| Abd paracentesis w/imaging (49083) |
$1,097 |
$1,097 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$570 |
$570 |
0.5× |
| Ablate inf turbinate submuc (30802) |
$2,545 |
$2,545 |
1.4× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) likely a partial charge, not the full procedure |
$3,254.55 |
$3,254.55 |
0.2× |
Ablation renal tumor unilateral perq cryotherapy (50593) unusually low: confirm this is the full procedure |
$4,627 |
$4,627 |
0.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$2,545 |
$2,545 |
1.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$3,410 |
$3,410 |
0.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,014 |
$2,014 |
0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,014 |
$2,014 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,596 |
$3,596 |
0.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,014 |
$2,014 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,014 |
$2,014 |
0.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,014 |
$2,014 |
0.8× |
| Amniocentesis diagnostic (59000) |
$421 |
$421 |
0.4× |
| Amputation Finger/Thumb (26951) |
$6,045 |
$6,045 |
1.5× |
| Amputation foot transmetarsal (28805) |
$3,410 |
$3,410 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$3,410 |
$3,410 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,410 |
$3,410 |
0.9× |
| Analyze spine infus pump (62367) |
$530 |
$530 |
1.4× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$968 |
$968 |
0.9× |
| Anoscopy diagnostic (46600) |
$250 |
$250 |
1.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,905 |
$1,905 |
1.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,689 |
$1,689 |
1.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,274 |
$1,274 |
0.9× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$3,035 |
$3,035 |
0.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,035 |
$3,035 |
0.9× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$5,364 |
$5,364 |
0.9× |
| Anterior tibial tubercleplasty (27418) |
$7,409 |
$7,409 |
0.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$384 |
$384 |
2.0× |
| Application cast elbow finger short arm (29075) |
$420 |
$420 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$376 |
$376 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$116 |
$116 |
1.6× |
| Application finger splint static (29130) |
$440 |
$440 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$220 |
$220 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$420 |
$420 |
1.3× |
| Application of long leg cast (29345) |
$376 |
$376 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$536 |
$536 |
1.6× |
| Application Patellar Tendon Bearing Cast (29435) |
$285 |
$285 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$187 |
$187 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$187 |
$187 |
1.2× |
| Apply Hand/Wrist Cast (29085) |
$504.32 |
$504.32 |
2.6× |
| Apply long leg splint (29505) |
$220 |
$220 |
1.1× |
| Apply short leg cast (29405) |
$420 |
$420 |
1.3× |
| Apply short leg cast (29425) |
$420 |
$420 |
1.3× |
| Apply short leg splint (29515) |
$220 |
$220 |
1.1× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$3,410 |
$3,410 |
0.9× |
| Arterial puncture (36600) |
$165 |
$165 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,689 |
$5,689 |
0.9× |
| Artery-vein autograft (36825) |
$5,689 |
$5,689 |
0.9× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$13,928 |
$13,928 |
0.9× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,928 |
$13,928 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$599 |
$599 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,380 |
$1,380 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$629 |
$629 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$692 |
$692 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$570 |
$570 |
1.5× |
| Arthrodesis ankle open (27870) |
$13,928 |
$13,928 |
0.9× |
| Arthrodesis Glenohumeral Joint (23800) |
$7,409 |
$7,409 |
0.9× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,409 |
$7,409 |
0.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,409 |
$7,409 |
0.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,410 |
$3,410 |
0.9× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$7,409 |
$7,409 |
0.9× |
| Arthrodesis; subtalar (28725) |
$13,928 |
$13,928 |
0.9× |
| Arthroplasty patella w/prosthesis (27438) |
$13,928 |
$13,928 |
0.9× |
| Arthroplasty radial head (24365) |
$13,928 |
$13,928 |
0.9× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,410 |
$3,410 |
0.9× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$13,928 |
$13,928 |
0.9× |
| Arthroplasty, radial head; with implant Facility (24366) |
$13,928 |
$13,928 |
0.9× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$13,928 |
$13,928 |
0.9× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) |
$13,928 |
$13,928 |
0.9× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,409 |
$7,409 |
0.9× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,409 |
$7,409 |
0.9× |
Arthroscopy, subtalar joint, surgical; with synovectomy Facility (29905) unusually low: confirm this is the full procedure |
$3,410 |
$3,410 |
0.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$3,410 |
$3,410 |
0.9× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$3,410 |
$3,410 |
0.9× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$1,707 |
$1,707 |
0.9× |
| Arthrotomy w/synovectomy ankle (27625) |
$3,410 |
$3,410 |
0.9× |
| Arthrotomy with biopsy; interphalangeal joint Facility (28054) |
$3,410 |
$3,410 |
0.9× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$3,410 |
$3,410 |
0.9× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$3,410 |
$3,410 |
0.9× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$3,410 |
$3,410 |
0.9× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$3,410 |
$3,410 |
0.9× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$3,410 |
$3,410 |
0.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,409 |
$7,409 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,410 |
$3,410 |
0.9× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$3,410 |
$3,410 |
0.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,953 |
$2,953 |
1.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,410 |
$3,410 |
0.9× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,410 |
$3,410 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$980 |
$980 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$373.50 |
$373.50 |
1.0× |
| Aspiration and injection for treatment of bone cyst (20615) |
$422 |
$422 |
0.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,100 |
$1,100 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,239 |
$3,239 |
1.3× |
| Av fistula revision (36833) |
$5,689 |
$5,689 |
0.9× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,689 |
$5,689 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$344 |
$344 |
1.4× |
| Axillary lymphadenectomy; complete (38745) |
$5,975 |
$5,975 |
0.8× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$5,975 |
$5,975 |
0.8× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$11,371 |
$11,371 |
1.5× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$20,871 |
$20,871 |
1.6× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$11,921.50 |
$11,921.50 |
0.9× |
| Biopsy bone open deep (20245) |
$5,617 |
$5,617 |
1.6× |
| Biopsy bone open superficial (20240) |
$5,106 |
$5,106 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$1,373 |
$1,373 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$802 |
$802 |
0.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$989 |
$989 |
0.9× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,788 |
$1,788 |
0.9× |
| Biopsy muscle deep (20205) |
$3,092 |
$3,092 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$515 |
$515 |
0.3× |
| Biopsy Muscle Superficial (20200) |
$1,788 |
$1,788 |
0.9× |
| Biopsy Nail Unit Separate Procedure (11755) |
$1,209 |
$1,209 |
1.4× |
| Biopsy of mouth lesion (40808) |
$633 |
$633 |
1.0× |
| Biopsy of penis (54100) |
$1,788 |
$1,788 |
0.9× |
| Biopsy of testis (54500) |
$4,243 |
$4,243 |
1.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$3,661 |
$3,661 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,661 |
$3,661 |
0.8× |
| Biopsy pleura percutaneous needle (32400) |
$1,761 |
$1,761 |
0.9× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$5,402 |
$5,402 |
1.3× |
| Biopsy Salivary Gland Incisional (42405) |
$2,901 |
$2,901 |
1.6× |
| Biopsy Salivary Gland,Needle (42400) |
$971 |
$971 |
1.1× |
| Biopsy soft tissue back,superf (21920) |
$1,788 |
$1,788 |
0.9× |
| Biopsy soft tissue back/flank deep (21925) |
$1,788 |
$1,788 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,788 |
$1,788 |
0.9× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$1,788 |
$1,788 |
0.9× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,092 |
$3,092 |
0.9× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,092 |
$3,092 |
0.9× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,788 |
$1,788 |
0.9× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,788 |
$1,788 |
0.9× |
| Biopsy testis incisional separate procedure (54505) |
$7,384 |
$7,384 |
1.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,554 |
$1,554 |
1.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$996 |
$996 |
0.9× |
| Biopsy/removal lymph nodes (38525) |
$3,661 |
$3,661 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$3,661 |
$3,661 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$373 |
$373 |
0.4× |
| Bladder Irrigation Simple (51700) |
$391 |
$391 |
1.3× |
| Blepharotomy drain absc eyelid (67700) |
$566 |
$566 |
1.5× |
| Blood patch (62273) |
$605 |
$605 |
0.7× |
| Blood transfusion service (36430) |
$553 |
$553 |
1.0× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$7,409 |
$7,409 |
0.9× |
| Bone marrow aspiration only (38220) |
$2,466.50 |
$2,466.50 |
1.2× |
| Bone Marrow Biopsy (38221) |
$2,614.50 |
$2,614.50 |
1.3× |
| Breast Reduction (19318) |
$6,390 |
$6,390 |
0.8× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,973 |
$1,973 |
0.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,973 |
$1,973 |
0.9× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$3,948 |
$3,948 |
0.9× |
| Bronch ebus samplng 1/2 node (31652) |
$4,582 |
$4,582 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$4,582 |
$4,582 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,973 |
$1,973 |
0.9× |
| Bronchoscopy Balloon Occlusion (31634) |
$6,692 |
$6,692 |
0.8× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,563 |
$3,563 |
0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,780 |
$1,780 |
0.8× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,973 |
$1,973 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$502 |
$502 |
1.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,384.50 |
$3,384.50 |
1.6× |
| Buttock fasciotomy (27027) |
$7,409 |
$7,409 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$981 |
$981 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$4,985 |
$4,985 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$2,372 |
$2,372 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,953 |
$2,953 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,233 |
$1,233 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,826 |
$2,826 |
1.4× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$3,092 |
$3,092 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$1,418 |
$1,418 |
0.7× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$3,410 |
$3,410 |
0.9× |
| Capsulorrhaphy, anterior, any type; with bone block Facility (23460) |
$7,409 |
$7,409 |
0.9× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$7,409 |
$7,409 |
0.9× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$7,409 |
$7,409 |
0.9× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) |
$7,409 |
$7,409 |
0.9× |
| Carpectomy All Bones Proximal Row (25215) |
$3,410 |
$3,410 |
0.9× |
| Casting/strapping procedure (29799) |
$122 |
$122 |
0.6× |
| Cerclage cervix pregnancy vaginal (59320) |
$852 |
$852 |
0.2× |
| Cessj Therapy Cath Removal (37214) |
$2,930 |
$2,930 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$1,220 |
$1,220 |
1.5× |
| Change of cystostomy tube simple (51705) |
$355 |
$355 |
1.2× |
| Chemical cautery tissue (17250) |
$249 |
$249 |
1.0× |
| Chemical exfoliation for acne (eg, acne paste, acid) Facility (17360) |
$434 |
$434 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,557 |
$1,557 |
1.8× |
| Chemodenerv musc migraine (64615) |
$650 |
$650 |
1.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$588 |
$588 |
1.6× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$641 |
$641 |
1.7× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,557 |
$1,557 |
1.8× |
| Chemodenerv trunk musc 6/> (64647) |
$1,557 |
$1,557 |
1.8× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$990 |
$990 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$627 |
$627 |
1.7× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,347.50 |
$3,347.50 |
0.8× |
| Circum 28 days or older (54161) |
$2,262 |
$2,262 |
0.9× |
| Claviculectomy partial (23120) |
$3,410 |
$3,410 |
0.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$483 |
$483 |
1.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$281 |
$281 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$212 |
$212 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$352 |
$352 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$879 |
$879 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$8,200 |
$8,200 |
27.7× |
| Closed treat wrist dislocation (25660) |
$218 |
$218 |
0.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$204 |
$204 |
0.7× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$5,572 |
$5,572 |
1.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$322 |
$322 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$218 |
$218 |
0.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,707 |
$1,707 |
0.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,707 |
$1,707 |
0.9× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$204 |
$204 |
0.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$212 |
$212 |
0.7× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$322 |
$322 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$542 |
$542 |
1.8× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$482 |
$482 |
1.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,026 |
$3,026 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$322 |
$322 |
1.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$1,252 |
$1,252 |
4.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$204 |
$204 |
0.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$519.50 |
$519.50 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$832 |
$832 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,026 |
$3,026 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$692 |
$692 |
2.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$574 |
$574 |
0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$574 |
$574 |
1.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,026 |
$3,026 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,252 |
$1,252 |
4.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$322 |
$322 |
1.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,892 |
$1,892 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,627 |
$1,627 |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$532 |
$532 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$483 |
$483 |
1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$574 |
$574 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$322 |
$322 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,734 |
$1,734 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,026 |
$3,026 |
1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$204 |
$204 |
0.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$440 |
$440 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$180 |
$180 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$218 |
$218 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$322 |
$322 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$270 |
$270 |
0.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$234 |
$234 |
0.8× |
| Closure of vesicovaginal fistula; vaginal approach Facility (57320) |
$5,364 |
$5,364 |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$574 |
$574 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$352 |
$352 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,892 |
$1,892 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$212 |
$212 |
0.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,707 |
$1,707 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,172 |
$2,172 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$212 |
$212 |
0.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$218 |
$218 |
0.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$281 |
$281 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,707 |
$1,707 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$879 |
$879 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$879 |
$879 |
3.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$190 |
$190 |
0.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$322 |
$322 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$303 |
$303 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,511 |
$2,511 |
1.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,725 |
$1,725 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$190 |
$190 |
0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$293 |
$293 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,146 |
$1,146 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$532 |
$532 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$483 |
$483 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$532 |
$532 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$483 |
$483 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,026 |
$3,026 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$583 |
$583 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$281 |
$281 |
1.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$212 |
$212 |
0.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$218 |
$218 |
0.1× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$161 |
$161 |
0.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$574 |
$574 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$440 |
$440 |
1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$592 |
$592 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$337 |
$337 |
1.1× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$879 |
$879 |
3.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$879 |
$879 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$400 |
$400 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$303 |
$303 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$212 |
$212 |
0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,707 |
$1,707 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$440 |
$440 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$532 |
$532 |
1.8× |
| Cltx post ankle fx w/mnpj (27768) |
$879 |
$879 |
0.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,892 |
$1,892 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$212 |
$212 |
0.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$879 |
$879 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$879 |
$879 |
3.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,146 |
$1,146 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$212 |
$212 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,295 |
$1,295 |
0.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,415 |
$3,415 |
1.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$190 |
$190 |
0.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$440 |
$440 |
1.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,173 |
$2,173 |
1.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$293 |
$293 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$907 |
$907 |
3.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,274 |
$1,274 |
0.9× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,274 |
$1,274 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$1,274 |
$1,274 |
0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,274 |
$1,274 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,274 |
$1,274 |
0.9× |
| Colporrhaphy Suture Injury Vagina (57200) |
$6,432 |
$6,432 |
1.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$421 |
$421 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$216 |
$216 |
0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$439 |
$439 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,898 |
$3,898 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,898 |
$3,898 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,618 |
$1,618 |
4.4× |
| Colposcopy vulva (56820) |
$260 |
$260 |
1.1× |
| Colposcopy vulva w/biopsy (56821) |
$676 |
$676 |
1.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$422 |
$422 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$996 |
$996 |
0.9× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,364 |
$5,364 |
0.9× |
| Complex Cystometrogram (51726) |
$300 |
$300 |
1.0× |
| Complex Uroflowmetry (51741) |
$283 |
$283 |
1.1× |
| Conization of cervix (57522) |
$3,070 |
$3,070 |
0.8× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$393 |
$393 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$196 |
$196 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$165 |
$165 |
1.0× |
| Conversion ext bil drg cath (47535) |
$7,539.50 |
$7,539.50 |
1.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,457 |
$3,457 |
1.5× |
| Convert nephrostomy catheter (50434) |
$1,358 |
$1,358 |
0.5× |
| Coracoacromial ligament release, with or without acromioplasty Facility (23415) |
$7,409 |
$7,409 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,142 |
$2,142 |
1.1× |
| Correction hammertoe (28285) |
$3,410 |
$3,410 |
0.9× |
| Correction of bunion (28298) |
$7,409 |
$7,409 |
0.9× |
| Correction of bunion (28292) |
$3,410 |
$3,410 |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,410 |
$3,410 |
0.9× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$9,946 |
$9,946 |
0.9× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$53 |
$53 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$277 |
$277 |
1.7× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$968 |
$968 |
0.9× |
| Curettage postpartum (59160) |
$140 |
$140 |
0.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,518 |
$2,518 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,068 |
$3,068 |
1.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,068 |
$3,068 |
0.7× |
| Cysto w/destruction of lesions (52214) |
$2,262 |
$2,262 |
0.5× |
| Cysto w/insert ureteral stent (52332) |
$6,731 |
$6,731 |
1.6× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,068 |
$3,068 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$6,731 |
$6,731 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,068 |
$3,068 |
1.2× |
| Cysto w/ureter stricture tx (52341) |
$4,533 |
$4,533 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,805 |
$3,805 |
0.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,805 |
$3,805 |
0.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,227 |
$5,227 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$5,227 |
$5,227 |
0.8× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,227 |
$5,227 |
0.8× |
| Cystolithotomy (51050) |
$5,227 |
$5,227 |
0.8× |
| Cystometrogram w/vp (51728) |
$1,501 |
$1,501 |
1.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) unusually low: confirm this is the full procedure |
$5,227 |
$5,227 |
0.5× |
| Cystoscopy implant stent (52282) |
$3,805 |
$3,805 |
0.9× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,262 |
$2,262 |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,262 |
$2,262 |
0.9× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$2,262 |
$2,262 |
0.5× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$3,805 |
$3,805 |
0.9× |
| Cystouretero & or pyeloscope (52351) |
$2,262 |
$2,262 |
0.5× |
| Cystourethroscopy (52000) |
$1,373 |
$1,373 |
1.6× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$5,227 |
$5,227 |
0.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,805 |
$3,805 |
0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,068 |
$3,068 |
1.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$731 |
$731 |
0.9× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$3,805 |
$3,805 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,262 |
$2,262 |
0.9× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,805 |
$3,805 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$2,764 |
$2,764 |
1.1× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,805 |
$3,805 |
0.9× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$5,227 |
$5,227 |
0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,262 |
$2,262 |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$5,227 |
$5,227 |
0.8× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,262 |
$2,262 |
0.9× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$2,506 |
$2,506 |
1.0× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$5,227 |
$5,227 |
0.8× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$5,227 |
$5,227 |
0.8× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$3,805 |
$3,805 |
0.9× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$2,262 |
$2,262 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$487 |
$487 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,106 |
$5,106 |
1.5× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$3,410 |
$3,410 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$781 |
$781 |
0.9× |
| Debride nail 1-5 (11720) |
$126 |
$126 |
1.8× |
| Debride nail 6 or more (11721) |
$136 |
$136 |
1.9× |
| Debride skin musc at fx site (11011) |
$753 |
$753 |
0.9× |
| Debride tissue/muscle (11043) |
$681 |
$681 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$550 |
$550 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,485 |
$2,485 |
1.3× |
| Declot vascular device (36593) |
$469 |
$469 |
1.2× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,707 |
$1,707 |
0.9× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$1,707 |
$1,707 |
0.9× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$3,410 |
$3,410 |
0.9× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$3,410 |
$3,410 |
0.9× |
| Decompression of lower leg (27600) |
$3,410 |
$3,410 |
0.9× |
| Decompression Of Tibia Nerve (28035) |
$2,121 |
$2,121 |
0.9× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$2,014 |
$2,014 |
0.8× |
| Delivery placenta separate procedure (59414) |
$5,794 |
$5,794 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$2,737 |
$2,737 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,737 |
$2,737 |
1.2× |
| Destruction anal lesion(s) (46924) |
$3,035 |
$3,035 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$229 |
$229 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$354 |
$354 |
1.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,102 |
$1,102 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,049 |
$1,049 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$2,014 |
$2,014 |
0.8× |
| Destruction Lesions Vulva Simple (56501) |
$525 |
$525 |
0.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$229 |
$229 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$315 |
$315 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,683 |
$2,683 |
1.1× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$3,035 |
$3,035 |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,014 |
$2,014 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$2,447 |
$2,447 |
1.0× |
| Destruction of skin lesions (17106) |
$630 |
$630 |
1.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$630 |
$630 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$273 |
$273 |
1.1× |
| Diagnostic anoscopy (46601) |
$138 |
$138 |
0.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$975 |
$975 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$2,494 |
$2,494 |
2.2× |
| Dilate urethra stricture (53600) |
$535 |
$535 |
1.8× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$283 |
$283 |
1.8× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$207 |
$207 |
1.3× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$7,409 |
$7,409 |
0.9× |
| Drain lower leg bursa (27604) |
$4,243 |
$4,243 |
1.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$138 |
$138 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$507 |
$507 |
1.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$234 |
$234 |
0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$618 |
$618 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$172 |
$172 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$970 |
$970 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$2,953 |
$2,953 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$380 |
$380 |
1.6× |
| Drainage Mouth Roof Lesion (42000) |
$234 |
$234 |
0.8× |
| Drainage of gum lesion (41800) |
$207 |
$207 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$1,584 |
$1,584 |
0.8× |
| Drainage of hydrocele (55000) |
$1,442 |
$1,442 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$1,204 |
$1,204 |
0.6× |
| Drainage tendon sheath digit&/palm each (26020) |
$3,410 |
$3,410 |
0.9× |
| Draw blood off venous device (36591) |
$200 |
$200 |
1.3× |
| Drg privesical/prevesical space absc (51080) |
$3,092 |
$3,092 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$680 |
$680 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$351 |
$351 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$273 |
$273 |
1.1× |
| Drug Assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry… (0227U) |
$300 |
$300 |
4.8× |
| Dstrj lesion anus simple chemical (46900) |
$568 |
$568 |
1.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$229 |
$229 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,465 |
$2,465 |
0.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,014 |
$2,014 |
0.8× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$365 |
$365 |
0.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$245 |
$245 |
1.0× |
| Dstrj Lesion Penis Simple Laser (54057) |
$2,014 |
$2,014 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$807 |
$807 |
0.3× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$990 |
$990 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$3,226.50 |
$3,226.50 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,928 |
$1,928 |
0.8× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,928 |
$1,928 |
0.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,928 |
$1,928 |
0.8× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,928 |
$1,928 |
0.8× |
| Egd place gastrostomy tube (43246) |
$2,430 |
$2,430 |
1.1× |
| Egd tube/cath insertion (43241) |
$1,928 |
$1,928 |
0.8× |
| Elbow Arthroscopy/Surgery (29837) |
$3,410 |
$3,410 |
0.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$423 |
$423 |
1.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$337 |
$337 |
0.9× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$365 |
$365 |
1.0× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$5,689 |
$5,689 |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$5,689 |
$5,689 |
0.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$349 |
$349 |
2.3× |
| Endocervical Curettage (57505) |
$1,149 |
$1,149 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$5,364 |
$5,364 |
0.9× |
| Endometrial Biopsy (58100) |
$400 |
$400 |
1.7× |
| Endoscopic us exam esoph (43237) |
$1,928 |
$1,928 |
0.8× |
| Endoscopy of bowel pouch (44385) |
$968 |
$968 |
0.9× |
| Endoven ther chem adhes 1st (36482) |
$10,237 |
$10,237 |
1.5× |
| Endovenous laser, 1st vein (36478) |
$8,938 |
$8,938 |
2.4× |
| Endovenous rf 1st vein (36475) |
$6,000 |
$6,000 |
1.6× |
| Epididymectomy unilateral (54860) |
$4,800 |
$4,800 |
1.1× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4,199 |
$4,199 |
1.7× |
| Ercp Duct Stent Placement (43274) |
$5,845 |
$5,845 |
0.8× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,672 |
$3,672 |
0.8× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,679 |
$4,679 |
1.0× |
| Ercp remove forgn body duct (43275) |
$3,672 |
$3,672 |
1.6× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,845 |
$5,845 |
0.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,672 |
$3,672 |
0.8× |
| Escharotomy initial incision (16035) |
$408 |
$408 |
0.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$990 |
$990 |
0.9× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$1,928 |
$1,928 |
0.8× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,775 |
$1,775 |
0.8× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,928 |
$1,928 |
0.8× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$1,928 |
$1,928 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$137.50 |
$137.50 |
0.9× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,788 |
$1,788 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,788 |
$1,788 |
0.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,092 |
$3,092 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,329 |
$3,329 |
1.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$812.50 |
$812.50 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,140 |
$2,140 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,290 |
$2,290 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,340 |
$2,340 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$912.50 |
$912.50 |
1.1× |
| Exc back les sc < 3 cm (21930) |
$2,953 |
$2,953 |
1.5× |
| Exc back tum deep < 5 cm (21932) |
$5,106 |
$5,106 |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,009.50 |
$1,009.50 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,953 |
$2,953 |
1.5× |
| Exc forearm les sc 3 cm/> (25071) |
$3,101 |
$3,101 |
1.6× |
| Exc ganglion wrist recurrent (25112) |
$1,707 |
$1,707 |
0.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,262 |
$2,262 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,707 |
$1,707 |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,707 |
$1,707 |
0.9× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,121 |
$2,121 |
0.9× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$3,035 |
$3,035 |
0.9× |
| Exc rect tum transanal part (45171) |
$3,035 |
$3,035 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,190 |
$2,190 |
2.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$862.50 |
$862.50 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,062.50 |
$1,062.50 |
1.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$3,101 |
$3,101 |
1.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$5,106 |
$5,106 |
1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,400 |
$3,400 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,270 |
$2,270 |
1.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,092 |
$3,092 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,092 |
$3,092 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,788 |
$1,788 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,092 |
$3,092 |
0.9× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,092 |
$3,092 |
0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,100 |
$2,100 |
1.1× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,253 |
$3,253 |
1.6× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,098 |
$3,098 |
1.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,426 |
$3,426 |
1.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,362 |
$5,362 |
1.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$4,652 |
$4,652 |
1.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$3,256 |
$3,256 |
1.6× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,101 |
$3,101 |
1.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,092 |
$3,092 |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,092 |
$3,092 |
0.9× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,092 |
$3,092 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,788 |
$1,788 |
0.9× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,953 |
$2,953 |
1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,788 |
$1,788 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,981 |
$1,981 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,092 |
$3,092 |
0.9× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$3,092 |
$3,092 |
0.9× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,092 |
$3,092 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,092 |
$3,092 |
0.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,707 |
$1,707 |
0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,791 |
$6,791 |
1.6× |
| Exchange nephrostomy cath (50435) |
$1,358 |
$1,358 |
0.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,291 |
$1,291 |
0.6× |
| Excise Inferior Turbinate (30130) |
$5,572 |
$5,572 |
1.4× |
| Excise lesion testis (54512) |
$3,805 |
$3,805 |
0.9× |
| Excise Wrist Tendon Sheath (25118) |
$1,707 |
$1,707 |
0.9× |
| Excision Aural Polyp (69540) |
$2,545 |
$2,545 |
1.4× |
| Excision Breast Lesion (19125) |
$3,661 |
$3,661 |
0.8× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$3,410 |
$3,410 |
0.9× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,092 |
$3,092 |
0.9× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$5,106 |
$5,106 |
1.5× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$3,092 |
$3,092 |
0.9× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,092 |
$3,092 |
0.9× |
| Excision hydrocele bilateral (55041) |
$3,832 |
$3,832 |
0.9× |
| Excision interdigital morton neuroma single each (28080) |
$1,707 |
$1,707 |
0.9× |
| Excision lesion meniscus/capsule knee (27347) |
$3,410 |
$3,410 |
0.9× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,707 |
$1,707 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$775 |
$775 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$825 |
$825 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$875 |
$875 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$925 |
$925 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$975 |
$975 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,100 |
$1,100 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$775 |
$775 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$825 |
$825 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,788 |
$1,788 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,788 |
$1,788 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,940 |
$1,940 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,990 |
$1,990 |
2.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,040 |
$2,040 |
2.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,788 |
$1,788 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,788 |
$1,788 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,035 |
$3,035 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,065.50 |
$1,065.50 |
1.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,123 |
$1,123 |
1.3× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$3,410 |
$3,410 |
0.9× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) unusually low: confirm this is the full procedure |
$3,410 |
$3,410 |
0.4× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$3,410 |
$3,410 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,707 |
$1,707 |
0.9× |
| Excision of hydrocele unilateral (55040) |
$3,832 |
$3,832 |
0.9× |
| Excision of infected graft; extremity Facility (35903) |
$3,434 |
$3,434 |
0.9× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$2,262 |
$2,262 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,240 |
$2,240 |
1.1× |
| Excision of local lesion of epididymis (54830) |
$4,533 |
$4,533 |
1.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$5,751 |
$5,751 |
0.8× |
| Excision of penile plaque (Peyronie disease); Facility (54110) |
$3,805 |
$3,805 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,426 |
$3,426 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,274 |
$1,274 |
0.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$5,617 |
$5,617 |
1.6× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$2,262 |
$2,262 |
0.9× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$5,751 |
$5,751 |
0.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,183 |
$2,183 |
1.5× |
| Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) |
$5,975 |
$5,975 |
0.8× |
| Excision of tongue lesion (41112) |
$2,901 |
$2,901 |
0.7× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$5,975 |
$5,975 |
0.8× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$5,227 |
$5,227 |
0.8× |
| Excision of vaginal cyst or tumor (57135) |
$3,070 |
$3,070 |
0.8× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$3,805 |
$3,805 |
0.9× |
| Excision olecranon bursa (24105) |
$3,410 |
$3,410 |
0.9× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$3,410 |
$3,410 |
0.9× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$7,409 |
$7,409 |
0.9× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$7,409 |
$7,409 |
0.9× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$2,262 |
$2,262 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,092 |
$3,092 |
0.9× |
| Excision prepatellar bursa (27340) |
$3,410 |
$3,410 |
0.9× |
| Excision Synovial Cyst Popliteal Space (27345) |
$3,410 |
$3,410 |
0.9× |
| Excision tendon finger flexor/extensor each (26180) |
$1,707 |
$1,707 |
0.9× |
| Excision tendon palm flexor/extensor single each (26170) |
$869 |
$869 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,101 |
$3,101 |
1.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,092 |
$3,092 |
0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,788 |
$1,788 |
0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,788 |
$1,788 |
0.9× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,981 |
$1,981 |
1.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,243 |
$4,243 |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$3,092 |
$3,092 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,092 |
$3,092 |
0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$3,101 |
$3,101 |
1.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,953 |
$2,953 |
1.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$5,106 |
$5,106 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,092 |
$3,092 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$3,092 |
$3,092 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,092 |
$3,092 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,092 |
$3,092 |
0.9× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,410 |
$3,410 |
0.9× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,707 |
$1,707 |
0.9× |
| Excision/destruction intranasal lesion int appr (30117) |
$5,820 |
$5,820 |
1.5× |
| Excision; trochanteric bursa or calcification (27062) |
$3,410 |
$3,410 |
0.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,092 |
$3,092 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$1,981 |
$1,981 |
1.0× |
Exploration Of Hip Joint (27033) unusually low: confirm this is the full procedure |
$3,410 |
$3,410 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,066 |
$1,066 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,410 |
$3,410 |
0.9× |
| Explore limb vessels (35860) |
$3,434 |
$3,434 |
0.9× |
| Explore Parathyroid Glands (60500) |
$5,751 |
$5,751 |
0.8× |
| Explore/Treat Elbow Joint (24101) |
$3,410 |
$3,410 |
0.9× |
| Explore/treat hand joint (26070) |
$4,304 |
$4,304 |
2.2× |
| Explore/Treat Knee Joint (27331) |
$3,410 |
$3,410 |
0.9× |
| External cephalic version (59412) |
$3,216 |
$3,216 |
0.8× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$2,014 |
$2,014 |
0.8× |
| Fasciectomy Palm Only (26121) |
$3,410 |
$3,410 |
0.9× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,410 |
$3,410 |
0.9× |
| Fasciotomy Iliotibial Open (27305) |
$3,410 |
$3,410 |
0.9× |
| Fasciotomy palmar open partial (26045) |
$3,410 |
$3,410 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,410 |
$3,410 |
0.9× |
| Fetal contraction stress test (59020) |
$319 |
$319 |
1.3× |
| Fetal non-stress test (59025) |
$260 |
$260 |
1.1× |
| Filleted finger/toe flap (14350) |
$2,014 |
$2,014 |
0.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,060 |
$1,060 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$628 |
$628 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$180 |
$180 |
0.4× |
| Fit/Insert Intravag Support Device (57160) |
$247 |
$247 |
1.0× |
| Fitting of diaphragm/cap (57170) |
$260 |
$260 |
1.1× |
| Fixation of shoulder (23700) |
$1,707 |
$1,707 |
0.9× |
| Fluid pressure muscle (20950) |
$835 |
$835 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$425 |
$425 |
1.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$625 |
$625 |
0.7× |
| Foreskin manipulation (54450) |
$507 |
$507 |
1.7× |
| Frenulotomy of penis (54164) |
$3,068 |
$3,068 |
1.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,014 |
$2,014 |
0.8× |
| Fusion of elbow joint (24800) |
$7,409 |
$7,409 |
0.9× |
| Fusion of foot bones (28740) |
$7,409 |
$7,409 |
0.9× |
| Fusion of hand bones (25820) |
$7,409 |
$7,409 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$171 |
$171 |
0.7× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,928 |
$1,928 |
0.8× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$55 |
$55 |
1.5× |
| Guide Cathet Fluid Drainage (10030) |
$1,112 |
$1,112 |
1.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$3,410 |
$3,410 |
0.9× |
| Harvest cultured skin graft (15040) |
$2,014 |
$2,014 |
0.8× |
| Hemorrhoidectomy (46255) |
$3,035 |
$3,035 |
0.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,035 |
$3,035 |
0.9× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,035 |
$3,035 |
0.9× |
| Hemorrhoidopexy by stapling (46947) |
$3,035 |
$3,035 |
0.9× |
| Hip arthro acetabuloplasty (29915) |
$7,409 |
$7,409 |
0.9× |
| Hysteroscopy biopsy (58558) |
$3,898 |
$3,898 |
1.0× |
| Hysteroscopy w endometrial ablation (58563) |
$6,670 |
$6,670 |
1.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$3,070 |
$3,070 |
0.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$2,072.50 |
$2,072.50 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$234 |
$234 |
0.8× |
| I&d abscess simple (10060) |
$350 |
$350 |
1.5× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,707 |
$1,707 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,698 |
$3,698 |
1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,092 |
$3,092 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,070 |
$4,070 |
1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,410 |
$3,410 |
0.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,410 |
$3,410 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$622.50 |
$622.50 |
0.7× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,092 |
$3,092 |
0.9× |
| I&d submucosal abscess rectum (45005) |
$2,542 |
$2,542 |
1.8× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,758 |
$1,758 |
0.9× |
| I&d vulva/perineal abscess (56405) |
$427 |
$427 |
1.2× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$990 |
$990 |
0.9× |
| Image Cath Fluid Colxn Visc (49405) |
$2,195 |
$2,195 |
1.1× |
| Image Cath Fluid Peri/Retro (49406) |
$2,220 |
$2,220 |
1.1× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,310 |
$2,310 |
1.2× |
| Implant neuroelectrodes (63650) |
$9,448 |
$9,448 |
1.2× |
| Incise external hemorrhoid (46083) |
$439 |
$439 |
1.5× |
| Incise finger tendon sheath (26055) |
$2,632 |
$2,632 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$600 |
$600 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,243 |
$4,243 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,400 |
$1,400 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,518.50 |
$2,518.50 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$600 |
$600 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$350 |
$350 |
1.4× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$3,035 |
$3,035 |
0.9× |
| Incision and drainage perianal abscess superficial (46050) |
$1,294 |
$1,294 |
1.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,714 |
$3,714 |
1.1× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,707 |
$1,707 |
0.9× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$7,751 |
$7,751 |
2.2× |
| Incision bone cortex hand/finger (26034) |
$1,707 |
$1,707 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$2,430 |
$2,430 |
1.3× |
| Incision of eardrum (69420) |
$416 |
$416 |
1.5× |
| Incision of fibula (27707) |
$3,410 |
$3,410 |
0.9× |
| Incision of rectal abscess (46040) |
$2,471 |
$2,471 |
1.7× |
| Incision of tibia (27705) |
$7,409 |
$7,409 |
0.9× |
| Incision of tibia & fibula (27709) |
$13,928 |
$13,928 |
0.9× |
| Incision of urethra (53010) |
$5,227 |
$5,227 |
0.8× |
| Incision of urethra (53020) |
$2,262 |
$2,262 |
0.9× |
| Incision&drainage bursa foot (28001) |
$1,788 |
$1,788 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$425.50 |
$425.50 |
0.5× |
| Induced abortion by d&c (59840) |
$4,093 |
$4,093 |
1.1× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$6,390 |
$6,390 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$280 |
$280 |
1.2× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$641 |
$641 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,091.50 |
$1,091.50 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$384 |
$384 |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$259 |
$259 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,935 |
$1,935 |
1.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,049 |
$1,049 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,170 |
$1,170 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,530 |
$1,530 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,428 |
$1,428 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$975 |
$975 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,018 |
$2,018 |
1.9× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,283 |
$1,283 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$384 |
$384 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$975 |
$975 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$543 |
$543 |
0.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$678 |
$678 |
0.8× |
| Injection aa&/strd pudendal nerve (64430) |
$1,680 |
$1,680 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$247 |
$247 |
0.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$528 |
$528 |
1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,102 |
$1,102 |
1.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$863 |
$863 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$480.50 |
$480.50 |
0.6× |
| Injection into skin lesions (11900) |
$307 |
$307 |
1.3× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$988 |
$988 |
1.3× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$674 |
$674 |
1.4× |
| Injection sclerosing solution hemorrhoids (46500) |
$872 |
$872 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$324.50 |
$324.50 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$404 |
$404 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$6,727.50 |
$6,727.50 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$6,087 |
$6,087 |
1.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,815.50 |
$5,815.50 |
0.9× |
Ins endovas vena cava filtr (37191) likely a partial charge, not the full procedure |
$1,537 |
$1,537 |
0.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$17,983 |
$17,983 |
1.4× |
| Ins tun ip cath for dial opn (49421) |
$3,832 |
$3,832 |
0.9× |
| Ins/Rep Subq Defibrillator (33270) |
$55,090 |
$55,090 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$283 |
$283 |
1.8× |
| Insert cath pleura w/ image (32557) |
$1,439 |
$1,439 |
0.8× |
| Insert cath pleura w/o image (32556) |
$2,430 |
$2,430 |
1.1× |
| Insert Drug Implant Device (11981) |
$195 |
$195 |
1.2× |
| Insert gastrostomy tube percutaneous (49440) |
$1,775 |
$1,775 |
0.8× |
| Insert heart pm atrial (33206) |
$17,983 |
$17,983 |
1.4× |
| Insert heart pm ventricular (33207) |
$17,983 |
$17,983 |
1.4× |
| Insert hepatic shunt (tips) (37182) |
$23,472 |
$23,472 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$4,263 |
$4,263 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,084 |
$1,084 |
0.3× |
| Insert pulse gen dual leads (33213) |
$17,983 |
$17,983 |
1.4× |
| Insert pulse gen sngl lead (33212) |
$14,221 |
$14,221 |
1.4× |
| Insert tandem cuff (53444) |
$21,215 |
$21,215 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$160 |
$160 |
1.0× |
| Insert tun ip cath perc (49418) |
$2,911 |
$2,911 |
0.7× |
| Insert tunneled cv cath (36561) |
$2,460.50 |
$2,460.50 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$166 |
$166 |
1.0× |
| Insert/ replace infusn pump,programmable (62362) |
$27,000 |
$27,000 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,878 |
$3,878 |
0.9× |
| Insertion of cannula (36800) |
$5,689 |
$5,689 |
0.9× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$21,215 |
$21,215 |
0.9× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$21,215 |
$21,215 |
0.9× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) |
$21,215 |
$21,215 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$14,221 |
$14,221 |
1.4× |
Insertion/rplcmt peripheral/gastric npgr (64590) unusually low: confirm this is the full procedure |
$7,370 |
$7,370 |
0.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$14,220 |
$14,220 |
1.4× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$17,983 |
$17,983 |
1.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,723 |
$1,723 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,246 |
$1,246 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,427.50 |
$3,427.50 |
0.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$9,683 |
$9,683 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$55,090 |
$55,090 |
1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$14,221 |
$14,221 |
1.4× |
| Insrt/redo spine n generator (63685) |
$43,514 |
$43,514 |
1.2× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$367 |
$367 |
1.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$3,035 |
$3,035 |
0.9× |
| Intro cath dialysis circuit (36901) |
$1,525 |
$1,525 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,783 |
$12,783 |
0.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$8,255 |
$8,255 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$316 |
$316 |
1.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$439 |
$439 |
1.5× |
| Knee Arthroscopy/Surgery (29885) |
$7,409 |
$7,409 |
0.9× |
| Knee Arthroscopy/Surgery (29874) |
$3,410 |
$3,410 |
0.9× |
| Knee Arthroscopy/Surgery (29879) |
$3,410 |
$3,410 |
0.9× |
| Labyrinthotomy Transcanal (69801) |
$2,724 |
$2,724 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,409 |
$7,409 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$7,409 |
$7,409 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$7,409 |
$7,409 |
0.9× |
| Lap ing hernia repair init (49650) |
$5,975 |
$5,975 |
0.8× |
| Lap insert tunnel ip cath (49324) |
$5,975 |
$5,975 |
0.8× |
| Lap paraesoph her rpr w/mesh (43282) |
$10,064 |
$10,064 |
0.8× |
| Laparoscopic surgical splenectomy (38120) |
$10,064 |
$10,064 |
0.8× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy biopsy (49321) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy tubal block (58671) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$3,672 |
$3,672 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$10,064 |
$10,064 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) |
$10,064 |
$10,064 |
0.8× |
| Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring,… (50542) |
$10,064 |
$10,064 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,975 |
$5,975 |
0.8× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure |
$5,975 |
$5,975 |
0.5× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$10,064 |
$10,064 |
0.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$5,975 |
$5,975 |
0.8× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$5,975 |
$5,975 |
0.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,975 |
$5,975 |
0.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,975 |
$5,975 |
0.8× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$5,975 |
$5,975 |
0.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,975 |
$5,975 |
0.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$5,975 |
$5,975 |
0.8× |
| Laryngoscopy diagnostic (31505) |
$324 |
$324 |
1.4× |
| Laryngoscopy Direct Aspiration (31515) |
$502 |
$502 |
1.1× |
| Laryngoscopy flexible diagnostic (31575) |
$270 |
$270 |
1.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,943 |
$1,943 |
0.9× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$5,227 |
$5,227 |
0.8× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$7,785 |
$7,785 |
1.2× |
| Late closure of wound (13160) |
$2,676 |
$2,676 |
0.6× |
| Lateral retinacular release open (27425) |
$3,410 |
$3,410 |
0.9× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,434 |
$3,434 |
0.9× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$7,409 |
$7,409 |
0.9× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$13,928 |
$13,928 |
0.9× |
| Ligate/strip long leg vein (37722) |
$3,434 |
$3,434 |
0.9× |
| Ligate/strip short leg vein (37718) |
$3,434 |
$3,434 |
0.9× |
| Ligation of a-v fistula (37607) |
$3,434 |
$3,434 |
0.9× |
| Ligation of hemorrhoid(s) (46221) |
$714 |
$714 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$2,044 |
$2,044 |
1.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,991 |
$3,991 |
1.1× |
| Lip Surgery Procedure (40799) |
$322 |
$322 |
1.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,805 |
$3,805 |
0.9× |
| Lithotripsy (50590) |
$3,805 |
$3,805 |
0.9× |
| Liver Biopsy (47000) |
$1,352.50 |
$1,352.50 |
0.7× |
| Lyse chest fibrin init day (32561) |
$1,028 |
$1,028 |
1.4× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,028 |
$1,028 |
1.4× |
| Lysis of labial adhesions (56441) |
$3,070 |
$3,070 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,262 |
$2,262 |
0.9× |
| Male sling procedure (53440) |
$9,946 |
$9,946 |
0.6× |
| Manipulat Palm Cord Post Inj (26341) |
$505 |
$505 |
1.7× |
| Manipulation hip joint general anesthesia (27275) |
$1,707 |
$1,707 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$1,707 |
$1,707 |
0.9× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$3,410 |
$3,410 |
0.9× |
| Manipulation, elbow, under anesthesia (24300) |
$1,707 |
$1,707 |
0.9× |
| Marsupialization Bartholins Gland Cyst (56440) |
$2,075.50 |
$2,075.50 |
0.5× |
| Mast mod rad (19307) |
$6,390 |
$6,390 |
0.8× |
| Mastectomy for gynecomastia (19300) |
$3,661 |
$3,661 |
0.8× |
| Mastectomy partial (19301) |
$4,672 |
$4,672 |
1.0× |
| Mastectomy simple complete (19303) |
$6,390 |
$6,390 |
0.8× |
| Mastopexy (19316) |
$6,390 |
$6,390 |
0.8× |
| Mech remov tunneled cv cath (36595) |
$1,246 |
$1,246 |
0.3× |
| Metatarsectomy (28140) |
$3,410 |
$3,410 |
0.9× |
| Muscle-skin graft trunk (15734) |
$3,596 |
$3,596 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,700.50 |
$1,700.50 |
1.8× |
| Myelography Lumbar Injection (62304) |
$1,701 |
$1,701 |
1.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,790 |
$1,790 |
1.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,701 |
$1,701 |
1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,680 |
$1,680 |
2.0× |
| N Block Inj, Plantar Digit (64455) |
$247 |
$247 |
0.7× |
| Nasal endoscopy dx (31231) |
$334 |
$334 |
1.4× |
| Nasal surgery procedure (30999) |
$227 |
$227 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,963 |
$2,963 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$666 |
$666 |
1.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,707 |
$1,707 |
0.9× |
| Needle biopsy of pancreas (48102) |
$1,032 |
$1,032 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$85 |
$85 |
2.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$85 |
$85 |
2.5× |
| Nerve repair w/allograft (64910) |
$5,936 |
$5,936 |
0.6× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,121 |
$2,121 |
0.9× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,161 |
$3,161 |
1.4× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,121 |
$2,121 |
0.9× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$300 |
$300 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$300 |
$300 |
0.7× |
| Nipple exploration (19110) |
$3,661 |
$3,661 |
0.8× |
| Nipple/areola reconstruction (19350) |
$3,661 |
$3,661 |
0.8× |
| Njx aa&/strd sciatic nerve (64445) |
$1,305 |
$1,305 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,049 |
$1,049 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$381 |
$381 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$911 |
$911 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$5,639 |
$5,639 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,008 |
$1,008 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$900 |
$900 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,190 |
$1,190 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$960 |
$960 |
1.1× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,986 |
$2,986 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$3,981 |
$3,981 |
1.6× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,358 |
$1,358 |
1.6× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,358 |
$1,358 |
1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,088 |
$1,088 |
2.2× |
| Occipital Nerve Block (64405) |
$466.50 |
$466.50 |
1.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,661 |
$3,661 |
0.8× |
| Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Facility (64575) |
$17,531 |
$17,531 |
1.3× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$7,773 |
$7,773 |
1.0× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$7,409 |
$7,409 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,409 |
$7,409 |
0.9× |
| Open treatment calcaneal fracture (28415) |
$7,409 |
$7,409 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$13,928 |
$13,928 |
0.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,409 |
$7,409 |
0.9× |
| Open treatment metacarpophalangeal dislocation (26715) |
$3,410 |
$3,410 |
0.9× |
| Open treatment metatarsal fracture each (28485) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) |
$7,409 |
$7,409 |
0.9× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$3,090 |
$3,090 |
0.2× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$13,928 |
$13,928 |
0.9× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$20,023 |
$20,023 |
1.3× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$20,023 |
$20,023 |
1.0× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$13,928 |
$13,928 |
0.9× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$7,409 |
$7,409 |
0.9× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) unusually low: confirm this is the full procedure |
$3,410 |
$3,410 |
0.4× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$13,928 |
$13,928 |
0.9× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$3,214 |
$3,214 |
0.8× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$13,928 |
$13,928 |
0.9× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$7,409 |
$7,409 |
0.9× |
| Open treatment of ulnar styloid fracture (25652) |
$7,409 |
$7,409 |
0.9× |
| Open treatment posterior malleolus fracture (27769) |
$7,409 |
$7,409 |
0.9× |
| Open treatment talus fracture (28445) |
$7,409 |
$7,409 |
0.9× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$7,409 |
$7,409 |
0.9× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$3,410 |
$3,410 |
0.9× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$3,410 |
$3,410 |
0.9× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,409 |
$7,409 |
0.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,409 |
$7,409 |
0.9× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,409 |
$7,409 |
0.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$13,928 |
$13,928 |
0.9× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$13,928 |
$13,928 |
0.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,410 |
$3,410 |
0.9× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$3,410 |
$3,410 |
0.9× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,410 |
$3,410 |
0.9× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,409 |
$7,409 |
0.9× |
| Open tx ulnar fx proximal end (24685) |
$7,409 |
$7,409 |
0.9× |
| Open/Perq Place Stent Same (37238) |
$18,239 |
$18,239 |
1.3× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$13,680 |
$13,680 |
1.0× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$3,410 |
$3,410 |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,409 |
$7,409 |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,409 |
$7,409 |
0.9× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,409 |
$7,409 |
0.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$13,928 |
$13,928 |
0.9× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,832 |
$3,832 |
0.9× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$3,832 |
$3,832 |
0.9× |
| Ostectomy calcaneus (28118) |
$3,410 |
$3,410 |
0.9× |
| Ostectomy complete 1st metatarsal head (28111) |
$3,410 |
$3,410 |
0.9× |
| Osteochondral allograft, knee, open (27415) |
$13,928 |
$13,928 |
0.9× |
| Osteochondral knee autograft (27416) |
$7,409 |
$7,409 |
0.9× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$3,410 |
$3,410 |
0.9× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$7,409 |
$7,409 |
0.9× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,410 |
$3,410 |
0.9× |
| Osteotomy Metacarpal Each (26565) |
$3,410 |
$3,410 |
0.9× |
| Osteotomy Phalanx Finger Each (26567) |
$3,410 |
$3,410 |
0.9× |
| Osteotomy talus (28302) |
$7,409 |
$7,409 |
0.9× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$13,928 |
$13,928 |
0.9× |
| Ovarian cystectomy (58925) |
$5,364 |
$5,364 |
0.9× |
| P-mastectomy w/ln removal (19302) |
$6,390 |
$6,390 |
0.8× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,410 |
$3,410 |
0.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$3,410 |
$3,410 |
0.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,410 |
$3,410 |
0.9× |
| Partial excision bone tibia (27640) |
$3,410 |
$3,410 |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,887 |
$1,887 |
1.0× |
| Partial removal of hand bone (26230) |
$3,410 |
$3,410 |
0.9× |
| Partial removal of thyroid (60220) |
$5,975 |
$5,975 |
0.8× |
| Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60212) |
$5,975 |
$5,975 |
0.8× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,975 |
$5,975 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,410 |
$3,410 |
0.9× |
Patellectomy or hemipatellectomy (27350) unusually low: confirm this is the full procedure |
$3,410 |
$3,410 |
0.4× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,070 |
$3,070 |
0.8× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,549 |
$1,549 |
0.9× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$15,744 |
$15,744 |
2.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$22,280 |
$22,280 |
1.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$390 |
$390 |
0.5× |
| Percut Mech Thrombectomy, Venous (37187) |
$8,374.12 |
$8,374.12 |
0.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$8,374.24 |
$8,374.24 |
2.2× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$3,410 |
$3,410 |
0.9× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,747 |
$8,747 |
1.0× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,410 |
$3,410 |
0.9× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) |
$3,410 |
$3,410 |
0.9× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,410 |
$3,410 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$2,669 |
$2,669 |
1.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,898 |
$3,898 |
1.0× |
| Perirectal inj sclerosing solution prolapse (45520) |
$968 |
$968 |
0.9× |
| Perq dev breast 1st mr guide (19287) |
$1,818 |
$1,818 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$1,708 |
$1,708 |
2.0× |
| Perq dev breast 1st us imag (19285) |
$1,999 |
$1,999 |
2.4× |
| Perq device breast 1st imag (19281) |
$1,600 |
$1,600 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,764 |
$2,764 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$362 |
$362 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$514 |
$514 |
0.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$22,630 |
$22,630 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$16,771.50 |
$16,771.50 |
1.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,150 |
$9,150 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,057 |
$9,057 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$8,339 |
$8,339 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,016 |
$3,016 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,016 |
$3,016 |
0.8× |
| Phleb veins - extrem 20+ (37766) |
$5,983 |
$5,983 |
1.6× |
| Picc line placement (36569) |
$1,534 |
$1,534 |
0.8× |
| Pin hand dislocation (26676) |
$3,410 |
$3,410 |
0.9× |
| Place Cath Subclavian Art (36225) |
$5,550 |
$5,550 |
1.5× |
| Place Cath Thoracic Aorta (36221) |
$5,550 |
$5,550 |
1.5× |
| Place Cath Vertebral Art (36226) |
$9,076 |
$9,076 |
1.4× |
| Place duod/jej tube perc (49441) |
$1,928 |
$1,928 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$135 |
$135 |
0.3× |
Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298) unusually low: confirm this is the full procedure |
$6,390 |
$6,390 |
0.4× |
| Placement of seton (46020) |
$3,035 |
$3,035 |
0.9× |
| Plastic operation on penis to correct angulation Facility (54360) |
$3,805 |
$3,805 |
0.9× |
Plmt Bile Duct Stent Prq Existing Access (47538) unusually low: confirm this is the full procedure |
$3,128 |
$3,128 |
0.4× |
| Plmt Expandable Cath Brst Following Prtl Mast (19296) |
$8,590 |
$8,590 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,950 |
$1,950 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,902 |
$3,902 |
1.6× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,902 |
$3,902 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,581 |
$2,581 |
0.6× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$528 |
$528 |
1.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,364 |
$5,364 |
0.9× |
| Prim art mech thrombectomy (37184) |
$15,669 |
$15,669 |
0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,091 |
$1,091 |
1.0× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,274 |
$1,274 |
0.9× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,035 |
$3,035 |
0.9× |
| Proctosigmoid w/biopsy (45305) |
$1,274 |
$1,274 |
0.9× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$3,035 |
$3,035 |
0.9× |
| Prostate Saturation Sampling (55706) |
$2,262 |
$2,262 |
0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,209 |
$1,209 |
1.4× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$18,952.50 |
$18,952.50 |
2.5× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$6,764.50 |
$6,764.50 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,791 |
$6,791 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$7,471 |
$7,471 |
1.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,410 |
$3,410 |
0.9× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$3,410 |
$3,410 |
0.9× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$3,410 |
$3,410 |
0.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,410 |
$3,410 |
0.9× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$7,409 |
$7,409 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$351.50 |
$351.50 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$809 |
$809 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$508 |
$508 |
1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$975 |
$975 |
1.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$7,409 |
$7,409 |
0.9× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$3,092 |
$3,092 |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$5,630 |
$5,630 |
1.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$3,092 |
$3,092 |
0.9× |
| Radical styloidectomy separate procedure (25230) |
$3,410 |
$3,410 |
0.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,683 |
$2,683 |
1.1× |
| Realignment extensor tendon hand each tendon (26437) |
$3,410 |
$3,410 |
0.9× |
| Reconstruct extra finger (26587) |
$3,410 |
$3,410 |
0.9× |
| Reconstruct Finger Joint (26548) |
$3,410 |
$3,410 |
0.9× |
| Reconstruct Shoulder Joint (23470) |
$13,928 |
$13,928 |
0.9× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$7,409 |
$7,409 |
0.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,409 |
$7,409 |
0.9× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500) |
$7,409 |
$7,409 |
0.9× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$3,410 |
$3,410 |
0.9× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$3,410 |
$3,410 |
0.9× |
| Reduce testis torsion (54600) |
$2,262 |
$2,262 |
0.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$7,409 |
$7,409 |
0.9× |
| Release finger contracture (26525) |
$1,707 |
$1,707 |
0.9× |
| Release wrist/forearm tendon (25295) |
$3,410 |
$3,410 |
0.9× |
| Relieve pressure on nerve(s) (64722) |
$2,121 |
$2,121 |
0.9× |
| Relocation of skin pocket for pacemaker (33222) |
$3,143 |
$3,143 |
1.3× |
| Rem Endovas Vena Cava Filter (37193) |
$3,013 |
$3,013 |
0.8× |
| Removal Anal Seton Other Marker (46030) |
$1,567 |
$1,567 |
1.1× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$21,215 |
$21,215 |
0.9× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$21,215 |
$21,215 |
0.9× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$21,215 |
$21,215 |
0.9× |
| Removal biliary drg cath (47537) |
$2,728 |
$2,728 |
2.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,329 |
$3,329 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,445 |
$1,445 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$1,112 |
$1,112 |
1.3× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$4,243 |
$4,243 |
1.2× |
| Removal foreign body intranasal (30300) |
$154.50 |
$154.50 |
1.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,672.50 |
$1,672.50 |
0.8× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,410 |
$3,410 |
0.9× |
| Removal foreign body pharynx (42809) |
$548 |
$548 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,445 |
$1,445 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,910 |
$5,910 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$210 |
$210 |
3.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$231 |
$231 |
3.3× |
| Removal implant deep (20680) |
$1,918 |
$1,918 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,445 |
$1,445 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$753 |
$753 |
0.9× |
| Removal of anal fissure (46200) |
$3,035 |
$3,035 |
0.9× |
| Removal of arm foreign body (24200) |
$3,415 |
$3,415 |
1.7× |
| Removal of bone for graft (20902) |
$7,409 |
$7,409 |
0.9× |
| Removal of bone lesion (23140) |
$3,410 |
$3,410 |
0.9× |
| Removal of cervix (57530) |
$3,070 |
$3,070 |
0.5× |
| Removal of embedded foreign body, eyelid (67938) |
$614 |
$614 |
1.6× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,543 |
$2,543 |
1.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$657 |
$657 |
1.2× |
| Removal of heel spur (28119) |
$3,410 |
$3,410 |
0.9× |
| Removal of implant from finger or hand (26320) |
$1,788 |
$1,788 |
0.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,575 |
$1,575 |
2.1× |
| Removal of iud (58301) |
$422 |
$422 |
1.2× |
| Removal of kidney stone (50081) |
$9,946 |
$9,946 |
0.9× |
| Removal of kidney stone (50080) |
$9,946 |
$9,946 |
0.9× |
| Removal of nail bed (11750) |
$547 |
$547 |
1.1× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Facility (24164) |
$3,410 |
$3,410 |
0.9× |
| Removal Of Tendon Lesion (27630) |
$3,410 |
$3,410 |
0.9× |
| Removal of testis (54520) |
$2,262 |
$2,262 |
0.5× |
| Removal of thyroid (60271) |
$5,751 |
$5,751 |
0.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$8,697 |
$8,697 |
2.3× |
| Removal of vein clot (34421) |
$3,434 |
$3,434 |
0.9× |
| Removal of wrist bone (25210) |
$3,410 |
$3,410 |
0.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,070 |
$3,070 |
0.8× |
| Removal ppm generator only (33233) |
$14,221 |
$14,221 |
1.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,788 |
$1,788 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$336.50 |
$336.50 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,209 |
$1,209 |
1.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,014 |
$2,014 |
0.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,707 |
$1,707 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$624 |
$624 |
1.9× |
| Remove anal fist subq (46270) |
$3,035 |
$3,035 |
0.9× |
| Remove drug implant device (11982) |
$399 |
$399 |
0.7× |
| Remove elbow lesion (24120) |
$3,410 |
$3,410 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$3,035 |
$3,035 |
0.9× |
| Remove intrvas foreign body (37197) |
$2,544 |
$2,544 |
0.7× |
| Remove Lower Leg Bone Lesion (27635) |
$3,410 |
$3,410 |
0.9× |
| Remove muti-comp penis pros (54406) |
$3,805 |
$3,805 |
0.9× |
| Remove Peritoneal Foreign Body (49402) |
$3,832 |
$3,832 |
0.9× |
| Remove Pilonidal Cyst Exten (11771) |
$3,092 |
$3,092 |
0.9× |
| Remove Prostate Regrowth (52630) |
$5,791 |
$5,791 |
0.9× |
| Remove pulse generator (33241) |
$6,253 |
$6,253 |
1.4× |
| Remove renal tube w/fluoro (50389) |
$868 |
$868 |
1.0× |
| Remove spine eltrd perq aray (63661) |
$2,121 |
$2,121 |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$2,632 |
$2,632 |
1.4× |
| Remove thyroid duct lesion (60280) |
$5,975 |
$5,975 |
0.8× |
| Remove ureter stent, percut (50384) |
$5,558 |
$5,558 |
2.2× |
| Remove vagina gland lesion (56740) |
$3,070 |
$3,070 |
0.8× |
| Remove&replace pm gen singl (33227) |
$14,220 |
$14,220 |
1.4× |
| Remove/Insert Drug Implant (11983) |
$453 |
$453 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$245 |
$245 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$194 |
$194 |
1.2× |
| Remv&replc cvd gen dual lead (33263) |
$38,568 |
$38,568 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$55,090 |
$55,090 |
1.5× |
| Remv&replc cvd gen sing lead (33262) |
$38,568 |
$38,568 |
1.4× |
| Remv&replc pm gen dual lead (33228) |
$17,982 |
$17,982 |
1.4× |
| Remv&replc pm gen mult leads (33229) |
$32,769 |
$32,769 |
1.4× |
| Renal Biopsy Percutaneous (50200) |
$981 |
$981 |
0.5× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) unusually low: confirm this is the full procedure |
$5,227 |
$5,227 |
0.5× |
| Repair blood vessel direct hand finger (35207) |
$2,186 |
$2,186 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,186 |
$2,186 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$520 |
$520 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$570 |
$570 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$400 |
$400 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$950 |
$950 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$950 |
$950 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$696 |
$696 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,815 |
$1,815 |
0.9× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$3,410 |
$3,410 |
0.9× |
| Repair Fibula Nonunion (27726) |
$7,409 |
$7,409 |
0.9× |
| Repair Finger Tendon (26433) |
$3,410 |
$3,410 |
0.9× |
| Repair Forearm Tendon Sheath (25275) |
$3,410 |
$3,410 |
0.9× |
| Repair forearm tendon/muscle (25260) |
$3,410 |
$3,410 |
0.9× |
| Repair forearm tendon/muscle (25265) |
$3,410 |
$3,410 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,832 |
$3,832 |
0.9× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,832 |
$3,832 |
0.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,832 |
$3,832 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,832 |
$3,832 |
0.9× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$3,832 |
$3,832 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$650 |
$650 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$475 |
$475 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$500 |
$500 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$550 |
$550 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$600 |
$600 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$850 |
$850 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$500 |
$500 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$650 |
$650 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$750 |
$750 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$928.50 |
$928.50 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$674 |
$674 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$708 |
$708 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,037 |
$1,037 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$743 |
$743 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,326 |
$3,326 |
1.3× |
| Repair Laceration Palate </2 Cm (42180) |
$757 |
$757 |
1.2× |
| Repair Lower Leg Tendons (27675) |
$3,410 |
$3,410 |
0.9× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$7,409 |
$7,409 |
0.9× |
| Repair Mouth Laceration (40831) |
$763 |
$763 |
1.2× |
| Repair of biceps tendon (24340) |
$7,409 |
$7,409 |
0.9× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408) |
$5,227 |
$5,227 |
0.8× |
Repair of knee cartilage (27403) unusually low: confirm this is the full procedure |
$3,410 |
$3,410 |
0.4× |
| Repair of leg tendon each (27664) |
$7,409 |
$7,409 |
0.9× |
| Repair of leg tendon each (27658) |
$3,410 |
$3,410 |
0.9× |
| Repair of nail bed (11760) |
$1,116 |
$1,116 |
1.3× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$13,928 |
$13,928 |
0.9× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$7,409 |
$7,409 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,409 |
$7,409 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,409 |
$7,409 |
0.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$7,409 |
$7,409 |
0.9× |
| Repair of shoulder (23420) |
$7,409 |
$7,409 |
0.9× |
| Repair of small omphalocele, with primary closure Facility (49600) |
$3,832 |
$3,832 |
0.9× |
| Repair of sperm duct (55400) |
$6,731 |
$6,731 |
1.6× |
| Repair of tibia (27720) |
$7,409 |
$7,409 |
0.9× |
| Repair of traumatic corporeal tear(s) (54437) |
$3,805 |
$3,805 |
0.9× |
| Repair paravag defect vag (57285) |
$8,248 |
$8,248 |
0.9× |
| Repair radius & ulna (25415) |
$7,409 |
$7,409 |
0.9× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$3,832 |
$3,832 |
0.9× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$3,832 |
$3,832 |
0.5× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$3,832 |
$3,832 |
0.9× |
| Repair rotator cuff acute (23410) |
$7,409 |
$7,409 |
0.9× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,409 |
$7,409 |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,409 |
$7,409 |
0.9× |
| Repair tongue laceration (41252) |
$1,718 |
$1,718 |
6.1× |
| Repair Tongue Laceration (41250) |
$188 |
$188 |
0.4× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$7,409 |
$7,409 |
0.9× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$7,409 |
$7,409 |
0.9× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,409 |
$7,409 |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,409 |
$7,409 |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$7,409 |
$7,409 |
0.9× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$7,409 |
$7,409 |
0.9× |
| Repair/graft wrist bone (25440) |
$7,409 |
$7,409 |
0.9× |
| Repair/revise wrist joint (25320) |
$7,409 |
$7,409 |
0.9× |
| Repeat control of nosebleed (30906) |
$475 |
$475 |
1.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,097 |
$1,097 |
1.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$856 |
$856 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$610 |
$610 |
0.6× |
| Reposition cv cath w/fluoro (36597) |
$1,084 |
$1,084 |
0.6× |
| Reposition gastric feeding tube thru duodenum (43761) |
$301 |
$301 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,410 |
$3,410 |
0.9× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,171 |
$3,171 |
0.8× |
| Resection of scrotum (55150) |
$2,262 |
$2,262 |
0.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,744 |
$3,744 |
0.9× |
| Revise finger/toe nerve (64702) |
$2,121 |
$2,121 |
0.9× |
| Revise Hand/Foot Nerve (64704) |
$2,121 |
$2,121 |
0.9× |
| Revise spine eltrd perq aray (63663) |
$9,448 |
$9,448 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$2,121 |
$2,121 |
0.9× |
| Revise ureter (50727) |
$3,805 |
$3,805 |
0.9× |
| Revise vag graft via vagina (57295) |
$3,070 |
$3,070 |
0.8× |
| Revise/Remove Neuroreceiver (63688) |
$3,744 |
$3,744 |
0.9× |
| Revision of colostomy simple (44340) |
$3,596 |
$3,596 |
0.8× |
| Revision of penis (54300) |
$3,805 |
$3,805 |
0.9× |
| Revision of scrotum (55175) |
$3,805 |
$3,805 |
0.9× |
| Revision of tips (37183) |
$15,648 |
$15,648 |
2.3× |
| Revision of ulna (25360) |
$7,409 |
$7,409 |
0.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$5,910 |
$5,910 |
1.4× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$8,723 |
$8,723 |
1.3× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$28,094 |
$28,094 |
1.3× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$28,094 |
$28,094 |
1.3× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$8,723 |
$8,723 |
0.6× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$10,900 |
$10,900 |
1.6× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$17,692 |
$17,692 |
1.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$17,692 |
$17,692 |
1.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$28,094 |
$28,094 |
1.3× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$28,094 |
$28,094 |
1.3× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$1,227 |
$1,227 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,984 |
$1,984 |
1.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$245 |
$245 |
1.5× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$802 |
$802 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$7,753 |
$7,753 |
2.2× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$8,895 |
$8,895 |
2.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$6,254 |
$6,254 |
1.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$6,254 |
$6,254 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,649 |
$1,649 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$856 |
$856 |
1.1× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$6,253 |
$6,253 |
1.4× |
| Rplc gtube revj gstrst trc (43763) |
$367 |
$367 |
1.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,030 |
$1,030 |
0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,030 |
$1,030 |
0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$8,697 |
$8,697 |
2.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,184 |
$1,184 |
0.3× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$844 |
$844 |
1.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,410 |
$3,410 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,669 |
$2,669 |
1.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$950 |
$950 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$234 |
$234 |
0.8× |
| Rpr non-union mtcrpl/phalanx (26546) |
$7,409 |
$7,409 |
0.9× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,410 |
$3,410 |
0.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,062 |
$1,062 |
1.4× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$3,410 |
$3,410 |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,410 |
$3,410 |
0.9× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$5,408 |
$5,408 |
1.4× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$5,409 |
$5,409 |
1.4× |
| Sclerotx Fluid Collection (49185) |
$1,112 |
$1,112 |
0.6× |
| Scrotal exploration (55110) |
$3,805 |
$3,805 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$496 |
$496 |
1.0× |
| Shave skin lesion 0.5 cm/< (11305) |
$264 |
$264 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$267 |
$267 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$297 |
$297 |
1.2× |
| Shoulder arthroscopy (29820) |
$7,409 |
$7,409 |
0.9× |
| Shoulder arthroscopy (29805) |
$3,410 |
$3,410 |
0.9× |
| Shoulder Arthroscopy/Surgery (29819) |
$3,410 |
$3,410 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,410 |
$3,410 |
0.9× |
Shoulder prosthesis removal (23334) unusually low: confirm this is the full procedure |
$3,092 |
$3,092 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$765 |
$765 |
3.2× |
| Sigmoidoscopy & decompress (45337) |
$1,274 |
$1,274 |
1.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$968 |
$968 |
0.9× |
| Sigmoidoscopy w/biopsy (45331) |
$1,192 |
$1,192 |
1.1× |
| Simple Cystometrogram (51725) |
$418 |
$418 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$400 |
$400 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$300 |
$300 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$350 |
$350 |
1.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$410 |
$410 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$380 |
$380 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$400 |
$400 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$314.50 |
$314.50 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$743 |
$743 |
3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$350 |
$350 |
1.5× |
| Skin pinch graft (15050) |
$628 |
$628 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,014 |
$2,014 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,500 |
$2,500 |
2.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,824 |
$2,824 |
3.2× |
| Skin sub grft t/arm/lg child (15273) |
$4,880 |
$4,880 |
2.0× |
| Skin Tissue Procedure (17999) |
$500 |
$500 |
2.1× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,596 |
$3,596 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$2,824 |
$2,824 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,659 |
$7,659 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$5,550 |
$5,550 |
1.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,076 |
$9,076 |
1.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,364 |
$5,364 |
0.9× |
| Slitting of prepuce (54001) |
$4,520 |
$4,520 |
1.8× |
| Small bowel endoscopy (44364) |
$1,928 |
$1,928 |
0.8× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,928 |
$1,928 |
0.8× |
| Small bowel endoscopy/biopsy (44377) |
$1,928 |
$1,928 |
0.8× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$1,928 |
$1,928 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$264 |
$264 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$674 |
$674 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$708 |
$708 |
1.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,035 |
$3,035 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$432 |
$432 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$863 |
$863 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$5,600 |
$5,600 |
1.5× |
| Strapping ankle (29540) |
$122 |
$122 |
0.6× |
| Strapping elbow or wrist (29260) |
$116 |
$116 |
1.6× |
| Strapping hand/finger (29280) |
$114 |
$114 |
1.6× |
| Strapping knee (29530) |
$122 |
$122 |
0.8× |
| Strapping toes (29550) |
$112 |
$112 |
1.6× |
| Strapping unna boot (29580) |
$307 |
$307 |
1.6× |
| Subconjunctival injection (68200) |
$652 |
$652 |
1.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$330 |
$330 |
0.6× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$5,572 |
$5,572 |
1.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,410 |
$3,410 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,035 |
$3,035 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$3,035 |
$3,035 |
0.9× |
| Suspension of testis (54640) |
$3,832 |
$3,832 |
0.9× |
| Suture infrapatellar tendon primary (27380) |
$7,409 |
$7,409 |
0.9× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$7,409 |
$7,409 |
0.9× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$7,409 |
$7,409 |
0.9× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$7,409 |
$7,409 |
0.9× |
| Suture/repair testicular injury (54670) |
$2,262 |
$2,262 |
0.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,707 |
$1,707 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$351.50 |
$351.50 |
0.7× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$48,847 |
$48,847 |
1.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$32,769.50 |
$32,769.50 |
1.4× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) |
$7,409 |
$7,409 |
0.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,410 |
$3,410 |
0.9× |
| Tenodesis at wrist; extensors of fingers Facility (25301) |
$3,410 |
$3,410 |
0.9× |
| Tenodesis long tendon biceps (23430) |
$7,409 |
$7,409 |
0.9× |
| Tenolysis extensor tendon hand/finger each (26445) |
$3,410 |
$3,410 |
0.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,707 |
$1,707 |
0.9× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,410 |
$3,410 |
0.9× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$3,410 |
$3,410 |
0.9× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$3,410 |
$3,410 |
0.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,707 |
$1,707 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,750 |
$2,750 |
1.4× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$3,410 |
$3,410 |
0.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,750 |
$2,750 |
1.4× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$22,108 |
$22,108 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$591 |
$591 |
0.8× |
| Thoracoscopy w/bx pleura (32609) |
$5,975 |
$5,975 |
0.8× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$5,975 |
$5,975 |
0.8× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) unusually low: confirm this is the full procedure |
$5,975 |
$5,975 |
0.5× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$5,975 |
$5,975 |
0.8× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,689 |
$5,689 |
0.9× |
| Throat Surgery Procedure (42999) |
$227 |
$227 |
0.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,930 |
$2,930 |
0.8× |
Thrombolytic Art Therapy (37211) unusually low: confirm this is the full procedure |
$2,930 |
$2,930 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$620 |
$620 |
1.6× |
| Thrombolytic Venous Therapy (37212) |
$2,930 |
$2,930 |
0.8× |
| Thyroid biopsy (60100) |
$344 |
$344 |
0.4× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$5,751 |
$5,751 |
0.8× |
| Thyroidectomy, total or complete (60240) |
$5,975 |
$5,975 |
0.8× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,751 |
$5,751 |
0.8× |
| Tibial Arthroscopy/Surgery (29855) |
$7,409 |
$7,409 |
0.9× |
| Tnot elbow lateral/medial debride open (24358) |
$3,410 |
$3,410 |
0.9× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,410 |
$3,410 |
0.9× |
| Total Knee Arthroplasty (27447) |
$13,928 |
$13,928 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$637 |
$637 |
1.0× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$2,901 |
$2,901 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$399 |
$399 |
1.4× |
| Tracheostomy planned (31600) |
$2,901 |
$2,901 |
0.7× |
| Tracheotomy tube change (31502) |
$1,973 |
$1,973 |
7.0× |
| Transcatheter biopsy (37200) |
$14,955 |
$14,955 |
2.2× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$2,121 |
$2,121 |
0.9× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$5,227 |
$5,227 |
0.8× |
| Transplant hand tendon (26480) |
$3,410 |
$3,410 |
0.9× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$2,262 |
$2,262 |
0.5× |
| Transur electr resection of prostate (52601) |
$5,227 |
$5,227 |
0.8× |
| Transurethral incision of prostate (52450) |
$3,805 |
$3,805 |
0.9× |
| Transurethral resection bladder neck (52500) |
$3,805 |
$3,805 |
0.9× |
| Treat clavicle fracture (23505) |
$1,146 |
$1,146 |
0.6× |
| Treat elbow dislocation (24615) |
$7,409 |
$7,409 |
0.9× |
| Treat elbow fracture (24586) |
$13,928 |
$13,928 |
0.9× |
| Treat Elbow Fracture (24635) |
$7,409 |
$7,409 |
0.9× |
| Treat fracture radius/ulna (25575) |
$7,409 |
$7,409 |
0.9× |
| Treat Hand Dislocation (26685) |
$3,410 |
$3,410 |
0.9× |
| Treat humerus fracture (24500) |
$212 |
$212 |
0.7× |
| Treat humerus fracture (23600) |
$212 |
$212 |
0.7× |
| Treat knee fracture (27532) |
$3,410 |
$3,410 |
0.9× |
| Treat Knee Fracture(S) (27538) |
$546 |
$546 |
1.8× |
| Treat Kneecap Fracture (27524) |
$7,409 |
$7,409 |
0.9× |
| Treat Lower Leg Bone Lesion (27607) |
$3,410 |
$3,410 |
0.9× |
| Treat Lower Leg Fracture (27828) |
$13,928 |
$13,928 |
0.9× |
| Treat Metatarsal Fracture (28475) |
$440 |
$440 |
1.5× |
| Treat pleurodesis w/agent (32560) |
$469 |
$469 |
0.6× |
| Treat radius fracture (24665) |
$7,409 |
$7,409 |
0.9× |
| Treat shoulder blade fx (23575) |
$3,415 |
$3,415 |
1.8× |
| Treat Thigh Fracture (27246) |
$574 |
$574 |
1.9× |
| Treat Thumb Dislocation (26641) |
$190 |
$190 |
0.6× |
| Treat thumb fracture (26665) |
$3,410 |
$3,410 |
0.9× |
| Treat wrist bone fracture (25622) |
$322 |
$322 |
1.1× |
| Treat Wrist Bone Fracture (25630) |
$212 |
$212 |
0.7× |
| Treatment closed elbow dislocation req anes (24605) |
$3,415 |
$3,415 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$212 |
$212 |
0.7× |
| Treatment of fibula fracture (27784) |
$7,409 |
$7,409 |
0.9× |
| Treatment of foot infection (28003) |
$3,410 |
$3,410 |
0.9× |
| Treatment of heel fracture (28406) |
$7,409 |
$7,409 |
0.9× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,898 |
$3,898 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$440 |
$440 |
1.5× |
| Trim skin lesion (11055) |
$300 |
$300 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$325 |
$325 |
1.4× |
| Trim skin lesions over 4 (11057) |
$371 |
$371 |
1.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$126 |
$126 |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$8,255 |
$8,255 |
1.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$8,255 |
$8,255 |
1.2× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$498 |
$498 |
0.9× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,805 |
$3,805 |
0.9× |
| Tube thoracostomy includes water seal (32551) |
$1,576 |
$1,576 |
0.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,035 |
$3,035 |
0.9× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$13,928 |
$13,928 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,093 |
$2,093 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$641 |
$641 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$547 |
$547 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$440 |
$440 |
0.2× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,928 |
$13,928 |
0.9× |
| Tympanostomy (69433) |
$947 |
$947 |
1.5× |
| Unlisted laparoscopy procedure stomach (43659) |
$5,975 |
$5,975 |
0.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,541 |
$7,541 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$5,975 |
$5,975 |
0.8× |
| Unlisted procedure arthroscopy (29999) |
$293 |
$293 |
1.0× |
| Unlisted procedure dentoalveolar structures (41899) |
$330 |
$330 |
1.2× |
| Unlisted procedure humerus/elbow (24999) |
$322 |
$322 |
1.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$562 |
$562 |
0.7× |
| Unlisted Procedure Male Genital System (55899) |
$439 |
$439 |
1.5× |
| Unlisted procedure nervous system (64999) |
$387 |
$387 |
1.1× |
| Unlisted procedure rectum (45999) |
$680 |
$680 |
0.6× |
| Unlisted Procedure Small Intestine (44799) |
$1,097 |
$1,097 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$930 |
$930 |
1.2× |
| Unlisted procedure, hands or fingers (26989) |
$322 |
$322 |
1.1× |
| Unlisted procedure, stomach (43999) |
$2,744 |
$2,744 |
2.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$22 |
$22 |
0.1× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$227 |
$227 |
0.8× |
| Upgrade of pacemaker system (33214) |
$17,983 |
$17,983 |
1.4× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$5,227 |
$5,227 |
0.8× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$3,805 |
$3,805 |
0.9× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$5,227 |
$5,227 |
0.8× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$5,227 |
$5,227 |
0.8× |
| Urology Surgery Procedure (53899) |
$301 |
$301 |
1.0× |
| Us urine capacity measure (51798) |
$150 |
$150 |
2.1× |
| Vaginal delivery only (59409) |
$4,093 |
$4,093 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,364 |
$5,364 |
0.9× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$5,364 |
$5,364 |
0.9× |
| Vasc embolize/occlude artery (37242) |
$14,490 |
$14,490 |
0.7× |
| Vasc Embolize/Occlude Bleed (37244) |
$17,685 |
$17,685 |
1.3× |
| Vasc embolize/occlude organ (37243) |
$17,685 |
$17,685 |
1.3× |
| Vasc embolize/occlude venous (37241) |
$16,527.50 |
$16,527.50 |
1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,000 |
$3,000 |
1.2× |
| Venipuncture (36415) |
$9 |
$9 |
1.0× |
| Wedge excision skin nail fold (11765) |
$125 |
$125 |
0.3× |
| Windowing of cast (29730) |
$220 |
$220 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$628 |
$628 |
1.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,014 |
$2,014 |
2.3× |
| Wrist arthroscopy (29840) |
$3,410 |
$3,410 |
0.9× |