| Abd paracentesis w/imaging (49083) |
$871.98 |
$1,341.50 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$833.95 |
$1,283 |
0.9× |
| Acne Surgery (10040) |
$167.70 |
$258 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$2,210 |
$3,400 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$2,925 |
$4,500 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,210 |
$3,400 |
0.7× |
| Anoscopy diagnostic (46600) |
$260 |
$400 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$796.25 |
$1,225 |
0.9× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$167.70 |
$258 |
1.0× |
| Application cast elbow finger short arm (29075) |
$265.85 |
$409 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$308.75 |
$475 |
1.1× |
| Application finger splint static (29130) |
$108.55 |
$167 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$152.10 |
$234 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$175.50 |
$270 |
1.1× |
| Application of long leg cast (29345) |
$265.85 |
$409 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$178.75 |
$275 |
1.3× |
| Application short leg splint calf foot (29515) |
$175.50 |
$270 |
1.1× |
| Apply short leg cast (29405) |
$265.85 |
$409 |
0.9× |
| Arterial puncture (36600) |
$9.10 |
$14 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$274.30 |
$422 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$390 |
$600 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$286 |
$440 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$299.65 |
$461 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$304.52 |
$468.50 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$10,075 |
$15,500 |
0.6× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,200 |
$8,000 |
0.7× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$11,700 |
$18,000 |
0.7× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$9,750 |
$15,000 |
0.6× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,034 |
$12,360 |
1.1× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$8,034 |
$12,360 |
0.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,017 |
$6,180 |
1.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,347.50 |
$5,150 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,017 |
$6,180 |
1.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,017 |
$6,180 |
1.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,347.50 |
$5,150 |
1.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,347.50 |
$5,150 |
1.0× |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
$7,364.50 |
$11,330 |
1.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,017 |
$6,180 |
1.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,347.50 |
$5,150 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,017 |
$6,180 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,017 |
$6,180 |
1.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$334.75 |
$515 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$217.75 |
$335 |
1.1× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,040 |
$1,600 |
0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,004.25 |
$1,545 |
0.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$975 |
$1,500 |
1.1× |
| Biopsy of mouth lesion (40808) |
$669.50 |
$1,030 |
1.2× |
| Biopsy of nail unit (11755) |
$669.50 |
$1,030 |
0.9× |
| Biopsy of palate, uvula (42100) |
$1,673.75 |
$2,575 |
1.1× |
| Biopsy of tongue (41100) |
$669.50 |
$1,030 |
1.2× |
| Biopsy of uterus lining (58100) |
$260 |
$400 |
1.3× |
| Bladder Scan (51798) |
$78 |
$120 |
1.3× |
| Blood transfusion service (36430) |
$455 |
$700 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$702 |
$1,080 |
0.4× |
| Bx vulva/perineum 1 lesion (56605) |
$975 |
$1,500 |
1.1× |
| Cataract surgery complex (66982) |
$2,730 |
$4,200 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$113.75 |
$175 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$253.50 |
$390 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$351 |
$540 |
0.5× |
| Chemodenerv Musc Migraine (64615) |
$227.50 |
$350 |
0.7× |
| Chemodenerv Musc Neck Dyston (64616) |
$325 |
$500 |
1.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$334.75 |
$515 |
1.1× |
| Chest tube placement (32551) |
$1,155.38 |
$1,777.50 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$248.95 |
$383 |
1.0× |
| Closed Rx Med Malleolus Fx (27760) |
$248.95 |
$383 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,513.85 |
$2,329 |
0.9× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,513.85 |
$2,329 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,513.85 |
$2,329 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$248.95 |
$383 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$241.15 |
$371 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$248.95 |
$383 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$248.95 |
$383 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$241.15 |
$371 |
1.0× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,513.85 |
$2,329 |
0.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$248.95 |
$383 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$241.15 |
$371 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,513.85 |
$2,329 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$248.95 |
$383 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$248.95 |
$383 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$241.15 |
$371 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$248.95 |
$383 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$247 |
$380 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$241.15 |
$371 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,513.85 |
$2,329 |
0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$248.95 |
$383 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,513.85 |
$2,329 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,513.85 |
$2,329 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$248.95 |
$383 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$248.95 |
$383 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,513.85 |
$2,329 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$248.95 |
$383 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,495 |
$2,300 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$241.15 |
$371 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$241.15 |
$371 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$248.95 |
$383 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$241.15 |
$371 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$248.95 |
$383 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$260 |
$400 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$248.95 |
$383 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$241.15 |
$371 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$248.95 |
$383 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$241.15 |
$371 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$248.95 |
$383 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$248.95 |
$383 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$241.15 |
$371 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$241.15 |
$371 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$292.50 |
$450 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$241.15 |
$371 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$241.15 |
$371 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$241.15 |
$371 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$241.15 |
$371 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$248.95 |
$383 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$241.15 |
$371 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$248.95 |
$383 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$241.15 |
$371 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$248.95 |
$383 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,513.85 |
$2,329 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,513.85 |
$2,329 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$753.35 |
$1,159 |
0.6× |
| Colonoscopy stoma w/snare (44394) |
$753.35 |
$1,159 |
0.6× |
| Colonoscopy w/ablation (45388) |
$753.35 |
$1,159 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$887.25 |
$1,365 |
0.7× |
| Colonoscopy w/resection (45390) |
$2,008.50 |
$3,090 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$399.75 |
$615 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$240.50 |
$370 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,925 |
$4,500 |
0.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,925 |
$4,500 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$399.75 |
$615 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$399.75 |
$615 |
1.3× |
| Colposcopy vulva (56820) |
$260 |
$400 |
1.3× |
| Colposcopy vulva w/biopsy (56821) |
$399.75 |
$615 |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$399.75 |
$615 |
1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$975 |
$1,500 |
1.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$753.35 |
$1,159 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$920.72 |
$1,416.50 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$117.65 |
$181 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$165.10 |
$254 |
1.2× |
| Correction hammertoe (28285) |
$2,600 |
$4,000 |
0.8× |
| Correction of bunion (28292) |
$3,380 |
$5,200 |
1.0× |
| Correction of bunion (28299) |
$5,356 |
$8,240 |
0.7× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,347.50 |
$5,150 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,347.50 |
$5,150 |
1.0× |
| Create eardrum opening (69436) |
$1,709.50 |
$2,630 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$130 |
$200 |
1.0× |
| Curette/treat cornea (65435) |
$906.10 |
$1,394 |
0.9× |
| Cystometrogram W/Vp&Up (51729) |
$812.50 |
$1,250 |
1.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,080 |
$3,200 |
1.0× |
| Cystourethroscopy (52000) |
$1,625 |
$2,500 |
2.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,210 |
$3,400 |
1.1× |
| Debride nail 1-5 (11720) |
$112.78 |
$173.50 |
1.9× |
| Debride nail 6 or more (11721) |
$169 |
$260 |
2.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$227.50 |
$350 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$357.50 |
$550 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$780 |
$1,200 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,534 |
$2,360 |
0.9× |
| Delivery placenta separate procedure (59414) |
$2,548.65 |
$3,921 |
0.8× |
| Destroy cerv/thor facet jnt (64633) |
$2,008.50 |
$3,090 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$2,015 |
$3,100 |
1.0× |
| Destroy nerve of eye muscle (67345) |
$334.75 |
$515 |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$520 |
$800 |
1.3× |
| Destruction benign lesions 15 or more (17111) |
$334.75 |
$515 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$186.88 |
$287.50 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,004.25 |
$1,545 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$435.50 |
$670 |
2.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$334.75 |
$515 |
1.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$334.75 |
$515 |
1.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$334.75 |
$515 |
1.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,008.50 |
$3,090 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$238.22 |
$366.50 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$611.98 |
$941.50 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$639.60 |
$984 |
0.7× |
| Drain/inj small joint/bursa w/us (20604) |
$299.65 |
$461 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$165.10 |
$254 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$189.15 |
$291 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$650 |
$1,000 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$1,511.25 |
$2,325 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$348.40 |
$536 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$189.15 |
$291 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$261.95 |
$403 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$24.38 |
$37.50 |
0.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,673.75 |
$2,575 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$920.72 |
$1,416.50 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$920.72 |
$1,416.50 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,673.75 |
$2,575 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,170 |
$1,800 |
1.3× |
| Egd guide wire insertion (43248) |
$639.60 |
$984 |
0.7× |
| Egd place gastrostomy tube (43246) |
$920.72 |
$1,416.50 |
0.5× |
| Egd remove lesion snare (43251) |
$920.72 |
$1,416.50 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$920.72 |
$1,416.50 |
0.5× |
| Epidural lysis on single day (62264) |
$1,004.25 |
$1,545 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,004.25 |
$1,545 |
1.1× |
| Esophagosc dilate balloon 30 (43214) |
$920.72 |
$1,416.50 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$117.65 |
$181 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,004.25 |
$1,545 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,339 |
$2,060 |
0.8× |
| Exc back les sc < 3 cm (21930) |
$1,339 |
$2,060 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$669.50 |
$1,030 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,339 |
$2,060 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$2,275 |
$3,500 |
1.4× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,339 |
$2,060 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$669.50 |
$1,030 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$780 |
$1,200 |
1.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$975 |
$1,500 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,105 |
$1,700 |
1.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,339 |
$2,060 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,170 |
$1,800 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,008.50 |
$3,090 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,339 |
$2,060 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,339 |
$2,060 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,339 |
$2,060 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,008.50 |
$3,090 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,008.50 |
$3,090 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,008.50 |
$3,090 |
1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,049.75 |
$1,615 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$650 |
$1,000 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,673.75 |
$2,575 |
1.0× |
| Excision external ear partial simple repair (69110) |
$3,250 |
$5,000 |
1.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$669.50 |
$1,030 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$669.50 |
$1,030 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$669.50 |
$1,030 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,004.25 |
$1,545 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,004.25 |
$1,545 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$669.50 |
$1,030 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$669.50 |
$1,030 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$669.50 |
$1,030 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,673.75 |
$2,575 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$669.50 |
$1,030 |
0.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$669.50 |
$1,030 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,004.25 |
$1,545 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,339 |
$2,060 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,673.75 |
$2,575 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$669.50 |
$1,030 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$669.50 |
$1,030 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,004.25 |
$1,545 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$669.50 |
$1,030 |
0.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,339 |
$2,060 |
0.8× |
| Excision of Umbilicus (49250) |
$4,017 |
$6,180 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,678 |
$4,120 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,673.75 |
$2,575 |
1.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,673.75 |
$2,575 |
1.0× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,678 |
$4,120 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,600 |
$4,000 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,170 |
$1,800 |
0.7× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$3,347.50 |
$5,150 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,495 |
$2,300 |
2.1× |
| Fusion Finger Joint (26860) |
$1,950 |
$3,000 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$278.85 |
$429 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$2,600 |
$4,000 |
0.9× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$4,686.50 |
$7,210 |
1.7× |
| Hysteroscopy dx sep proc (58555) |
$3,705 |
$5,700 |
1.1× |
| I&d abscess simple (10060) |
$182.32 |
$280.50 |
0.9× |
| I&d perianal abscess superficial (46050) |
$796.25 |
$1,225 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$655.85 |
$1,009 |
0.9× |
| Implant neuroelectrodes (63650) |
$6,825 |
$10,500 |
1.1× |
| Incise finger tendon sheath (26055) |
$2,145 |
$3,300 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$377 |
$580 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,004.25 |
$1,545 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,365 |
$2,100 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$341.58 |
$525.50 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$289.90 |
$446 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$399.75 |
$615 |
1.3× |
| Incision bone cortex foot (28005) |
$3,250 |
$5,000 |
1.0× |
| Incision of metatarsal (28308) |
$3,900 |
$6,000 |
1.2× |
| Incision of rectal abscess (46040) |
$1,049.75 |
$1,615 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$669.50 |
$1,030 |
2.7× |
| Incisional biopsy skin single lesion (11106) |
$167.70 |
$258 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$189.15 |
$291 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,072.50 |
$1,650 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$334.75 |
$515 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$669.50 |
$1,030 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,004.25 |
$1,545 |
1.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$459.88 |
$707.50 |
1.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$975 |
$1,500 |
1.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$669.50 |
$1,030 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,004.25 |
$1,545 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$669.50 |
$1,030 |
0.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,004.25 |
$1,545 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$260 |
$400 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,105 |
$1,700 |
1.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$669.50 |
$1,030 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$304.52 |
$468.50 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$639.28 |
$983.50 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$274.30 |
$422 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$274.30 |
$422 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$394.88 |
$607.50 |
1.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$451.75 |
$695 |
1.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$162.50 |
$250 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$334.75 |
$515 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$152.75 |
$235 |
1.2× |
| Insert Drug Implant Device (11981) |
$199.88 |
$307.50 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$1,102.40 |
$1,696 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,102.40 |
$1,696 |
0.3× |
| Insert pessary/other device (57160) |
$175.93 |
$270.66 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$113.75 |
$175 |
0.9× |
| Insert tunneled cv cath (36561) |
$3,055 |
$4,700 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$139.75 |
$215 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,253.52 |
$1,928.50 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$4,686.50 |
$7,210 |
0.6× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$6,025.50 |
$9,270 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$243.75 |
$375 |
1.0× |
| Knee arthroscopy/surgery (29887) |
$8,034 |
$12,360 |
1.1× |
| Knee arthroscopy/surgery (29883) |
$4,017 |
$6,180 |
1.2× |
| Knee arthroscopy/surgery (29885) |
$7,800 |
$12,000 |
1.1× |
| Knee arthroscopy/surgery (29876) |
$4,017 |
$6,180 |
1.2× |
| Knee arthroscopy/surgery (29886) |
$4,017 |
$6,180 |
1.2× |
| Lap ing hernia repair init (49650) |
$6,175 |
$9,500 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,695 |
$10,300 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$5,070 |
$7,800 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,029.75 |
$10,815 |
1.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$334.75 |
$515 |
1.7× |
| Laser repair to improve eye fluid flow (65855) |
$401.51 |
$617.70 |
0.7× |
| Ligation of hemorrhoid(s) (46221) |
$1,300 |
$2,000 |
1.4× |
| Liver Biopsy (47000) |
$975 |
$1,500 |
0.6× |
| Myringoplasty (69620) |
$1,339 |
$2,060 |
0.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$167.70 |
$258 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$19.50 |
$30 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$715 |
$1,100 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$234 |
$360 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,072.50 |
$1,650 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$796.25 |
$1,225 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,004.25 |
$1,545 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,004.25 |
$1,545 |
1.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,950 |
$3,000 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,950 |
$3,000 |
0.6× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,029.75 |
$10,815 |
1.0× |
| Partial Removal Foot Fascia (28060) |
$3,347.50 |
$5,150 |
1.0× |
| Percutaneous diskectomy (62287) |
$5,356 |
$8,240 |
2.7× |
| Pericardiocentesis W/Imaging (33016) |
$1,428.70 |
$2,198 |
0.9× |
| Peritoneal Lavage (49084) |
$833.95 |
$1,283 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$257.40 |
$396 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,017 |
$6,180 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,017 |
$6,180 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$218.40 |
$336 |
0.5× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$7,364.50 |
$11,330 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$167.70 |
$258 |
0.4× |
| Puncture Aspiration (10160) |
$334.75 |
$515 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$455 |
$700 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,008.50 |
$3,090 |
1.0× |
| Removal fb intranasal (30300) |
$117.65 |
$181 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$1,511.25 |
$2,325 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,511.25 |
$2,325 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$642.20 |
$988 |
0.9× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,965.95 |
$4,563 |
0.9× |
| Removal foreign body pharynx (42809) |
$369.85 |
$569 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,606.50 |
$4,010 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$112.12 |
$172.50 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$63.05 |
$97 |
1.1× |
| Removal Implant Deep (20680) |
$2,678 |
$4,120 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$669.50 |
$1,030 |
0.4× |
| Removal of adenoids (42831) |
$3,347.50 |
$5,150 |
1.0× |
| Removal of adenoids (42830) |
$3,347.50 |
$5,150 |
1.0× |
| Removal of arm foreign body (24200) |
$1,511.25 |
$2,325 |
0.9× |
| Removal of eye lesion (65400) |
$1,004.25 |
$1,545 |
1.0× |
| Removal of heel bone (28118) |
$3,347.50 |
$5,150 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$399.75 |
$615 |
1.3× |
| Removal of nail bed (11750) |
$334.75 |
$515 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$158.28 |
$243.50 |
0.8× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,008.50 |
$3,090 |
1.0× |
| Removal of tonsils (42825) |
$3,347.50 |
$5,150 |
0.6× |
| Removal of tonsils (42826) |
$3,347.50 |
$5,150 |
1.0× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,511.25 |
$2,325 |
0.5× |
| Remove drug implant device (11982) |
$342.88 |
$527.50 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$300.30 |
$462 |
0.9× |
| Remove foreign body from eye (65210) |
$369.85 |
$569 |
0.8× |
| Remove shoulder foreign body (23330) |
$642.20 |
$988 |
0.4× |
| Remove wrist tendon lesion (25111) |
$1,852.50 |
$2,850 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$117.65 |
$181 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$117.65 |
$181 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$547.30 |
$842 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$547.30 |
$842 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$325 |
$500 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$507 |
$780 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$547.30 |
$842 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$780 |
$1,200 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$547.30 |
$842 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$547.30 |
$842 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,513.85 |
$2,329 |
0.9× |
| Repair hand tendon (26410) |
$1,513.85 |
$2,329 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,017 |
$6,180 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$455 |
$700 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$344.50 |
$530 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$348.40 |
$536 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$520 |
$800 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$348.40 |
$536 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$348.40 |
$536 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$585 |
$900 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$455 |
$700 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$348.40 |
$536 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$377 |
$580 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$348.40 |
$536 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$585 |
$900 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$455 |
$700 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$341.58 |
$525.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$377 |
$580 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$520 |
$800 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$383.50 |
$590 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$585 |
$900 |
0.3× |
| Repair of nail bed (11760) |
$547.30 |
$842 |
0.7× |
| Repair of nasal septum (30520) |
$2,925 |
$4,500 |
0.9× |
| Repair Tongue Laceration (41250) |
$117.65 |
$181 |
0.3× |
| Repair tympanic membrane (69610) |
$1,339 |
$2,060 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,347.50 |
$5,150 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,900 |
$6,000 |
1.1× |
| Resect Inferior Turbinate (30140) |
$2,925 |
$4,500 |
0.9× |
| Revise finger joint (26535) |
$3,250 |
$5,000 |
1.0× |
| Revise median n/carpal tunnel surg (64721) |
$2,008.50 |
$3,090 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$2,340 |
$3,600 |
1.2× |
| Revision of big toe (28310) |
$6,175 |
$9,500 |
0.8× |
| Revision of iris (66761) |
$470.14 |
$723.29 |
0.9× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,347.50 |
$5,150 |
1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$515.45 |
$793 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$325 |
$500 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$369.85 |
$569 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$118.95 |
$183 |
0.9× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,511.25 |
$2,325 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,989 |
$3,060 |
1.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$342.88 |
$527.50 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$257.40 |
$396 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,777.50 |
$7,350 |
0.8× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,900 |
$6,000 |
0.6× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$6,025.50 |
$9,270 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,347.50 |
$5,150 |
0.9× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$7,364.50 |
$11,330 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$520 |
$800 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$200.20 |
$308 |
0.8× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$515.45 |
$793 |
2.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,004.25 |
$1,545 |
1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,004.25 |
$1,545 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$167.70 |
$258 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$334.75 |
$515 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$167.70 |
$258 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$167.70 |
$258 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$167.70 |
$258 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$334.75 |
$515 |
0.8× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$167.70 |
$258 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$167.70 |
$258 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$334.75 |
$515 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$167.70 |
$258 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$334.75 |
$515 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$220.35 |
$339 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,004.25 |
$1,545 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$348.40 |
$536 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$214.50 |
$330 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$240.50 |
$370 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$348.40 |
$536 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$189.15 |
$291 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$189.15 |
$291 |
0.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$390 |
$600 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$229.12 |
$352.50 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$390 |
$600 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$191.75 |
$295 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$2,275 |
$3,500 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,300 |
$2,000 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,300 |
$2,000 |
1.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,875 |
$7,500 |
2.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$201.50 |
$310 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$348.40 |
$536 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$348.40 |
$536 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$806.65 |
$1,241 |
1.1× |
| Strapping ankle (29540) |
$152.10 |
$234 |
0.9× |
| Strapping elbow/wrist (29260) |
$45.50 |
$70 |
0.8× |
| Strapping hand/finger (29280) |
$45.50 |
$70 |
0.8× |
| Strapping knee (29530) |
$117.65 |
$181 |
0.9× |
| Strapping shoulder (29240) |
$117.65 |
$181 |
0.9× |
| Strapping toes (29550) |
$63.05 |
$97 |
1.1× |
| Strapping unna boot (29580) |
$167.70 |
$258 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$167.70 |
$258 |
0.4× |
| Tenolysis flexor foot single tendon (28220) |
$1,004.25 |
$1,545 |
0.6× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,673.75 |
$2,575 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$975 |
$1,500 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,136.88 |
$3,287.50 |
1.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,625 |
$2,500 |
1.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$11,375 |
$17,500 |
0.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$812.50 |
$1,250 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$780 |
$1,200 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$266.50 |
$410 |
0.8× |
| Thyroid biopsy (60100) |
$962 |
$1,480 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,347.50 |
$5,150 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$515.45 |
$793 |
2.2× |
| Treat Fracture Radius & Ulna (25560) |
$248.95 |
$383 |
1.0× |
| Treat humerus fracture (24500) |
$248.95 |
$383 |
1.0× |
| Treat humerus fracture (23600) |
$248.95 |
$383 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$241.15 |
$371 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,430 |
$2,200 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$241.15 |
$371 |
1.0× |
| Trim skin lesion (11055) |
$97.50 |
$150 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$130 |
$200 |
0.6× |
| Trim skin lesions over 4 (11057) |
$178.75 |
$275 |
0.9× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,673.75 |
$2,575 |
1.0× |
| Tympanostomy (69433) |
$887.25 |
$1,365 |
1.6× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$3,250 |
$5,000 |
0.5× |
| Unlisted procedure foot or toes (28899) |
$1,820 |
$2,800 |
7.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,004.25 |
$1,545 |
1.1× |
| Vaginal delivery only (59409) |
$2,548.65 |
$3,921 |
0.8× |
| Vasectomy (55250) |
$2,008.50 |
$3,090 |
1.0× |
| Venipuncture (36415) |
$9.10 |
$14 |
1.0× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$63.05 |
$97 |
0.5× |
| Venipuncture, cutdown; age 1 or over (36425) |
$369.85 |
$569 |
0.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,347.50 |
$5,150 |
1.0× |