| Abd paracentesis w/imaging (49083) |
$730.50 |
$974 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$643.88 |
$858.50 |
0.8× |
| Ablate inf turbinate submuc (30802) |
$348.75 |
$465 |
0.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$3,487.50 |
$4,650 |
2.4× |
| Acne Surgery (10040) |
$131.81 |
$175.75 |
0.7× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,741.12 |
$2,321.50 |
0.9× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,355 |
$3,140 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,105.62 |
$2,807.50 |
1.1× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,701.38 |
$2,268.50 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,977 |
$2,636 |
1.0× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,289.75 |
$3,053 |
1.2× |
| Amputation Finger/Thumb (26951) |
$2,336.25 |
$3,115 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$3,225.38 |
$4,300.50 |
1.1× |
| Amputation of finger/thumb (26952) |
$1,380 |
$1,840 |
0.5× |
| Amputation thigh through femur any level (27590) |
$6,072.38 |
$8,096.50 |
2.0× |
| Amputation toe interphalangeal joint (28825) |
$2,634 |
$3,512 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,848.88 |
$3,798.50 |
0.9× |
| Amputation, foot; transmetatarsal (28805) |
$5,688 |
$7,584 |
1.9× |
| Amputation, leg, through tibia and fibula; (27880) |
$6,148.12 |
$8,197.50 |
0.9× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,516.50 |
$2,022 |
0.5× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,939.88 |
$2,586.50 |
0.6× |
| Anoscopy diagnostic (46600) |
$482.25 |
$643 |
3.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$503.25 |
$671 |
0.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,120 |
$4,160 |
1.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$819 |
$1,092 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$295.88 |
$394.50 |
2.0× |
| Application cast elbow finger short arm (29075) |
$300.38 |
$400.50 |
1.2× |
| Application Cast Finger (29086) |
$83.25 |
$111 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$303.19 |
$404.25 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$300 |
$400 |
5.5× |
| Application finger splint static (29130) |
$239.25 |
$319 |
2.0× |
| Application long arm splint shoulder hand (29105) |
$208.88 |
$278.50 |
1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$184.88 |
$246.50 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$102.94 |
$137.25 |
0.7× |
| Application of long leg cast (29345) |
$244.78 |
$326.38 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$208.69 |
$278.25 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$103.69 |
$138.25 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$174.38 |
$232.50 |
1.4× |
| Application short leg splint calf foot (29515) |
$183.38 |
$244.50 |
1.2× |
| Apply multlay comprs arm/hand (29584) |
$367.50 |
$490 |
2.5× |
| Apply short leg cast (29405) |
$214.69 |
$286.25 |
0.8× |
| Apply short leg cast (29425) |
$127.13 |
$169.50 |
0.5× |
| Arterial puncture (36600) |
$101.25 |
$135 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$82.32 |
$109.75 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$270 |
$360 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$132 |
$176 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$652.50 |
$870 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$78.94 |
$105.25 |
0.3× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,400 |
$7,200 |
0.8× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,021.88 |
$5,362.50 |
0.2× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$6,553.88 |
$8,738.50 |
0.6× |
Arthroplasty knee fc/tp (27442)
unusually low: confirm this is the full procedure |
$4,074.38 |
$5,432.50 |
0.3× |
Arthroplasty knee tibial plateau (27440)
likely a partial charge, not the full procedure |
$2,985.38 |
$3,980.50 |
0.3× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443)
unusually low: confirm this is the full procedure |
$4,013.25 |
$5,351 |
0.3× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441)
unusually low: confirm this is the full procedure |
$4,024.88 |
$5,366.50 |
0.3× |
Arthroplasty, patella; with prosthesis (27438)
unusually low: confirm this is the full procedure |
$4,042.50 |
$5,390 |
0.3× |
Arthroplasty, patella; without prosthesis (27437)
unusually low: confirm this is the full procedure |
$2,837.62 |
$3,783.50 |
0.4× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$6,151.12 |
$8,201.50 |
0.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,875.12 |
$3,833.50 |
1.0× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,607.19 |
$3,476.25 |
0.9× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$2,183.25 |
$2,911 |
0.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,836 |
$2,448 |
0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,074.88 |
$2,766.50 |
0.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,741.62 |
$3,655.50 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,491 |
$1,988 |
0.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,801.88 |
$6,402.50 |
0.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,222.25 |
$6,963 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,504.62 |
$3,339.50 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,898.75 |
$3,865 |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,658 |
$3,544 |
0.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,177.50 |
$9,570 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,303.75 |
$8,405 |
0.9× |
Arthrotomy hip w/drainage (27030)
unusually low: confirm this is the full procedure |
$3,055.12 |
$4,073.50 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$90 |
$120 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$121.22 |
$161.62 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$622.40 |
$829.88 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$334.32 |
$445.75 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$735 |
$980 |
0.9× |
| Biopsy external auditory canal (69105) |
$140.25 |
$187 |
0.1× |
| Biopsy external ear (69100) |
$139.50 |
$186 |
0.6× |
| Biopsy intranasal (30100) |
$234 |
$312 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$420 |
$560 |
0.3× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$603.75 |
$805 |
0.2× |
| Biopsy of eyelid lining (68100) |
$200.25 |
$267 |
0.1× |
| Biopsy of lip (40490) |
$747 |
$996 |
3.4× |
| Biopsy of mouth lesion (40808) |
$287.25 |
$383 |
0.6× |
| Biopsy of nail unit (11755) |
$260.25 |
$347 |
0.4× |
| Biopsy of penis (54100) |
$270 |
$360 |
0.2× |
| Biopsy of uterus lining (58100) |
$937.50 |
$1,250 |
5.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,508.25 |
$2,011 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$132.19 |
$176.25 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$3,011.25 |
$4,015 |
0.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$909 |
$1,212 |
1.4× |
| Bladder Irrigation Simple (51700) |
$113.25 |
$151 |
0.5× |
| Bladder Scan (51798) |
$70.50 |
$94 |
1.3× |
| Blepharoplasty upper eyelid (15822) |
$1,290 |
$1,720 |
0.7× |
| Blood patch (62273) |
$704.25 |
$939 |
1.1× |
| Blood transfusion service (36430) |
$841.50 |
$1,122 |
2.1× |
| Bx anorectal wall anal approach (45100) |
$777.75 |
$1,037 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$1,845 |
$2,460 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$507.75 |
$677 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$128.62 |
$171.50 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$842.25 |
$1,123 |
0.6× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$4,524.75 |
$6,033 |
3.1× |
| Cataract surgery complex (66982) |
$2,932.50 |
$3,910 |
1.4× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$2,212.50 |
$2,950 |
7.9× |
| Change Cystostomy Tube Complicated (51710) |
$285 |
$380 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$90 |
$120 |
0.4× |
| Chemical Cautery Tissue (17250) |
$93.56 |
$124.75 |
0.5× |
| Chest tube placement (32551) |
$401.25 |
$535 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$174.38 |
$232.50 |
1.4× |
| Circum 28 days or older (54161) |
$1,593.75 |
$2,125 |
0.8× |
| Circumcision (54150) |
$226.50 |
$302 |
0.1× |
| Claviculectomy; partial (23120) |
$2,656.88 |
$3,542.50 |
0.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$339.38 |
$452.50 |
1.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$741 |
$988 |
3.3× |
| Closed Rx Med Malleolus Fx (27760) |
$1,036.88 |
$1,382.50 |
4.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$967.50 |
$1,290 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$336.94 |
$449.25 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$675 |
$900 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$592.50 |
$790 |
2.6× |
| Closed Treat Vert Body Fract (22310) |
$357.19 |
$476.25 |
1.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$487.50 |
$650 |
2.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$540 |
$720 |
2.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$374.53 |
$499.38 |
1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$633.75 |
$845 |
2.8× |
| Closed Treatment Sternum Fracture (21820) |
$203.25 |
$271 |
0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$403.31 |
$537.75 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$810 |
$1,080 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$909 |
$1,212 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$429 |
$572 |
1.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$405 |
$540 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$841.13 |
$1,121.50 |
3.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$484.13 |
$645.50 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$448.88 |
$598.50 |
2.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$329.25 |
$439 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$537.38 |
$716.50 |
2.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$636 |
$848 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$915 |
$1,220 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$333 |
$444 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$634.88 |
$846.50 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$1,065 |
$1,420 |
4.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$109.88 |
$146.50 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$401.25 |
$535 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$327.56 |
$436.75 |
1.4× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$460.13 |
$613.50 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$487.50 |
$650 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$497.63 |
$663.50 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$395.44 |
$527.25 |
1.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$495.75 |
$661 |
2.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$471.94 |
$629.25 |
2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$540 |
$720 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$505.12 |
$673.50 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$562.50 |
$750 |
2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$402 |
$536 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,006.50 |
$1,342 |
4.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,095.75 |
$1,461 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$194.25 |
$259 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$174 |
$232 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$300 |
$400 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$203.53 |
$271.38 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$479.62 |
$639.50 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$555 |
$740 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$768.75 |
$1,025 |
3.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$373.50 |
$498 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$322.50 |
$430 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$190.50 |
$254 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$455.44 |
$607.25 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$399.75 |
$533 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$383.81 |
$511.75 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$170.06 |
$226.75 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$266.06 |
$354.75 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$632.63 |
$843.50 |
0.6× |
| Colonoscopy thru stoma (44388) |
$733.50 |
$978 |
0.9× |
| Colonoscopy w/ablation (45388) |
$750 |
$1,000 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,066.88 |
$1,422.50 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$681 |
$908 |
0.6× |
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure |
$450 |
$600 |
0.1× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$6,339.62 |
$8,452.83 |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$573.75 |
$765 |
2.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$943.50 |
$1,258 |
5.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$527.25 |
$703 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$478.50 |
$638 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$189 |
$252 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$1,259.90 |
$1,679.88 |
4.5× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$197.25 |
$263 |
0.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$228.75 |
$305 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$846.75 |
$1,129 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$921 |
$1,228 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$842.06 |
$1,122.75 |
0.8× |
| Complex Drainage, Wound (10180) |
$2,320.88 |
$3,094.50 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$107.25 |
$143 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$233.25 |
$311 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$547.50 |
$730 |
4.5× |
| Correction hammertoe (28285) |
$1,756.12 |
$2,341.50 |
0.6× |
| Correction of bunion (28292) |
$3,375.75 |
$4,501 |
1.1× |
Correction of bunion (28297)
unusually low: confirm this is the full procedure |
$5,111.25 |
$6,815 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,740.25 |
$4,987 |
1.2× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,885.75 |
$5,181 |
1.3× |
| Create eardrum opening (69436) |
$1,432.50 |
$1,910 |
1.0× |
| Cryotherapy of skin (17340) |
$104.25 |
$139 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$141.94 |
$189.25 |
1.2× |
| Curettage postpartum (59160) |
$352.50 |
$470 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$279 |
$372 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,852.12 |
$2,469.50 |
0.6× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$1,835.22 |
$2,446.95 |
0.4× |
| Cysto w/destruction of lesions (52214) |
$1,721.62 |
$2,295.50 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$2,133.75 |
$2,845 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$332.25 |
$443 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$1,314.38 |
$1,752.50 |
0.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,090.12 |
$1,453.50 |
0.6× |
| Cystoscopy,insert ureteral stent (52332) |
$2,160.38 |
$2,880.50 |
0.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,606.25 |
$3,475 |
1.4× |
| Cystourethroscopy (52000) |
$710.25 |
$947 |
1.1× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,770 |
$2,360 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,740.10 |
$2,320.12 |
0.9× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,971.38 |
$2,628.50 |
0.6× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$635.25 |
$847 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$313.50 |
$418 |
0.8× |
| Debride nail 1-5 (11720) |
$72.75 |
$97 |
1.3× |
| Debride nail 6 or more (11721) |
$219.38 |
$292.50 |
4.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$525.75 |
$701 |
2.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$130.97 |
$174.62 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$337.50 |
$450 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$500.25 |
$667 |
0.3× |
| Declot vascular device (36593) |
$175.88 |
$234.50 |
0.6× |
| Decompress fingers/hand (26037) |
$3,245.62 |
$4,327.50 |
1.1× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$1,950.38 |
$2,600.50 |
1.0× |
| Delivery placenta separate procedure (59414) |
$129.75 |
$173 |
0.0× |
| Destroy cerv/thor facet jnt (64633) |
$1,128.75 |
$1,505 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,852.50 |
$2,470 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$606.75 |
$809 |
1.6× |
| Destruction anal lesion(s) (46924) |
$381 |
$508 |
0.1× |
| Destruction benign lesions 15 or more (17111) |
$1,030.88 |
$1,374.50 |
5.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$449.25 |
$599 |
2.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$678.75 |
$905 |
0.8× |
| Destruction Lesions Vulva Extensive (56515) |
$453 |
$604 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$235.50 |
$314 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$264.38 |
$352.50 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$282.84 |
$377.12 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$339 |
$452 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$375 |
$500 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$490.88 |
$654.50 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$130.50 |
$174 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$143.25 |
$191 |
0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$168 |
$224 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$130.12 |
$173.50 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$188.06 |
$250.75 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$220.50 |
$294 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$199.12 |
$265.50 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$288.75 |
$385 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$337.50 |
$450 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$136.50 |
$182 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$307.50 |
$410 |
0.2× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$572.62 |
$763.50 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$205.97 |
$274.62 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$222 |
$296 |
0.6× |
| Destruction of multiple growths of penis (54065) |
$361.50 |
$482 |
0.2× |
| Destruction of skin lesions (17106) |
$453 |
$604 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$227.25 |
$303 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$468.75 |
$625 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$538.50 |
$718 |
0.6× |
| Dilate Urethra Stricture (53600) |
$1,184.25 |
$1,579 |
5.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$341.25 |
$455 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$569.62 |
$759.50 |
0.7× |
| Division of fallopian tube (58600) |
$507.75 |
$677 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$275.25 |
$367 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$367.50 |
$490 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$236.25 |
$315 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$525 |
$700 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$138.75 |
$185 |
0.8× |
| Drainage of eyelid abscess (67700) |
$225 |
$300 |
0.8× |
| Drainage of gum lesion (41800) |
$152.25 |
$203 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$258 |
$344 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$306.75 |
$409 |
0.2× |
| Draw blood off venous device (36591) |
$142.50 |
$190 |
1.2× |
| Dressing change under anesthesia (15852) |
$450 |
$600 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$354.56 |
$472.75 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$239.81 |
$319.75 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$116.44 |
$155.25 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$39.38 |
$52.50 |
1.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$380.25 |
$507 |
0.1× |
| Dstrj lesion anus simple chemical (46900) |
$180.38 |
$240.50 |
0.5× |
| Dstrj lesion anus simple cryosurgery (46916) |
$322.50 |
$430 |
1.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,155.75 |
$1,541 |
0.6× |
| Dstrj lesion penis simple surg excision (54060) |
$330 |
$440 |
0.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$375 |
$500 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$336.75 |
$449 |
0.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$987.38 |
$1,316.50 |
0.6× |
| Egd flexible foreign body removal (43247) |
$394.50 |
$526 |
0.5× |
| Egd place gastrostomy tube (43246) |
$1,419.75 |
$1,893 |
0.8× |
| Egd remove lesion snare (43251) |
$969.38 |
$1,292.50 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,089.38 |
$1,452.50 |
0.6× |
| Endocervical Curettage (57505) |
$137.25 |
$183 |
0.2× |
| Endoscopic Injection/Implant (51715) |
$900 |
$1,200 |
0.3× |
| Endoscopic Plantar Fasciotomy (29893) |
$3,367.50 |
$4,490 |
1.1× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$2,226 |
$2,968 |
0.4× |
| Endovenous rf 1st vein (36475) |
$3,078.02 |
$4,104.02 |
1.1× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,491.97 |
$3,322.62 |
1.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,492.06 |
$3,322.75 |
1.3× |
| Esophagoscopy flex biopsy (43202) |
$652.50 |
$870 |
0.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,006.12 |
$1,341.50 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$888 |
$1,184 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$67.97 |
$90.62 |
0.6× |
| Exc abd les sc 3 cm/> (22903) |
$1,783.50 |
$2,378 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,722 |
$2,296 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,132.88 |
$1,510.50 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$453.75 |
$605 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$597.75 |
$797 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$931.88 |
$1,242.50 |
0.6× |
| Exc frenum labial/buccal (40819) |
$450.75 |
$601 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,350 |
$1,800 |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,195 |
$4,260 |
2.2× |
| Exc neck tum deep < 5 cm (21556) |
$3,135 |
$4,180 |
1.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,539.38 |
$2,052.50 |
1.0× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,410 |
$1,880 |
0.5× |
| Exc skin abd (15830) |
$5,187.75 |
$6,917 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$918.75 |
$1,225 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$753.38 |
$1,004.50 |
2.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$457.12 |
$609.50 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$990 |
$1,320 |
1.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,245.75 |
$1,661 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$349.50 |
$466 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$675 |
$900 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$572.25 |
$763 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$534 |
$712 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$495.75 |
$661 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$822 |
$1,096 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$592.50 |
$790 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$688.50 |
$918 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,053.88 |
$2,738.50 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$239.25 |
$319 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$471 |
$628 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$903.75 |
$1,205 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,666.88 |
$2,222.50 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,838.88 |
$5,118.50 |
1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,210.25 |
$2,947 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,210.25 |
$2,947 |
1.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,155 |
$1,540 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$530.62 |
$707.50 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,493.25 |
$1,991 |
1.0× |
| Excise lesion testis (54512) |
$4,290 |
$5,720 |
1.3× |
| Excise/repair mouth lesion (40812) |
$1,050 |
$1,400 |
0.7× |
| Excision Breast Lesion (19125) |
$665.25 |
$887 |
0.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$300 |
$400 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$257.25 |
$343 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$588.38 |
$784.50 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$678 |
$904 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$840.75 |
$1,121 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$447.75 |
$597 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$398.62 |
$531.50 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$690.75 |
$921 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$395.25 |
$527 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,050.38 |
$1,400.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$403.88 |
$538.50 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$505.50 |
$674 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$466.50 |
$622 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$440.25 |
$587 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$426.75 |
$569 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$329.25 |
$439 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$337.50 |
$450 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$871.50 |
$1,162 |
1.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$309.38 |
$412.50 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$555.38 |
$740.50 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$3,010.50 |
$4,014 |
0.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$451.88 |
$602.50 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$392.25 |
$523 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$174 |
$232 |
0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,143.75 |
$1,525 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$1,110 |
$1,480 |
1.0× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,713.12 |
$3,617.50 |
1.4× |
| Excision of tongue lesion (41112) |
$624.75 |
$833 |
0.2× |
| Excision olecranon bursa (24105) |
$1,812 |
$2,416 |
0.6× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$903.75 |
$1,205 |
0.3× |
| Excision soft tissue lesion, external auditory canal (69145) |
$352.50 |
$470 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,677 |
$2,236 |
1.1× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,725 |
$2,300 |
1.2× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$2,208.75 |
$2,945 |
1.5× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$3,521.25 |
$4,695 |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$530.62 |
$707.50 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,440 |
$1,920 |
0.5× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$1,481.25 |
$1,975 |
0.4× |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,275.50 |
$3,034 |
1.2× |
| Exploration of knee joint (27310) |
$2,124 |
$2,832 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$537 |
$716 |
0.4× |
| Explore limb vessels (35860) |
$1,993.88 |
$2,658.50 |
0.7× |
| Explore/treat ankle joint (27610) |
$3,858.38 |
$5,144.50 |
1.3× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,067.82 |
$1,423.75 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$2,268.75 |
$3,025 |
0.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,006.25 |
$2,675 |
0.7× |
| Fetal non-stress test (59025) |
$68.25 |
$91 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$785.62 |
$1,047.50 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$187.13 |
$249.50 |
0.5× |
| Fix ectropion,entensv lid repair (67917) |
$3,143.25 |
$4,191 |
1.4× |
| Fixation of shoulder (23700) |
$1,104.75 |
$1,473 |
0.7× |
| Fna bx w/fluor gdn 1st les (10007) |
$847.50 |
$1,130 |
1.3× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$1,453.50 |
$1,938 |
0.8× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,574 |
$3,432 |
1.4× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,665.75 |
$2,221 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$822.75 |
$1,097 |
0.4× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,407 |
$1,876 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$322.50 |
$430 |
1.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,941.38 |
$2,588.50 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$540.05 |
$720.06 |
0.8× |
| Hemorrhoidectomy (46255) |
$1,572 |
$2,096 |
0.6× |
| Hemorrhoidectomy external complete (46250) |
$686.25 |
$915 |
0.3× |
| Hysteroscopy ablation (58563) |
$3,954 |
$5,272 |
0.9× |
| Hysteroscopy biopsy (58558) |
$2,962.50 |
$3,950 |
1.0× |
| Hysteroscopy dx sep proc (58555) |
$1,499.62 |
$1,999.50 |
0.5× |
| I&d abscess simple (10060) |
$832.50 |
$1,110 |
4.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,521.25 |
$4,695 |
1.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,981.25 |
$3,975 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,023.75 |
$1,365 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$240.75 |
$321 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$168.38 |
$224.50 |
0.1× |
| Incise finger tendon sheath (26055) |
$1,162.12 |
$1,549.50 |
0.8× |
| Incise inner ear (69801) |
$1,406.25 |
$1,875 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$393 |
$524 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,691.25 |
$2,255 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,209.75 |
$1,613 |
3.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$198.38 |
$264.50 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$547.50 |
$730 |
2.0× |
| Incision extensor tendon sheath wrist (25000) |
$2,436 |
$3,248 |
1.6× |
| Incision of lingual frenum (41010) |
$181.40 |
$241.88 |
0.1× |
| Incision of metatarsal (28308) |
$2,403.75 |
$3,205 |
0.8× |
| Incision of rectal abscess (46040) |
$903.75 |
$1,205 |
0.8× |
| Incision of urethra (53020) |
$1,275 |
$1,700 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$177 |
$236 |
0.8× |
| Incision&drainage bursa foot (28001) |
$1,007.62 |
$1,343.50 |
0.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$299.25 |
$399 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$250.50 |
$334 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$99.38 |
$132.50 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$434.62 |
$579.50 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$133.12 |
$177.50 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$735.26 |
$980.34 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$414.38 |
$552.50 |
0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,326.75 |
$1,769 |
1.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$211.88 |
$282.50 |
0.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$433.50 |
$578 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$277.50 |
$370 |
0.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$345.75 |
$461 |
0.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$815.62 |
$1,087.50 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$335.62 |
$447.50 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$415.88 |
$554.50 |
0.5× |
| Inject Nerv Blck,Pudendal (64430) |
$982.50 |
$1,310 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$187.50 |
$250 |
0.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,058.25 |
$1,411 |
1.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$393.75 |
$525 |
0.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$393.75 |
$525 |
0.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$157.50 |
$210 |
0.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$236.25 |
$315 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$178.50 |
$238 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$148.50 |
$198 |
0.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$536.25 |
$715 |
0.7× |
| Injection for identification of sentinel node (38792) |
$2,707.88 |
$3,610.50 |
7.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$247.88 |
$330.50 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$247.88 |
$330.50 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$125.25 |
$167 |
0.4× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$999.75 |
$1,333 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$114.75 |
$153 |
0.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$663.75 |
$885 |
2.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$97.50 |
$130 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$69.38 |
$92.50 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$207 |
$276 |
1.7× |
| Insert Drug Implant Device (11981) |
$169.88 |
$226.50 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$1,579.12 |
$2,105.50 |
0.5× |
| Insert pessary/other device (57160) |
$262.50 |
$350 |
1.4× |
| Insert picc cath (36569) |
$1,218.75 |
$1,625 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$151.22 |
$201.62 |
1.2× |
| Insert tun ip cath perc (49418) |
$4,254 |
$5,672 |
1.3× |
| Insert tunneled cv cath (36561) |
$2,116.88 |
$2,822.50 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$137.90 |
$183.88 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,549.50 |
$6,066 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,100 |
$2,800 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,027.50 |
$5,370 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$247.50 |
$330 |
1.1× |
| Island pedicle flap graft (15740) |
$1,764 |
$2,352 |
0.9× |
| Knee arthroscopy/surgery (29876) |
$2,868.75 |
$3,825 |
1.0× |
| Lap ing hernia repair init (49650) |
$4,510.88 |
$6,014.50 |
0.8× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure |
$1,599.75 |
$2,133 |
0.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$1,834.50 |
$2,446 |
0.2× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$1,735.50 |
$2,314 |
0.3× |
| Laparoscopy biopsy (49321) |
$4,215 |
$5,620 |
0.8× |
| Laparoscopy orchiopexy (54692) |
$4,900.50 |
$6,534 |
0.9× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,297.50 |
$1,730 |
0.2× |
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 |
$1,362 |
$1,816 |
0.1× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$505.50 |
$674 |
0.1× |
| Laparoscopy Tubal Cautery (58670) |
$4,827.75 |
$6,437 |
0.9× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,215 |
$5,620 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,617.62 |
$4,823.50 |
0.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$8,232 |
$10,976 |
0.8× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$10,115.25 |
$13,487 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,083 |
$5,444 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,566.12 |
$7,421.50 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,694 |
$7,592 |
1.0× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$2,285 |
$3,046.66 |
0.4× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$11,949 |
$15,932 |
1.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$1,227.75 |
$1,637 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$1,513.13 |
$2,017.50 |
8.2× |
| Late closure of wound (13160) |
$1,724.25 |
$2,299 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,116.38 |
$1,488.50 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$1,974.38 |
$2,632.50 |
1.3× |
| Liver Biopsy (47000) |
$1,297.50 |
$1,730 |
0.9× |
| Lysis of labial adhesions (56441) |
$322.50 |
$430 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$987 |
$1,316 |
0.5× |
| Mastectomy gynecomastia (19300) |
$2,275.88 |
$3,034.50 |
0.6× |
| Mastectomy partial (19301) |
$3,839.62 |
$5,119.50 |
1.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$8,085.75 |
$10,781 |
1.3× |
| Mastectomy simple complete (19303) |
$8,148 |
$10,864 |
1.3× |
| Muscle-skin graft trunk (15734) |
$3,795.75 |
$5,061 |
1.2× |
| Myringoplasty (69620) |
$4,215.75 |
$5,621 |
1.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,566 |
$2,088 |
8.5× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$5,212.12 |
$6,949.50 |
3.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$4,501.50 |
$6,002 |
2.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.38 |
$52.50 |
1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,454.25 |
$1,939 |
3.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$487.50 |
$650 |
0.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$530.25 |
$707 |
2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$423.75 |
$565 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$999.75 |
$1,333 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$669.19 |
$892.25 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$669.19 |
$892.25 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$999.75 |
$1,333 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,043.62 |
$1,391.50 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$669.19 |
$892.25 |
0.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$250.88 |
$334.50 |
0.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$290.25 |
$387 |
0.8× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$4,234.50 |
$5,646 |
0.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$3,465 |
$4,620 |
0.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,551 |
$10,068 |
1.1× |
| Open treatment metatarsal fracture each (28485) |
$6,315 |
$8,420 |
0.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$4,080 |
$5,440 |
0.6× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
unusually low: confirm this is the full procedure |
$3,326.25 |
$4,435 |
0.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
unusually low: confirm this is the full procedure |
$3,071.25 |
$4,095 |
0.5× |
Open Treatment Radial Shaft Fracture (25515)
unusually low: confirm this is the full procedure |
$3,014.25 |
$4,019 |
0.5× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$4,630.50 |
$6,174 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,466.25 |
$1,955 |
0.5× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$4,385.62 |
$5,847.50 |
0.7× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$5,274.75 |
$7,033 |
1.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,865 |
$3,820 |
1.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,040 |
$2,720 |
0.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,971.63 |
$5,295.50 |
2.7× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,632.50 |
$3,510 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,427 |
$3,236 |
0.8× |
| Pelvic exam under anesthesia (57410) |
$212.25 |
$283 |
0.1× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,145 |
$2,860 |
0.7× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$4,002.75 |
$5,337 |
1.3× |
| Perq dev breast 1st us imag (19285) |
$448.50 |
$598 |
0.7× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$545.25 |
$727 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$517.50 |
$690 |
2.3× |
| Placement of needle for intraosseous infusion (36680) |
$123.75 |
$165 |
0.3× |
| Placement of seton (46020) |
$3,131.25 |
$4,175 |
1.2× |
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$1,020 |
$1,360 |
0.1× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$2,625 |
$3,500 |
0.5× |
| Preputial Stretching (54450) |
$101.25 |
$135 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,027.50 |
$1,370 |
1.2× |
| Prostatectomy (turp) (52601) |
$6,338.25 |
$8,451 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$400.88 |
$534.50 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$310.22 |
$413.62 |
0.8× |
| Puncture Aspiration (10160) |
$203.72 |
$271.62 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$463.50 |
$618 |
0.7× |
| Pvb thoracic single inj site (64461) |
$852 |
$1,136 |
1.3× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,620 |
$2,160 |
0.5× |
Reconstr disloc patella w mscl adv (27422)
unusually low: confirm this is the full procedure |
$2,927.62 |
$3,903.50 |
0.4× |
| Reconstruction of urethra (54324) |
$4,601.25 |
$6,135 |
1.4× |
| Reconstruction of urethra (54326) |
$4,702.50 |
$6,270 |
1.5× |
| Reconstruction tongue fold (41520) |
$3,530.25 |
$4,707 |
1.2× |
| Reduce testis torsion (54600) |
$3,352.50 |
$4,470 |
1.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$3,341.62 |
$4,455.50 |
0.5× |
| Removal fb intranasal (30300) |
$182.44 |
$243.25 |
1.5× |
| Removal foreign body foot deep (28192) |
$1,387.50 |
$1,850 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$295.69 |
$394.25 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$263.63 |
$351.50 |
0.2× |
| Removal foreign body pharynx (42809) |
$220.50 |
$294 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$578.62 |
$771.50 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72 |
$96 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$294.75 |
$393 |
5.4× |
| Removal Implant Deep (20680) |
$1,874.62 |
$2,499.50 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$372.75 |
$497 |
0.6× |
| Removal of adenoids (42830) |
$2,349.75 |
$3,133 |
0.8× |
| Removal of arm foreign body (24200) |
$284.63 |
$379.50 |
0.2× |
| Removal of heel bone (28118) |
$7,357.50 |
$9,810 |
2.4× |
| Removal of intrauterine device (iud) (58301) |
$339.75 |
$453 |
1.2× |
| Removal of nail bed (11750) |
$289.31 |
$385.75 |
0.8× |
| Removal of salivary stone (42330) |
$345 |
$460 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$319.50 |
$426 |
1.7× |
| Removal of testis (54520) |
$3,231.38 |
$4,308.50 |
1.0× |
| Removal of tonsils (42826) |
$3,105 |
$4,140 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$96 |
$128 |
0.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$194.06 |
$258.75 |
0.8× |
| Remove anal fist subq (46270) |
$1,726.88 |
$2,302.50 |
0.7× |
| Remove by ligat int hem grp (46945) |
$367.50 |
$490 |
0.1× |
| Remove by ligat int hem grps (46946) |
$387 |
$516 |
0.2× |
| Remove drug implant device (11982) |
$219.75 |
$293 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$359.63 |
$479.50 |
1.2× |
| Remove femur lesion (27355) |
$1,128.75 |
$1,505 |
0.4× |
| Remove foreign body from eye (65210) |
$89.63 |
$119.50 |
0.2× |
| Remove humerus lesion (24110) |
$611.25 |
$815 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$3,420 |
$4,560 |
1.3× |
| Remove wrist tendon lesion (25111) |
$1,527.56 |
$2,036.75 |
1.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$261 |
$348 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$101.44 |
$135.25 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$89.63 |
$119.50 |
0.7× |
| Repair achilles tendon (27650) |
$3,458.25 |
$4,611 |
0.5× |
| Repair collat ankle ligmnt,secondary (27698) |
$4,033.12 |
$5,377.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,009.12 |
$1,345.50 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$708.75 |
$945 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$503.25 |
$671 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$850.12 |
$1,133.50 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$421.13 |
$561.50 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$544.50 |
$726 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$374.25 |
$499 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$544.88 |
$726.50 |
0.8× |
| Repair eyelid defect (67904) |
$3,143.25 |
$4,191 |
1.4× |
| Repair hallux rigidus (28289) |
$2,347.50 |
$3,130 |
0.8× |
| Repair incomplete circumcision (54163) |
$885 |
$1,180 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,835.38 |
$3,780.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$624.75 |
$833 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$366.75 |
$489 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$422.25 |
$563 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$804.75 |
$1,073 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$474 |
$632 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$472.69 |
$630.25 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$675 |
$900 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$568.50 |
$758 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$331.50 |
$442 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$412.50 |
$550 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$450.47 |
$600.62 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$543.75 |
$725 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$504 |
$672 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,094.25 |
$1,459 |
2.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$421.50 |
$562 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$590.25 |
$787 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$446.25 |
$595 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$600 |
$800 |
0.3× |
| Repair of nail bed (11760) |
$235.50 |
$314 |
0.3× |
| Repair of nasal septum (30520) |
$3,762 |
$5,016 |
1.2× |
| Repair of sperm duct (55400) |
$1,027.50 |
$1,370 |
0.3× |
| Repair rectum & vagina (57250) |
$6,733.50 |
$8,978 |
1.5× |
| Repair Tongue Laceration (41250) |
$245.25 |
$327 |
0.6× |
| Repair tympanic membrane (69610) |
$4,215.75 |
$5,621 |
3.0× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Other Surgical Services (20827) |
$6,589.12 |
$8,785.50 |
4.5× |
| Rerepair ing hernia blocked (49521) |
$3,850.12 |
$5,133.50 |
0.6× |
| Rerepair ing hernia reduce (49520) |
$3,203.25 |
$4,271 |
1.0× |
| Resect Inferior Turbinate (30140) |
$2,757.75 |
$3,677 |
0.9× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,270 |
$4,360 |
1.1× |
| Revise median n/carpal tunnel surg (64721) |
$1,212.94 |
$1,617.25 |
0.7× |
| Revise ulnar nerve at elbow (64718) |
$1,807.69 |
$2,410.25 |
1.0× |
| Revision of penis (54304) |
$2,934.84 |
$3,913.12 |
0.9× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$12,164.25 |
$16,219 |
1.0× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
unusually low: confirm this is the full procedure |
$4,908.75 |
$6,545 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure |
$4,394.62 |
$5,859.50 |
0.4× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$1,558.88 |
$2,078.50 |
0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$315.94 |
$421.25 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$252 |
$336 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$117.38 |
$156.50 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$113.06 |
$150.75 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,116.12 |
$2,821.50 |
1.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,546.88 |
$2,062.50 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,270.88 |
$1,694.50 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,236 |
$1,648 |
2.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$260.25 |
$347 |
0.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,225 |
$4,300 |
0.6× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure |
$2,787.38 |
$3,716.50 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$2,809.50 |
$3,746 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,809.12 |
$3,745.50 |
0.9× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$5,566.12 |
$7,421.50 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$661.50 |
$882 |
1.0× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$455.25 |
$607 |
2.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$600 |
$800 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$525 |
$700 |
1.1× |
| Scrotal exploration (55110) |
$4,136.25 |
$5,515 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$96.75 |
$129 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$297 |
$396 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$81.75 |
$109 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$78.75 |
$105 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$135 |
$180 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$170.06 |
$226.75 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$78.75 |
$105 |
0.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$2,426.25 |
$3,235 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$78.75 |
$105 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$78.38 |
$104.50 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$78.75 |
$105 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$279 |
$372 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$103.12 |
$137.50 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$565.50 |
$754 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$565.50 |
$754 |
0.5× |
| Simple destruction of growth of penis using electric current (54055) |
$199.50 |
$266 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$412.50 |
$550 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$240.75 |
$321 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$282 |
$376 |
1.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$487.50 |
$650 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$221.72 |
$295.62 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$278.62 |
$371.50 |
1.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$376.50 |
$502 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$222.75 |
$297 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$317.25 |
$423 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$229.50 |
$306 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$3,933 |
$5,244 |
2.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,621.62 |
$3,495.50 |
3.9× |
| Skin sub graft trnk/arm/leg (15271) |
$3,391.50 |
$4,522 |
5.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,494.38 |
$1,992.50 |
0.8× |
| Skin tissue rearrangement (14040) |
$1,867.50 |
$2,490 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,032 |
$5,376 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$572.25 |
$763 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$7,404 |
$9,872 |
1.6× |
| Slitting of prepuce (54001) |
$1,629.38 |
$2,172.50 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$128.16 |
$170.88 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$261.84 |
$349.12 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$393.94 |
$525.25 |
1.1× |
| Sphincterotomy (46080) |
$781.50 |
$1,042 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$483 |
$644 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$406.12 |
$541.50 |
0.6× |
| Strapping ankle (29540) |
$367.50 |
$490 |
2.5× |
| Strapping elbow/wrist (29260) |
$367.50 |
$490 |
6.8× |
| Strapping hand/finger (29280) |
$367.50 |
$490 |
6.8× |
| Strapping Hip (29520) |
$367.50 |
$490 |
3.0× |
| Strapping knee (29530) |
$367.50 |
$490 |
3.0× |
| Strapping shoulder (29240) |
$367.50 |
$490 |
3.0× |
| Strapping toes (29550) |
$22.50 |
$30 |
0.4× |
| Strapping unna boot (29580) |
$303 |
$404 |
2.0× |
| Suspension of testis (54640) |
$2,901.75 |
$3,869 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$322.12 |
$429.50 |
0.9× |
| Tenodesis long tendon biceps (23430) |
$4,241.62 |
$5,655.50 |
0.6× |
| Tenodesis Wrist Flexors Fingers (25300) |
$1,065 |
$1,420 |
0.4× |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,064.88 |
$4,086.50 |
1.0× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$567.75 |
$757 |
0.2× |
| Tenotomy percutaneous single each digit (26060) |
$267 |
$356 |
0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$750 |
$1,000 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$540 |
$720 |
0.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$487.50 |
$650 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$831.38 |
$1,108.50 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$586.88 |
$782.50 |
1.0× |
| Thyroid biopsy (60100) |
$498.75 |
$665 |
0.8× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,866.88 |
$3,822.50 |
1.5× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$3,094.12 |
$4,125.50 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,133.50 |
$4,178 |
1.0× |
| Total hip arthroplasty (27130) |
$11,647.50 |
$15,530 |
1.0× |
| Total knee arthroplasty (27447) |
$11,647.50 |
$15,530 |
1.0× |
Treat clavicle dislocation (23532)
unusually low: confirm this is the full procedure |
$2,114.82 |
$2,819.75 |
0.3× |
| Treat ectopic pregnancy (59151) |
$4,011.38 |
$5,348.50 |
0.7× |
| Treat finger dislocation (26775) |
$499.50 |
$666 |
1.9× |
| Treat Fracture Radius & Ulna (25560) |
$342.38 |
$456.50 |
1.5× |
| Treat fx distal radial (25606) |
$1,925.25 |
$2,567 |
0.6× |
| Treat fx rad extra-articul (25607) |
$3,573.75 |
$4,765 |
0.5× |
| Treat humerus fracture (24500) |
$453.19 |
$604.25 |
2.0× |
| Treat humerus fracture (23600) |
$421.13 |
$561.50 |
1.9× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$3,810 |
$5,080 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$357.19 |
$476.25 |
1.6× |
Treat ulnar fracture (24685)
unusually low: confirm this is the full procedure |
$2,849.25 |
$3,799 |
0.4× |
| Treat wrist bone fracture (25622) |
$600 |
$800 |
2.6× |
| Treat Wrist Bone Fracture (25630) |
$588.75 |
$785 |
2.6× |
| Treatment closed elbow dislocation req anes (24605) |
$675 |
$900 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$335.63 |
$447.50 |
1.5× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,785 |
$2,380 |
0.3× |
| Treatment of ankle fracture (27792) |
$3,645.38 |
$4,860.50 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$412.50 |
$550 |
1.8× |
| Trim skin lesion (11055) |
$67.13 |
$89.50 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$81.19 |
$108.25 |
0.4× |
| Trim skin lesions over 4 (11057) |
$325.50 |
$434 |
1.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$29.63 |
$39.50 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$434.25 |
$579 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$498.75 |
$665 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$389.25 |
$519 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$412.50 |
$550 |
1.1× |
| Tympanostomy (69433) |
$618.75 |
$825 |
1.2× |
| Unlisted laparoscopic procedure liver (47379) |
$4,302.38 |
$5,736.50 |
0.8× |
| Unlisted laparoscopy procedure, stomach (43659) |
$6,956.25 |
$9,275 |
1.3× |
| Unlisted procedure anus (46999) |
$1,196.25 |
$1,595 |
1.4× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$480 |
$640 |
2.2× |
| Unlisted procedure femur or knee (27599) |
$733.50 |
$978 |
3.2× |
| Unlisted Procedure Nervous System (64999) |
$506.25 |
$675 |
1.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$1,080 |
$1,440 |
4.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,036.97 |
$2,715.96 |
3.5× |
| Unlisted procedure, stomach (43999) |
$282 |
$376 |
0.3× |
| Urology Surgery Procedure (53899) |
$319.50 |
$426 |
1.4× |
| Vaginal delivery only (59409) |
$1,397.81 |
$1,863.75 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,267.50 |
$1,690 |
0.3× |
| Vasectomy (55250) |
$1,142.62 |
$1,523.50 |
0.6× |
| Venipuncture (36415) |
$11.44 |
$15.25 |
1.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,182.50 |
$2,910 |
0.7× |
| Wedging of cast (29740) |
$129.56 |
$172.75 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$870.28 |
$1,160.38 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$700.22 |
$933.62 |
1.0× |
| Wrist arthroscopy/surgery (29845) |
$1,619.25 |
$2,159 |
0.5× |