| Abd paracentesis w/imaging (49083) |
$552.50 |
$1,105 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$492.25 |
$984.50 |
0.5× |
| Acne surgery (10040) |
$52.50 |
$105 |
0.2× |
| Amputation Finger/Thumb (26951) |
$1,437.50 |
$2,875 |
0.4× |
| Anoscopy diagnostic (46600) |
$63 |
$126 |
0.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$154.50 |
$309 |
0.9× |
| Appl Multlay Comprs Arm/Hand (29584) |
$169.50 |
$339 |
1.0× |
| Application cast elbow finger short arm (29075) |
$238.75 |
$477.50 |
0.8× |
| Application Cast Finger (29086) |
$39.50 |
$79 |
0.2× |
| Application cast shoulder hand long arm (29065) |
$241 |
$482 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$190.25 |
$380.50 |
3.0× |
| Application finger splint static (29130) |
$190.25 |
$380.50 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$185.50 |
$371 |
1.1× |
| Application of long leg cast (29345) |
$353.50 |
$707 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$195 |
$390 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$185.50 |
$371 |
1.3× |
| Apply Hand/Wrist Cast (29085) |
$50.50 |
$101 |
0.3× |
| Apply long leg splint (29505) |
$195 |
$390 |
1.1× |
| Apply short leg cast (29405) |
$237.50 |
$475 |
0.8× |
| Apply short leg cast (29425) |
$432 |
$864 |
1.4× |
| Apply short leg splint (29515) |
$190.25 |
$380.50 |
1.1× |
| Arterial puncture (36600) |
$26.50 |
$53 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$403.25 |
$806.50 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$936.75 |
$1,873.50 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$473.50 |
$947 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$491 |
$982 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$24 |
$48 |
0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$28,143.75 |
$56,287.50 |
1.5× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$23,887.50 |
$47,775 |
1.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$11,578.50 |
$23,157 |
3.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$5,313.75 |
$10,627.50 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,043.50 |
$12,087 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$23,107.50 |
$46,215 |
6.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$40,527 |
$81,054 |
5.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$15,642 |
$31,284 |
4.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$25,181.25 |
$50,362.50 |
3.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$23,048.25 |
$46,096.50 |
3.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$4,334 |
$8,668 |
2.5× |
| Aspirate pleura w/ imaging (32555) |
$880 |
$1,760 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$47 |
$94 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$175 |
$350 |
0.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$68.50 |
$137 |
0.1× |
| Biopsy external ear (69100) |
$53 |
$106 |
0.2× |
| Biopsy muscle deep (20205) |
$4,368 |
$8,736 |
1.4× |
| Biopsy of breast; open, incisional (19101) |
$179 |
$358 |
0.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$45.50 |
$91 |
0.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$42.50 |
$85 |
0.0× |
| Bladder Irrigation Simple (51700) |
$224 |
$448 |
0.8× |
| Blood patch (62273) |
$1,250.50 |
$2,501 |
1.7× |
| Blood transfusion service (36430) |
$386.50 |
$773 |
0.8× |
| Bone marrow aspiration only (38220) |
$1,158.50 |
$2,317 |
0.7× |
| Bone Marrow Biopsy (38221) |
$1,218.50 |
$2,437 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$2,283 |
$4,566 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$2,872.50 |
$5,745 |
1.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$79.50 |
$159 |
0.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,063 |
$2,126 |
0.6× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$100.50 |
$201 |
0.3× |
| Change of cystostomy tube simple (51705) |
$328.50 |
$657 |
1.2× |
| Chemical cautery tissue (17250) |
$147.50 |
$295 |
0.7× |
| Chemodenerv musc migraine (64615) |
$641.75 |
$1,283.50 |
2.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$178.25 |
$356.50 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$202 |
$404 |
0.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$263 |
$526 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$230.50 |
$461 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$202.50 |
$405 |
0.8× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$853.50 |
$1,707 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$216.75 |
$433.50 |
0.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$213.25 |
$426.50 |
0.8× |
| Closed treat wrist dislocation (25660) |
$263 |
$526 |
1.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$252.50 |
$505 |
1.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$192.50 |
$385 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$263 |
$526 |
1.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,307 |
$4,614 |
1.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$216 |
$432 |
0.8× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,327.50 |
$4,655 |
0.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$211.25 |
$422.50 |
0.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$204.50 |
$409 |
0.8× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$853.50 |
$1,707 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$188.50 |
$377 |
0.7× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$252.50 |
$505 |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$853.50 |
$1,707 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$389 |
$778 |
1.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$148 |
$296 |
0.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$252.50 |
$505 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$231 |
$462 |
0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$215 |
$430 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246.50 |
$493 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$252.50 |
$505 |
0.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$240.50 |
$481 |
0.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$252.50 |
$505 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$265.50 |
$531 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,999 |
$3,998 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$252.50 |
$505 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$181.25 |
$362.50 |
0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$360 |
$720 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$240.50 |
$481 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$631.50 |
$1,263 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$200.25 |
$400.50 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,872.50 |
$3,745 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$442 |
$884 |
0.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$191.75 |
$383.50 |
0.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$252.50 |
$505 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$220 |
$440 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$249.75 |
$499.50 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$207.75 |
$415.50 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$200.25 |
$400.50 |
0.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$524 |
$1,048 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$853.50 |
$1,707 |
3.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$188.75 |
$377.50 |
0.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$246.75 |
$493.50 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,880 |
$3,760 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$250.50 |
$501 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$221.25 |
$442.50 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$186 |
$372 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$211.75 |
$423.50 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$236 |
$472 |
0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$209.50 |
$419 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$252.50 |
$505 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$240.50 |
$481 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$250.50 |
$501 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$421 |
$842 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,064 |
$4,128 |
1.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$271.50 |
$543 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$252.50 |
$505 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,327.50 |
$4,655 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$173.25 |
$346.50 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$165.25 |
$330.50 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$168.75 |
$337.50 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$158.75 |
$317.50 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$566.50 |
$1,133 |
0.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$207.50 |
$415 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$252.50 |
$505 |
1.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$220.75 |
$441.50 |
0.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$273 |
$546 |
0.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$261.25 |
$522.50 |
0.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$252.50 |
$505 |
0.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$252.50 |
$505 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$392.50 |
$785 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$252.50 |
$505 |
1.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$175.50 |
$351 |
0.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,327.50 |
$4,655 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$210.25 |
$420.50 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$203.50 |
$407 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$240.50 |
$481 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$167.50 |
$335 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$240.50 |
$481 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,240.50 |
$2,481 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$313 |
$626 |
1.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,327.50 |
$4,655 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$206.75 |
$413.50 |
0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$339 |
$678 |
0.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$252.50 |
$505 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$256.75 |
$513.50 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$536.75 |
$1,073.50 |
0.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$263 |
$526 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$350 |
$700 |
0.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$252.50 |
$505 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,327.50 |
$4,655 |
1.4× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$263 |
$526 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$252.50 |
$505 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$91.75 |
$183.50 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,093.25 |
$2,186.50 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$2,241.25 |
$4,482.50 |
1.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$78.50 |
$157 |
0.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$56 |
$112 |
0.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$73.50 |
$147 |
0.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$167.50 |
$335 |
0.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$149 |
$298 |
0.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$68 |
$136 |
0.2× |
| Colposcopy vulva (56820) |
$63 |
$126 |
0.3× |
| Colposcopy vulva w/biopsy (56821) |
$86 |
$172 |
0.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$70 |
$140 |
0.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$90.50 |
$181 |
0.1× |
| Conization of cervix (57522) |
$1,529.50 |
$3,059 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$263 |
$526 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$256.75 |
$513.50 |
1.8× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$30,303 |
$60,606 |
2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$256.75 |
$513.50 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,212 |
$4,424 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$28 |
$56 |
0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$741.50 |
$1,483 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$741.50 |
$1,483 |
1.0× |
| Debride nail 1-5 (11720) |
$83 |
$166 |
1.3× |
| Debride nail 6 or more (11721) |
$23 |
$46 |
0.4× |
| Debride skin musc at fx site (11011) |
$741.50 |
$1,483 |
1.0× |
| Debride tissue/muscle (11043) |
$298 |
$596 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$457.50 |
$915 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$773.50 |
$1,547 |
0.4× |
| Declot vascular device (36593) |
$575.50 |
$1,151 |
1.6× |
| Delivery placenta separate procedure (59414) |
$1,298.50 |
$2,597 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$2,479 |
$4,958 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,448 |
$4,896 |
1.2× |
| Destruction Benign Lesions 15/> (17111) |
$69.50 |
$139 |
0.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$59 |
$118 |
0.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,232.50 |
$2,465 |
1.3× |
| Destruction Lesions Vulva Extensive (56515) |
$115.50 |
$231 |
0.1× |
| Destruction Lesions Vulva Simple (56501) |
$68 |
$136 |
0.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$91.50 |
$183 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$78 |
$156 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,904 |
$3,808 |
0.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$88 |
$176 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$43 |
$86 |
0.2× |
| Dilation and curettage (58120) |
$153.50 |
$307 |
0.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$241.50 |
$483 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$241 |
$482 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$445 |
$890 |
1.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$524 |
$1,048 |
2.1× |
| Drainage external auditory canal abscess (69020) |
$241 |
$482 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$241 |
$482 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,617.50 |
$5,235 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$202 |
$404 |
0.9× |
| Drainage Mouth Roof Lesion (42000) |
$524 |
$1,048 |
2.1× |
| Drainage of gum lesion (41800) |
$437 |
$874 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$395 |
$790 |
0.2× |
| Drainage of pelvic abscess (45000) |
$155 |
$310 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$2,381.50 |
$4,763 |
1.4× |
| Draw blood off venous device (36591) |
$141.50 |
$283 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$364 |
$728 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$284.50 |
$569 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$250.50 |
$501 |
1.2× |
| Dstrj lesion anus simple chemical (46900) |
$129 |
$258 |
0.3× |
| Dstrj lesion anus simple cryosurgery (46916) |
$136 |
$272 |
0.6× |
| Dstrj lesion anus simple surg excision (46922) |
$2,870 |
$5,740 |
1.0× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$74.50 |
$149 |
0.3× |
| Dx bone marrow bx & aspir (38222) |
$2,028 |
$4,056 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,815.50 |
$3,631 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,729 |
$3,458 |
1.8× |
| Egd remove lesion snare (43251) |
$1,729 |
$3,458 |
0.8× |
| Endocervical Curettage (57505) |
$53 |
$106 |
0.1× |
| Endometrial Biopsy (58100) |
$56 |
$112 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$107.75 |
$215.50 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$261.50 |
$523 |
0.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$65.50 |
$131 |
0.1× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$64.50 |
$129 |
0.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$105 |
$210 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$120.50 |
$241 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$2,904 |
$5,808 |
3.8× |
| Exc back les sc < 3 cm (21930) |
$264.50 |
$529 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$71.50 |
$143 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$116 |
$232 |
0.1× |
| Exc forearm les sc 3 cm/> (25071) |
$221.50 |
$443 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,367.25 |
$2,734.50 |
1.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,404.25 |
$2,808.50 |
3.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$100 |
$200 |
0.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$145 |
$290 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$205 |
$410 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,813.50 |
$5,627 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,561.75 |
$3,123.50 |
0.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$264.50 |
$529 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$211 |
$422 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$232.50 |
$465 |
0.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,463.25 |
$2,926.50 |
0.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,463 |
$10,926 |
1.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$7,245 |
$14,490 |
2.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$251.50 |
$503 |
0.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,786 |
$13,572 |
2.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$6,642 |
$13,284 |
2.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,535 |
$11,070 |
1.8× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$199.50 |
$399 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$101 |
$202 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$119.50 |
$239 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$130 |
$260 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$147 |
$294 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,070.75 |
$4,141.50 |
2.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$105.50 |
$211 |
0.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$124.50 |
$249 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$141.50 |
$283 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$166 |
$332 |
0.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$204 |
$408 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$102.50 |
$205 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$120.50 |
$241 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$134 |
$268 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$156 |
$312 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$88 |
$176 |
0.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,140 |
$4,280 |
2.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,338 |
$8,676 |
2.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,193.75 |
$2,387.50 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$145 |
$290 |
0.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,531.25 |
$3,062.50 |
1.2× |
| Excision of vaginal septum (57130) |
$91.50 |
$183 |
0.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,290 |
$8,580 |
1.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$5,928 |
$11,856 |
1.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,822 |
$7,644 |
2.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$242.50 |
$485 |
0.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,330 |
$10,660 |
1.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$4,212 |
$8,424 |
2.4× |
| Exploration penetrating wound spx extremity (20103) |
$2,658.25 |
$5,316.50 |
1.5× |
| Explore/treat hand joint (26070) |
$5,516 |
$11,032 |
3.2× |
| Fasciectomy Palm Only (26121) |
$4,137 |
$8,274 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,008.50 |
$12,017 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$372 |
$744 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$79 |
$158 |
0.2× |
| Fit/Insert Intravag Support Device (57160) |
$40 |
$80 |
0.2× |
| Fitting of diaphragm/cap (57170) |
$31 |
$62 |
0.1× |
| Fixation of shoulder (23700) |
$1,552.50 |
$3,105 |
0.9× |
| Foreskin manipulation (54450) |
$34.50 |
$69 |
0.1× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$172.50 |
$345 |
4.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,677 |
$3,354 |
2.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,968 |
$9,936 |
1.4× |
| Hemorrhoidectomy (46255) |
$9,516 |
$19,032 |
3.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$5,304 |
$10,608 |
1.8× |
| Hysteroscopy biopsy (58558) |
$3,420 |
$6,840 |
1.0× |
| Hysteroscopy w endometrial ablation (58563) |
$8,910 |
$17,820 |
1.7× |
| I&D Abscess Peritonsillar (42700) |
$524 |
$1,048 |
2.1× |
| I&d abscess simple (10060) |
$250.50 |
$501 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,425 |
$2,850 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,868 |
$5,736 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$250.50 |
$501 |
0.3× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,499.50 |
$4,999 |
0.8× |
| I&d submucosal abscess rectum (45005) |
$166 |
$332 |
0.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,499.50 |
$4,999 |
1.4× |
| I&d vulva/perineal abscess (56405) |
$246.75 |
$493.50 |
0.8× |
| Incise external hemorrhoid (46083) |
$1,310.50 |
$2,621 |
4.9× |
| Incise finger tendon sheath (26055) |
$3,312 |
$6,624 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$256.75 |
$513.50 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$235.50 |
$471 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$463 |
$926 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$260.50 |
$521 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$181.75 |
$363.50 |
0.8× |
| Incision and drainage perianal abscess superficial (46050) |
$933.50 |
$1,867 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$209.25 |
$418.50 |
0.1× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$2,499.50 |
$4,999 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$3,841.50 |
$7,683 |
2.2× |
| Incision of rectal abscess (46040) |
$680 |
$1,360 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$79.50 |
$159 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$149 |
$298 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,451.50 |
$2,903 |
1.5× |
| Inj tendon sheath/ligament (20550) |
$234.25 |
$468.50 |
0.7× |
| Inj therapeutic carpal tunnel (20526) |
$214.50 |
$429 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,006.50 |
$2,013 |
1.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,067.50 |
$2,135 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$196 |
$392 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$563.75 |
$1,127.50 |
0.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,067.50 |
$2,135 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$31 |
$62 |
0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,160.25 |
$2,320.50 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,188.50 |
$2,377 |
1.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$389 |
$778 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$142.75 |
$285.50 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$565.25 |
$1,130.50 |
0.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,067.50 |
$2,135 |
1.4× |
| Injection for identification of sentinel node (38792) |
$609 |
$1,218 |
1.4× |
| Injection into skin lesions (11900) |
$29 |
$58 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$389 |
$778 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$428 |
$856 |
1.3× |
| Insert Drug Implant Device (11981) |
$70.50 |
$141 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$474 |
$948 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$98.75 |
$197.50 |
0.7× |
| Insert tunneled cv cath (36561) |
$8,580 |
$17,160 |
2.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$113 |
$226 |
0.8× |
| Insj picc rs&i 5 yr+ (36573) |
$2,047 |
$4,094 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,319 |
$6,638 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$511.50 |
$1,023 |
2.0× |
| Knee Arthroscopy/Surgery (29879) |
$9,337.50 |
$18,675 |
2.7× |
| Lap ing hernia repair init (49650) |
$13,348 |
$26,696 |
2.1× |
| Laparoscopy appendectomy (44970) |
$7,878 |
$15,756 |
1.2× |
| Laparoscopy biopsy (49321) |
$15,170 |
$30,340 |
2.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,275.25 |
$12,550.50 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$7,254 |
$14,508 |
1.1× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$12,690 |
$25,380 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,620.25 |
$13,240.50 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,520 |
$15,040 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$12,060 |
$24,120 |
1.9× |
| Laryngoscopy flexible diagnostic (31575) |
$447 |
$894 |
2.1× |
| Late closure of wound (13160) |
$4,024 |
$8,048 |
1.1× |
| Lateral retinacular release open (27425) |
$14,101.50 |
$28,203 |
4.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,506 |
$3,012 |
1.5× |
| Ligation or biopsy temporal artery (37609) |
$8,502 |
$17,004 |
4.8× |
| Liver Biopsy (47000) |
$2,119 |
$4,238 |
1.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$2,992.50 |
$5,985 |
0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$557.75 |
$1,115.50 |
0.7× |
| N Block Inj, Plantar Digit (64455) |
$25 |
$50 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$47.75 |
$95.50 |
1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$106 |
$212 |
3.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,349 |
$6,698 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,042 |
$2,084 |
2.5× |
| Njx aa&/strd sciatic nerve (64445) |
$1,042 |
$2,084 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,042 |
$2,084 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,487 |
$2,974 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,335 |
$2,670 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,043 |
$2,086 |
1.4× |
| Occipital Nerve Block (64405) |
$398.75 |
$797.50 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$17,616.75 |
$35,233.50 |
2.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$17,241.75 |
$16,827 |
2.2× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$275 |
$550 |
0.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$19,416 |
$38,832 |
2.5× |
| Open Treatment Proximal Humeral Fracture (23615) |
$36,976.50 |
$73,953 |
2.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$13,390.50 |
$26,781 |
1.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,178.50 |
$6,357 |
0.9× |
| Open tx ulnar fx proximal end (24685) |
$18,960 |
$37,920 |
2.4× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$16,353 |
$32,706 |
2.1× |
| Partial hymenectomy or revision (56700) |
$103 |
$206 |
0.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,960 |
$7,920 |
1.1× |
| Perfluoroalkyl substances (pfas) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 16 pfas compounds by… (0394U) |
$939 |
$1,878 |
4.7× |
| Perq dev breast 1st us imag (19285) |
$918 |
$1,836 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$253.25 |
$506.50 |
0.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$856.50 |
$1,713 |
1.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$7,387.50 |
$14,775 |
2.1× |
| Picc line placement (36569) |
$1,947 |
$3,894 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$262 |
$524 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$851.75 |
$1,703.50 |
2.0× |
| Puncture Aspiration Cyst Breast (19000) |
$371 |
$742 |
0.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$229.50 |
$459 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,600.50 |
$5,201 |
1.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,226 |
$10,452 |
1.7× |
| Removal Foreign Body Foot Complicated (28193) |
$1,384 |
$2,768 |
0.8× |
| Removal foreign body foot deep (28192) |
$2,068 |
$4,136 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,384 |
$2,768 |
1.8× |
| Removal foreign body intranasal (30300) |
$111 |
$222 |
0.8× |
| Removal foreign body pharynx (42809) |
$111 |
$222 |
0.2× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,384 |
$2,768 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,068 |
$4,136 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$73.50 |
$147 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$105.50 |
$211 |
1.7× |
| Removal implant deep (20680) |
$8,205.25 |
$16,410.50 |
2.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$74.50 |
$149 |
0.1× |
| Removal of arm foreign body (24200) |
$741.50 |
$1,483 |
0.4× |
| Removal of embedded foreign body, eyelid (67938) |
$342 |
$684 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$171 |
$342 |
0.4× |
| Removal of iud (58301) |
$157.75 |
$315.50 |
0.5× |
| Removal of nail bed (11750) |
$411.75 |
$823.50 |
0.9× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$24,766.50 |
$49,533 |
8.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$46 |
$92 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$52 |
$104 |
0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$32.50 |
$65 |
0.1× |
| Remove anal fist subq (46270) |
$5,576 |
$11,152 |
1.9× |
| Remove drug implant device (11982) |
$79.50 |
$159 |
0.2× |
| Remove ext hem groups 2+ (46250) |
$5,084 |
$10,168 |
1.7× |
| Remove Tendon Sheath Lesion (26160) |
$3,687.75 |
$7,375.50 |
2.1× |
| Remove vagina gland lesion (56740) |
$103 |
$206 |
0.0× |
| Remove/Insert Drug Implant (11983) |
$117.50 |
$235 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$105.50 |
$211 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$175.25 |
$350.50 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$833 |
$1,666 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$833 |
$1,666 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$547 |
$1,094 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$813.25 |
$1,626.50 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$883.50 |
$1,767 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$3,978 |
$7,956 |
9.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$813.25 |
$1,626.50 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,171 |
$4,342 |
1.3× |
| Repair Fibula Nonunion (27726) |
$19,671 |
$39,342 |
2.5× |
| Repair hand tendon (26410) |
$2,171 |
$4,342 |
1.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$19,578 |
$39,156 |
5.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$18,424 |
$36,848 |
4.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,546 |
$25,092 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$547 |
$1,094 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$521 |
$1,042 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$521 |
$1,042 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$547 |
$1,094 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$364 |
$728 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$197.75 |
$395.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$547 |
$1,094 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$378.50 |
$757 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$193 |
$386 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$521 |
$1,042 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$367.75 |
$735.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$547 |
$1,094 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$521 |
$1,042 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$521 |
$1,042 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$534 |
$1,068 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$302.75 |
$605.50 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$521 |
$1,042 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$547 |
$1,094 |
0.2× |
| Repair Mouth Laceration (40831) |
$1,249 |
$2,498 |
2.2× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$18,532 |
$37,064 |
2.7× |
| Repair of nail bed (11760) |
$214.75 |
$429.50 |
0.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,608 |
$21,216 |
1.5× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$19,503 |
$39,006 |
5.1× |
| Repair tongue laceration (41252) |
$1,249 |
$2,498 |
4.9× |
| Repair Tongue Laceration (41250) |
$180.50 |
$361 |
0.4× |
| Repeat control of nosebleed (30906) |
$263 |
$526 |
1.0× |
| Replace tunneled cv cath (36578) |
$764.50 |
$1,529 |
0.2× |
| Resect forarm/wrist tum 3cm> (25078) |
$590.50 |
$1,181 |
0.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$38,976 |
$77,952 |
2.8× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$19,656 |
$39,312 |
1.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$437 |
$874 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$111 |
$222 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$179.50 |
$359 |
1.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$179.50 |
$359 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,384 |
$2,768 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,130.50 |
$2,261 |
1.7× |
| Rplc gtube revj gstrst trc (43763) |
$175.50 |
$351 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,740.50 |
$3,481 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,410 |
$14,820 |
1.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,588 |
$7,176 |
0.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,034 |
$16,068 |
1.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,084 |
$12,168 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$5,986 |
$11,972 |
3.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$547 |
$1,094 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,249 |
$2,498 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,249 |
$2,498 |
2.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,026 |
$2,052 |
0.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$46.50 |
$93 |
0.1× |
| Shave skin lesion 0.5 cm/< (11305) |
$51.50 |
$103 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$60 |
$120 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$64 |
$128 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$75.50 |
$151 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$58 |
$116 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$85 |
$170 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$63 |
$126 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$82 |
$164 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$74.50 |
$149 |
0.3× |
| Sigmoidoscopy w/biopsy (45331) |
$1,026 |
$2,052 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$220 |
$440 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$214.75 |
$429.50 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$209.50 |
$419 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$220 |
$440 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$214.75 |
$429.50 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$154.75 |
$309.50 |
0.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$547 |
$1,094 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$209.50 |
$419 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$220 |
$440 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$214.75 |
$429.50 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$209.50 |
$419 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$209.50 |
$419 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$214.75 |
$429.50 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$858.50 |
$1,717 |
1.1× |
| Spinal Puncture Therapeutic (62272) |
$108 |
$216 |
0.1× |
| Strapping ankle (29540) |
$19.50 |
$39 |
0.1× |
| Strapping shoulder (29240) |
$195 |
$390 |
1.4× |
| Strapping toes (29550) |
$195 |
$390 |
3.1× |
| Strapping unna boot (29580) |
$77 |
$154 |
0.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$52.50 |
$105 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$10,072.50 |
$20,145 |
2.9× |
| Tangential biopsy skin single lesion (11102) |
$52 |
$104 |
0.1× |
| Tenodesis long tendon biceps (23430) |
$17,990.25 |
$35,980.50 |
2.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$355 |
$710 |
0.5× |
| Thrombolytic Therapy Stroke (37195) |
$365 |
$730 |
1.0× |
| Total hip arthroplasty (27130) |
$25,662 |
$51,324 |
1.9× |
| Total Knee Arthroplasty (27447) |
$19,383 |
$38,766 |
1.4× |
| Treat clavicle dislocation (23540) |
$263 |
$526 |
1.0× |
| Treat clavicle fracture (23505) |
$2,327.50 |
$4,655 |
1.4× |
| Treat humerus fracture (24500) |
$225 |
$450 |
0.9× |
| Treat humerus fracture (23600) |
$217.25 |
$434.50 |
0.8× |
| Treat Knee Fracture (27535) |
$27,729 |
$55,458 |
3.6× |
| Treat Knee Fracture(S) (27538) |
$250 |
$500 |
0.9× |
| Treat Kneecap Fracture (27524) |
$23,032.50 |
$46,065 |
3.0× |
| Treat Metatarsal Fracture (28475) |
$240.50 |
$481 |
0.9× |
| Treat Thigh Fracture (27246) |
$228 |
$456 |
0.9× |
| Treat Thumb Dislocation (26641) |
$252.50 |
$505 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$853.50 |
$1,707 |
0.5× |
| Treat vagina infection (57150) |
$31 |
$62 |
0.5× |
| Treat wrist bone fracture (25622) |
$211.25 |
$422.50 |
0.8× |
| Treat Wrist Bone Fracture (25630) |
$210.50 |
$421 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$2,072.75 |
$4,145.50 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$250.50 |
$501 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$151.50 |
$303 |
0.6× |
| Trim skin lesion (11055) |
$25 |
$50 |
0.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$7.50 |
$15 |
0.1× |
| Tube thoracostomy includes water seal (32551) |
$632.50 |
$1,265 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$7,380 |
$14,760 |
2.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$490 |
$980 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$317.75 |
$635.50 |
0.7× |
| Unlisted laparoscopy procedure stomach (43659) |
$9,357.50 |
$18,715 |
1.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$7,956 |
$15,912 |
1.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$9,600.50 |
$19,201 |
1.5× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$7,332 |
$14,664 |
1.1× |
| Unlisted procedure dentoalveolar structures (41899) |
$214.75 |
$429.50 |
0.8× |
| Unlisted procedure femur or knee (27599) |
$10,602 |
$21,204 |
40.3× |
| Unlisted procedure nervous system (64999) |
$408.50 |
$817 |
1.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$42.50 |
$85 |
0.2× |
| Us urine capacity measure (51798) |
$118.50 |
$237 |
1.9× |
| Vaginal delivery only (59409) |
$2,507.50 |
$5,015 |
0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$165 |
$330 |
0.1× |
| Venipuncture (36415) |
$13.50 |
$27 |
1.4× |
| Wedge excision skin nail fold (11765) |
$153.75 |
$307.50 |
0.4× |