| Abd paracentesis (49082) |
$312 |
$312 |
0.3× |
| Abd paracentesis w/imaging (49083) |
$457 |
$457 |
0.5× |
| Amniocentesis diagnostic (59000) |
$506 |
$506 |
0.5× |
| Amputation of toe (28820) |
$2,113 |
$2,113 |
0.6× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$420 |
$420 |
0.1× |
| Anoscopy diagnostic (46600) |
$369 |
$369 |
2.7× |
| Appendectomy (44950) |
$6,341 |
$6,341 |
1.0× |
| Application finger splint static (29130) |
$120 |
$120 |
0.9× |
| Application of long leg cast (thigh to toes); (29345) |
$424 |
$424 |
1.5× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$208 |
$208 |
1.3× |
| Application of short arm splint (forearm to hand); static (29125) |
$160 |
$160 |
1.2× |
| Application of short leg cast (below knee to toes); (29405) |
$251 |
$251 |
0.9× |
| Application of short leg splint (calf to foot) (29515) |
$208 |
$208 |
1.3× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$596 |
$596 |
3.6× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$453 |
$453 |
2.7× |
| Application, cast; shoulder to hand (long arm) (29065) |
$285 |
$285 |
1.0× |
| Apply hand/wrist cast (29085) |
$163 |
$163 |
1.0× |
| Apply long arm splint (29105) |
$201 |
$201 |
1.2× |
| Apply splint short arm dynamic (29126) |
$107 |
$107 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$141 |
$141 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$635.50 |
$635.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$293 |
$293 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$659 |
$659 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$242 |
$242 |
0.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$1,130.50 |
$1,130.50 |
3.6× |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
unusually low — confirm this is the full procedure |
$4,105 |
$4,105 |
0.3× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge — not the full procedure |
$3,772 |
$3,772 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge — not the full procedure |
$3,831 |
$3,831 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
likely a partial charge — not the full procedure |
$3,276 |
$3,276 |
0.2× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279)
likely a partial charge — not the full procedure |
$1,958 |
$1,958 |
0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$11,030 |
$11,030 |
0.6× |
| Arthroplasty, patella; with prosthesis Age Under 21 (27438) |
$13,135 |
$13,135 |
1.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$11,226 |
$11,226 |
1.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$6,220 |
$6,220 |
1.9× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$7,721 |
$7,721 |
2.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age Under 21 (29887) |
$10,185 |
$10,185 |
1.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$3,234 |
$3,234 |
1.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$2,945 |
$2,945 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$6,885 |
$6,885 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$1,741 |
$1,741 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$6,174 |
$6,174 |
1.8× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$7,875 |
$7,875 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$5,093 |
$5,093 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$819 |
$819 |
0.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$5,186 |
$5,186 |
1.6× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$5,788 |
$5,788 |
0.8× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$14,420 |
$14,420 |
4.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$8,190 |
$8,190 |
1.1× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$10,815 |
$10,815 |
0.8× |
| Aspirate pleura w/o imaging (32554) |
$473 |
$473 |
0.7× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$840 |
$840 |
1.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$220 |
$220 |
0.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$233 |
$233 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$559 |
$559 |
0.3× |
| Biopsy liver needle percutaneous (47000) |
$1,921 |
$1,921 |
1.1× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$960 |
$960 |
0.6× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$2,536 |
$2,536 |
2.1× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,032 |
$1,032 |
1.1× |
| Biopsy of uterus lining (58100) |
$397 |
$397 |
1.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,829 |
$1,829 |
0.5× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$985 |
$985 |
0.2× |
| Biopsy thyroid percutaneous core needle (60100) |
$476 |
$476 |
0.7× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$905 |
$905 |
0.5× |
| Bladder irrigation (51700) |
$834 |
$834 |
3.3× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$278 |
$278 |
0.9× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$1,581 |
$1,581 |
0.4× |
| Bx breast 1st lesion mr imag (19085) |
$1,184 |
$1,184 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$1,353 |
$1,353 |
0.8× |
| Bx pancreas ndl perc (48102) |
$2,008.50 |
$2,008.50 |
1.2× |
| Cah artificial insemination intra-uterine (58322) |
$132 |
$132 |
0.6× |
| Care of miscarriage (59820) |
$1,686 |
$1,686 |
0.5× |
| Cast short arm (29075) |
$222.50 |
$222.50 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$133 |
$133 |
0.5× |
| Chemical cauterization of granulation tissue (17250) |
$69 |
$69 |
0.3× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$474.50 |
$474.50 |
1.5× |
| Chest tube placement (32551) |
$982 |
$982 |
0.6× |
| Circumcision, Newborn (54150) |
$483 |
$483 |
0.2× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$1,940 |
$1,940 |
0.9× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$826 |
$826 |
3.3× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$2,047 |
$2,047 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$941 |
$941 |
3.7× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$1,144 |
$1,144 |
4.5× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$559 |
$559 |
2.2× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$591.50 |
$591.50 |
2.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,587 |
$1,587 |
6.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$1,181 |
$1,181 |
4.7× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$759 |
$759 |
3.0× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,841 |
$2,841 |
1.7× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,960 |
$1,960 |
7.8× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$3,167 |
$3,167 |
1.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$517 |
$517 |
2.1× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$1,207 |
$1,207 |
4.8× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$1,139 |
$1,139 |
4.5× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,250 |
$1,250 |
5.0× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$759 |
$759 |
3.0× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$3,749 |
$3,749 |
2.3× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$1,151 |
$1,151 |
4.6× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,753 |
$1,753 |
1.1× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$1,268 |
$1,268 |
5.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,037 |
$1,037 |
4.1× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$991 |
$991 |
3.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$585 |
$585 |
2.3× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$476 |
$476 |
1.9× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$979 |
$979 |
0.6× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,188 |
$1,188 |
4.7× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,737 |
$1,737 |
1.1× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$1,157 |
$1,157 |
4.6× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$977 |
$977 |
3.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$554 |
$554 |
2.2× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,745 |
$1,745 |
1.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$548 |
$548 |
2.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$847 |
$847 |
3.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,971 |
$1,971 |
7.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,371 |
$1,371 |
5.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$457 |
$457 |
0.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,465.50 |
$2,465.50 |
1.5× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$629 |
$629 |
0.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$494 |
$494 |
0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,085.50 |
$1,085.50 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,382 |
$1,382 |
0.8× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$520 |
$520 |
2.1× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$1,124 |
$1,124 |
4.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$788 |
$788 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,511.50 |
$3,511.50 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$887 |
$887 |
3.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$755 |
$755 |
3.0× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$399 |
$399 |
1.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,865 |
$1,865 |
1.1× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$619 |
$619 |
2.5× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$989 |
$989 |
3.9× |
| Cltx metar fx w/manj (28475) |
$706 |
$706 |
2.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,856 |
$1,856 |
1.1× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$2,053 |
$2,053 |
1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,313 |
$1,313 |
5.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,793 |
$1,793 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,191 |
$1,191 |
4.7× |
| Colonoscopy thru stoma spx (44388) |
$2,514 |
$2,514 |
2.6× |
| Colonoscopy w/control bleed (45382) |
$783 |
$783 |
0.6× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$3,180 |
$3,180 |
2.6× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$1,250 |
$1,250 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$4,292 |
$4,292 |
3.5× |
| Contrast injection perq radiologic eval gi tube (49465) |
$533 |
$533 |
2.2× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$538.50 |
$538.50 |
2.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$205.50 |
$205.50 |
1.5× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,116 |
$1,116 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$444 |
$444 |
3.3× |
| Curettage postpartum (59160) |
$1,116 |
$1,116 |
0.3× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge — not the full procedure |
$1,047 |
$1,047 |
0.2× |
| Cystoscopy and treatment (52310) |
$384 |
$384 |
0.2× |
| Cystourethroscopy (52000) |
$204 |
$204 |
0.3× |
| Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Age Under 21 (52250) |
$1,716 |
$1,716 |
0.5× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$1,940 |
$1,940 |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$729 |
$729 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$621 |
$621 |
0.2× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$203.50 |
$203.50 |
0.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$828 |
$828 |
2.0× |
| Destruct lesion 15 or more (17111) |
$266 |
$266 |
1.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$149 |
$149 |
0.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$152 |
$152 |
0.4× |
| Destruction benign lesions up to 14 (17110) |
$167 |
$167 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,097.50 |
$2,097.50 |
1.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$492.50 |
$492.50 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$710 |
$710 |
0.7× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$1,630 |
$1,630 |
0.5× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$670 |
$670 |
0.7× |
| Drain lower leg lesion (27603) |
$966 |
$966 |
0.3× |
| Drainage finger abscess simple (26010) |
$682 |
$682 |
3.3× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$4,485.50 |
$4,485.50 |
2.2× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,952.50 |
$3,952.50 |
2.0× |
| Ed proc insert intraosseous IV (36680) |
$121 |
$121 |
0.3× |
| Ed proc remve fb nasal- hospital (30300) |
$436 |
$436 |
3.2× |
| Ed prof arthrocentesis sm - hospital (20551) |
$289 |
$289 |
0.9× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$145 |
$145 |
1.1× |
| Ed prof burn - large - hospital (16030) |
$559 |
$559 |
1.3× |
| Ed prof burn medium - hospital (16025) |
$464 |
$464 |
2.3× |
| Ed prof burn small - hospital (16020) |
$225 |
$225 |
1.1× |
| Ed prof catheterization/straight (51701) |
$177 |
$177 |
1.3× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,650 |
$1,650 |
6.5× |
| Ed prof drain dental abscess-hospital (41800) |
$545 |
$545 |
4.0× |
| Ed prof insert foley cath simple (51702) |
$380 |
$380 |
2.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$564.50 |
$564.50 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,001 |
$1,001 |
2.4× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$867 |
$867 |
2.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$663 |
$663 |
2.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,025 |
$2,025 |
1.0× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$2,060 |
$2,060 |
1.1× |
| Episiotomy or vaginal repair (59300) |
$792 |
$792 |
0.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$555.50 |
$555.50 |
0.8× |
| Esoph egd dilation <30 mm (43249) |
$1,267 |
$1,267 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$1,320 |
$1,320 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,949.50 |
$2,949.50 |
3.2× |
| Evac subungual hematoma (11740) |
$136 |
$136 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$597 |
$597 |
0.4× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$427 |
$427 |
0.2× |
| Exc face les sbq 2 cm/> (21012) |
$1,622 |
$1,622 |
1.0× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,285.50 |
$1,285.50 |
0.8× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$272 |
$272 |
0.4× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$214 |
$214 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$321 |
$321 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$594 |
$594 |
0.2× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$438 |
$438 |
0.6× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$383.50 |
$383.50 |
0.5× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$2,148 |
$2,148 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,843 |
$2,843 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,020 |
$1,020 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,983 |
$3,983 |
2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,870 |
$2,870 |
1.0× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$447 |
$447 |
0.2× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,608 |
$1,608 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$308 |
$308 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$431 |
$431 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$656 |
$656 |
0.9× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$3,839 |
$3,839 |
1.0× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$916 |
$916 |
0.9× |
| Excision of lesion, conjunctiva; over 1 cm Age Under 21 (68115) |
$735 |
$735 |
0.3× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$1,367 |
$1,367 |
0.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$887 |
$887 |
0.3× |
| Excision olecranon bursa (24105) |
$8,569 |
$8,569 |
2.6× |
| Excision or transposition of pterygium; without graft Age Under 21 (65420) |
$2,338 |
$2,338 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,243 |
$1,243 |
0.4× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,328 |
$1,328 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,318 |
$2,318 |
1.4× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,622 |
$1,622 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$853 |
$853 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$425 |
$425 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$327.50 |
$327.50 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$386 |
$386 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$327.50 |
$327.50 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$745 |
$745 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$284 |
$284 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$237 |
$237 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$900 |
$900 |
0.3× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$2,520 |
$2,520 |
0.8× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$7,164 |
$7,164 |
2.4× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$809 |
$809 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,849 |
$2,849 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$1,789 |
$1,789 |
1.1× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$685 |
$685 |
0.4× |
| Fetal contraction stress test (59020) |
$456 |
$456 |
2.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$751.50 |
$751.50 |
1.0× |
| Ganglion impar nerve block (64999) |
$1,984.50 |
$1,984.50 |
6.3× |
| Gastric lavage (43753) |
$93 |
$93 |
0.4× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$7,249 |
$7,249 |
1.8× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,573 |
$1,573 |
1.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,553 |
$5,553 |
2.0× |
| Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559) |
$4,867 |
$4,867 |
1.0× |
| Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) (59100) |
$4,936 |
$4,936 |
1.0× |
| I&d abscess simple/single (10060) |
$329.50 |
$329.50 |
1.6× |
| I&d hematoma/seroma/fluid (10140) |
$563.50 |
$563.50 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$294 |
$294 |
0.4× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,020 |
$1,020 |
0.6× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$371 |
$371 |
0.2× |
| Incise external hemorrhoid (46083) |
$446 |
$446 |
1.7× |
| Incise finger tendon sheath (26055) |
$6,251 |
$6,251 |
3.8× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$479 |
$479 |
1.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$378 |
$378 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$547 |
$547 |
1.8× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$2,843 |
$2,843 |
1.0× |
| Incision and drainage, perianal abscess, superficial (46050) |
$409 |
$409 |
0.4× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$665 |
$665 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$329 |
$329 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,418.50 |
$1,418.50 |
0.9× |
| Incision of rectal abscess (46040) |
$1,412 |
$1,412 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$786 |
$786 |
1.0× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$919 |
$919 |
2.2× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$193 |
$193 |
0.9× |
| Inj epidural blood or clot patch (62273) |
$749 |
$749 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,304 |
$2,304 |
2.5× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,317.50 |
$2,317.50 |
2.6× |
| Inj tx nerve (64640) |
$2,255 |
$2,255 |
2.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$308 |
$308 |
0.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,143 |
$2,143 |
2.4× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,266 |
$1,266 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,690.50 |
$1,690.50 |
2.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,197 |
$1,197 |
3.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,518 |
$1,518 |
2.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,024.50 |
$2,024.50 |
2.2× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,684.50 |
$1,684.50 |
2.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,471 |
$1,471 |
2.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,099.50 |
$2,099.50 |
2.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,466.50 |
$1,466.50 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$496 |
$496 |
1.6× |
| Injection aa&/strd vagus nerve (64408) |
$1,068.50 |
$1,068.50 |
3.4× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$2,180.50 |
$2,180.50 |
2.4× |
| Injection for identification of sentinel node (38792) |
$1,388 |
$1,388 |
3.4× |
| Injection therapeutic carpal tunnel (20526) |
$384 |
$384 |
1.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$251 |
$251 |
0.8× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$236 |
$236 |
0.8× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$212.50 |
$212.50 |
0.7× |
| Insert drug implant device (11981) |
$277 |
$277 |
2.0× |
| Insert pessary/other device (57160) |
$179 |
$179 |
0.9× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$1,198 |
$1,198 |
0.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$275 |
$275 |
1.2× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$3,343 |
$3,343 |
1.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$3,336 |
$3,336 |
2.1× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$433 |
$433 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,856 |
$4,856 |
1.5× |
| Intubation endotracheal (31500) |
$890.50 |
$890.50 |
3.7× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low — confirm this is the full procedure |
$2,690 |
$2,690 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)
unusually low — confirm this is the full procedure |
$3,147 |
$3,147 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
unusually low — confirm this is the full procedure |
$2,233 |
$2,233 |
0.3× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151) |
$6,319 |
$6,319 |
1.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$3,175 |
$3,175 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$7,662 |
$7,662 |
1.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321) |
$4,722 |
$4,722 |
0.8× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) |
$3,492 |
$3,492 |
0.6× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$6,516 |
$6,516 |
1.1× |
| Laryngoscopy indirect diagnostic (31505) |
$205 |
$205 |
1.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,670 |
$5,670 |
0.8× |
| Ligamentous reconstruction knee intra-articular (27428) |
$13,167 |
$13,167 |
1.0× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$873 |
$873 |
0.3× |
| Lumbar puncture (62270) |
$791 |
$791 |
1.1× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$4,133 |
$4,133 |
2.5× |
| Mastectomy partial (19301) |
$3,732 |
$3,732 |
0.9× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$7,978 |
$7,978 |
1.2× |
| Mastotomy expl drg absc dp (19020) |
$4,678 |
$4,678 |
2.8× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,023 |
$1,023 |
0.5× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) |
$14,907 |
$14,907 |
7.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,019 |
$2,019 |
2.2× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$482 |
$482 |
0.1× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$1,528 |
$1,528 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$790 |
$790 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$757 |
$757 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$574.50 |
$574.50 |
0.8× |
| Non stress test (59025) |
$413 |
$413 |
2.0× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$976 |
$976 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge — not the full procedure |
$3,593 |
$3,593 |
0.3× |
| Open treatment bimalleolar ankle fracture (27814) |
$7,151 |
$7,151 |
1.0× |
| Open Treatment Distal Fracture (25608) |
$5,036 |
$5,036 |
0.7× |
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure |
$2,357 |
$2,357 |
0.2× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$7,151 |
$7,151 |
1.0× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$12,423 |
$12,423 |
0.9× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) |
$9,377 |
$9,377 |
0.7× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$7,140 |
$7,140 |
1.0× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$5,784 |
$5,784 |
0.8× |
| Open tx distal fibular fracture lat malleolus (27792) |
$15,164 |
$15,164 |
2.0× |
| Open tx metacarpal fracture single ea bone (26615) |
$14,960 |
$14,960 |
4.5× |
Open tx prox humeral fx (23615)
unusually low — confirm this is the full procedure |
$6,405 |
$6,405 |
0.5× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$3,366 |
$3,366 |
0.9× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$4,132 |
$4,132 |
0.8× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$68 |
$68 |
0.3× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
likely a partial charge — not the full procedure |
$738 |
$738 |
0.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$13,930 |
$13,930 |
1.9× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,018 |
$1,018 |
0.3× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$7,157 |
$7,157 |
1.0× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$2,280 |
$2,280 |
0.7× |
| Pericardiocentesis w/img guidance when performed (33016) |
$999.50 |
$999.50 |
0.6× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,876 |
$1,876 |
2.6× |
| Perq dev breast 1st us imag (19285) |
$745 |
$745 |
1.0× |
| Perq device breast 1st imag (19281) |
$899.50 |
$899.50 |
0.5× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$248 |
$248 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$256 |
$256 |
1.0× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$1,036 |
$1,036 |
0.3× |
| Probe nasolacrimal duct (68815) |
$2,338 |
$2,338 |
1.0× |
| Proctosigmoidoscopy dx (45300) |
$508 |
$508 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$457 |
$457 |
1.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$269.50 |
$269.50 |
0.6× |
| Puncture aspiration of cyst of breast (19000) |
$298 |
$298 |
0.4× |
| Pvb thoracic single injection site w/img gid (64461) |
$2,063.50 |
$2,063.50 |
2.9× |
| Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430) |
$5,670 |
$5,670 |
0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,795 |
$1,795 |
0.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$14,642 |
$14,642 |
2.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$12,617 |
$12,617 |
1.7× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$7,600 |
$7,600 |
1.0× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$434 |
$434 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$57 |
$57 |
0.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$107.50 |
$107.50 |
1.8× |
| Removal implant deep (20680) |
$3,150 |
$3,150 |
1.1× |
| Removal of appendix using an endoscope (44970) |
$6,341 |
$6,341 |
1.0× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$2,877 |
$2,877 |
0.8× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) |
$10,652 |
$10,652 |
3.2× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$581 |
$581 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$182 |
$182 |
1.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$177 |
$177 |
0.4× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$3,435 |
$3,435 |
2.8× |
| Removal of iud (58301) |
$281 |
$281 |
0.9× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$4,173 |
$4,173 |
1.5× |
| Removal of nail bed (11750) |
$402 |
$402 |
1.0× |
Removal of segmental stabilizing device from back of spine (22852)
likely a partial charge — not the full procedure |
$1,734 |
$1,734 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$107 |
$107 |
0.5× |
Removal of stabilizing device from front of spine (22855)
unusually low — confirm this is the full procedure |
$2,690 |
$2,690 |
0.4× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$313 |
$313 |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$246 |
$246 |
0.3× |
| Removal tunneled cv cath (36590) |
$1,397 |
$1,397 |
0.9× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$235 |
$235 |
0.5× |
| Removal, non-biodegradable drug delivery implant (11982) |
$180 |
$180 |
0.4× |
| Remove eyelid foreign body (67938) |
$684 |
$684 |
2.1× |
| Remove foreign body from eye (65210) |
$411 |
$411 |
0.9× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$699 |
$699 |
0.4× |
Repair achilles tendon (27650)
likely a partial charge — not the full procedure |
$1,368 |
$1,368 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,047 |
$1,047 |
2.5× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,320 |
$1,320 |
3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,121 |
$1,121 |
2.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,063 |
$1,063 |
1.4× |
| Repair finger tendon (26418) |
$671 |
$671 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$4,691 |
$4,691 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$717 |
$717 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$853 |
$853 |
2.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$930 |
$930 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,274 |
$1,274 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,125 |
$1,125 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$629 |
$629 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$840 |
$840 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$897 |
$897 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$639 |
$639 |
1.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$813 |
$813 |
2.0× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,417 |
$1,417 |
1.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$911 |
$911 |
2.2× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$2,358 |
$2,358 |
1.1× |
| Repair of biceps tendon at elbow (24340) |
$12,548 |
$12,548 |
1.7× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$647 |
$647 |
1.4× |
| Repair of nail bed (11760) |
$374 |
$374 |
0.5× |
| Repair of shoulder joint capsule and shoulder blade with bone block (23460) |
$5,261 |
$5,261 |
0.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,205 |
$1,205 |
1.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,462 |
$1,462 |
1.9× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$990 |
$990 |
2.4× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$863 |
$863 |
1.1× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$15,277 |
$15,277 |
2.1× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$3,084 |
$3,084 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$3,084 |
$3,084 |
0.9× |
| Reset dislocated jaw (21480) |
$136 |
$136 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$1,239 |
$1,239 |
0.6× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$27,560 |
$27,560 |
2.1× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487) |
$12,078 |
$12,078 |
0.7× |
| Revision of upper eyelid (15823) |
$2,786 |
$2,786 |
1.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$198.50 |
$198.50 |
1.5× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$215 |
$215 |
1.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,601 |
$2,601 |
0.9× |
| Rmvl of access device (36589) |
$1,025 |
$1,025 |
1.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,610 |
$5,610 |
0.9× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$1,319 |
$1,319 |
0.2× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$5,747 |
$5,747 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,905 |
$3,905 |
1.1× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$4,487 |
$4,487 |
1.2× |
| Scrotal exploration Age Under 21 (55110) |
$2,760 |
$2,760 |
0.8× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$3,348 |
$3,348 |
0.9× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$155 |
$155 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$211 |
$211 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$191 |
$191 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$164 |
$164 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$202 |
$202 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$238 |
$238 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$124 |
$124 |
0.6× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$668 |
$668 |
0.5× |
| Simple complete removal of breast|BILATERAL PROCEDURE (19303) |
$10,637 |
$10,637 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$230 |
$230 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$241 |
$241 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$312 |
$312 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$392 |
$392 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$481 |
$481 |
2.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$216 |
$216 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$305 |
$305 |
1.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$269.50 |
$269.50 |
1.3× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$396 |
$396 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$489 |
$489 |
1.2× |
| Strapping ankle (29540) |
$270 |
$270 |
1.6× |
| Strapping elbow or wrist (29260) |
$284 |
$284 |
4.7× |
| Strapping of knee (29530) |
$76 |
$76 |
0.6× |
| Strapping of shoulder (29240) |
$76 |
$76 |
0.6× |
| Strapping of toes (29550) |
$50 |
$50 |
0.8× |
| Strapping unna boot (29580) |
$198 |
$198 |
1.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$1,123 |
$1,123 |
0.4× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$13,923 |
$13,923 |
1.9× |
| Tangential biopsy skin single lesion (11102) |
$265.50 |
$265.50 |
0.6× |
| Tenodesis long tendon biceps (23430) |
$5,874 |
$5,874 |
0.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$492.50 |
$492.50 |
0.7× |
| Therapeutic spinal puncture drainage csf (62272) |
$275 |
$275 |
0.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$893 |
$893 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$2,415 |
$2,415 |
0.7× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$2,355 |
$2,355 |
0.7× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
unusually low — confirm this is the full procedure |
$2,236 |
$2,236 |
0.4× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)
likely a partial charge — not the full procedure |
$3,924 |
$3,924 |
0.2× |
| Total knee arthroplasty (27447) |
$12,539 |
$12,539 |
1.0× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$1,793 |
$1,793 |
0.5× |
| Transfusion, blood or blood components (36430) |
$1,079 |
$1,079 |
2.4× |
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601)
unusually low — confirm this is the full procedure |
$1,862 |
$1,862 |
0.3× |
| Treat big toe fracture (28495) |
$623 |
$623 |
2.5× |
| Treat finger dislocation (26775) |
$1,428 |
$1,428 |
5.0× |
| Treat fx distal radial (25606) |
$515 |
$515 |
0.2× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$586 |
$586 |
0.1× |
| Treat thumb fracture (26665) |
$2,704 |
$2,704 |
0.8× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,343.50 |
$2,343.50 |
1.4× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$14,312 |
$14,312 |
1.9× |
| Treatment of bladder lesion (51720) |
$1,064 |
$1,064 |
1.5× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$1,851 |
$1,851 |
0.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,375 |
$1,375 |
5.5× |
| Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516) |
$12,539.80 |
$12,539.80 |
1.0× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245) |
$3,726 |
$3,726 |
0.5× |
| Treatment of miscarriage (59812) |
$1,866 |
$1,866 |
0.6× |
| Trimming of nondystrophic nails, any number (11719) |
$67 |
$67 |
1.1× |
| Tx superficial wound dehiscence simple closure (12020) |
$785 |
$785 |
1.0× |
| Vaginal delivery (59409) |
$2,874 |
$2,874 |
0.9× |
| Vasectomy (55250) |
$1,569 |
$1,569 |
0.7× |
| Venipuncture (36415) |
$37 |
$37 |
4.0× |
| Version cephalic external (59412) |
$201 |
$201 |
0.1× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$4,846 |
$4,846 |
2.1× |