| Abd paracentesis (49082) |
$190.40 |
$224 |
0.2× |
| Abd paracentesis w/imaging (49083) |
$1,424.18 |
$1,675.50 |
1.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$2,965.65 |
$3,489 |
0.9× |
| Adding walker to previously applied cast (29440) |
$209.10 |
$246 |
1.2× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$4,424.25 |
$5,205 |
1.2× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$3,246.15 |
$3,819 |
1.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$3,156.05 |
$3,713 |
1.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$6,183.75 |
$7,275 |
2.8× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$3,598.05 |
$4,233 |
1.7× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$2,615.45 |
$3,077 |
1.2× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$3,334.55 |
$3,923 |
1.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$4,134.40 |
$4,864 |
1.9× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$2,907.85 |
$3,421 |
1.3× |
| Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs»… (20693) |
$5,788.50 |
$6,810 |
0.8× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,612.05 |
$3,073 |
0.8× |
| Amputate metacarpal bone (26910) |
$3,569.58 |
$4,199.50 |
1.0× |
| Amputation of finger/thumb (26952) |
$3,231.28 |
$3,801.50 |
0.9× |
| Amputation of toe (28820) |
$459.85 |
$541 |
0.1× |
| Amputation toe interphalangeal joint (28825) |
$2,607.80 |
$3,068 |
0.8× |
| Anchoring of extending tendon of fingers to wrist bone (25301) |
$923.95 |
$1,087 |
0.3× |
| Anchoring of flexing tendon of fingers to wrist bone (25300) |
$991.10 |
$1,166 |
0.3× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$76.08 |
$89.50 |
0.2× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$544 |
$640 |
0.2× |
| Anoscopy and biopsy (46606) |
$560.15 |
$659 |
0.4× |
| Anoscopy diagnostic (46600) |
$336.60 |
$396 |
2.4× |
Anterior tibial tubercleplasty (27418)
likely a partial charge — not the full procedure |
$2,015.35 |
$2,371 |
0.3× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$555.90 |
$654 |
0.7× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$1,140.70 |
$1,342 |
0.5× |
Appendectomy (44950)
unusually low — confirm this is the full procedure |
$2,454.80 |
$2,888 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$146.20 |
$172 |
2.3× |
| Application finger splint static (29130) |
$206.12 |
$242.50 |
1.5× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge — not the full procedure |
$2,699.60 |
$3,176 |
0.2× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$217.60 |
$256 |
1.3× |
| Application of hip spica cast; 1 and one-half spica or both legs Age Under 21 (29325) |
$302.60 |
$356 |
1.0× |
| Application of hip spica cast; 1 leg Age Under 21 (29305) |
$302.60 |
$356 |
1.0× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$302.60 |
$356 |
1.0× |
| Application of long leg cast (thigh to toes); (29345) |
$315.78 |
$371.50 |
1.1× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$319.60 |
$376 |
1.9× |
| Application of short arm splint (forearm to hand); static (29125) |
$386.75 |
$455 |
2.8× |
| Application of short leg cast (below knee to toes); (29405) |
$850.42 |
$1,000.50 |
2.9× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$243.95 |
$287 |
0.8× |
| Application of short leg splint (calf to foot) (29515) |
$310.68 |
$365.50 |
1.8× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,286.90 |
$1,514 |
0.6× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$120.70 |
$142 |
0.7× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$249.48 |
$293.50 |
0.8× |
| Application rigid total contact leg cast (29445) |
$406.30 |
$478 |
1.4× |
Application uniplane external fixation system (20690)
likely a partial charge — not the full procedure |
$1,702.55 |
$2,003 |
0.2× |
| Application, cast; shoulder spica Age Under 21 (29055) |
$323 |
$380 |
1.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$1,051.88 |
$1,237.50 |
3.6× |
| Apply hand/wrist cast (29085) |
$289 |
$340 |
1.7× |
| Apply long arm splint (29105) |
$309.82 |
$364.50 |
1.8× |
| Apply patella tendon bearing cast (29435) |
$302.60 |
$356 |
1.0× |
| Apply splint short arm dynamic (29126) |
$255.85 |
$301 |
1.8× |
| Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Age Under 21 (27734) |
$3,411.90 |
$4,014 |
1.0× |
| 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× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$234.60 |
$276 |
0.7× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; Age Under 21 (26843) |
$6,080.90 |
$7,154 |
0.8× |
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830)
likely a partial charge — not the full procedure |
$1,368.50 |
$1,610 |
0.2× |
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Age Under 21 (24802)
likely a partial charge — not the full procedure |
$1,440.75 |
$1,695 |
0.1× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,920.68 |
$6,965.50 |
0.8× |
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820)
likely a partial charge — not the full procedure |
$884.85 |
$1,041 |
0.1× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825)
likely a partial charge — not the full procedure |
$1,088.85 |
$1,281 |
0.1× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810)
likely a partial charge — not the full procedure |
$1,246.10 |
$1,466 |
0.1× |
Arthrodesis, wrist; with sliding graft Age Under 21 (25805)
likely a partial charge — not the full procedure |
$1,215.50 |
$1,430 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$4,095.30 |
$4,818 |
0.2× |
Arthroplasty or replacement of the end of the forearm bone on the small finger side at the wrist level (25442)
likely a partial charge — not the full procedure |
$1,156.85 |
$1,361 |
0.1× |
Arthroplasty, ankle; with implant (total ankle) (27702)
likely a partial charge — not the full procedure |
$2,324.75 |
$2,735 |
0.1× |
Arthroplasty, glenohumeral joint; hemiarthroplasty (23470)
likely a partial charge — not the full procedure |
$1,724.65 |
$2,029 |
0.1× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) |
$11,343.68 |
$13,345.50 |
0.8× |
Arthroplasty, patella; with prosthesis Age Under 21 (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 Age Under 21 (29888) |
$8,081.80 |
$9,508 |
1.1× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$1,805.40 |
$2,124 |
1.1× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855)
likely a partial charge — not the full procedure |
$1,893.80 |
$2,228 |
0.2× |
| Arthroscopy knee osteochondral allograft (29867) |
$11,536.62 |
$13,572.50 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$4,720.05 |
$5,553 |
1.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$4,175.62 |
$4,912.50 |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Age Under 21 (29899) |
$6,373.72 |
$7,498.50 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$4,253.40 |
$5,004 |
1.2× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$4,211.75 |
$4,955 |
1.2× |
| Arthroscopy, elbow, surgical; debridement, limited Age Under 21 (29837) |
$3,023.88 |
$3,557.50 |
0.9× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (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 (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$1,906.55 |
$2,243 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$4,354.55 |
$5,123 |
1.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Age Under 21 (29886) |
$3,592.52 |
$4,226.50 |
1.0× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age Under 21 (29887)
likely a partial charge — not the full procedure |
$2,136.90 |
$2,514 |
0.3× |
| 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 (eg, osteochondritis dissecans fragmentation,… (29874) |
$3,394.90 |
$3,994 |
1.0× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$3,749.78 |
$4,411.50 |
14.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$4,156.08 |
$4,889.50 |
1.2× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$1,790.10 |
$2,106 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$5,135.70 |
$6,042 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$5,204.55 |
$6,123 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$4,779.98 |
$5,623.50 |
1.4× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21 (29901) |
$4,289.10 |
$5,046 |
1.2× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$3,349.85 |
$3,941 |
1.0× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
unusually low — confirm this is the full procedure |
$3,028.55 |
$3,563 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$4,189.65 |
$4,929 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$3,518.15 |
$4,139 |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$4,311.20 |
$5,072 |
1.2× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
unusually low — confirm this is the full procedure |
$2,958 |
$3,480 |
0.4× |
| Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820) |
$5,711.58 |
$6,719.50 |
0.7× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$1,582.70 |
$1,862 |
0.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$4,533.05 |
$5,333 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$6,230.08 |
$7,329.50 |
0.8× |
| Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29840) |
$3,116.52 |
$3,666.50 |
0.9× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$4,419.58 |
$5,199.50 |
1.3× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Age Under 21 (29843) |
$3,168.38 |
$3,727.50 |
0.9× |
| Arthroscopy, wrist, surgical; synovectomy, complete Age Under 21 (29845) |
$3,310.32 |
$3,894.50 |
1.0× |
| Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21 (29844) |
$4,026.02 |
$4,736.50 |
1.2× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) |
$1,020 |
$1,200 |
0.3× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
unusually low — confirm this is the full procedure |
$3,435.70 |
$4,042 |
0.4× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$3,774.85 |
$4,441 |
1.1× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$885.70 |
$1,042 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$1,162.80 |
$1,368 |
0.3× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$4,641 |
$5,460 |
1.3× |
| Arthrotomy, elbow; with synovectomy Age Under 21 (24102) |
$3,355.38 |
$3,947.50 |
1.0× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Age Under 21 (23107)
likely a partial charge — not the full procedure |
$2,065.50 |
$2,430 |
0.3× |
Arthrotomy, hip, with drainage (eg, infection) (27030)
unusually low — confirm this is the full procedure |
$2,493.90 |
$2,934 |
0.3× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$3,198.55 |
$3,763 |
0.9× |
| Arthrotomy, knee; with synovial biopsy only Age Under 21 (27330) |
$3,079.55 |
$3,623 |
0.9× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21 (25040) |
$808.35 |
$951 |
0.2× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$3,103.78 |
$3,651.50 |
0.9× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21 (27626) |
$3,352.40 |
$3,944 |
1.0× |
| Arthrotomy, wrist joint; with biopsy Age Under 21 (25100) |
$496.40 |
$584 |
0.1× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$578.85 |
$681 |
0.2× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$11,069.12 |
$13,022.50 |
0.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,679.62 |
$3,152.50 |
1.6× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$3,849.22 |
$4,528.50 |
1.1× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,211.28 |
$2,601.50 |
1.3× |
| Aspirate pleura w/o imaging (32554) |
$904.82 |
$1,064.50 |
1.4× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$1,227.82 |
$1,444.50 |
1.6× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$418.62 |
$492.50 |
1.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$403.75 |
$475 |
1.9× |
| Biopsy external ear (69100) |
$334.05 |
$393 |
1.3× |
| Biopsy lip (40490) |
$448.80 |
$528 |
1.8× |
| Biopsy liver needle percutaneous (47000) |
$1,095.22 |
$1,288.50 |
0.6× |
| Biopsy lymph node (38505) |
$1,811.78 |
$2,131.50 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,864.48 |
$2,193.50 |
1.1× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$583.10 |
$686 |
0.2× |
| Biopsy of cervix (57500) |
$198.90 |
$234 |
0.2× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$2,251.65 |
$2,649 |
2.3× |
| Biopsy of penis; (separate procedure) (54100) |
$757.35 |
$891 |
0.4× |
| Biopsy of salivary gland; needle (42400) |
$141.10 |
$166 |
0.2× |
| 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 or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$2,343.45 |
$2,757 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$488.75 |
$575 |
0.3× |
| Biopsy thyroid percutaneous core needle (60100) |
$488.75 |
$575 |
0.7× |
| Biopsy vulva/perineum 1 lesion (56605) |
$357 |
$420 |
0.4× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$671.50 |
$790 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$3,969.08 |
$4,669.50 |
1.0× |
| Bladder irrigation (51700) |
$718.25 |
$845 |
2.7× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$655.35 |
$771 |
2.0× |
| Bone graft, any donor area; major or large Age Under 21 (20902) |
$6,011.20 |
$7,072 |
0.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$1,581.85 |
$1,861 |
0.2× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$1,203.60 |
$1,416 |
0.3× |
| 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× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$4,818.65 |
$5,669 |
0.6× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
unusually low — confirm this is the full procedure |
$3,043 |
$3,580 |
0.4× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$887.40 |
$1,044 |
0.3× |
| Cast short arm (29075) |
$1,031.90 |
$1,214 |
3.5× |
| Casting/strapping procedure (29799) |
$152.15 |
$179 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$147.05 |
$173 |
0.6× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$771.38 |
$907.50 |
1.0× |
| Change of windpipe airway (31502) |
$510.85 |
$601 |
2.0× |
| Chemical cauterization of granulation tissue (17250) |
$295.80 |
$348 |
1.4× |
| Chemodenerv eccrine glands both axillae (64650) |
$184.02 |
$216.50 |
0.6× |
| Chest tube placement (32551) |
$387.60 |
$456 |
0.2× |
| Circumcision, Newborn (54150) |
$1,685.55 |
$1,983 |
0.8× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$587.35 |
$691 |
0.8× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$2,051.90 |
$2,414 |
0.9× |
| Claviculectomy; partial Age Under 21 (23120) |
$1,711.90 |
$2,014 |
0.5× |
| Closed rx acetabular fx (27220) |
$2,753.15 |
$3,239 |
10.6× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,176.82 |
$1,384.50 |
0.7× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,752.70 |
$2,062 |
1.0× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,157.70 |
$1,362 |
4.4× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$449.65 |
$529 |
1.7× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,819.42 |
$2,140.50 |
1.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$408.85 |
$481 |
1.6× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$806.65 |
$949 |
3.1× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$694.45 |
$817 |
2.7× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$639.20 |
$752 |
0.4× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$565.68 |
$665.50 |
2.2× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$413.10 |
$486 |
1.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$811.32 |
$954.50 |
3.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$632.82 |
$744.50 |
2.4× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$485.78 |
$571.50 |
1.9× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,961.80 |
$2,308 |
1.2× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$642.60 |
$756 |
2.5× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,990.28 |
$2,341.50 |
1.2× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$373.15 |
$439 |
1.4× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$330.22 |
$388.50 |
1.3× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$810.48 |
$953.50 |
3.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,456.08 |
$2,889.50 |
1.4× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$512.55 |
$603 |
2.0× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$1,522.35 |
$1,791 |
0.9× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$459 |
$540 |
0.3× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$696.15 |
$819 |
2.7× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,748.45 |
$2,057 |
1.0× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$562.70 |
$662 |
2.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$733.55 |
$863 |
2.8× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$809.20 |
$952 |
3.1× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$2,977.55 |
$3,503 |
0.9× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$981.32 |
$1,154.50 |
0.6× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$969.42 |
$1,140.50 |
0.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$526.58 |
$619.50 |
2.0× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$809.20 |
$952 |
3.1× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$535.92 |
$630.50 |
2.1× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,561.90 |
$3,014 |
1.5× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$747.15 |
$879 |
0.4× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$546.12 |
$642.50 |
2.1× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,782.45 |
$2,097 |
1.1× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$771.38 |
$907.50 |
3.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$752.25 |
$885 |
2.9× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$665.98 |
$783.50 |
2.6× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$327.68 |
$385.50 |
1.3× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$629 |
$740 |
2.4× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$920.12 |
$1,082.50 |
3.5× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,782.88 |
$2,097.50 |
1.1× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$932.45 |
$1,097 |
3.6× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$1,464.98 |
$1,723.50 |
0.9× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$442.85 |
$521 |
1.7× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$564.40 |
$664 |
0.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$614.98 |
$723.50 |
2.4× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$637.92 |
$750.50 |
2.5× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$568.22 |
$668.50 |
2.2× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$753.52 |
$886.50 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$568.65 |
$669 |
2.2× |
| Closed tx bimalleolar ankle fracture w/manj (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 femoral shaft fx w/o manipulation (27500) |
$650.25 |
$765 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$652.38 |
$767.50 |
2.5× |
| 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 radial shaft fracture w/manipulation (25505) |
$1,519.80 |
$1,788 |
0.9× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,434.80 |
$1,688 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$512.55 |
$603 |
2.0× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$1,052.30 |
$1,238 |
4.0× |
| Closed tx vert fx w/o manj (22310) |
$500.22 |
$588.50 |
1.9× |
| 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 nsl fx mnpj wo stblj (21315) |
$859.35 |
$1,011 |
0.5× |
| Clsd tx pelvic ring fx (27197) |
$277.95 |
$327 |
1.1× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$709.75 |
$835 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,066.35 |
$2,431 |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$930.32 |
$1,094.50 |
0.5× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$829.18 |
$975.50 |
3.2× |
| 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/o manj (27508) |
$720.80 |
$848 |
2.8× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$933.72 |
$1,098.50 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$460.70 |
$542 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,108.82 |
$1,304.50 |
4.3× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$2,170.05 |
$2,553 |
8.3× |
| 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 humeral condylar fx medial/lat w/o manj (24576) |
$679.58 |
$799.50 |
2.6× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$519.78 |
$611.50 |
2.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,604.38 |
$1,887.50 |
0.9× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$568.22 |
$668.50 |
2.2× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$350.62 |
$412.50 |
1.3× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$460.70 |
$542 |
1.8× |
| Cltx metar fx w/manj (28475) |
$408.85 |
$481 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$719.10 |
$846 |
0.4× |
| 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 TechFee (27752) |
$2,098.22 |
$2,468.50 |
1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,009.80 |
$1,188 |
3.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,874.68 |
$2,205.50 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$883.15 |
$1,039 |
3.4× |
| Collect blood from catheter venous nos (36592) |
$192.10 |
$226 |
1.4× |
| Collect blood from implant venous access device (36591) |
$209.10 |
$246 |
1.5× |
| Colonoscopy thru stoma spx (44388) |
$899.30 |
$1,058 |
0.9× |
| Colonoscopy w/control bleed (45382) |
$2,550.42 |
$3,000.50 |
2.0× |
| Colonoscopy w/resection (45390) |
$908.65 |
$1,069 |
0.3× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,509.62 |
$2,952.50 |
2.0× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,497.30 |
$2,938 |
2.0× |
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure |
$160.65 |
$189 |
0.0× |
| Colposcopy cervix (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 Age Under 21 (57455) |
$313.65 |
$369 |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$351.90 |
$414 |
1.1× |
| Colposcopy vulva (56820) |
$379.10 |
$446 |
1.8× |
| Colposcopy w/endocervical curettage (57456) |
$295.80 |
$348 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,451.82 |
$2,884.50 |
1.9× |
| Complex uroflowmetry (51741) |
$22.10 |
$26 |
0.1× |
| Conization of cervix (57520) |
$1,354.05 |
$1,593 |
0.4× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$591.60 |
$696 |
0.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$457.30 |
$538 |
1.8× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$428.82 |
$504.50 |
1.9× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$351.48 |
$413.50 |
2.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$291.12 |
$342.50 |
2.1× |
| Control throat bleeding (42960) |
$334.05 |
$393 |
0.6× |
| Correction of bunion (28292) |
$3,341.78 |
$3,931.50 |
1.0× |
| Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Age Under 21 (28286) |
$2,785.88 |
$3,277.50 |
0.8× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
likely a partial charge — not the full procedure |
$2,615.45 |
$3,077 |
0.2× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$3,590.40 |
$4,224 |
1.0× |
| Costotransversectomy (separate procedure) Age Under 21 (21610) |
$6,809.35 |
$8,011 |
2.0× |
| 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× |
| Cylinder cast (29365) |
$302.60 |
$356 |
1.0× |
| Cystoscopy and treatment (52310) |
$722.50 |
$850 |
0.3× |
| Cystourethroscopy (52000) |
$466.65 |
$549 |
0.6× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$782 |
$920 |
0.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$585.65 |
$689 |
0.3× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge — not the full procedure |
$1,069.30 |
$1,258 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$788.80 |
$928 |
0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$1,489.62 |
$1,752.50 |
2.0× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,440.35 |
$2,871 |
0.7× |
| Deb skin bone at fx site (11012) |
$2,138.18 |
$2,515.50 |
0.7× |
| Debride skin at fx site (11010) |
$881.45 |
$1,037 |
1.2× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$406.30 |
$478 |
0.9× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$85 |
$100 |
1.4× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$78.62 |
$92.50 |
1.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$626.02 |
$736.50 |
1.5× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,190.45 |
$2,577 |
1.3× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$841.50 |
$990 |
1.1× |
| Declot vascular device (36593) |
$818.55 |
$963 |
2.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$1,744.20 |
$2,052 |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$1,113.50 |
$1,310 |
0.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$1,592.05 |
$1,873 |
0.5× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$824.50 |
$970 |
0.5× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$2,007.70 |
$2,362 |
0.6× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$1,233.35 |
$1,451 |
0.4× |
| Decompressive fasciotomy, hand (excludes 26035) Age Under 21 (26037) |
$813.45 |
$957 |
0.2× |
| Delivery of placenta (59414) |
$1,325.58 |
$1,559.50 |
0.4× |
| Destruct lesion 15 or more (17111) |
$509.15 |
$599 |
2.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$283.05 |
$333 |
1.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$623.05 |
$733 |
1.5× |
| Destruction benign lesions up to 14 (17110) |
$430.95 |
$507 |
2.0× |
| Destruction lesions vulva simple (56501) |
$380.80 |
$448 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$599.25 |
$705 |
2.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$290.70 |
$342 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$794.75 |
$935 |
3.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$395.25 |
$465 |
1.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$954.55 |
$1,123 |
2.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$693.60 |
$816 |
3.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$904.40 |
$1,064 |
2.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$557.60 |
$656 |
2.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$576.30 |
$678 |
2.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$805.80 |
$948 |
1.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$1,433.95 |
$1,687 |
1.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$736.10 |
$866 |
3.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$720.80 |
$848 |
3.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$535.50 |
$630 |
2.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$674.90 |
$794 |
3.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$1,092.25 |
$1,285 |
1.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$789.65 |
$929 |
1.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$635.80 |
$748 |
3.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$953.70 |
$1,122 |
2.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$1,116.90 |
$1,314 |
2.6× |
| 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× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$428.40 |
$504 |
0.1× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$776.48 |
$913.50 |
1.1× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age Under 21 (28250) |
$2,827.52 |
$3,326.50 |
0.8× |
| Drain lower leg lesion (27603) |
$1,729.75 |
$2,035 |
0.6× |
| Drain neck/chest lesion (21501) |
$868.70 |
$1,022 |
0.3× |
| Drain shoulder lesion (23030) |
$2,427.60 |
$2,856 |
0.8× |
| Drainage external auditory canal, abscess (69020) |
$600.95 |
$707 |
0.8× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$445.82 |
$524.50 |
0.6× |
| Drainage finger abscess simple (26010) |
$771.38 |
$907.50 |
3.6× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$827.05 |
$973 |
1.1× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$1,699.15 |
$1,999 |
1.0× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,714.88 |
$2,017.50 |
1.0× |
| Drainage of hydrocele (55000) |
$404.60 |
$476 |
0.5× |
| Drainage of palmar bursa single bursa (26025) |
$605.20 |
$712 |
0.2× |
| Drainage of palmar bursa; multiple bursa Age Under 21 (26030) |
$605.20 |
$712 |
0.2× |
| Drainage of scrotum (54700) |
$2,394.02 |
$2,816.50 |
1.1× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$1,989 |
$2,340 |
0.6× |
| Drainage of tonsil abscess (42700) |
$475.15 |
$559 |
1.9× |
| Dry needling (20999) |
$1,292.85 |
$1,521 |
5.0× |
| Ed proc insert intraosseous IV (36680) |
$993.65 |
$1,169 |
2.1× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$283.48 |
$333.50 |
2.1× |
| Ed proc remve fb nasal- hospital (30300) |
$277.95 |
$327 |
2.0× |
| Ed prof arthrocentesis sm - hospital (20551) |
$141.10 |
$166 |
0.4× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$152.15 |
$179 |
1.1× |
| Ed prof burn - large - hospital (16030) |
$370.60 |
$436 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$329.38 |
$387.50 |
1.6× |
| Ed prof burn small - hospital (16020) |
$323 |
$380 |
1.5× |
| Ed prof catheterization/straight (51701) |
$238 |
$280 |
1.7× |
| Ed prof closed tx post hip arthroplasty (27265) |
$773.08 |
$909.50 |
3.0× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,091.82 |
$1,284.50 |
0.6× |
| Ed prof drain dental abscess-hospital (41800) |
$421.60 |
$496 |
3.0× |
| Ed prof insert foley cath simple (51702) |
$164.90 |
$194 |
1.2× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,729.32 |
$2,034.50 |
0.5× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,120.30 |
$1,318 |
2.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$1,022.55 |
$1,203 |
2.4× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$745.45 |
$877 |
2.9× |
| Egd injection varices (43243) |
$3,795.68 |
$4,465.50 |
1.9× |
| Egd percutaneous placement gastrostomy tube (43246) |
$3,731.08 |
$4,389.50 |
1.8× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$3,724.28 |
$4,381.50 |
1.8× |
| Egd transoral control bleeding any method (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× |
| Episiotomy or vaginal repair (59300) |
$1,671.95 |
$1,967 |
0.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,447.55 |
$1,703 |
1.9× |
| Esoph egd dilation <30 mm (43249) |
$3,651.60 |
$4,296 |
1.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,912.92 |
$2,250.50 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$788.80 |
$928 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,978.80 |
$2,328 |
2.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$3,680.50 |
$4,330 |
1.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,687.25 |
$1,985 |
0.8× |
| Evac 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× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$3,604.22 |
$4,240.25 |
1.6× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$1,040.40 |
$1,224 |
1.4× |
| Exc face les sbq 2 cm/> (21012) |
$656.20 |
$772 |
0.4× |
| Exc face tum deep < 2 cm (21013) |
$621.35 |
$731 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,225.70 |
$1,442 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$488.75 |
$575 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$623.05 |
$733 |
0.8× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$726.75 |
$855 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,260.15 |
$2,659 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,535.10 |
$1,806 |
0.5× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$2,041.28 |
$2,401.50 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,490.08 |
$2,929.50 |
1.2× |
| Exc rect tum transanal part (45171) |
$2,718.30 |
$3,198 |
0.9× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$497.25 |
$585 |
0.7× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$668.95 |
$787 |
0.9× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,542.78 |
$2,991.50 |
1.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,265.25 |
$2,665 |
1.3× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$1,270.75 |
$1,495 |
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 forearm &/wrist subq <3cm (25075) |
$1,566.55 |
$1,843 |
0.9× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,547.02 |
$2,996.50 |
0.8× |
| 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 upper arm/elbow subq 3cm/> (24071) |
$1,173 |
$1,380 |
0.4× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$1,260.55 |
$1,483 |
0.4× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$961.35 |
$1,131 |
0.6× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,017.45 |
$1,197 |
0.6× |
| 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 >4.0 cm (11646) |
$2,021.30 |
$2,378 |
0.7× |
| 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 bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067)
unusually low — confirm this is the full procedure |
$3,604 |
$4,240 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$555.90 |
$654 |
0.3× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$3,000.08 |
$3,529.50 |
0.9× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$1,795.20 |
$2,112 |
0.5× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$2,547.88 |
$2,997.50 |
1.5× |
| Excision of local lesion of epididymis Age Under 21 (54830) |
$708.90 |
$834 |
0.2× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$2,000.48 |
$2,353.50 |
1.0× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$2,433.98 |
$2,863.50 |
1.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$1,405.90 |
$1,654 |
0.5× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$3,021.75 |
$3,555 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$741.20 |
$872 |
0.6× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$2,941.85 |
$3,461 |
0.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$749.70 |
$882 |
0.6× |
| Excision olecranon bursa (24105) |
$1,513.85 |
$1,781 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21 (25130) |
$1,323.45 |
$1,557 |
0.4× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Age Under 21 (25136)
likely a partial charge — not the full procedure |
$708.90 |
$834 |
0.1× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Age Under… (25135)
likely a partial charge — not the full procedure |
$802.40 |
$944 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$1,760.35 |
$2,071 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$1,899.75 |
$2,235 |
1.1× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25125) |
$851.70 |
$1,002 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$712.30 |
$838 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25126) |
$858.50 |
$1,010 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$2,197.25 |
$2,585 |
1.3× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$2,889.15 |
$3,399 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$3,297.15 |
$3,879 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,505.35 |
$1,771 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,593.75 |
$1,875 |
0.9× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$4,339.25 |
$5,105 |
2.5× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$2,483.70 |
$2,922 |
0.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$940.10 |
$1,106 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$808.35 |
$951 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,294.15 |
$2,699 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$836.40 |
$984 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$1,356.60 |
$1,596 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$963.90 |
$1,134 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$608.60 |
$716 |
1.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$749.70 |
$882 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$801.55 |
$943 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,097.78 |
$1,291.50 |
0.6× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$2,440.35 |
$2,871 |
1.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$770.95 |
$907 |
1.0× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$912.05 |
$1,073 |
1.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$1,244.40 |
$1,464 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$1,532.55 |
$1,803 |
0.9× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,591.20 |
$1,872 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$746.30 |
$878 |
1.0× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,746.75 |
$2,055 |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$782.85 |
$921 |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$704.65 |
$829 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$1,164.50 |
$1,370 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$577.15 |
$679 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$934.15 |
$1,099 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,036.58 |
$1,219.50 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$1,269.05 |
$1,493 |
0.4× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$1,416.95 |
$1,667 |
0.5× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$1,006.40 |
$1,184 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$765.85 |
$901 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$744.60 |
$876 |
0.4× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$856.80 |
$1,008 |
0.3× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$2,015.35 |
$2,371 |
1.2× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$2,046.80 |
$2,408 |
0.7× |
| 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 Age Under 21 (23075) |
$3,332.85 |
$3,921 |
1.9× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$1,956.70 |
$2,302 |
0.6× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$2,248.68 |
$2,645.50 |
0.7× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$2,619.28 |
$3,081.50 |
0.9× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$2,249.10 |
$2,646 |
1.3× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,938.85 |
$2,281 |
1.1× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$1,202.75 |
$1,415 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$2,232.52 |
$2,626.50 |
1.3× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$592.45 |
$697 |
0.3× |
| Explore wound abdomen (20102) |
$1,251.20 |
$1,472 |
0.6× |
Extensive removal of growth of forearm bone (radius or ulna) (25170)
likely a partial charge — not the full procedure |
$2,130.95 |
$2,507 |
0.3× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$3,332 |
$3,920 |
1.0× |
| Fasciotomy, iliotibial (tenotomy), open Age Under 21 (27305) |
$2,935.05 |
$3,453 |
0.9× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$670.65 |
$789 |
0.2× |
| Fetal contraction stress test (59020) |
$193.80 |
$228 |
0.9× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$551.65 |
$649 |
0.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$137.70 |
$162 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$625.60 |
$736 |
0.8× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$2,043.40 |
$2,404 |
0.6× |
| Fluid pressure muscle (20950) |
$994.08 |
$1,169.50 |
1.3× |
| Fna bx w/mr gdn 1st les (10011) |
$1,056.98 |
$1,243.50 |
1.4× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$2,770.58 |
$3,259.50 |
1.3× |
Fusion of elbow joint without bone graft from the patient (24800)
likely a partial charge — not the full procedure |
$1,193.40 |
$1,404 |
0.2× |
Fusion of wrist joint (25800)
likely a partial charge — not the full procedure |
$1,051.45 |
$1,237 |
0.1× |
| Ganglion impar nerve block (64999) |
$756.08 |
$889.50 |
2.3× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$277.95 |
$327 |
1.2× |
| Gastric lavage (43753) |
$47.60 |
$56 |
0.2× |
| Gastrocnemius recession (27687) |
$3,118.22 |
$3,668.50 |
0.9× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$3,104.62 |
$3,652.50 |
0.9× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$3,221.50 |
$3,790 |
0.2× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$577.15 |
$679 |
0.6× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,235.05 |
$1,453 |
0.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$957.95 |
$1,127 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,024.25 |
$1,205 |
0.3× |
| Hysteroscopy biopsy (58558) |
$5,596.40 |
$6,584 |
1.6× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$4,273.80 |
$5,028 |
0.8× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (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 simple/single (10060) |
$534.65 |
$629 |
2.5× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$2,260.15 |
$2,659 |
0.7× |
| I&d hematoma/seroma/fluid (10140) |
$450.50 |
$530 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$472.60 |
$556 |
0.6× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$3,208.75 |
$3,775 |
12.3× |
| Implant subq hormone pellet (11980) |
$328.95 |
$387 |
0.7× |
| Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415) |
$11,361.52 |
$13,366.50 |
0.8× |
| Incise external hemorrhoid (46083) |
$393.98 |
$463.50 |
1.5× |
| 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 TechFee (10061) |
$686.80 |
$808 |
1.6× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle Age Under 21 (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 intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$844.90 |
$994 |
0.3× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$2,062.10 |
$2,426 |
0.7× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$924.38 |
$1,087.50 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$289 |
$340 |
0.9× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$782.85 |
$921 |
0.3× |
| Incision and drainage, forearm and/or wrist; bursa Age Under 21 (25031) |
$505.75 |
$595 |
0.3× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$2,023.85 |
$2,381 |
0.6× |
| Incision and drainage, perianal abscess, superficial (46050) |
$512.55 |
$603 |
0.5× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$2,275.02 |
$2,676.50 |
1.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,089.28 |
$1,281.50 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$648.55 |
$763 |
1.5× |
| 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 into wrist joint with removal of joint lining tissue (25105) |
$691.05 |
$813 |
0.2× |
| Incision of connective tissue of foot and/or toe (28008) |
$2,867.48 |
$3,373.50 |
0.8× |
| Incision of eyelid fold (67715) |
$2,633.72 |
$3,098.50 |
1.1× |
| Incision of foot tendon(s) (28230) |
$2,190.88 |
$2,577.50 |
1.3× |
| Incision of knee joint with removal of cartilage of front or back of knee (27334) |
$3,452.28 |
$4,061.50 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$335.75 |
$395 |
0.2× |
| Incision of rectal abscess (46040) |
$1,307.30 |
$1,538 |
1.0× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$79.90 |
$94 |
0.2× |
| Incision of windpipe (31603) |
$1,343.85 |
$1,581 |
0.8× |
Incision or partial removal of both forearm bones (25365)
likely a partial charge — not the full procedure |
$1,314.95 |
$1,547 |
0.1× |
Incision or partial removal of forearm bone on small finger side (25360)
likely a partial charge — not the full procedure |
$1,776.50 |
$2,090 |
0.2× |
Incision or partial removal of forearm bone on thumb side near hand (25350)
likely a partial charge — not the full procedure |
$969 |
$1,140 |
0.1× |
| Incision to repair or release capsule of wrist joint (25085) |
$645.15 |
$759 |
0.2× |
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21 (25035)
likely a partial charge — not the full procedure |
$838.95 |
$987 |
0.1× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age Under 21 (25001) |
$2,746.35 |
$3,231 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$364.65 |
$429 |
0.5× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$987.70 |
$1,162 |
2.4× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,141.12 |
$1,342.50 |
3.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$147.90 |
$174 |
0.7× |
| Inj epidural blood or clot patch (62273) |
$2,150.50 |
$2,530 |
2.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$599.68 |
$705.50 |
0.6× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,201.48 |
$1,413.50 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$433.50 |
$510 |
0.6× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$2,046.80 |
$2,408 |
2.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$908.65 |
$1,069 |
1.0× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$908.65 |
$1,069 |
1.0× |
| Injection aa&/strd greater occipital nerve (64405) |
$688.50 |
$810 |
2.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$783.70 |
$922 |
0.8× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$586.50 |
$690 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$690.20 |
$812 |
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 lmbr/thrc paravertbrl sympathetic (64520) |
$1,411 |
$1,660 |
1.5× |
| Injection for identification of sentinel node (38792) |
$1,304.75 |
$1,535 |
3.1× |
| Injection therapeutic carpal tunnel (20526) |
$198.05 |
$233 |
0.6× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$259.25 |
$305 |
0.6× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$850.85 |
$1,001 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$803.25 |
$945 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$783.70 |
$922 |
0.8× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$803.25 |
$945 |
0.9× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,089.70 |
$1,282 |
1.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$141.10 |
$166 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$150.45 |
$177 |
0.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$413.10 |
$486 |
1.3× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$425 |
$500 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$205.70 |
$242 |
1.0× |
| 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 < 5 y/o (36555) |
$230.35 |
$271 |
0.1× |
| Insert pessary/other device (57160) |
$206.55 |
$243 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,917.25 |
$5,785 |
1.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$446.25 |
$525 |
1.9× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$3,280.15 |
$3,859 |
1.0× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$6,598.55 |
$7,763 |
2.0× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Age Under 21 (25430) |
$1,050.60 |
$1,236 |
0.3× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure |
$511.70 |
$602 |
0.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,629.45 |
$1,917 |
1.0× |
| 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× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,435.28 |
$4,041.50 |
1.0× |
| Intubation endotracheal (31500) |
$658.75 |
$775 |
2.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$379.52 |
$446.50 |
1.4× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366)
likely a partial charge — not the full procedure |
$1,649.85 |
$1,941 |
0.1× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365)
likely a partial charge — not the full procedure |
$919.70 |
$1,082 |
0.1× |
| Knee arthroscopy/surgery (29876) |
$1,882.75 |
$2,215 |
0.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,123.35 |
$4,851 |
0.6× |
Laparoscopy surg colpopexy (57425)
unusually low — confirm this is the full procedure |
$3,536.85 |
$4,161 |
0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$9,919.92 |
$11,670.50 |
1.6× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
unusually low — confirm this is the full procedure |
$2,998.80 |
$3,528 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$1,811.35 |
$2,131 |
0.3× |
Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659)
likely a partial charge — not the full procedure |
$986 |
$1,160 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
likely a partial charge — not the full procedure |
$2,279.70 |
$2,682 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
likely a partial charge — not the full procedure |
$2,176.85 |
$2,561 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
unusually low — confirm this is the full procedure |
$3,436.55 |
$4,043 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$14,877.55 |
$17,503 |
2.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
unusually low — confirm this is the full procedure |
$4,379.20 |
$5,152 |
0.4× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$659.60 |
$776 |
0.1× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) |
$11,760.60 |
$13,836 |
1.8× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure |
$1,838.55 |
$2,163 |
0.3× |
Laps Surg Rpr 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× |
| Laryngoscopy flex diagnostic (31575) |
$226.52 |
$266.50 |
1.1× |
| Laryngoscopy indirect diagnostic (31505) |
$203.15 |
$239 |
1.0× |
| Lateral retinacular release open (27425) |
$3,125.88 |
$3,677.50 |
0.9× |
Lengthening of one of the forearm bones with patient-derived bone graft (25391)
likely a partial charge — not the full procedure |
$1,432.25 |
$1,685 |
0.1× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$3,568.30 |
$4,198 |
1.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,726.88 |
$6,737.50 |
0.7× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21 (27429)
likely a partial charge — not the full procedure |
$3,027.70 |
$3,562 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge — not the full procedure |
$3,201.95 |
$3,767 |
0.2× |
| Lumbar puncture (62270) |
$840.22 |
$988.50 |
1.1× |
| Manipulate wrist w/anesthes (25259) |
$2,421.22 |
$2,848.50 |
1.4× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$549.95 |
$647 |
0.3× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$2,062.52 |
$2,426.50 |
1.2× |
| Mastectomy gynecomastia (19300) |
$1,854.70 |
$2,182 |
0.4× |
| Mastotomy expl drg absc dp (19020) |
$1,156.85 |
$1,361 |
0.7× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$268.64 |
$316.05 |
4.3× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$2,448.85 |
$2,881 |
3.1× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17313) |
$1,365.95 |
$1,607 |
1.8× |
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Age Under 21 (24410)
likely a partial charge — not the full procedure |
$2,986.90 |
$3,514 |
0.2× |
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Age Under 21 (24301)
likely a partial charge — not the full procedure |
$2,162.40 |
$2,544 |
0.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) |
$3,527.50 |
$4,150 |
0.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$2,844.10 |
$3,346 |
0.8× |
| Myelography via lumbar inject rs&i lumbosacral (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× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$85.85 |
$101 |
2.8× |
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age Under 21 (64892)
unusually low — confirm this is the full procedure |
$2,980.10 |
$3,506 |
0.3× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,276.70 |
$1,502 |
0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$1,476.45 |
$1,737 |
0.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) |
$1,592.90 |
$1,874 |
0.8× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$2,130.52 |
$2,506.50 |
1.0× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$2,148.38 |
$2,527.50 |
1.0× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,666 |
$1,960 |
1.8× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$3,793.55 |
$4,463 |
1.0× |
| 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 (62323) |
$1,389.75 |
$1,635 |
1.9× |
| 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/o img gdn (62326) |
$983.02 |
$1,156.50 |
1.1× |
| Non stress test (59025) |
$509.15 |
$599 |
2.4× |
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 treatment bimalleolar ankle fracture (27814)
unusually low — confirm this is the full procedure |
$3,435.70 |
$4,042 |
0.4× |
Open Treatment Distal Fracture (25608)
unusually low — confirm this is the full procedure |
$2,822.85 |
$3,321 |
0.4× |
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure |
$2,718.30 |
$3,198 |
0.2× |
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; Age Under 21 (23550)
unusually low — confirm this is the full procedure |
$2,827.10 |
$3,326 |
0.4× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
unusually low — confirm this is the full procedure |
$2,793.10 |
$3,286 |
0.4× |
Open Treatment Of Acute Or Chronic Elbow Dislocation (24615)
likely a partial charge — not the full procedure |
$1,734.85 |
$2,041 |
0.2× |
Open treatment of acute shoulder dislocation Age Under 21 (23660)
likely a partial charge — not the full procedure |
$836.40 |
$984 |
0.1× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$4,501.60 |
$5,296 |
1.3× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$2,085.90 |
$2,454 |
0.6× |
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
unusually low — confirm this is the full procedure |
$2,867.90 |
$3,374 |
0.4× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (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 Age Under 21 (25676)
likely a partial charge — not the full procedure |
$903.55 |
$1,063 |
0.1× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$6,022.68 |
$7,085.50 |
0.8× |
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 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 shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$5,625.30 |
$6,618 |
0.7× |
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 fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$3,875.58 |
$4,559.50 |
1.1× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
unusually low — confirm this is the full procedure |
$2,793.10 |
$3,286 |
0.4× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579)
likely a partial charge — not the full procedure |
$2,015.35 |
$2,371 |
0.1× |
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575)
likely a partial charge — not the full procedure |
$1,738.25 |
$2,045 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure |
$2,240.60 |
$2,636 |
0.2× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge — not the full procedure |
$2,503.25 |
$2,945 |
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 lunate dislocation Age Under 21 (25695)
likely a partial charge — not the full procedure |
$909.50 |
$1,070 |
0.1× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure |
$968.15 |
$1,139 |
0.1× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21 (27566) |
$6,220.30 |
$7,318 |
0.8× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$6,025.22 |
$7,088.50 |
0.8× |
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587)
likely a partial charge — not the full procedure |
$1,572.50 |
$1,850 |
0.1× |
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure |
$1,716.15 |
$2,019 |
0.2× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616)
likely a partial charge — not the full procedure |
$1,782.45 |
$2,097 |
0.1× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
likely a partial charge — not the full procedure |
$1,989 |
$2,340 |
0.3× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
likely a partial charge — not the full procedure |
$1,958.40 |
$2,304 |
0.3× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$1,051.45 |
$1,237 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
likely a partial charge — not the full procedure |
$1,372.75 |
$1,615 |
0.2× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Age Under 21 (25670)
likely a partial charge — not the full procedure |
$866.15 |
$1,019 |
0.1× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
likely a partial charge — not the full procedure |
$1,407.60 |
$1,656 |
0.2× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670)
likely a partial charge — not the full procedure |
$1,256.30 |
$1,478 |
0.2× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge — not the full procedure |
$1,335.35 |
$1,571 |
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 (plateau); unicondylar, includes internal fixation, when performed (27535)
unusually low — confirm this is the full procedure |
$3,699.20 |
$4,352 |
0.5× |
Open treatment of tibial shaft fracture (with or without fibular 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 trans-scaphoperilunar type of fracture dislocation Age Under 21 (25685)
likely a partial charge — not the full procedure |
$1,057.40 |
$1,244 |
0.1× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
unusually low — confirm this is the full procedure |
$2,390.20 |
$2,812 |
0.3× |
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
unusually low — confirm this is the full procedure |
$3,166.25 |
$3,725 |
0.4× |
Open treatment of ulnar shaft fracture (25545)
unusually low — confirm this is the full procedure |
$2,503.25 |
$2,945 |
0.3× |
Open treatment radial shaft fracture (25515)
unusually low — confirm this is the full procedure |
$2,703.85 |
$3,181 |
0.4× |
Open tx distal fibular fracture lat malleolus (27792)
unusually low — confirm this is the full procedure |
$2,815.20 |
$3,312 |
0.4× |
| Open tx distal phalangeal fracture each (26765) |
$3,225.75 |
$3,795 |
0.9× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$2,945.25 |
$3,465 |
0.9× |
| Open tx interphalangeal joint dislocation 1 (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 phalangeal shaft fracture prox/middle ea (26735) |
$4,218.12 |
$4,962.50 |
1.2× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$2,136.90 |
$2,514 |
0.2× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$922.25 |
$1,085 |
0.2× |
| Ostectomy of sternum, partial (21620) |
$970.70 |
$1,142 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$2,809.68 |
$3,305.50 |
0.8× |
| Osteochondral knee autograft (27416) |
$7,457.90 |
$8,774 |
1.0× |
| Osteoplasty, carpal bone, shortening Age Under 21 (25394) |
$1,127.10 |
$1,326 |
0.3× |
Osteoplasty, radius AND ulna; lengthening with autograft Age Under 21 (25393)
likely a partial charge — not the full procedure |
$1,626.90 |
$1,914 |
0.2× |
Osteoplasty, radius AND ulna; shortening (excluding 64876) Age Under 21 (25392)
likely a partial charge — not the full procedure |
$1,456.90 |
$1,714 |
0.2× |
Osteoplasty, radius OR ulna; shortening Age Under 21 (25390)
likely a partial charge — not the full procedure |
$1,105 |
$1,300 |
0.1× |
| Osteotomy tibia (27705) |
$6,016.30 |
$7,078 |
0.8× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure |
$3,553.85 |
$4,181 |
0.3× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455)
unusually low — confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.3× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457)
unusually low — confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.3× |
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300)
likely a partial charge — not the full procedure |
$2,007.70 |
$2,362 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$182.75 |
$215 |
0.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$173.40 |
$204 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Age Under 21 (23180) |
$5,893.90 |
$6,934 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$3,349.85 |
$3,941 |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx… (26235) |
$2,497.72 |
$2,938.50 |
1.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Age Under 21 (25151) |
$835.55 |
$983 |
0.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Age Under 21 (25150) |
$815.15 |
$959 |
0.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$3,071.90 |
$3,614 |
0.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,866.62 |
$3,372.50 |
0.8× |
| Partial excision bone metacarpal (26230) |
$2,960.98 |
$3,483.50 |
0.9× |
| Partial excision bone tibia (27640) |
$4,123.35 |
$4,851 |
1.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$584.80 |
$688 |
0.2× |
| Partical excision bone phalanx toe (28124) |
$1,737.40 |
$2,044 |
0.5× |
| Patellectomy or hemipatellectomy Age Under 21 (27350) |
$5,888.80 |
$6,928 |
0.8× |
| Pelvis/hip joint surgery unlisted (27299) |
$1,271.60 |
$1,496 |
4.9× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
likely a partial charge — not the full procedure |
$1,453.50 |
$1,710 |
0.2× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$1,737.40 |
$2,044 |
0.5× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$1,949.05 |
$2,293 |
0.6× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,610.40 |
$5,424 |
0.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$1,153.45 |
$1,357 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,348.55 |
$2,763 |
0.7× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Age Under 21 (26706) |
$2,891.28 |
$3,401.50 |
0.8× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$3,334.12 |
$3,922.50 |
1.0× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
unusually low — confirm this is the full procedure |
$2,960.55 |
$3,483 |
0.4× |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each (28456) |
$5,491 |
$6,460 |
0.7× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$1,397.40 |
$1,644 |
0.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$531.25 |
$625 |
0.3× |
| Perq breast loc device placemt 1st lesio mr guid (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× |
| Placement of seton (46020) |
$221.85 |
$261 |
0.1× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
unusually low — confirm this is the full procedure |
$1,726.35 |
$2,031 |
0.3× |
| Pr inj. intralesional gt 7 lesions (11901) |
$266.90 |
$314 |
1.3× |
| Preputial stretching (54450) |
$110.50 |
$130 |
0.4× |
| Proctoplasty; for prolapse of mucous membrane Age Under 21 (45505) |
$1,158.55 |
$1,363 |
0.4× |
| Proctosigmoidoscopy dx (45300) |
$255 |
$300 |
0.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$422.45 |
$497 |
0.3× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Age Under 21 (25490)
likely a partial charge — not the full procedure |
$1,033.60 |
$1,216 |
0.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna Age… (25492) |
$1,299.65 |
$1,529 |
0.4× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Age Under 21 (25491)
likely a partial charge — not the full procedure |
$1,063.35 |
$1,251 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$413.95 |
$487 |
1.0× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$462.40 |
$544 |
1.1× |
| Puncture aspiration of cyst of breast (19000) |
$624.75 |
$735 |
0.8× |
| Pvb thoracic single injection site w/img gid (64461) |
$206.55 |
$243 |
0.3× |
| Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (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× |
| Radial styloidectomy (separate procedure) Age Under 21 (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 (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Age Under 21 (27329) |
$3,345.18 |
$3,935.50 |
1.1× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$3,209.18 |
$3,775.50 |
0.9× |
| Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455) |
$6,348.22 |
$7,468.50 |
0.8× |
| Reconstr mcp jnt col ligam w graft (26541) |
$2,431 |
$2,860 |
0.7× |
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238)
unusually low — confirm this is the full procedure |
$2,407.20 |
$2,832 |
0.3× |
| Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337) |
$3,928.70 |
$4,622 |
0.5× |
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (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) Age Under 21 (24346)
likely a partial charge — not the full procedure |
$1,581 |
$1,860 |
0.1× |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420)
unusually low — confirm this is the full procedure |
$2,795.65 |
$3,289 |
0.4× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) Age Under 21 (27420) |
$6,022.25 |
$7,085 |
0.8× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,009.50 |
$7,070 |
0.8× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$2,894.25 |
$3,405 |
0.8× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)… (26542) |
$2,811.38 |
$3,307.50 |
0.8× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$538.90 |
$634 |
2.5× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
unusually low — confirm this is the full procedure |
$3,774.85 |
$4,441 |
0.5× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$1,567.40 |
$1,844 |
0.5× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$6,757.08 |
$7,949.50 |
0.9× |
| Relieve pressure on nerve(s) (64722) |
$2,315.40 |
$2,724 |
1.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,231.65 |
$1,449 |
1.6× |
| 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 (20670) |
$1,588.22 |
$1,868.50 |
0.9× |
| Removal of anal fissure (46200) |
$1,100.75 |
$1,295 |
0.4× |
| Removal of appendix using an endoscope (44970) |
$9,919.92 |
$11,670.50 |
1.6× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$1,059.95 |
$1,247 |
0.6× |
| Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) |
$264.78 |
$311.50 |
1.9× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$901.85 |
$1,061 |
0.2× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$1,981.35 |
$2,331 |
0.6× |
| Removal of forearm bone at elbow joint (24130) |
$729.30 |
$858 |
0.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$986.85 |
$1,161 |
0.6× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,314.95 |
$1,547 |
0.8× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$2,698.75 |
$3,175 |
0.9× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$173.82 |
$204.50 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$227.80 |
$268 |
0.5× |
| Removal of foreign body, foot; deep (28192) |
$1,015.75 |
$1,195 |
0.6× |
| Removal of iud (58301) |
$345.95 |
$407 |
1.1× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$1,022.55 |
$1,203 |
0.3× |
| 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 wrist bone (25210) |
$1,441.60 |
$1,696 |
0.4× |
| Removal of wrist prosthesis; (separate procedure) Age Under 21 (25250) |
$761.60 |
$896 |
0.4× |
| Removal tunneled cv cath (36590) |
$1,312.40 |
$1,544 |
0.8× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$946.05 |
$1,113 |
2.0× |
| Removal, non-biodegradable drug delivery implant (11982) |
$553.35 |
$651 |
1.2× |
| Removal/revision of cast (29700) |
$150.45 |
$177 |
0.5× |
| Remove foreign body from eye (65210) |
$231.20 |
$272 |
0.5× |
| Remove lung catheter (32552) |
$356.15 |
$419 |
0.5× |
| Remove pharynx foreign body (42809) |
$306.42 |
$360.50 |
0.7× |
| Repair achilles tendon (27650) |
$6,097.48 |
$7,173.50 |
0.8× |
| 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 TechFee (13132) |
$1,277.55 |
$1,503 |
3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,023.40 |
$1,204 |
2.4× |
| 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 extensor tendon hand w/o graft each (26410) |
$2,959.28 |
$3,481.50 |
1.7× |
Repair fibula nonunion/malunion w int fixation (27726)
unusually low — confirm this is the full procedure |
$2,315.40 |
$2,724 |
0.3× |
| Repair finger tendon (26418) |
$2,924.85 |
$3,441 |
1.7× |
| Repair finger/hand tendon (26350) |
$2,187.90 |
$2,574 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$2,774.40 |
$3,264 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$4,123.35 |
$4,851 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$851.70 |
$1,002 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$860.20 |
$1,012 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,229.10 |
$1,446 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,352.35 |
$1,591 |
3.2× |
| 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 S/A/T/E 2.5 CM/< TechFee (12031) |
$766.70 |
$902 |
1.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$909.50 |
$1,070 |
2.1× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,183.20 |
$1,392 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$953.70 |
$1,122 |
2.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,487.50 |
$1,750 |
3.5× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,636.25 |
$1,925 |
3.8× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,700.85 |
$2,001 |
0.8× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,041.25 |
$1,225 |
1.8× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$699.55 |
$823 |
1.2× |
| Repair lower leg tendons (27676) |
$5,819.10 |
$6,846 |
0.8× |
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345)
likely a partial charge — not the full procedure |
$1,008.95 |
$1,187 |
0.1× |
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 at elbow (24340)
likely a partial charge — not the full procedure |
$880.60 |
$1,036 |
0.1× |
| Repair of defect with autograft; radius AND ulna Age Under 21 (25426) |
$1,616.70 |
$1,902 |
0.5× |
Repair of defect with autograft; radius OR ulna Age Under 21 (25425)
likely a partial charge — not the full procedure |
$1,383.80 |
$1,628 |
0.2× |
| Repair of digit nerve (64831) |
$3,548.32 |
$4,174.50 |
1.7× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$2,342.18 |
$2,755.50 |
0.7× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$339.58 |
$399.50 |
0.7× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$835.55 |
$983 |
3.3× |
| 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, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435)
likely a partial charge — not the full procedure |
$1,545.30 |
$1,818 |
0.1× |
Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430)
likely a partial charge — not the full procedure |
$1,516.40 |
$1,784 |
0.1× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Age Under 21 (25420)
likely a partial charge — not the full procedure |
$1,680.45 |
$1,977 |
0.2× |
Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Age Under 21 (25415)
likely a partial charge — not the full procedure |
$1,389.75 |
$1,635 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405)
unusually low — confirm this is the full procedure |
$2,965.65 |
$3,489 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400)
likely a partial charge — not the full procedure |
$1,154.30 |
$1,358 |
0.2× |
Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21 (27720)
unusually low — confirm this is the full procedure |
$2,459.90 |
$2,894 |
0.3× |
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440)
likely a partial charge — not the full procedure |
$2,215.95 |
$2,607 |
0.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$4,538.15 |
$5,339 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
unusually low — confirm this is the full procedure |
$2,445.45 |
$2,877 |
0.3× |
Repair of shoulder joint capsule and shoulder blade with bone block (23460)
likely a partial charge — not the full procedure |
$1,568.25 |
$1,845 |
0.2× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$4,634.62 |
$5,452.50 |
1.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
unusually low — confirm this is the full procedure |
$3,105.05 |
$3,653 |
0.5× |
| Repair wrist joints (25447) |
$2,404.65 |
$2,829 |
0.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$916.30 |
$1,078 |
1.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,199.35 |
$1,411 |
1.5× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$555.05 |
$653 |
1.3× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$862.75 |
$1,015 |
1.1× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$3,821.60 |
$4,496 |
1.1× |
| Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664) |
$5,857.78 |
$6,891.50 |
0.8× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27665) |
$5,556.45 |
$6,537 |
0.7× |
| Repair, fascial defect of leg Age Under 21 (27656) |
$2,728.08 |
$3,209.50 |
0.8× |
| Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659) |
$9,771.61 |
$11,496.01 |
1.3× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,605.65 |
$1,889 |
0.7× |
| Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) |
$6,295.10 |
$7,406 |
0.8× |
| Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) |
$4,161.60 |
$4,896 |
0.5× |
| Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654) |
$5,971.25 |
$7,025 |
0.8× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698)
likely a partial charge — not the full procedure |
$1,831.75 |
$2,155 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25272) |
$799.85 |
$941 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$967.30 |
$1,138 |
0.3× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25263)
likely a partial charge — not the full procedure |
$901 |
$1,060 |
0.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25265) |
$1,086.30 |
$1,278 |
0.3× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
unusually low — confirm this is the full procedure |
$3,567.45 |
$4,197 |
0.5× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$963.05 |
$1,133 |
0.3× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$3,028.98 |
$3,563.50 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (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× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$597.55 |
$703 |
0.6× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$960.50 |
$1,130 |
1.0× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$1,141.55 |
$1,343 |
0.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,014.05 |
$1,193 |
0.3× |
| Resection or transplantation of long tendon of biceps Age Under 21 (23440) |
$4,231.72 |
$4,978.50 |
0.6× |
| Reset dislocated jaw (21480) |
$213.35 |
$251 |
0.8× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge — not the full procedure |
$2,523.65 |
$2,969 |
0.2× |
| 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 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 total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473)
likely a partial charge — not the full procedure |
$2,336.65 |
$2,749 |
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 AUDITORY CANAL W/O ANES TechFee (69200) |
$243.10 |
$286 |
1.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$503.20 |
$592 |
3.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,599.30 |
$3,058 |
0.8× |
| Rmvl of access device (36589) |
$586.50 |
$690 |
0.9× |
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 ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$967.30 |
$1,138 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$819.40 |
$964 |
1.1× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$2,544.05 |
$2,993 |
0.7× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,893.40 |
$3,404 |
0.8× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Age Under 21 (23170) |
$3,281.85 |
$3,861 |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Age Under 21 (25145) |
$742.90 |
$874 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$188.70 |
$222 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$494.70 |
$582 |
2.3× |
| 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× |
| 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 >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 (45334) |
$324.70 |
$382 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$356.15 |
$419 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$408 |
$480 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$465.80 |
$548 |
2.2× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (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/< TechFee (12001) |
$409.70 |
$482 |
1.9× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$852.55 |
$1,003 |
4.0× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$447.95 |
$527 |
1.0× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$430.10 |
$506 |
1.0× |
| Simple revision of superficial scar tissue from surgically created opening of large bowel to skin (44340) |
$2,530.45 |
$2,977 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$478.55 |
$563 |
2.3× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$1,510.88 |
$1,777.50 |
0.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$650.25 |
$765 |
3.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$630.70 |
$742 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$742.90 |
$874 |
1.7× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$602.65 |
$709 |
0.2× |
| Strapping ankle (29540) |
$99.02 |
$116.50 |
0.6× |
| Strapping elbow or wrist (29260) |
$146.20 |
$172 |
2.3× |
| Strapping hand/finger (29280) |
$136 |
$160 |
2.2× |
| Strapping hip (29520) |
$121.55 |
$143 |
0.9× |
| Strapping of chest (29200) |
$141.95 |
$167 |
0.8× |
| Strapping of knee (29530) |
$177.65 |
$209 |
1.3× |
| Strapping of shoulder (29240) |
$169.58 |
$199.50 |
1.2× |
| Strapping of toes (29550) |
$96.90 |
$114 |
1.6× |
| Strapping unna boot (29580) |
$154.70 |
$182 |
0.9× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$586.50 |
$690 |
0.8× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$776.05 |
$913 |
1.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$2,155.60 |
$2,536 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$1,874.25 |
$2,205 |
0.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$2,436.95 |
$2,867 |
0.8× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$5,562.40 |
$6,544 |
1.5× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
unusually low — confirm this is the full procedure |
$2,739.55 |
$3,223 |
0.4× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21 (27381)
unusually low — confirm this is the full procedure |
$3,109.30 |
$3,658 |
0.4× |
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385)
unusually low — confirm this is the full procedure |
$3,009.85 |
$3,541 |
0.4× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386) |
$6,445.55 |
$7,583 |
0.8× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$2,665.60 |
$3,136 |
0.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$1,127.10 |
$1,326 |
0.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Age Under 21 (25119) |
$717.40 |
$844 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$332.35 |
$391 |
0.8× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924) |
$5,873.08 |
$6,909.50 |
0.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$1,806.25 |
$2,125 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,030.20 |
$1,212 |
0.3× |
Tenodesis long tendon biceps (23430)
unusually low — confirm this is the full procedure |
$3,598.05 |
$4,233 |
0.5× |
| 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 flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,070.20 |
$3,612 |
0.9× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$753.95 |
$887 |
0.2× |
| Tenolysis, triceps Age Under 21 (24332) |
$3,355.38 |
$3,947.50 |
1.0× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$2,746.78 |
$3,231.50 |
0.8× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$4,236.82 |
$4,984.50 |
2.5× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$3,233.40 |
$3,804 |
0.9× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) |
$2,657.95 |
$3,127 |
0.8× |
| Tenotomy, open, hamstring, knee to hip; single tendon Age Under 21 (27390) |
$2,891.28 |
$3,401.50 |
0.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$2,257.18 |
$2,655.50 |
1.3× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$2,887.02 |
$3,396.50 |
0.8× |
| Tenotomy, shoulder area; single tendon Age Under 21 (23405) |
$5,828.88 |
$6,857.50 |
0.8× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,272.88 |
$1,497.50 |
1.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,164.92 |
$1,370.50 |
1.8× |
| Throat surgery procedure (42999) |
$363.80 |
$428 |
1.5× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$3,633.75 |
$4,275 |
0.3× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,198.50 |
$1,410 |
4.8× |
| Transfer of tendon to thumb, palm, or wrist (26496) |
$3,776.12 |
$4,442.50 |
1.1× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$5,861.60 |
$6,896 |
0.8× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$3,730.22 |
$4,388.50 |
1.1× |
| Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Age Under 21 (26485) |
$3,680.50 |
$4,330 |
1.1× |
| Transfusion, blood or blood components (36430) |
$822.80 |
$968 |
1.8× |
| Transplant hand tendon (26480) |
$3,609.10 |
$4,246 |
1.0× |
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601)
unusually low — confirm this is the full procedure |
$2,019.60 |
$2,376 |
0.4× |
| Treat big toe fracture (28495) |
$334.05 |
$393 |
1.3× |
Treat elbow fracture (24586)
likely a partial charge — not the full procedure |
$2,886.60 |
$3,396 |
0.2× |
| Treat finger dislocation (26775) |
$532.10 |
$626 |
1.8× |
| 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 knee fracture (27532) |
$1,528.30 |
$1,798 |
0.4× |
| Treat lower leg fracture (27825) |
$2,450.98 |
$2,883.50 |
1.4× |
Treat radius fracture (24665)
unusually low — confirm this is the full procedure |
$2,709.80 |
$3,188 |
0.4× |
| Treat tail bone fracture (27200) |
$302.18 |
$355.50 |
1.2× |
| Treat thumb fracture (26645) |
$1,705.52 |
$2,006.50 |
1.0× |
| Treat toe dislocation (28630) |
$392.28 |
$461.50 |
1.5× |
| Treat ulnar fracture (24675) |
$1,357.02 |
$1,596.50 |
0.8× |
| Treat wrist bone fracture (25635) |
$1,087.15 |
$1,279 |
0.6× |
| Treat wrist bone fracture (25624) |
$1,123.28 |
$1,321.50 |
0.7× |
| Treat wrist dislocation (25690) |
$2,516.85 |
$2,961 |
1.5× |
| Treat wrist dislocation (25675) |
$530.82 |
$624.50 |
2.0× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,704.25 |
$2,005 |
1.0× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
unusually low — confirm this is the full procedure |
$3,788.45 |
$4,457 |
0.5× |
| Treatment of ankle fracture (27822) |
$3,940.60 |
$4,636 |
0.5× |
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure |
$895.05 |
$1,053 |
0.1× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$2,128.40 |
$2,504 |
0.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$703.80 |
$828 |
2.7× |
| Treatment of foot infection (28003) |
$1,546.58 |
$1,819.50 |
0.4× |
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516)
likely a partial charge — not the full procedure |
$1,235.05 |
$1,453 |
0.1× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
unusually low — confirm this is the full procedure |
$2,952.90 |
$3,474 |
0.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,599.38 |
$6,587.50 |
0.7× |
| Treatment of miscarriage (59812) |
$768.82 |
$904.50 |
0.2× |
| Treatment of mouth lesion (40820) |
$513.40 |
$604 |
0.1× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$11,033.85 |
$12,981 |
3.2× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$1,105.85 |
$1,301 |
4.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$333.20 |
$392 |
1.3× |
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
unusually low — confirm this is the full procedure |
$4,625.70 |
$5,442 |
0.3× |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236) |
$5,542 |
$6,520 |
0.7× |
| Trimming of nondystrophic nails, any number (11719) |
$78.20 |
$92 |
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 autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$2,052.75 |
$2,415 |
0.8× |
| Unlisted procedure anus (46999) |
$693.60 |
$816 |
0.7× |
| Unlisted procedure leg/ankle (27899) |
$3,357.50 |
$3,950 |
12.9× |
| Unlisted procedure shoulder (23929) |
$3,189.20 |
$3,752 |
12.3× |
| Unlisted procedure, dentoalveolar structures (41899) |
$198.48 |
$233.50 |
0.8× |
| Unlisted procedure, hands or fingers (26989) |
$542.30 |
$638 |
2.1× |
| Upper arm/elbow surgery unlisted (24999) |
$3,558.10 |
$4,186 |
13.7× |
| Urology surgery procedure unlisted (53899) |
$359.55 |
$423 |
1.4× |
| Vaginal delivery (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× |
| Version cephalic external (59412) |
$1,484.10 |
$1,746 |
0.4× |
| Wedge excision skin nail fold (11765) |
$351.90 |
$414 |
0.8× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$2,767.18 |
$3,255.50 |
1.1× |