| Abd paracentesis (49082) |
$208.25 |
$245 |
0.2× |
| Abd paracentesis w/imaging (49083) |
$313.65 |
$369 |
0.3× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,372.75 |
$1,615 |
0.6× |
| Amniocentesis diagnostic (59000) |
$370.18 |
$435.50 |
0.4× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,662.60 |
$1,956 |
0.5× |
| Anoscopy diagnostic (46600) |
$163.20 |
$192 |
1.2× |
| Anoscopy remove for body (46608) |
$528.70 |
$622 |
0.5× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$745.45 |
$877 |
0.6× |
| Application finger splint static (29130) |
$78.20 |
$92 |
0.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$113.90 |
$134 |
0.7× |
| Application of short arm splint (forearm to hand); static (29125) |
$109.65 |
$129 |
0.8× |
| Application of short leg splint (calf to foot) (29515) |
$114.75 |
$135 |
0.7× |
| Apply long arm splint (29105) |
$170.85 |
$201 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$233.75 |
$275 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$259.25 |
$305 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$233.75 |
$275 |
0.7× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$10,682.80 |
$12,568 |
1.4× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$3,019.20 |
$3,552 |
0.2× |
| Aspirate pleura w/o imaging (32554) |
$180.62 |
$212.50 |
0.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$321.30 |
$378 |
1.5× |
| Biopsy thyroid percutaneous core needle (60100) |
$584.80 |
$688 |
0.8× |
| Bladder irrigation (51700) |
$226.10 |
$266 |
0.9× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$473.88 |
$557.50 |
1.4× |
| Bronch foreign body removal (31635) |
$2,907 |
$3,420 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$1,707.65 |
$2,009 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,375.75 |
$2,795 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$4,466.75 |
$5,255 |
2.6× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$492.15 |
$579 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$283.05 |
$333 |
1.1× |
| Change of windpipe airway (31502) |
$259.25 |
$305 |
1.0× |
| Chemical cauterization of granulation tissue (17250) |
$175.10 |
$206 |
0.8× |
| Chest tube placement (32551) |
$1,213.38 |
$1,427.50 |
0.7× |
| Circumcision, Newborn (54150) |
$1,704.68 |
$2,005.50 |
0.8× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,388.90 |
$1,634 |
5.3× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$756.50 |
$890 |
2.9× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,391.45 |
$1,637 |
0.8× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$492.15 |
$579 |
1.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$759.90 |
$894 |
2.9× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$810.05 |
$953 |
3.1× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$777.75 |
$915 |
3.0× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$946.05 |
$1,113 |
0.6× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$916.30 |
$1,078 |
3.5× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$755.65 |
$889 |
0.4× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$747.15 |
$879 |
2.9× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$1,058.25 |
$1,245 |
0.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,235.05 |
$1,453 |
4.7× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$856.80 |
$1,008 |
3.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$399.50 |
$470 |
1.5× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,640.50 |
$1,930 |
1.0× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,334.50 |
$1,570 |
5.1× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,540.20 |
$1,812 |
0.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$314.50 |
$370 |
1.2× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$492.15 |
$579 |
0.9× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$313.65 |
$369 |
1.2× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$1,356.60 |
$1,596 |
5.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,837.30 |
$3,338 |
1.7× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$916.30 |
$1,078 |
3.5× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$1,637.10 |
$1,926 |
1.0× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,929.50 |
$2,270 |
1.1× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,664.30 |
$1,958 |
6.4× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,333.65 |
$1,569 |
0.8× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$884 |
$1,040 |
3.4× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$819.40 |
$964 |
3.1× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$555.05 |
$653 |
2.1× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,158.55 |
$1,363 |
0.7× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,694.90 |
$1,994 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$948.60 |
$1,116 |
3.6× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$766.70 |
$902 |
2.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$442.85 |
$521 |
1.7× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,674.10 |
$3,146 |
1.6× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,014.05 |
$1,193 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$724.20 |
$852 |
2.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$864.45 |
$1,017 |
0.5× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$932.45 |
$1,097 |
3.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$747.15 |
$879 |
2.9× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$707.20 |
$832 |
2.7× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$444.55 |
$523 |
1.7× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$759.05 |
$893 |
2.9× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,300.50 |
$1,530 |
5.0× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,097.35 |
$1,291 |
4.2× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$707.20 |
$832 |
0.4× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$422.45 |
$497 |
1.6× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,091.40 |
$1,284 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$734.40 |
$864 |
2.8× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$1,097.35 |
$1,291 |
4.2× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$1,309.85 |
$1,541 |
5.0× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$713.15 |
$839 |
2.7× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$724.20 |
$852 |
2.8× |
| Closed treatment of ulnar styloid fracture (25650) |
$906.95 |
$1,067 |
3.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,252.90 |
$1,474 |
4.8× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,633.70 |
$1,922 |
1.0× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$895.90 |
$1,054 |
3.4× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$1,766.30 |
$2,078 |
6.8× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$908.65 |
$1,069 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$583.10 |
$686 |
2.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,217.65 |
$2,609 |
8.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,035.30 |
$1,218 |
4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,392.30 |
$1,638 |
0.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,636.25 |
$1,925 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$626.45 |
$737 |
2.4× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$996.20 |
$1,172 |
3.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$650.25 |
$765 |
2.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$502.35 |
$591 |
1.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,203.60 |
$1,416 |
0.7× |
| Closed tx vert fx w/o manj (22310) |
$870.40 |
$1,024 |
3.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$490.45 |
$577 |
2.0× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$895.90 |
$1,054 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,045.50 |
$1,230 |
4.0× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$526.15 |
$619 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,368.92 |
$1,610.50 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$929.90 |
$1,094 |
0.5× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$986 |
$1,160 |
3.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$658.75 |
$775 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$879.75 |
$1,035 |
3.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,528.30 |
$1,798 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,547 |
$1,820 |
5.9× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$2,277.15 |
$2,679 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$403.75 |
$475 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,031.05 |
$1,213 |
4.0× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$856.80 |
$1,008 |
3.3× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,235.05 |
$1,453 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,948.20 |
$2,292 |
7.5× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$798.15 |
$939 |
3.1× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$783.70 |
$922 |
3.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,540.20 |
$1,812 |
0.9× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$1,315.80 |
$1,548 |
5.1× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$370.60 |
$436 |
1.4× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$895.90 |
$1,054 |
3.4× |
| Cltx metar fx w/manj (28475) |
$828.75 |
$975 |
3.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,403.35 |
$1,651 |
5.4× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$654.50 |
$770 |
0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,058.70 |
$2,422 |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$505.75 |
$595 |
1.9× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,694.90 |
$1,994 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,051.45 |
$1,237 |
4.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$948.60 |
$1,116 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,031.05 |
$1,213 |
4.0× |
| Collect blood from catheter venous nos (36592) |
$316.20 |
$372 |
2.3× |
| Collect blood from implant venous access device (36591) |
$316.20 |
$372 |
2.3× |
| Colonoscopy w/control bleed (45382) |
$1,188.30 |
$1,398 |
0.9× |
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure |
$452.20 |
$532 |
0.1× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$492.15 |
$579 |
3.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$365.50 |
$430 |
2.6× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) |
$1,171.30 |
$1,378 |
4.7× |
| Control throat bleeding (42960) |
$690.20 |
$812 |
1.2× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$208.25 |
$245 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$769.25 |
$905 |
5.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$718.25 |
$845 |
2.9× |
| Cysto/uretero w/lithotripsy (52356) |
$4,435.30 |
$5,218 |
0.8× |
| Cystoscopy and treatment (52310) |
$419.90 |
$494 |
0.2× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$271.15 |
$319 |
0.6× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$367.20 |
$432 |
0.9× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,042.95 |
$1,227 |
0.6× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$776.90 |
$914 |
1.0× |
| Delivery of placenta (59414) |
$592.45 |
$697 |
0.2× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$220.15 |
$259 |
1.0× |
| Destruction benign lesions up to 14 (17110) |
$202.30 |
$238 |
1.0× |
| Destruction internal hemorrhoid thermal energy (46930) |
$200.60 |
$236 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,785 |
$2,100 |
0.9× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$288.15 |
$339 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$210.80 |
$248 |
0.1× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$150.45 |
$177 |
0.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$225.25 |
$265 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$454.75 |
$535 |
0.5× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$1,101.60 |
$1,296 |
0.3× |
| Dilation of cervical canal (57800) |
$268.60 |
$316 |
0.1× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$433.92 |
$510.50 |
0.6× |
| Drain neck/chest lesion (21501) |
$1,099.90 |
$1,294 |
0.4× |
| Drainage external auditory canal, abscess (69020) |
$383.35 |
$451 |
0.5× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$663 |
$780 |
0.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$356.15 |
$419 |
0.5× |
| Drainage finger abscess simple (26010) |
$403.75 |
$475 |
1.9× |
| Drainage of abscess of palate, uvula (42000) |
$370.60 |
$436 |
1.5× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$628.15 |
$739 |
0.3× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$854.25 |
$1,005 |
1.5× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$383.35 |
$451 |
0.5× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$523.60 |
$616 |
0.9× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$766.70 |
$902 |
0.4× |
| Drainage of nose lesion (30020) |
$404.60 |
$476 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$362.10 |
$426 |
0.2× |
| Drainage of tonsil abscess (42700) |
$501.50 |
$590 |
2.0× |
| Dx laryngoscopy excl nb (31525) |
$991.10 |
$1,166 |
0.5× |
| Ed proc insert intraosseous IV (36680) |
$502.35 |
$591 |
1.1× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$493.85 |
$581 |
3.6× |
| Ed proc remve fb nasal- hospital (30300) |
$300.90 |
$354 |
2.1× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$182.75 |
$215 |
1.3× |
| Ed prof burn - large - hospital (16030) |
$528.70 |
$622 |
1.2× |
| Ed prof burn medium - hospital (16025) |
$467.50 |
$550 |
2.2× |
| Ed prof burn small - hospital (16020) |
$233.75 |
$275 |
1.1× |
| Ed prof catheterization/straight (51701) |
$226.95 |
$267 |
1.6× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,948.20 |
$2,292 |
7.5× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$707.20 |
$832 |
0.4× |
| Ed prof drain dental abscess-hospital (41800) |
$374.85 |
$441 |
2.7× |
| Ed prof insert foley cath simple (51702) |
$119.85 |
$141 |
0.9× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$452.62 |
$532.50 |
0.1× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$1,343 |
$1,580 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,087.15 |
$1,279 |
2.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$884 |
$1,040 |
2.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$743.75 |
$875 |
2.9× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$192.10 |
$226 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$692.75 |
$815 |
0.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$399.08 |
$469.50 |
0.5× |
| Escharotomy 1st incision (16035) |
$1,323.45 |
$1,557 |
3.1× |
| Esoph egd dilation <30 mm (43249) |
$348.50 |
$410 |
0.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,269.05 |
$1,493 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$776.90 |
$914 |
0.8× |
| Evac subungual hematoma (11740) |
$160.65 |
$189 |
1.1× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$314.50 |
$370 |
0.2× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$447.10 |
$526 |
0.6× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$547.40 |
$644 |
0.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$289.85 |
$341 |
0.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$504.05 |
$593 |
0.7× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$4,407.25 |
$5,185 |
2.0× |
| Excision multiple external papillae/tags anus (46230) |
$686.80 |
$808 |
0.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$511.70 |
$602 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$447.10 |
$526 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$472.60 |
$556 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$962.20 |
$1,132 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$704.65 |
$829 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$1,150.05 |
$1,353 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$813.45 |
$957 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$399.50 |
$470 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$724.20 |
$852 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$623.90 |
$734 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$960.50 |
$1,130 |
0.6× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Age Under 21 (15920) |
$2,142.85 |
$2,521 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$605.20 |
$712 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$497.25 |
$585 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$983.45 |
$1,157 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$367.20 |
$432 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$798.15 |
$939 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,263.10 |
$1,486 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,420.35 |
$1,671 |
0.8× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$1,471.35 |
$1,731 |
0.9× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age Under 21 (41015) |
$929.90 |
$1,094 |
1.6× |
| Fetal contraction stress test (59020) |
$129.62 |
$152.50 |
0.6× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$317.05 |
$373 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,355.75 |
$1,595 |
1.8× |
| Fixation of contralateral testis (separate procedure) Age Under 21 (54620) |
$719.10 |
$846 |
0.2× |
| Gastric lavage (43753) |
$171.70 |
$202 |
0.8× |
| Gene analysis of human immunodeficiency virus targeted sequence analysis for resistance to antiviral drugs (0219U) |
$923.95 |
$1,087 |
1.3× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$429.25 |
$505 |
0.4× |
| Hysteroscopy biopsy (58558) |
$27,897 |
$32,820 |
8.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$926.50 |
$1,090 |
0.3× |
| I&d abscess simple/single (10060) |
$709.75 |
$835 |
3.4× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,732.30 |
$2,038 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$402.05 |
$473 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$434.35 |
$511 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$906.95 |
$1,067 |
0.3× |
| Incise external hemorrhoid (46083) |
$411.40 |
$484 |
1.6× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$631.55 |
$743 |
1.5× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$447.10 |
$526 |
2.1× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$724.20 |
$852 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$461.55 |
$543 |
1.4× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$673.20 |
$792 |
0.2× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$1,431.40 |
$1,684 |
0.4× |
| Incision and drainage, perianal abscess, superficial (46050) |
$365.50 |
$430 |
0.4× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$493.85 |
$581 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$745.45 |
$877 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$780.30 |
$918 |
1.8× |
| Incision of rectal abscess (46040) |
$1,361.70 |
$1,602 |
1.1× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$171.70 |
$202 |
0.4× |
| Incision of windpipe (31603) |
$1,751 |
$2,060 |
1.1× |
| Incision&drainage bursa foot (28001) |
$649.40 |
$764 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$94.35 |
$111 |
0.1× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$767.55 |
$903 |
1.8× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$203.15 |
$239 |
0.6× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$257.55 |
$303 |
1.2× |
| Inj epidural blood or clot patch (62273) |
$819.40 |
$964 |
1.1× |
| Inj tx nerve (64640) |
$807.50 |
$950 |
0.9× |
| Injection aa&/strd greater occipital nerve (64405) |
$172.55 |
$203 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$336.60 |
$396 |
1.0× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$318.75 |
$375 |
0.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$501.92 |
$590.50 |
1.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$293.25 |
$345 |
0.9× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$244.80 |
$288 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$160.65 |
$189 |
0.8× |
| Insert pessary/other device (57160) |
$239.70 |
$282 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,089.75 |
$3,635 |
0.8× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$583.95 |
$687 |
0.2× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,157.70 |
$1,362 |
0.7× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,996.22 |
$2,348.50 |
1.2× |
| Insj Tunneled Ctr Vad W/Subq Pump (36563) |
$4,584.05 |
$5,393 |
0.8× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$73,394.10 |
$86,346 |
2.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$414.80 |
$488 |
0.7× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,366.80 |
$1,608 |
2.4× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$375.70 |
$442 |
1.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$405.45 |
$477 |
0.1× |
| Intubation endotracheal (31500) |
$512.55 |
$603 |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$534.65 |
$629 |
2.0× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
unusually low — confirm this is the full procedure |
$3,561.50 |
$4,190 |
0.3× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$605.20 |
$712 |
1.5× |
| Laryngoscopy flex diagnostic (31575) |
$880.60 |
$1,036 |
4.2× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$1,161.10 |
$1,366 |
2.8× |
| Laryngoscopy indirect diagnostic (31505) |
$215.05 |
$253 |
1.0× |
| Laryngoscopy w/foreign body removal (31530) |
$1,444.15 |
$1,699 |
0.8× |
| Lumbar puncture (62270) |
$375.70 |
$442 |
0.5× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$300.90 |
$354 |
4.8× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,616.70 |
$1,902 |
2.0× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,616.70 |
$1,902 |
2.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,616.70 |
$1,902 |
2.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,616.70 |
$1,902 |
2.0× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$404.60 |
$476 |
1.6× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$442.85 |
$521 |
2.1× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$367.20 |
$432 |
0.2× |
| Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative… (0393U) |
$1,443.30 |
$1,698 |
2.7× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$1,624.35 |
$1,911 |
0.4× |
| Non stress test (59025) |
$225.25 |
$265 |
1.1× |
| Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and… (0359U) |
$387.60 |
$456 |
0.5× |
Open treatment medial malleolus fracture (27766)
unusually low — confirm this is the full procedure |
$2,557.65 |
$3,009 |
0.3× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$1,079.50 |
$1,270 |
0.3× |
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 |
$1,043.80 |
$1,228 |
0.1× |
| Open tx distal phalangeal fracture each (26765) |
$1,251.20 |
$1,472 |
0.4× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,666 |
$1,960 |
0.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,547.85 |
$1,821 |
0.4× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$1,266.50 |
$1,490 |
0.4× |
| Perq dev breast 1st strtctc (19283) |
$687.65 |
$809 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$1,759.50 |
$2,070 |
2.4× |
| Perq device breast 1st imag (19281) |
$2,042.12 |
$2,402.50 |
1.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$753.10 |
$886 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$58.65 |
$69 |
0.2× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$1,173 |
$1,380 |
1.5× |
| Pr closed treatment sesamoid fracture (28530) |
$328.95 |
$387 |
1.3× |
| Pr dermabrasion regional other than face (15782) |
$1,088.85 |
$1,281 |
0.4× |
| Preputial stretching (54450) |
$461.55 |
$543 |
1.8× |
| Proctosigmoidoscopy dx (45300) |
$260.10 |
$306 |
0.3× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$819.40 |
$964 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$109.65 |
$129 |
0.3× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$431.80 |
$508 |
1.0× |
| Puncture aspiration of cyst of breast (19000) |
$510 |
$600 |
0.7× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$1,106.70 |
$1,302 |
0.5× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$875.50 |
$1,030 |
0.9× |
| Removal foreign body foot complicated (28193) |
$1,592.90 |
$1,874 |
0.9× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$497.25 |
$585 |
0.7× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$282.20 |
$332 |
0.2× |
| Removal foreign body mouth (40804) |
$365.50 |
$430 |
0.4× |
| Removal foreign body shoulder subcutaneous (23330) |
$480.25 |
$565 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,530 |
$1,800 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30.60 |
$36 |
0.5× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$171.70 |
$202 |
2.8× |
| Removal implantable contraceptive capsules (11976) |
$652.80 |
$768 |
0.9× |
| Removal of blood from scalp of fetus (59030) |
$71.83 |
$84.50 |
0.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$583.10 |
$686 |
0.5× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$515.95 |
$607 |
0.3× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$634.95 |
$747 |
3.0× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$463.25 |
$545 |
0.3× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,708.50 |
$2,010 |
0.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$233.75 |
$275 |
1.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$255 |
$300 |
0.5× |
| Removal of foreign body, foot; deep (28192) |
$1,315.80 |
$1,548 |
0.8× |
| Removal of iud (58301) |
$253.30 |
$298 |
0.8× |
| Removal of nail bed (11750) |
$769.25 |
$905 |
1.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$232.05 |
$273 |
1.1× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$265.20 |
$312 |
0.9× |
| Removal/revision of cast (29700) |
$179.35 |
$211 |
0.6× |
| Remove eyelid foreign body (67938) |
$365.50 |
$430 |
1.1× |
| Remove foreign body from eye (65210) |
$268.60 |
$316 |
0.6× |
| Remove hip foreign body (27086) |
$289 |
$340 |
0.1× |
| Remove pharynx foreign body (42809) |
$525.30 |
$618 |
1.1× |
| Repair blood vessel lesion (35226) |
$2,925.70 |
$3,442 |
3.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,170.45 |
$1,377 |
2.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,796.90 |
$2,114 |
4.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,422.90 |
$1,674 |
3.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,213.80 |
$1,428 |
1.6× |
| Repair eyelid wound (67930) |
$975.80 |
$1,148 |
0.4× |
| Repair finger tendon (26418) |
$1,617.55 |
$1,903 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$814.30 |
$958 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$698.70 |
$822 |
1.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$854.25 |
$1,005 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,227.40 |
$1,444 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,567.40 |
$1,844 |
3.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,170.45 |
$1,377 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$643.45 |
$757 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$783.70 |
$922 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$960.50 |
$1,130 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$574.60 |
$676 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$676.60 |
$796 |
1.6× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,309.85 |
$1,541 |
1.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$983.45 |
$1,157 |
2.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$2,039.15 |
$2,399 |
4.8× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$2,338.35 |
$2,751 |
5.5× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,594.60 |
$1,876 |
0.7× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,666.85 |
$1,961 |
2.9× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,950.75 |
$2,295 |
3.4× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$604.35 |
$711 |
1.3× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,083.75 |
$1,275 |
4.3× |
| Repair of nail bed (11760) |
$504.05 |
$593 |
0.6× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Age Under 21 (30468) |
$10,692.15 |
$12,579 |
1.7× |
| Repair of spica, body cast or jacket Age Under 21 (29720) |
$184.45 |
$217 |
1.1× |
| Repair tongue lacer,post 1/3 (41251) |
$879.75 |
$1,035 |
3.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$938.40 |
$1,104 |
1.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$2,351.10 |
$2,766 |
3.0× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$937.55 |
$1,103 |
2.2× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$856.80 |
$1,008 |
1.1× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,786.70 |
$2,102 |
0.8× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
likely a partial charge — not the full procedure |
$2,057 |
$2,420 |
0.3× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$1,415.25 |
$1,665 |
0.4× |
| Reset dislocated jaw (21480) |
$305.15 |
$359 |
1.2× |
| Revision of penis (54420) |
$207.40 |
$244 |
0.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$415.65 |
$489 |
0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,059.10 |
$1,246 |
1.9× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$250.75 |
$295 |
1.8× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$306.85 |
$361 |
2.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,133.90 |
$1,334 |
0.4× |
| Rmvl of access device (36589) |
$1,225.70 |
$1,442 |
1.9× |
| Rplc gtube revj gstrst trc (43763) |
$130.05 |
$153 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,444.15 |
$1,699 |
1.9× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$2,451.40 |
$2,884 |
1.5× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,636.70 |
$3,102 |
0.7× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$1,347.25 |
$1,585 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$501.50 |
$590 |
2.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$605.20 |
$712 |
2.9× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$734.40 |
$864 |
3.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$967.30 |
$1,138 |
4.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$2,168.35 |
$2,551 |
10.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$454.75 |
$535 |
2.1× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$719.10 |
$846 |
3.4× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,633.70 |
$1,922 |
3.8× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,248.65 |
$1,469 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$674.90 |
$794 |
3.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$526.15 |
$619 |
2.5× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$870.40 |
$1,024 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,101.60 |
$1,296 |
2.6× |
| Strapping ankle (29540) |
$63.75 |
$75 |
0.4× |
| Strapping of knee (29530) |
$160.65 |
$189 |
1.1× |
| Strapping of shoulder (29240) |
$186.15 |
$219 |
1.3× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$1,988.15 |
$2,339 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$62.05 |
$73 |
0.1× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,278.40 |
$1,504 |
1.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$249.90 |
$294 |
0.4× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$3,017.50 |
$3,550 |
0.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,610.75 |
$1,895 |
6.4× |
| Transfusion, blood or blood components (36430) |
$382.50 |
$450 |
0.8× |
Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance,… (52597)
unusually low — confirm this is the full procedure |
$3,674.55 |
$4,323 |
0.4× |
| Treat big toe fracture (28495) |
$423.30 |
$498 |
1.6× |
| Treat finger dislocation (26775) |
$583.10 |
$686 |
2.0× |
| Treat fx distal radial (25606) |
$3,915.95 |
$4,607 |
1.1× |
| Treat humerus fracture (24577) |
$1,059.95 |
$1,247 |
0.6× |
| Treat lower leg fracture (27825) |
$1,494.30 |
$1,758 |
0.9× |
| Treat tail bone fracture (27200) |
$528.70 |
$622 |
2.0× |
| Treat thumb fracture (26645) |
$1,047.20 |
$1,232 |
0.6× |
| Treat toe dislocation (28630) |
$553.35 |
$651 |
2.1× |
| Treat ulnar fracture (24675) |
$1,320.90 |
$1,554 |
0.8× |
| Treat vaginal bleeding (57180) |
$434.35 |
$511 |
2.0× |
| Treat wrist bone fracture (25624) |
$1,313.25 |
$1,545 |
0.8× |
| Treat wrist dislocation (25690) |
$2,096.10 |
$2,466 |
1.2× |
| Treat wrist dislocation (25675) |
$1,381.25 |
$1,625 |
5.3× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,587.80 |
$1,868 |
0.9× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,235.05 |
$1,453 |
4.7× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,288.60 |
$1,516 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$604.35 |
$711 |
2.3× |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236)
unusually low — confirm this is the full procedure |
$3,020.05 |
$3,553 |
0.4× |
| Tx superficial wound dehiscence simple closure (12020) |
$776.90 |
$914 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$502.35 |
$591 |
1.2× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$897.60 |
$1,056 |
0.5× |
| Unlisted procedure leg/ankle (27899) |
$1,694.05 |
$1,993 |
6.5× |
| Unlisted procedure, hands or fingers (26989) |
$444.55 |
$523 |
1.7× |
| Vaginal delivery (59409) |
$1,477.30 |
$1,738 |
0.4× |
| Venipuncture (36415) |
$43.35 |
$51 |
4.6× |
| Wedge excision skin nail fold (11765) |
$239.70 |
$282 |
0.6× |