likely a partial charge, not the full procedure |
$2,128.40 |
$2,504 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) unusually low: confirm this is the full procedure |
$2,337.50 |
$2,750 |
0.3× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$6,025.22 |
$7,088.50 |
0.8× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) likely a partial charge, not the full procedure |
$866.15 |
$1,019 |
0.1× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) unusually low: confirm this is the full procedure |
$2,849.20 |
$3,352 |
0.4× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) unusually low: confirm this is the full procedure |
$3,699.20 |
$4,352 |
0.5× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) unusually low: confirm this is the full procedure |
$4,306.95 |
$5,067 |
0.3× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) unusually low: confirm this is the full procedure |
$2,390.20 |
$2,812 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) unusually low: confirm this is the full procedure |
$2,503.25 |
$2,945 |
0.3× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$895.05 |
$1,053 |
0.1× |
Open Treatment Radial Shaft Fracture (25515) unusually low: confirm this is the full procedure |
$2,703.85 |
$3,181 |
0.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,501.60 |
$5,296 |
1.3× |
Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$2,867.90 |
$3,374 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,225.75 |
$3,795 |
0.9× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) unusually low: confirm this is the full procedure |
$3,788.45 |
$4,457 |
0.5× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$3,875.58 |
$4,559.50 |
1.1× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,738.25 |
$2,045 |
0.1× |
| Open tx interphalangeal joint dislocation (26785) |
$3,033.22 |
$3,568.50 |
0.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,680.45 |
$1,977 |
0.5× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$6,022.68 |
$7,085.50 |
0.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,218.12 |
$4,962.50 |
1.2× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) likely a partial charge, not the full procedure |
$2,136.90 |
$2,514 |
0.2× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) likely a partial charge, not the full procedure |
$1,958.40 |
$2,304 |
0.3× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666) likely a partial charge, not the full procedure |
$1,051.45 |
$1,237 |
0.1× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$5,625.30 |
$6,618 |
0.7× |
Optx hum fx w/ntrcndylr xtn (24546) likely a partial charge, not the full procedure |
$2,503.25 |
$2,945 |
0.2× |
Optx hum fx wo ntrcndylr xtn (24545) likely a partial charge, not the full procedure |
$2,240.60 |
$2,636 |
0.2× |
| Ostectomy of sternum partial (21620) |
$970.70 |
$1,142 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,809.68 |
$3,305.50 |
0.8× |
| Osteochondral allograft, knee, open (27415) |
$11,361.52 |
$13,366.50 |
0.8× |
| Osteochondral knee autograft (27416) |
$7,457.90 |
$8,774 |
1.0× |
| Osteoplasty, carpal bone, shortening (25394) |
$1,127.10 |
$1,326 |
0.3× |
Osteoplasty, radius OR ulna; shortening (25390) likely a partial charge, not the full procedure |
$1,105 |
$1,300 |
0.1× |
Osteotomy Clavicle W Bone Graft (23485) likely a partial charge, not the full procedure |
$3,553.85 |
$4,181 |
0.3× |
Osteotomy Radius Distal Third (25350) likely a partial charge, not the full procedure |
$969 |
$1,140 |
0.1× |
| Partial excision bone clavicle (23180) |
$5,893.90 |
$6,934 |
0.8× |
| Partial excision bone metacarpal (26230) |
$2,960.98 |
$3,483.50 |
0.9× |
| Partial Excision Bone Olecranon Process (24147) |
$3,349.85 |
$3,941 |
1.0× |
| Partial Excision Bone Radius (25151) |
$835.55 |
$983 |
0.2× |
| Partial excision bone talus/calcaneus (28120) |
$3,071.90 |
$3,614 |
0.9× |
| Partial Excision Bone Tibia (27640) |
$4,123.35 |
$4,851 |
1.2× |
| Partial Excision Bone Ulna (25150) |
$815.15 |
$959 |
0.2× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,866.62 |
$3,372.50 |
0.8× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,497.72 |
$2,938.50 |
1.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$584.80 |
$688 |
0.2× |
| Partial removal of rib (21610) |
$6,809.35 |
$8,011 |
2.0× |
| Partial removal of ulna (25119) |
$717.40 |
$844 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,737.40 |
$2,044 |
0.5× |
| Perc sk fix metatarsal fx w manip (28476) |
$3,334.12 |
$3,922.50 |
1.0× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,610.40 |
$5,424 |
0.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,348.55 |
$2,763 |
0.7× |
| Pericardiocentesis W/Imaging (33016) |
$531.25 |
$625 |
0.3× |
| Perq dev breast 1st mr guide (19287) |
$920.55 |
$1,083 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$2,165.80 |
$2,548 |
2.9× |
| Perq dev breast 1st us imag (19285) |
$1,113.50 |
$1,310 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,221.45 |
$1,437 |
0.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,294.15 |
$2,699 |
1.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,563.20 |
$4,192 |
1.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$544 |
$640 |
2.1× |
| Pin finger fracture each (26756) |
$3,771.02 |
$4,436.50 |
1.1× |
| Pin hand dislocation (26676) |
$1,737.40 |
$2,044 |
0.5× |
| Pin knuckle dislocation (26706) |
$2,891.28 |
$3,401.50 |
0.8× |
| Place Cath Subclavian Art (36225) |
$2,971.60 |
$3,496 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$993.65 |
$1,169 |
2.1× |
| Placement of seton (46020) |
$221.85 |
$261 |
0.1× |
| Preputial Stretching (54450) |
$110.50 |
$130 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$422.45 |
$497 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$255 |
$300 |
0.3× |
Prostatectomy (turp) (52601) unusually low: confirm this is the full procedure |
$2,019.60 |
$2,376 |
0.4× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) likely a partial charge, not the full procedure |
$1,453.50 |
$1,710 |
0.2× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$1,153.45 |
$1,357 |
0.3× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) unusually low: confirm this is the full procedure |
$2,960.55 |
$3,483 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$413.95 |
$487 |
1.0× |
| Puncture Aspiration (10160) |
$462.40 |
$544 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$624.75 |
$735 |
0.8× |
| Pvb thoracic single inj site (64461) |
$206.55 |
$243 |
0.3× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$6,011.20 |
$7,072 |
0.8× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,090.55 |
$1,283 |
0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$862.75 |
$1,015 |
0.2× |
| Rad resect tumor soft tissue thigh/knee <5cm (27329) |
$3,345.18 |
$3,935.50 |
1.1× |
| Radial styloidectomy (25230) |
$621.35 |
$731 |
0.2× |
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) likely a partial charge, not the full procedure |
$1,688.95 |
$1,987 |
0.2× |
Radical resection of tumor, radius or ulna (25170) likely a partial charge, not the full procedure |
$2,130.95 |
$2,507 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) unusually low: confirm this is the full procedure |
$2,407.20 |
$2,832 |
0.3× |
| Realignment extensor tendon hand each tendon (26437) |
$3,209.18 |
$3,775.50 |
0.9× |
Realignment of knee (27457) unusually low: confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.3× |
Realignment of knee (27455) unusually low: confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.3× |
| Reconstr disloc patella w mscl adv (27422) |
$6,009.50 |
$7,070 |
0.8× |
| Reconstruc toe deform,soft tissue (28313) |
$2,894.25 |
$3,405 |
0.8× |
Reconstruct head of radius (24365) likely a partial charge, not the full procedure |
$919.70 |
$1,082 |
0.1× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$1,724.65 |
$2,029 |
0.1× |
| Reconstruct ulna/radioulnar (25337) |
$3,928.70 |
$4,622 |
0.5× |
Reconstruct wrist joint (25442) likely a partial charge, not the full procedure |
$1,156.85 |
$1,361 |
0.1× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$2,431 |
$2,860 |
0.7× |
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) likely a partial charge, not the full procedure |
$1,583.55 |
$1,863 |
0.2× |
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) likely a partial charge, not the full procedure |
$1,581 |
$1,860 |
0.1× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$6,022.25 |
$7,085 |
0.8× |
Reconstruction, knee (27429) likely a partial charge, not the full procedure |
$3,027.70 |
$3,562 |
0.2× |
| Reforearm tend/musc,exten,second (25272) |
$799.85 |
$941 |
0.2× |
Reinforce radius (25490) likely a partial charge, not the full procedure |
$1,033.60 |
$1,216 |
0.1× |
| Reinforce radius and ulna (25492) |
$1,299.65 |
$1,529 |
0.4× |
Reinforce ulna (25491) likely a partial charge, not the full procedure |
$1,063.35 |
$1,251 |
0.1× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) unusually low: confirm this is the full procedure |
$3,774.85 |
$4,441 |
0.5× |
| Release elbow joint (24006) |
$1,020 |
$1,200 |
0.3× |
| Release of big toe (28240) |
$2,657.95 |
$3,127 |
0.8× |
| Release palm contracture (26121) |
$3,332 |
$3,920 |
1.0× |
| Release wrist/forearm tendon (25295) |
$753.95 |
$887 |
0.2× |
| Removal fb intranasal (30300) |
$277.95 |
$327 |
2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,698.75 |
$3,175 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,015.75 |
$1,195 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,231.65 |
$1,449 |
1.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$986.85 |
$1,161 |
0.6× |
| Removal foreign body pharynx (42809) |
$306.42 |
$360.50 |
0.7× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,558.92 |
$3,010.50 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$102 |
$120 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$108.80 |
$128 |
1.7× |
| Removal Implant Deep (20680) |
$2,629.05 |
$3,093 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,588.22 |
$1,868.50 |
0.9× |
| Removal of anal fissure (46200) |
$1,100.75 |
$1,295 |
0.4× |
| Removal of arm foreign body (24200) |
$1,314.95 |
$1,547 |
0.8× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,059.95 |
$1,247 |
0.6× |
| Removal of finger lesion (26210) |
$1,899.75 |
$2,235 |
1.1× |
| Removal of Head of Radius (24130) |
$729.30 |
$858 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$356.15 |
$419 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$345.95 |
$407 |
1.1× |
| Removal of kneecap (27350) |
$5,888.80 |
$6,928 |
0.8× |
| Removal of nail bed (11750) |
$795.18 |
$935.50 |
1.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$388.45 |
$457 |
1.8× |
| Removal of testis (54520) |
$922.25 |
$1,085 |
0.2× |
| Removal of wrist bone (25210) |
$1,441.60 |
$1,696 |
0.4× |
| Removal of wrist prosthesis (25250) |
$761.60 |
$896 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$150.45 |
$177 |
0.5× |
Remove & graft wrist lesion (25136) likely a partial charge, not the full procedure |
$708.90 |
$834 |
0.1× |
Remove & graft wrist lesion (25135) likely a partial charge, not the full procedure |
$802.40 |
$944 |
0.1× |
| Remove anal fist subq (46270) |
$1,874.25 |
$2,205 |
0.6× |
| Remove by ligat int hem grps (46946) |
$1,024.25 |
$1,205 |
0.3× |
| Remove collar bone lesion (23170) |
$3,281.85 |
$3,861 |
1.0× |
| Remove digit nerve lesion (64776) |
$2,041.28 |
$2,401.50 |
1.0× |
| Remove drug implant device (11982) |
$553.35 |
$651 |
1.2× |
| Remove femur lesion (27355) |
$1,760.35 |
$2,071 |
0.5× |
| Remove forearm bone lesion (25145) |
$742.90 |
$874 |
0.2× |
| Remove foreign body from eye (65210) |
$231.20 |
$272 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$1,022.55 |
$1,203 |
0.3× |
| Remove knee cyst (27347) |
$3,000.08 |
$3,529.50 |
0.9× |
| Remove skin nerve lesion (64774) |
$2,000.48 |
$2,353.50 |
1.0× |
| Remove wrist joint cartilage (25107) |
$885.70 |
$1,042 |
0.3× |
| Remove wrist tendon lesion (25111) |
$961.35 |
$1,131 |
0.6× |
| Remove/graft forearm lesion (25126) |
$858.50 |
$1,010 |
0.2× |
| Remove/graft forearm lesion (25125) |
$851.70 |
$1,002 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$243.10 |
$286 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$173.82 |
$204.50 |
1.2× |
| Repair achilles tendon (27650) |
$6,097.48 |
$7,173.50 |
0.8× |
Repair arm tendon/muscle (24341) unusually low: confirm this is the full procedure |
$3,567.45 |
$4,197 |
0.5× |
Repair collat ankle ligmnt,secondary (27698) likely a partial charge, not the full procedure |
$1,831.75 |
$2,155 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$916.30 |
$1,078 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,199.35 |
$1,411 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$889.95 |
$1,047 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,277.55 |
$1,503 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$555.05 |
$653 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,023.40 |
$1,204 |
2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$862.75 |
$1,015 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$766.70 |
$902 |
1.0× |
| Repair elbow deb/attch open (24359) |
$3,420.82 |
$4,024.50 |
1.0× |
| Repair elbow perc (24357) |
$2,746.78 |
$3,231.50 |
0.8× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$3,821.60 |
$4,496 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,924.85 |
$3,441 |
1.7× |
| Repair finger/hand tendon (26350) |
$2,187.90 |
$2,574 |
0.6× |
| Repair forearm tendon sheath (25275) |
$963.05 |
$1,133 |
0.3× |
| Repair forearm tendon/muscle (25270) |
$2,544.05 |
$2,993 |
0.7× |
| Repair forearm tendon/muscle (25274) |
$967.30 |
$1,138 |
0.3× |
| Repair forearm tendon/muscle (25260) |
$2,774.40 |
$3,264 |
0.8× |
| Repair forearm tendon/muscle (25265) |
$1,086.30 |
$1,278 |
0.3× |
| Repair hallux rigidus (28289) |
$3,104.62 |
$3,652.50 |
0.9× |
| Repair hand joint with graft (26542) |
$2,811.38 |
$3,307.50 |
0.8× |
| Repair hand tendon (26410) |
$2,959.28 |
$3,481.50 |
1.7× |
Repair humerus with graft (24435) likely a partial charge, not the full procedure |
$1,545.30 |
$1,818 |
0.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,123.35 |
$4,851 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,352.35 |
$1,591 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$851.70 |
$1,002 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$860.20 |
$1,012 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,487.50 |
$1,750 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$953.70 |
$1,122 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,229.10 |
$1,446 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,636.25 |
$1,925 |
3.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$737.80 |
$868 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$656.20 |
$772 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$769.25 |
$905 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,247.80 |
$1,468 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,605.65 |
$1,889 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,120.30 |
$1,318 |
2.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$766.70 |
$902 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$909.50 |
$1,070 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,183.20 |
$1,392 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,022.55 |
$1,203 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,700.85 |
$2,001 |
0.8× |
Repair kneecap tendon (27380) unusually low: confirm this is the full procedure |
$2,739.55 |
$3,223 |
0.4× |
| Repair lower leg epiphyses (27734) |
$3,411.90 |
$4,014 |
1.0× |
| Repair lower leg tendons (27676) |
$5,819.10 |
$6,846 |
0.8× |
Repair medial collateral ligament, elbow w/local tissue (24345) likely a partial charge, not the full procedure |
$1,008.95 |
$1,187 |
0.1× |
Repair nonunion radius/ulna w autogrft (25405) unusually low: confirm this is the full procedure |
$2,965.65 |
$3,489 |
0.4× |
| Repair of ankle ligament (27695) |
$6,295.10 |
$7,406 |
0.8× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,439.05 |
$1,693 |
0.2× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$880.60 |
$1,036 |
0.1× |
Repair of defect with autograft; radius OR ulna (25425) likely a partial charge, not the full procedure |
$1,383.80 |
$1,628 |
0.2× |
Repair of fibula nonunion and/or malunion with internal fixation (27726) unusually low: confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.3× |
| Repair Of Foot Tendon (28208) |
$3,028.98 |
$3,563.50 |
0.9× |
| Repair of hammertoe (28286) |
$2,785.88 |
$3,277.50 |
0.8× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$1,516.40 |
$1,784 |
0.1× |
Repair of knee cartilage (27403) unusually low: confirm this is the full procedure |
$3,435.70 |
$4,042 |
0.4× |
| Repair of leg tendon each (27664) |
$5,857.78 |
$6,891.50 |
0.8× |
| Repair of leg tendon each (27665) |
$5,556.45 |
$6,537 |
0.7× |
| Repair of leg tendon each (27658) |
$1,072.28 |
$1,261.50 |
0.3× |
| Repair of nail bed (11760) |
$900.15 |
$1,059 |
1.2× |
Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular))(includes obtaining graft and necessary… (25431) likely a partial charge, not the full procedure |
$1,133.90 |
$1,334 |
0.1× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) likely a partial charge, not the full procedure |
$1,154.30 |
$1,358 |
0.2× |
| Repair of rectum (45505) |
$1,158.55 |
$1,363 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) unusually low: confirm this is the full procedure |
$2,445.45 |
$2,877 |
0.3× |
Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,795.65 |
$3,289 |
0.4× |
Repair of thigh musc (27385) unusually low: confirm this is the full procedure |
$3,009.85 |
$3,541 |
0.4× |
Repair of tibia (27720) unusually low: confirm this is the full procedure |
$2,459.90 |
$2,894 |
0.3× |
Repair radius & ulna (25415) likely a partial charge, not the full procedure |
$1,389.75 |
$1,635 |
0.2× |
Repair rectum & vagina (57250) unusually low: confirm this is the full procedure |
$1,726.35 |
$2,031 |
0.3× |
| Repair rotator cuff acute (23410) |
$4,538.15 |
$5,339 |
0.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,971.25 |
$7,025 |
0.8× |
Repair shldr capsu,ant,coracoid xfer (23462) unusually low: confirm this is the full procedure |
$3,043 |
$3,580 |
0.4× |
| Repair Tongue Laceration (41250) |
$339.58 |
$399.50 |
0.7× |
| Repair wrist joints (25447) |
$2,404.65 |
$2,829 |
0.7× |
| Repair, fascial defect of leg (27656) |
$2,728.08 |
$3,209.50 |
0.8× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$4,161.60 |
$4,896 |
0.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,691.98 |
$4,343.50 |
1.1× |
Repair/graft achilles tendon (27652) unusually low: confirm this is the full procedure |
$2,777.38 |
$3,267.50 |
0.4× |
| Repair/graft finger tendon (26428) |
$2,342.18 |
$2,755.50 |
0.7× |
| Repair/graft radius & ulna (25426) |
$1,616.70 |
$1,902 |
0.5× |
Repair/graft radius & ulna (25420) likely a partial charge, not the full procedure |
$1,680.45 |
$1,977 |
0.2× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$2,215.95 |
$2,607 |
0.3× |
| Repair/revise wrist joint (25320) |
$4,818.65 |
$5,669 |
0.6× |
| Replace g/c tube perc (49450) |
$597.55 |
$703 |
0.6× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$960.50 |
$1,130 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,014.05 |
$1,193 |
0.3× |
Rerepair ing hernia blocked (49521) unusually low: confirm this is the full procedure |
$3,105.05 |
$3,653 |
0.5× |
| Resection or transplantation of long tendon of biceps (23440) |
$4,231.72 |
$4,978.50 |
0.6× |
Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure |
$2,336.65 |
$2,749 |
0.2× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$2,523.65 |
$2,969 |
0.2× |
| Revise arm/leg nerve (64708) |
$1,476.45 |
$1,737 |
0.7× |
| Revise Eyelashes,Forceps (67820) |
$264.78 |
$311.50 |
1.9× |
| Revise median n/carpal tunnel surg (64721) |
$1,276.70 |
$1,502 |
0.6× |
Revise radius & ulna (25365) likely a partial charge, not the full procedure |
$1,314.95 |
$1,547 |
0.1× |
| Revise thumb tendon (26496) |
$3,776.12 |
$4,442.50 |
1.1× |
| Revise ulnar nerve at elbow (64718) |
$1,753.55 |
$2,063 |
0.9× |
| Revise ulnar nerve at wrist (64719) |
$2,427.60 |
$2,856 |
1.2× |
| Revision of colostomy simple (44340) |
$2,530.45 |
$2,977 |
0.7× |
Revision of humerus (24410) likely a partial charge, not the full procedure |
$2,986.90 |
$3,514 |
0.2× |
| Revision of lower leg tendon (27685) |
$3,568.30 |
$4,198 |
1.0× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) likely a partial charge, not the full procedure |
$2,777.80 |
$3,268 |
0.2× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) likely a partial charge, not the full procedure |
$4,199 |
$4,940 |
0.2× |
Revision of ulna (25360) likely a partial charge, not the full procedure |
$1,776.50 |
$2,090 |
0.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,702.20 |
$5,532 |
2.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$2,369.38 |
$2,787.50 |
4.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$227.80 |
$268 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$503.20 |
$592 |
3.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,599.30 |
$3,058 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,312.40 |
$1,544 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$586.50 |
$690 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$946.05 |
$1,113 |
2.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,392.30 |
$1,638 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593) likely a partial charge, not the full procedure |
$1,070.15 |
$1,259 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) likely a partial charge, not the full procedure |
$889.10 |
$1,046 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$8,131.10 |
$9,566 |
2.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,043.40 |
$2,404 |
0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$967.30 |
$1,138 |
0.6× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$9,771.61 |
$11,496.01 |
1.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$819.40 |
$964 |
1.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$835.55 |
$983 |
3.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$699.55 |
$823 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,041.25 |
$1,225 |
1.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,634.62 |
$5,452.50 |
1.3× |
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) likely a partial charge, not the full procedure |
$901 |
$1,060 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$385.05 |
$453 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$648.55 |
$763 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$343.40 |
$404 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$408.85 |
$481 |
1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$472.60 |
$556 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$504.05 |
$593 |
1.2× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$188.70 |
$222 |
0.4× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,582.70 |
$1,862 |
0.5× |
Shorten radius & ulna (25392) likely a partial charge, not the full procedure |
$1,456.90 |
$1,714 |
0.2× |
| Shoulder arthroscopy (29805) |
$3,349.85 |
$3,941 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$474.30 |
$558 |
2.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$544.85 |
$641 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$494.70 |
$582 |
2.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$529.55 |
$623 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$470.05 |
$553 |
2.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$324.70 |
$382 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,251.65 |
$2,649 |
2.3× |
| Simple drainage of abscess of saliva gland (42300) |
$1,699.15 |
$1,999 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$430.10 |
$506 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$356.15 |
$419 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$408 |
$480 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$447.95 |
$527 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$465.80 |
$548 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$510 |
$600 |
2.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$501.50 |
$590 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$409.70 |
$482 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$852.55 |
$1,003 |
4.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$478.55 |
$563 |
2.3× |
| Skin sub graft face/nk/hf/g (15275) |
$586.50 |
$690 |
0.8× |
| Skin sub graft trnk/arm/leg (15271) |
$555.90 |
$654 |
0.7× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,140.70 |
$1,342 |
0.5× |
| Skin tissue rearrangement (14040) |
$3,156.05 |
$3,713 |
1.5× |
| Skn sub grft f/n/hf/g child (15277) |
$1,286.90 |
$1,514 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$650.25 |
$765 |
3.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$630.70 |
$742 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$742.90 |
$874 |
1.7× |
| Sphincterotomy (46080) |
$602.65 |
$709 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$840.22 |
$988.50 |
1.1× |
| Spinal Puncture Therapeutic (62272) |
$1,272.88 |
$1,497.50 |
1.7× |
| Strapping ankle (29540) |
$99.02 |
$116.50 |
0.6× |
| Strapping elbow/wrist (29260) |
$146.20 |
$172 |
2.3× |
| Strapping hand/finger (29280) |
$136 |
$160 |
2.2× |
| Strapping Hip (29520) |
$121.55 |
$143 |
0.9× |
| Strapping knee (29530) |
$177.65 |
$209 |
1.3× |
| Strapping shoulder (29240) |
$169.58 |
$199.50 |
1.2× |
| Strapping thorax (29200) |
$141.95 |
$167 |
0.8× |
| Strapping toes (29550) |
$96.90 |
$114 |
1.6× |
| Strapping unna boot (29580) |
$154.70 |
$182 |
0.9× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$328.95 |
$387 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,155.60 |
$2,536 |
0.7× |
| Suspension of testis (54640) |
$1,141.55 |
$1,343 |
0.3× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$6,445.55 |
$7,583 |
0.8× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$5,562.40 |
$6,544 |
1.5× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$3,548.32 |
$4,174.50 |
1.7× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) unusually low: confirm this is the full procedure |
$3,109.30 |
$3,658 |
0.4× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,127.10 |
$1,326 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$332.35 |
$391 |
0.8× |
| Tendon graft, from a distance (20924) |
$5,873.08 |
$6,909.50 |
0.8× |
Tenodesis long tendon biceps (23430) unusually low: confirm this is the full procedure |
$3,598.05 |
$4,233 |
0.5× |
| Tenodesis Wrist Extensors Fingers (25301) |
$923.95 |
$1,087 |
0.3× |
| Tenodesis Wrist Flexors Fingers (25300) |
$991.10 |
$1,166 |
0.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,324.35 |
$3,911 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,632.45 |
$3,097 |
1.6× |
| Tenolysis Triceps (24332) |
$3,355.38 |
$3,947.50 |
1.0× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$3,070.20 |
$3,612 |
0.9× |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,233.40 |
$3,804 |
0.9× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,887.02 |
$3,396.50 |
0.8× |
| Tenotomy shoulder area single tendon (23405) |
$5,828.88 |
$6,857.50 |
0.8× |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
$2,891.28 |
$3,401.50 |
0.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,257.18 |
$2,655.50 |
1.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,164.92 |
$1,370.50 |
1.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$904.82 |
$1,064.50 |
1.4× |
| Throat Surgery Procedure (42999) |
$363.80 |
$428 |
1.5× |
| Thrombolytic Therapy, Stroke (37195) |
$1,141.12 |
$1,342.50 |
3.3× |
| Thyroid biopsy (60100) |
$488.75 |
$575 |
0.7× |
Tibial arthroscopy/surgery (29855) likely a partial charge, not the full procedure |
$1,893.80 |
$2,228 |
0.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,615.45 |
$3,077 |
1.2× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$3,334.55 |
$3,923 |
1.5× |
| Total hip arthroplasty (27130) |
$11,069.12 |
$13,022.50 |
0.8× |
Total knee arthroplasty (27447) likely a partial charge, not the full procedure |
$3,633.75 |
$4,275 |
0.3× |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
$5,861.60 |
$6,896 |
0.8× |
| Trach Tube Change (31502) |
$510.85 |
$601 |
2.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,198.50 |
$1,410 |
4.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,343.85 |
$1,581 |
0.8× |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
$3,680.50 |
$4,330 |
1.1× |
| Transplant forearm tendon (25312) |
$1,030.20 |
$1,212 |
0.3× |
| Transplant forearm tendon (25310) |
$1,806.25 |
$2,125 |
0.5× |
| Transplant hand tendon (26480) |
$3,609.10 |
$4,246 |
1.0× |
| Transplant/graft hand tendon (26483) |
$3,730.22 |
$4,388.50 |
1.1× |
Treat clavicle dislocation (23552) unusually low: confirm this is the full procedure |
$2,793.10 |
$3,286 |
0.4× |
Treat dislocation/fracture (23670) likely a partial charge, not the full procedure |
$1,256.30 |
$1,478 |
0.2× |
Treat dislocation/fracture (23680) likely a partial charge, not the full procedure |
$1,335.35 |
$1,571 |
0.1× |
Treat elbow dislocation (24615) likely a partial charge, not the full procedure |
$1,734.85 |
$2,041 |
0.2× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$2,886.60 |
$3,396 |
0.2× |
Treat elbow fracture (24635) likely a partial charge, not the full procedure |
$968.15 |
$1,139 |
0.1× |
Treat elbow fracture (24587) likely a partial charge, not the full procedure |
$1,572.50 |
$1,850 |
0.1× |
| Treat finger dislocation (26775) |
$532.10 |
$626 |
1.8× |
| Treat Finger Fracture Each (26727) |
$1,397.40 |
$1,644 |
0.4× |
Treat forearm bone lesion (25035) likely a partial charge, not the full procedure |
$838.95 |
$987 |
0.1× |
Treat fracture of radius (25526) likely a partial charge, not the full procedure |
$1,372.75 |
$1,615 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$752.25 |
$885 |
2.9× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,989 |
$2,340 |
0.3× |
| Treat fx distal radial (25606) |
$3,510.50 |
$4,130 |
1.0× |
Treat fx rad extra-articul (25607) unusually low: confirm this is the full procedure |
$2,786.30 |
$3,278 |
0.4× |
Treat humerus fracture (23630) unusually low: confirm this is the full procedure |
$2,793.10 |
$3,286 |
0.4× |
| Treat humerus fracture (24500) |
$512.55 |
$603 |
2.0× |
Treat humerus fracture (23616) likely a partial charge, not the full procedure |
$1,782.45 |
$2,097 |
0.1× |
| Treat humerus fracture (23600) |
$771.38 |
$907.50 |
3.0× |
| Treat knee fracture (27532) |
$1,528.30 |
$1,798 |
0.4× |
| Treat kneecap dislocation (27566) |
$6,220.30 |
$7,318 |
0.8× |
Treat Lower Leg Fracture (27827) likely a partial charge, not the full procedure |
$2,718.30 |
$3,198 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$408.85 |
$481 |
1.6× |
| Treat midfoot fracture (28456) |
$5,491 |
$6,460 |
0.7× |
Treat radius fracture (24665) unusually low: confirm this is the full procedure |
$2,709.80 |
$3,188 |
0.4× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,407.60 |
$1,656 |
0.2× |
| Treat thumb fracture (26650) |
$1,949.05 |
$2,293 |
0.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,705.52 |
$2,006.50 |
1.0× |
| Treat toe fracture (28525) |
$2,945.25 |
$3,465 |
0.9× |
Treat ulnar fracture (24685) unusually low: confirm this is the full procedure |
$3,166.25 |
$3,725 |
0.4× |
| Treat wrist bone fracture (25635) |
$1,087.15 |
$1,279 |
0.6× |
| Treat wrist bone fracture (25622) |
$694.45 |
$817 |
2.7× |
| Treat Wrist Bone Fracture (25630) |
$806.65 |
$949 |
3.1× |
Treat wrist fracture (25685) likely a partial charge, not the full procedure |
$1,057.40 |
$1,244 |
0.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,704.25 |
$2,005 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$703.80 |
$828 |
2.7× |
| Treatment of ankle fracture (27822) |
$3,940.60 |
$4,636 |
0.5× |
Treatment of ankle fracture (27792) unusually low: confirm this is the full procedure |
$2,815.20 |
$3,312 |
0.4× |
| Treatment of bone cyst (20615) |
$1,227.82 |
$1,444.50 |
1.6× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$1,716.15 |
$2,019 |
0.2× |
| Treatment of foot infection (28003) |
$1,546.58 |
$1,819.50 |
0.4× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) unusually low: confirm this is the full procedure |
$2,952.90 |
$3,474 |
0.4× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,599.38 |
$6,587.50 |
0.7× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$11,033.85 |
$12,981 |
3.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$333.20 |
$392 |
1.3× |
Treatment of tibia fracture (27759) unusually low: confirm this is the full procedure |
$4,625.70 |
$5,442 |
0.3× |
| Trim skin lesion (11055) |
$173.40 |
$204 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$182.75 |
$215 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$78.20 |
$92 |
1.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,436.95 |
$2,867 |
0.8× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,235.05 |
$1,453 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$768.82 |
$904.50 |
0.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,190.88 |
$2,577.50 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,136.45 |
$1,337 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$720.80 |
$848 |
1.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$967.72 |
$1,138.50 |
0.6× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$986 |
$1,160 |
0.2× |
Unlisted laparoscopy px abd pertoneum & omentum (49329) likely a partial charge, not the full procedure |
$1,811.35 |
$2,131 |
0.3× |
| Unlisted procedure anus (46999) |
$693.60 |
$816 |
0.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$152.15 |
$179 |
0.9× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$198.48 |
$233.50 |
0.8× |
| Unlisted procedure femur or knee (27599) |
$3,208.75 |
$3,775 |
12.3× |
| Unlisted procedure humerus/elbow (24999) |
$3,558.10 |
$4,186 |
13.7× |
| Unlisted procedure leg/ankle (27899) |
$3,357.50 |
$3,950 |
12.9× |
| Unlisted procedure maternity care & delivery (59899) |
$538.90 |
$634 |
2.5× |
| Unlisted Procedure Nervous System (64999) |
$756.08 |
$889.50 |
2.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$1,271.60 |
$1,496 |
4.9× |
| Unlisted procedure shoulder (23929) |
$3,189.20 |
$3,752 |
12.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,046.80 |
$2,408 |
2.1× |
| Unlisted procedure, hands or fingers (26989) |
$542.30 |
$638 |
2.1× |
| Urology Surgery Procedure (53899) |
$359.55 |
$423 |
1.4× |
| Vaginal delivery only (59409) |
$2,231.25 |
$2,625 |
0.7× |
| Vasectomy (55250) |
$696.15 |
$819 |
0.3× |
| Vbac delivery only (59612) |
$2,126.70 |
$2,502 |
0.6× |
| Venipuncture (36415) |
$28.48 |
$33.50 |
3.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$79.90 |
$94 |
0.2× |
| Wound Prep F/N/Hf/G (15004) |
$776.05 |
$913 |
1.8× |
| Wrist arthroscop,excis triang cart (29846) |
$4,419.58 |
$5,199.50 |
1.3× |
| Wrist arthroscop,part synovect (29844) |
$4,026.02 |
$4,736.50 |
1.2× |
| Wrist arthroscopy (29843) |
$3,168.38 |
$3,727.50 |
0.9× |
| Wrist arthroscopy (29840) |
$3,116.52 |
$3,666.50 |
0.9× |
| Wrist arthroscopy/surgery (29845) |
$3,310.32 |
$3,894.50 |
1.0× |