| Abd paracentesis w/imaging (49083) |
$1,011.89 |
$1,264.86 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$524.49 |
$655.61 |
0.6× |
| Acne Surgery (10040) |
$288.80 |
$361 |
1.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,549.60 |
$3,187 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,676.15 |
$3,345.19 |
1.2× |
| Amputation Finger/Thumb (26951) |
$1,475.20 |
$1,844 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$124 |
$155 |
0.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,624.54 |
$3,280.68 |
0.8× |
| Analyze infusn pump+reprogram (62368) |
$124 |
$155 |
0.4× |
| Anoscopy diagnostic (46600) |
$177.08 |
$221.36 |
1.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$124 |
$155 |
0.0× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,212 |
$2,765 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$243.20 |
$304 |
1.4× |
| Application cast elbow finger short arm (29075) |
$171 |
$213.75 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$198.36 |
$247.94 |
0.7× |
| Application finger splint static (29130) |
$128.25 |
$160.31 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$94.76 |
$118.45 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$125.21 |
$156.52 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$66.11 |
$82.64 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$144 |
$180 |
1.0× |
| Application short leg splint calf foot (29515) |
$119.01 |
$148.76 |
0.7× |
| Apply short leg cast (29405) |
$81.60 |
$102 |
0.3× |
| Arterial puncture (36600) |
$121.60 |
$152 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$201.80 |
$252.25 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$141.60 |
$177 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$249.60 |
$312 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$257.09 |
$321.36 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$220.50 |
$275.62 |
0.7× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$6,727.20 |
$8,409 |
0.5× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554)
unusually low: confirm this is the full procedure |
$5,509.60 |
$6,887 |
0.4× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$5,814.40 |
$7,268 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$5,936.80 |
$7,421 |
0.3× |
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610)
likely a partial charge, not the full procedure |
$5,190.40 |
$6,488 |
0.3× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600)
unusually low: confirm this is the full procedure |
$5,490.40 |
$6,863 |
0.3× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802)
unusually low: confirm this is the full procedure |
$8,850.40 |
$11,063 |
0.5× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$2,493.60 |
$3,117 |
1.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$124 |
$155 |
0.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$124 |
$155 |
0.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,130.40 |
$3,913 |
0.9× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,380.19 |
$2,975.24 |
0.7× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,179.20 |
$1,474 |
0.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$124 |
$155 |
0.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$124 |
$155 |
0.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$124 |
$155 |
0.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,913.60 |
$4,892 |
1.2× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$124 |
$155 |
0.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,760 |
$3,450 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$7,154.03 |
$8,942.54 |
2.1× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$124 |
$155 |
0.0× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
unusually low: confirm this is the full procedure |
$2,468.80 |
$3,086 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$124 |
$155 |
0.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,025.60 |
$5,032 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$314.24 |
$392.80 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$96.26 |
$120.32 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$994.80 |
$1,243.50 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$801.38 |
$1,001.72 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$127.72 |
$159.65 |
0.1× |
| Biopsy external ear (69100) |
$191.17 |
$238.96 |
0.8× |
| Biopsy intranasal (30100) |
$344 |
$430 |
0.2× |
| Biopsy of lip (40490) |
$221.60 |
$277 |
0.9× |
| Biopsy of uterus lining (58100) |
$410.14 |
$512.68 |
2.0× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$1,361.60 |
$1,702 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$764 |
$955 |
0.2× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,024 |
$1,280 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$124 |
$155 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,221.60 |
$1,527 |
0.3× |
| Bladder Irrigation Simple (51700) |
$159.05 |
$198.81 |
0.6× |
| Bladder Scan (51798) |
$181.72 |
$227.15 |
3.0× |
| Blood patch (62273) |
$732.80 |
$916 |
1.0× |
| Blood transfusion service (36430) |
$648.80 |
$811 |
1.4× |
| Bone marrow aspiration only (38220) |
$416.80 |
$521 |
0.2× |
| Bone Marrow Biopsy (38221) |
$532 |
$665 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,135.20 |
$1,419 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$124 |
$155 |
0.1× |
| Bx breast 1st lesion strtctc (19081) |
$2,300.30 |
$2,875.38 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$1,544.80 |
$1,931 |
0.9× |
| Bx vulva/perineum 1 lesion (56605) |
$1,501.59 |
$1,876.99 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$409.60 |
$512 |
0.2× |
| Cataract surgery complex (66982) |
$3,439.24 |
$4,299.05 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$89.82 |
$112.27 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$200.20 |
$250.25 |
0.8× |
| Chemical Cautery Tissue (17250) |
$125.86 |
$157.32 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$636 |
$795 |
2.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$215.89 |
$269.86 |
0.7× |
| Chest tube placement (32551) |
$465.15 |
$581.44 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$135.14 |
$168.92 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,762.40 |
$2,203 |
0.5× |
| Circumcision (54150) |
$125.86 |
$157.32 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,406.40 |
$1,758 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$227.01 |
$283.76 |
0.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$479.20 |
$599 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$772.97 |
$966.21 |
3.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$382.73 |
$478.41 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$358.23 |
$447.78 |
0.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$127.72 |
$159.65 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$643.64 |
$804.56 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$286.56 |
$358.20 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$877.60 |
$1,097 |
0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$167.27 |
$209.09 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$124 |
$155 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$143.38 |
$179.22 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$279.48 |
$349.36 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$294.40 |
$368 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$110.40 |
$138 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$925.60 |
$1,157 |
3.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$231.54 |
$289.43 |
0.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,257.60 |
$1,572 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$151.60 |
$189.50 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$1,835.25 |
$2,294.06 |
1.5× |
| Colonoscopy stoma w/biopsy (44389) |
$254.62 |
$318.27 |
0.2× |
| Colonoscopy thru stoma (44388) |
$247.20 |
$309 |
0.3× |
| Colonoscopy w/band ligation (45398) |
$1,915.39 |
$2,394.24 |
1.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$925.70 |
$1,157.13 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,313.60 |
$2,892 |
1.9× |
| Complex Drainage, Wound (10180) |
$124 |
$155 |
0.0× |
| Complex Uroflowmetry (51741) |
$220 |
$275 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$197.76 |
$247.20 |
1.4× |
| Cysto/uretero w/lithotripsy (52356) |
$4,401.58 |
$5,501.98 |
0.8× |
| Cystoscopy w/biopsy (52204) |
$2,942.52 |
$3,678.15 |
1.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,446.40 |
$1,808 |
0.7× |
| Cystourethroscopy (52000) |
$597.60 |
$747 |
0.8× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$760.24 |
$950.30 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$122.80 |
$153.50 |
0.3× |
| Debride nail 1-5 (11720) |
$98.06 |
$122.57 |
1.6× |
| Debride nail 6 or more (11721) |
$231.60 |
$289.50 |
3.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$241.79 |
$302.24 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$384 |
$480 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,887.20 |
$2,359 |
2.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,866.35 |
$2,332.94 |
1.1× |
| Declot vascular device (36593) |
$580 |
$725 |
1.7× |
| Destroy cerv/thor facet jnt (64633) |
$1,417.28 |
$1,771.60 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,110.40 |
$1,388 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$114.94 |
$143.68 |
0.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$603.60 |
$754.50 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,176.70 |
$2,720.88 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$96.41 |
$120.51 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$522.42 |
$653.02 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,142.44 |
$1,428.05 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,004.12 |
$1,255.15 |
0.6× |
| Draw blood off venous device (36591) |
$138.40 |
$173 |
1.0× |
| Dressing change under anesthesia (15852) |
$202.40 |
$253 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$153.60 |
$192 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$173.60 |
$217 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$133.73 |
$167.16 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$901.99 |
$1,127.48 |
0.5× |
| Egd flexible foreign body removal (43247) |
$973.60 |
$1,217 |
1.0× |
| Egd place gastrostomy tube (43246) |
$904.80 |
$1,131 |
0.5× |
| Elbow arthroscopy/surgery (29838) |
$124 |
$155 |
0.0× |
| Elbow arthroscopy/surgery (29835) |
$124 |
$155 |
0.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$243.06 |
$303.82 |
0.8× |
| Endoscopic Injection/Implant (51715) |
$2,028.04 |
$2,535.05 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$892 |
$1,115 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$97.84 |
$122.30 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$124 |
$155 |
0.1× |
| Exc abd les sc 3 cm/> (22903) |
$1,390.40 |
$1,738 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$477.92 |
$597.40 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$595.20 |
$744 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$263.26 |
$329.08 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$536 |
$670 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$1,443.20 |
$1,804 |
0.8× |
| Exc back tum deep < 5 cm (21932) |
$1,004.46 |
$1,255.57 |
0.3× |
| Exc face les sbq 2 cm/> (21012) |
$972.80 |
$1,216 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$216.96 |
$271.20 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$193.60 |
$242 |
0.1× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$124 |
$155 |
0.1× |
| Exc forearm les sc < 3 cm (25075) |
$124 |
$155 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$7,871.73 |
$9,839.66 |
2.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,432.80 |
$1,791 |
0.8× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,818.40 |
$2,273 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$415.20 |
$519 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$531.48 |
$664.35 |
1.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$327.20 |
$409 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$512.53 |
$640.66 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$403.76 |
$504.70 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$865.60 |
$1,082 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$865.60 |
$1,082 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$446.61 |
$558.26 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,736.96 |
$2,171.20 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$996 |
$1,245 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,299.20 |
$4,124 |
1.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,022.20 |
$1,277.76 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$399.20 |
$499 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$512.53 |
$640.66 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$124 |
$155 |
0.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,279.20 |
$2,849 |
0.8× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,580 |
$1,975 |
0.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,432.80 |
$1,791 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,241.60 |
$1,552 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,250.40 |
$1,563 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$935.20 |
$1,169 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$850.40 |
$1,063 |
0.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,380.80 |
$1,726 |
0.8× |
| Excision Breast Lesion (19125) |
$1,567.20 |
$1,959 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,326.16 |
$1,657.70 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$347.73 |
$434.66 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,605.98 |
$2,007.47 |
3.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,812.59 |
$2,265.74 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,360.11 |
$1,700.14 |
1.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$394.05 |
$492.56 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$341.96 |
$427.45 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$312.30 |
$390.37 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$880.80 |
$1,101 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$391.64 |
$489.55 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$528 |
$660 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$4,768.54 |
$5,960.68 |
2.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$208.50 |
$260.62 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$451.78 |
$564.72 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,054.39 |
$2,567.99 |
1.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$221.60 |
$277 |
0.1× |
| Excision of nail fold toe (11765) |
$148.52 |
$185.65 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$369.60 |
$462 |
0.3× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$9,114.76 |
$11,393.45 |
4.2× |
| Excision of tongue lesion (41112) |
$1,431 |
$1,788.75 |
0.4× |
| Excision olecranon bursa (24105) |
$2,419.60 |
$3,024.50 |
0.7× |
| Excision Prepatellar Bursa (27340) |
$1,327.20 |
$1,659 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$556.20 |
$695.25 |
0.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,639.20 |
$2,049 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$374.49 |
$468.11 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,644 |
$2,055 |
0.5× |
| Exploration of knee joint (27310) |
$2,830.40 |
$3,538 |
0.8× |
| Exploration of spinal fusion (22830) |
$4,236 |
$5,295 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,519.20 |
$1,899 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,632 |
$3,290 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$176.34 |
$220.42 |
0.4× |
| Fixation of knee joint (27570) |
$740 |
$925 |
0.4× |
| Fixation of shoulder (23700) |
$124 |
$155 |
0.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,953.60 |
$2,442 |
0.9× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$336.19 |
$420.24 |
1.5× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,168.80 |
$3,961 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,592.80 |
$1,991 |
0.8× |
| Hemorrhoidectomy (46255) |
$6,832.76 |
$8,540.95 |
2.4× |
| I&d abscess simple (10060) |
$187.68 |
$234.60 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$124 |
$155 |
0.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$912.80 |
$1,141 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$257.09 |
$321.36 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$307.87 |
$384.84 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$124 |
$155 |
0.0× |
| Implant neuroelectrodes (63650) |
$3,684.80 |
$4,606 |
0.6× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure |
$2,701.60 |
$3,377 |
0.3× |
| Incise finger tendon sheath (26055) |
$1,504.80 |
$1,881 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$340.80 |
$426 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,388.80 |
$1,736 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$215.20 |
$269 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$236.19 |
$295.24 |
0.7× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
unusually low: confirm this is the full procedure |
$2,276.80 |
$2,846 |
0.3× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge, not the full procedure |
$2,256.80 |
$2,821 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,392.80 |
$1,741 |
0.8× |
| Incision of eardrum (69420) |
$283.08 |
$353.86 |
1.2× |
Incision of heel bone (28300)
likely a partial charge, not the full procedure |
$2,233.60 |
$2,792 |
0.3× |
| Incision of lingual frenum (41010) |
$788.20 |
$985.26 |
0.5× |
| Incision of rectal abscess (46045) |
$973.60 |
$1,217 |
0.3× |
| Incision of rectal abscess (46040) |
$925.60 |
$1,157 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$973.60 |
$1,217 |
3.8× |
| Incisional biopsy skin single lesion (11106) |
$1,065.58 |
$1,331.97 |
1.4× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
unusually low: confirm this is the full procedure |
$2,469.60 |
$3,087 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$77.06 |
$96.33 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$656 |
$820 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$151.03 |
$188.79 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$634.14 |
$792.68 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$535.20 |
$669 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$973.60 |
$1,217 |
1.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$686.54 |
$858.18 |
0.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$795.34 |
$994.18 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$918.40 |
$1,148 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$852.80 |
$1,066 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,315 |
$1,643.75 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$331.82 |
$414.78 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$942.30 |
$1,177.88 |
1.3× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$724 |
$905 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$558.81 |
$698.51 |
0.8× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$847.20 |
$1,059 |
0.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$549.30 |
$686.62 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$232.80 |
$291 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$145.60 |
$182 |
0.2× |
| Injection for identification of sentinel node (38792) |
$860.42 |
$1,075.53 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$156.40 |
$195.50 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$185.60 |
$232 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$662.46 |
$828.08 |
2.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$253.60 |
$317 |
0.8× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$120 |
$150 |
0.4× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$936.80 |
$1,171 |
1.0× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$2,724.80 |
$3,406 |
0.3× |
| Insert Drug Implant Device (11981) |
$120.92 |
$151.14 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$145.60 |
$182 |
0.0× |
| Insert picc cath (36569) |
$145.60 |
$182 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$179.88 |
$224.85 |
1.3× |
| Insert tunneled cv cath (36561) |
$3,774.03 |
$4,717.54 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$101.60 |
$127 |
0.7× |
Insert/ preplace infusn pump,nonprogram (62361)
likely a partial charge, not the full procedure |
$1,920.80 |
$2,401 |
0.1× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$5,512 |
$6,890 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,081.20 |
$2,601.50 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,438.40 |
$1,798 |
0.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$2,544.80 |
$3,181 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$229.60 |
$287 |
0.9× |
| Knee arthroscopy/surgery (29876) |
$124 |
$155 |
0.0× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$6,852.80 |
$8,566 |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$5,483.20 |
$6,854 |
0.7× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure |
$5,035.20 |
$6,294 |
0.2× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$5,132 |
$6,415 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$5,788 |
$7,235 |
0.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$6,309.60 |
$7,887 |
0.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$6,051.20 |
$7,564 |
0.8× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$5,907.20 |
$7,384 |
0.8× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,160 |
$6,450 |
0.7× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$6,443.20 |
$8,054 |
0.9× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,595.20 |
$1,994 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$511.20 |
$639 |
0.0× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,680.80 |
$2,101 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,850.40 |
$2,313 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,866.40 |
$2,333 |
0.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$197.60 |
$247 |
1.0× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$104.65 |
$130.81 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,294.50 |
$1,618.13 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$471.20 |
$589 |
0.3× |
| Marsup Bartholin Gland Cyst (56440) |
$655.20 |
$819 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$3,338.40 |
$4,173 |
0.5× |
| Mastectomy gynecomastia (19300) |
$1,797.60 |
$2,247 |
0.4× |
| Mastectomy partial (19301) |
$1,635.20 |
$2,044 |
0.4× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,635.20 |
$2,044 |
0.2× |
| Myelography Lumbar Injection (62304) |
$2,183.20 |
$2,729 |
2.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$636.80 |
$796 |
0.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$636.80 |
$796 |
0.8× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$117.60 |
$147 |
0.6× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,849.54 |
$2,311.93 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,849.54 |
$2,311.93 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$243.20 |
$304 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$466.80 |
$583.50 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$667.44 |
$834.30 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$468.30 |
$585.38 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$847.20 |
$1,059 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$760 |
$950 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$145.60 |
$182 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$413.57 |
$516.96 |
0.6× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,789.60 |
$2,237 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$3,644 |
$4,555 |
0.5× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$2,010.40 |
$2,513 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
unusually low: confirm this is the full procedure |
$2,538.40 |
$3,173 |
0.3× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$2,946.40 |
$3,683 |
0.4× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,080 |
$1,350 |
0.3× |
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Osteoplasty, radius OR ulna; shortening (25390)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Osteotomy Radius Distal Third (25350)
likely a partial charge, not the full procedure |
$1,548.80 |
$1,936 |
0.2× |
| Partial Excision Bone Olecranon Process (24147) |
$1,424.80 |
$1,781 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,348 |
$1,685 |
0.8× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$3,644 |
$4,555 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$124 |
$155 |
0.0× |
| Peritoneal Lavage (49084) |
$931.20 |
$1,164 |
1.0× |
| Perq device breast 1st imag (19281) |
$824 |
$1,030 |
0.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,762.40 |
$2,203 |
0.9× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge, not the full procedure |
$1,867.20 |
$2,334 |
0.2× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$1,794.40 |
$2,243 |
0.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,340 |
$2,925 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$160 |
$200 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$428.80 |
$536 |
0.4× |
| Prostatectomy (turp) (52601) |
$4,487.42 |
$5,609.28 |
0.8× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$1,652.82 |
$2,066.02 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$426.82 |
$533.52 |
1.0× |
| Puncture Aspiration (10160) |
$178.40 |
$223 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$127.72 |
$159.65 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$124 |
$155 |
0.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$124 |
$155 |
0.0× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420)
unusually low: confirm this is the full procedure |
$2,978.40 |
$3,723 |
0.4× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Reinsertion Spinal Fixation Device (22849)
unusually low: confirm this is the full procedure |
$4,652.80 |
$5,816 |
0.3× |
| Release wrist/forearm tendon (25295) |
$124 |
$155 |
0.0× |
| Removal fb intranasal (30300) |
$126.21 |
$157.76 |
0.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,237.60 |
$1,547 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$223.74 |
$279.67 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$43.47 |
$54.34 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$225.74 |
$282.17 |
3.7× |
| Removal Implant Deep (20680) |
$1,182.40 |
$1,478 |
0.4× |
| Removal Implant From Finger/Hand (26320) |
$124 |
$155 |
0.1× |
| Removal of anal fissure (46200) |
$1,080 |
$1,350 |
0.4× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$4,022.40 |
$5,028 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$96.82 |
$121.02 |
0.3× |
| Removal of nail bed (11750) |
$264.59 |
$330.74 |
0.6× |
Removal of posterior instrumentation (eg, harrington rod) (22850)
unusually low: confirm this is the full procedure |
$2,589.60 |
$3,237 |
0.3× |
Removal of posterior segmental instrumentation (22852)
unusually low: confirm this is the full procedure |
$3,051.20 |
$3,814 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$134.79 |
$168.49 |
0.6× |
| Remove drug implant device (11982) |
$164.80 |
$206 |
0.4× |
| Remove femur lesion/bursa (27062) |
$124 |
$155 |
0.0× |
| Remove in/ex hem groups 2+ (46260) |
$6,613.30 |
$8,266.63 |
2.3× |
| Remove knee cyst (27347) |
$1,944.80 |
$2,431 |
0.6× |
Remove part lumbar vertebra (22102)
likely a partial charge, not the full procedure |
$1,848.80 |
$2,311 |
0.2× |
| Remove wrist tendon lesion (25111) |
$124 |
$155 |
0.1× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$1,852 |
$2,315 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$176.80 |
$221 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$63.05 |
$78.81 |
0.5× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$1,852 |
$2,315 |
0.2× |
| Renal biopsy (50200) |
$407.20 |
$509 |
0.2× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$337.68 |
$422.10 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$353.16 |
$441.44 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$726.52 |
$908.15 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$445.96 |
$557.45 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,176 |
$1,470 |
2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,454.10 |
$1,817.63 |
1.9× |
| Repair elbow deb/attch open (24359) |
$4,993.93 |
$6,242.41 |
1.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,961.60 |
$2,452 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,022.40 |
$2,528 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,047.20 |
$1,309 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$595.32 |
$744.15 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$358.40 |
$448 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$371.20 |
$464 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$404 |
$505 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$351.20 |
$439 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$739.84 |
$924.80 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$164.80 |
$206 |
0.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$338.45 |
$423.06 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$599.75 |
$749.69 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$324 |
$405 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$506.40 |
$633 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$756 |
$945 |
0.4× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Repair nonunion hand (26546)
unusually low: confirm this is the full procedure |
$2,727.20 |
$3,409 |
0.4× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$3,341.60 |
$4,177 |
0.3× |
| Repair of hydrocele (55060) |
$10,896 |
$13,620 |
3.0× |
| Repair of leg tendon each (27658) |
$124 |
$155 |
0.0× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Repair shldr capsu,ant,coracoid xfer (23462)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Repair tympanic membrane (69610) |
$2,151.90 |
$2,689.87 |
1.3× |
| Repair wrist joints (25447) |
$124 |
$155 |
0.0× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$2,371.20 |
$2,964 |
0.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$124 |
$155 |
0.0× |
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure |
$1,769.60 |
$2,212 |
0.2× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$2,330.40 |
$2,913 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$2,172.80 |
$2,716 |
0.6× |
| Revise median n/carpal tunnel surg (64721) |
$2,972.04 |
$3,715.06 |
1.5× |
| Revise ulnar nerve at elbow (64718) |
$3,719.47 |
$4,649.34 |
1.8× |
| Revise ulnar nerve at wrist (64719) |
$4,603.75 |
$5,754.69 |
2.3× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$4,090.40 |
$5,113 |
1.1× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low: confirm this is the full procedure |
$5,880.80 |
$7,351 |
0.4× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure |
$5,640 |
$7,050 |
0.4× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$1,988.80 |
$2,486 |
0.5× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$187.48 |
$234.35 |
0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$615.12 |
$768.90 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$61.43 |
$76.79 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,586 |
$1,982.50 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$773.60 |
$967 |
1.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$152.02 |
$190.02 |
0.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$5,737 |
$7,171.25 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,336 |
$2,920 |
0.6× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$124 |
$155 |
0.0× |
Rpr hern preemie reduc (49491)
likely a partial charge, not the full procedure |
$1,790.40 |
$2,238 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$424.36 |
$530.45 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$242.29 |
$302.86 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$177.16 |
$221.45 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$140.90 |
$176.13 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$162.33 |
$202.91 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$123.60 |
$154.50 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$203.53 |
$254.41 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$521.30 |
$651.63 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$64.80 |
$81 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$154.40 |
$193 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$88 |
$110 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$112 |
$140 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$211.40 |
$264.25 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$162.80 |
$203.50 |
0.8× |
| Skin Tissue Procedure (17999) |
$124 |
$155 |
0.6× |
| Skin tissue rearrangement (14040) |
$1,249.88 |
$1,562.36 |
0.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$3,040.51 |
$3,800.64 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$107.12 |
$133.90 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$112 |
$140 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$136.80 |
$171 |
0.3× |
| Sphincterotomy (46080) |
$973.60 |
$1,217 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$743.20 |
$929 |
1.0× |
| Strapping elbow/wrist (29260) |
$62.70 |
$78.38 |
1.0× |
| Strapping shoulder (29240) |
$64.62 |
$80.77 |
0.5× |
| Strapping unna boot (29580) |
$139.26 |
$174.08 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$120.30 |
$150.38 |
0.3× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
| Tenotomy elbow lateral/medial debride open (24358) |
$124 |
$155 |
0.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$522.42 |
$653.02 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$263.20 |
$329 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$238.71 |
$298.39 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$712.87 |
$891.09 |
2.1× |
| Thyroid biopsy (60100) |
$120 |
$150 |
0.2× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,340 |
$2,925 |
0.4× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$6,180 |
$7,725 |
0.5× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$6,660 |
$8,325 |
0.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$4,244.58 |
$5,305.73 |
2.1× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$8,345.60 |
$10,432 |
1.1× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$7,530.40 |
$9,413 |
1.0× |
| Transplant forearm tendon (25310) |
$124 |
$155 |
0.0× |
| Treat finger dislocation (26775) |
$1,057.60 |
$1,322 |
3.6× |
| Treat Fracture Radius & Ulna (25560) |
$127.72 |
$159.65 |
0.5× |
| Treat fx distal radial (25606) |
$124 |
$155 |
0.0× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$2,023.20 |
$2,529 |
0.3× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,996.80 |
$2,496 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$763.26 |
$954.07 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$385.60 |
$482 |
1.5× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$124 |
$155 |
0.0× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$2,074.40 |
$2,593 |
0.3× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$4,655.20 |
$5,819 |
0.6× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$4,655.20 |
$5,819 |
0.6× |
| Trim skin lesion (11055) |
$78.28 |
$97.85 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$93.11 |
$116.39 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$43.20 |
$54 |
0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,257.60 |
$1,572 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$643.75 |
$804.69 |
0.8× |
| Tympanostomy (69433) |
$232.37 |
$290.46 |
0.4× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$2,614.40 |
$3,268 |
0.4× |
| Unlisted procedure foot or toes (28899) |
$415.90 |
$519.88 |
1.6× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$1,390.40 |
$1,738 |
5.4× |
| Unlisted procedure, stomach (43999) |
$344.80 |
$431 |
0.4× |
| Vasectomy (55250) |
$426.01 |
$532.51 |
0.2× |
| Venipuncture (36415) |
$26.40 |
$33 |
2.8× |
| Wrist arthroscop,excis triang cart (29846) |
$124 |
$155 |
0.0× |
| Wrist arthroscop,part synovect (29844) |
$124 |
$155 |
0.0× |
| Wrist arthroscopy (29840) |
$124 |
$155 |
0.0× |
| Wrist arthroscopy/surgery (29845) |
$124 |
$155 |
0.0× |