| Abd paracentesis w/imaging (49083) |
$277.20 |
$308 |
0.3× |
| Ablate inf turbinate submuc (30802) |
$1,196.31 |
$1,329.23 |
0.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,879.50 |
$2,088.32 |
0.9× |
| Anoscopy diagnostic (46600) |
$140.40 |
$156 |
1.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,414.35 |
$1,571.50 |
1.2× |
Anterior Tibial Tubercleplasty (27418)
unusually low: confirm this is the full procedure |
$2,900.99 |
$3,223.32 |
0.4× |
| Appendectomy (44950) |
$3,530.57 |
$3,922.86 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$264.20 |
$293.55 |
1.6× |
| Application cast elbow finger short arm (29075) |
$361.53 |
$401.70 |
1.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$177.06 |
$196.73 |
1.1× |
| Application finger splint static (29130) |
$160.64 |
$178.49 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$177.06 |
$196.73 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$251.10 |
$279 |
1.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$361.53 |
$401.70 |
1.3× |
| Application of long leg cast (29345) |
$361.53 |
$401.70 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$435.69 |
$484.10 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$206.21 |
$229.12 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$177.06 |
$196.73 |
1.3× |
| Application short leg splint calf foot (29515) |
$177.06 |
$196.73 |
1.1× |
| Apply patella tendon bearing cast (29435) |
$361.53 |
$401.70 |
1.3× |
| Arterial puncture (36600) |
$159.86 |
$177.62 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$187.20 |
$208 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$380.07 |
$422.30 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$225 |
$250 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$346.02 |
$384.47 |
1.1× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$5,191.20 |
$5,768 |
0.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,412.06 |
$2,680.06 |
0.7× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,324.51 |
$2,582.78 |
0.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,128.62 |
$3,476.25 |
1.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,789.12 |
$1,987.90 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,873.70 |
$3,193 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,607.19 |
$2,896.88 |
0.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,098.50 |
$3,442.78 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$163.38 |
$181.54 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$626.40 |
$696 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$159.10 |
$176.78 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,151.80 |
$3,502 |
1.9× |
| Biopsy external auditory canal (69105) |
$188.10 |
$209 |
0.1× |
| Biopsy external ear (69100) |
$675 |
$750 |
2.8× |
| Biopsy intranasal (30100) |
$326.70 |
$363 |
0.2× |
| Biopsy of mouth lesion (40808) |
$234.22 |
$260.25 |
0.4× |
| Biopsy of palate, uvula (42100) |
$837 |
$930 |
0.5× |
| Biopsy of tongue (41100) |
$202.50 |
$225 |
0.4× |
| Biopsy of uterus lining (58100) |
$303.60 |
$337.32 |
1.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,897.44 |
$2,108.26 |
0.5× |
| Biopsy Oropharynx (42800) |
$1,278.90 |
$1,421 |
0.8× |
| Biopsy tongue posterior one-third (41105) |
$368.10 |
$409 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,735.80 |
$1,928.67 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$2,827.35 |
$3,141.50 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$324.07 |
$360.08 |
0.5× |
| Bladder Irrigation Simple (51700) |
$454.50 |
$505 |
1.8× |
| Bladder Scan (51798) |
$138.60 |
$154 |
2.3× |
| Blood transfusion service (36430) |
$821.48 |
$912.75 |
1.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,439.17 |
$1,599.08 |
0.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,410.20 |
$2,678 |
1.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,439.69 |
$1,599.66 |
0.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,465.19 |
$1,627.99 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,410.20 |
$2,678 |
1.4× |
| Bx/exc lymph node needle superficial (38505) |
$1,385.86 |
$1,539.85 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$193.52 |
$215.02 |
0.8× |
| Chemical Cautery Tissue (17250) |
$379.70 |
$421.88 |
1.9× |
| Chest tube placement (32551) |
$1,304.76 |
$1,449.74 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$149.40 |
$166 |
1.1× |
| Circum 28 days or older (54161) |
$2,422.78 |
$2,691.98 |
1.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,505.94 |
$1,673.26 |
6.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$358.20 |
$398 |
1.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$441.13 |
$490.14 |
1.8× |
| Closed Rx Med Malleolus Fx (27760) |
$574.45 |
$638.28 |
2.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,483.20 |
$1,648 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$351 |
$390 |
1.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$605.78 |
$673.08 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$639.80 |
$710.89 |
2.6× |
| Closed Rx Trimalleolar Fx (27816) |
$544.93 |
$605.48 |
2.2× |
| Closed Treat Vert Body Fract (22310) |
$977.58 |
$1,086.20 |
4.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$412.88 |
$458.76 |
1.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$448.31 |
$498.12 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$195.30 |
$217 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$303.84 |
$337.60 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$848.70 |
$943 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$407.70 |
$453 |
1.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$474.02 |
$526.68 |
1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,037.98 |
$1,153.31 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$243 |
$270 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$159.43 |
$177.14 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$383.16 |
$425.72 |
1.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$279.95 |
$311.06 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,423.35 |
$1,581.50 |
0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$351 |
$390 |
1.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$497 |
$552.22 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$317.14 |
$352.38 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$154.80 |
$172 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$477.32 |
$530.36 |
1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$337.50 |
$375 |
1.4× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$409.82 |
$455.36 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$351 |
$390 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,260 |
$1,400 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$536.85 |
$596.50 |
2.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$782.42 |
$869.35 |
3.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$844.65 |
$938.50 |
0.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$533.02 |
$592.25 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$353.25 |
$392.50 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$260.49 |
$289.43 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$382.50 |
$425 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$350.78 |
$389.76 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$383.53 |
$426.14 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,440 |
$1,600 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$371.52 |
$412.80 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$332.62 |
$369.58 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$359.82 |
$399.80 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$315.58 |
$350.64 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$597.60 |
$664 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$433.35 |
$481.50 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$337.50 |
$375 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$665.55 |
$739.50 |
2.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$317.93 |
$353.26 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$383.16 |
$425.73 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$229.44 |
$254.93 |
0.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,095.64 |
$1,217.38 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$339.84 |
$377.60 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$535.53 |
$595.04 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,354.95 |
$1,505.50 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$330.30 |
$367 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$390.43 |
$433.81 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$676.28 |
$751.43 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,946.70 |
$2,163 |
1.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$323.54 |
$359.50 |
1.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,881.25 |
$2,090.28 |
1.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,100.82 |
$1,223.12 |
0.9× |
| Complex Drainage, Wound (10180) |
$1,680.26 |
$1,866.96 |
0.6× |
| Conization of cervix (57520) |
$1,781.86 |
$1,979.84 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$218.11 |
$242.34 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$204.30 |
$227 |
1.5× |
| Create eardrum opening (69436) |
$2,129.32 |
$2,365.91 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$368.10 |
$409 |
2.8× |
| Curette/treat cornea (65435) |
$959.85 |
$1,066.50 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,422.78 |
$2,691.98 |
1.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,422.78 |
$2,691.98 |
0.7× |
| Cysto w/destruction of lesions (52214) |
$2,422.78 |
$2,691.98 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$4,127.59 |
$4,586.21 |
1.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,127.59 |
$4,586.21 |
1.2× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$4,127.59 |
$4,586.21 |
1.2× |
| Cystoscopy w/biopsy (52204) |
$2,422.78 |
$2,691.98 |
1.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,422.78 |
$2,691.98 |
1.2× |
| Cystourethroscopy (52000) |
$969.28 |
$1,076.98 |
1.4× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$648.58 |
$720.65 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,422.78 |
$2,691.98 |
1.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$4,127.59 |
$4,586.21 |
1.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,127.59 |
$4,586.21 |
1.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,990.49 |
$4,433.88 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$958.16 |
$1,064.62 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$892.58 |
$991.75 |
1.3× |
| Debride nail 1-5 (11720) |
$73.80 |
$82 |
1.2× |
| Debride nail 6 or more (11721) |
$100.80 |
$112 |
1.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$425.70 |
$473 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$572.40 |
$636 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$445.85 |
$495.39 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,568.57 |
$1,742.86 |
0.9× |
| Declot vascular device (36593) |
$586.28 |
$651.42 |
1.8× |
| Delivery placenta separate procedure (59414) |
$1,350 |
$1,500 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$1,338.75 |
$1,487.50 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$2,716.11 |
$3,017.90 |
1.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$331.20 |
$368 |
0.8× |
| Destruction benign lesions 15 or more (17111) |
$217.80 |
$242 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$131.33 |
$145.92 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$1,101.13 |
$1,223.48 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$236.70 |
$263 |
1.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$203.40 |
$226 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$306 |
$340 |
1.5× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$347.40 |
$386 |
1.7× |
| Destruction premalignant lesion 1st (17000) |
$247.50 |
$275 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$588.60 |
$654 |
0.6× |
| Dilate Urethra Stricture (53600) |
$468.14 |
$520.15 |
1.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,323.12 |
$3,692.35 |
1.0× |
| Dilation of salivary duct (42650) |
$90.80 |
$100.89 |
0.1× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$181.80 |
$202 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$225 |
$250 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$290.20 |
$322.44 |
1.4× |
| Drainage of gum lesion (41800) |
$418 |
$464.45 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$494.35 |
$549.28 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$1,732.50 |
$1,925 |
1.0× |
| Draw blood off venous device (36591) |
$151.64 |
$168.49 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$297.97 |
$331.08 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$264.60 |
$294 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$261.90 |
$291 |
1.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$913.97 |
$1,015.52 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,801.16 |
$2,001.29 |
0.9× |
| Egd guide wire insertion (43248) |
$954.82 |
$1,060.90 |
1.1× |
| Egd rem tumr/polyp forcep (43250) |
$1,773.02 |
$1,970.02 |
0.9× |
| Egd remove lesion snare (43251) |
$1,773.02 |
$1,970.02 |
0.9× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,941.46 |
$2,157.18 |
1.0× |
| Egd Varices Ligation (43244) |
$1,941.46 |
$2,157.18 |
1.0× |
| Endoscopic Injection/Implant (51715) |
$4,127.59 |
$4,586.21 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$1,350 |
$1,500 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$784.26 |
$871.40 |
0.9× |
| Esophagus Surg Procedure Unlisted (43499) |
$1,699.57 |
$1,888.41 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$103.50 |
$115 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,568.12 |
$1,742.36 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$2,410.20 |
$2,678 |
0.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,805.58 |
$3,117.31 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,589.07 |
$1,765.64 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$723.69 |
$804.10 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,668.60 |
$1,854 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$1,148.98 |
$1,276.64 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$1,459.52 |
$1,621.68 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$1,434.31 |
$1,593.68 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$814.50 |
$905 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$494.10 |
$549 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$2,192.15 |
$2,435.72 |
1.3× |
| Exc forearm les sc < 3 cm (25075) |
$822.60 |
$914 |
0.5× |
| Exc frenum labial/buccal (40819) |
$236.70 |
$263 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$1,934.18 |
$2,149.10 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$2,959.45 |
$3,288.28 |
1.0× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$4,662.34 |
$5,180.38 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,557.36 |
$1,730.40 |
0.9× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,724.04 |
$3,026.71 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$228.33 |
$253.70 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$543.60 |
$604 |
1.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$695.25 |
$772.50 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$490.50 |
$545 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,457.28 |
$1,619.20 |
0.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,129.16 |
$2,365.74 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,810.43 |
$2,011.59 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,214.54 |
$1,349.48 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,274.62 |
$1,416.25 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,512 |
$1,680 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,181.93 |
$1,313.25 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,726.54 |
$1,918.38 |
0.6× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,271.15 |
$2,523.50 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,440.92 |
$1,601.02 |
1.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$562.50 |
$625 |
0.8× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,340.51 |
$3,711.68 |
2.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,361.07 |
$2,623.41 |
0.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,351.12 |
$1,501.25 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,965.16 |
$3,294.62 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,101.06 |
$1,223.40 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,380.36 |
$1,533.74 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,085.75 |
$2,317.50 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,231.98 |
$1,368.87 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,599.08 |
$1,776.75 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,724.04 |
$3,026.71 |
0.9× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$3,408.32 |
$3,787.02 |
1.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,865.59 |
$2,072.88 |
1.2× |
| Excise parotid gland/lesion (42420) |
$6,852.80 |
$7,614.22 |
1.2× |
| Excise/repair mouth lesion (40812) |
$1,876.50 |
$2,085 |
1.2× |
| Excision hydrocele bilateral (55041) |
$3,074.40 |
$3,416 |
0.9× |
| Excision lesion mouth roof (42104) |
$2,277 |
$2,530 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$436.66 |
$485.17 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$960.30 |
$1,067 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,457.55 |
$1,619.50 |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$677.88 |
$753.20 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,395.68 |
$1,550.75 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,668.60 |
$1,854 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$285.64 |
$317.38 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$324.45 |
$360.50 |
0.5× |
| Excision of hydrocele; unilateral (55040) |
$4,251.70 |
$4,724.10 |
1.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$814.52 |
$905.02 |
0.8× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$1,873.14 |
$2,081.26 |
0.6× |
| Excision of lesion of tongue without closure (41110) |
$1,748.70 |
$1,943 |
0.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$1,958.29 |
$2,175.88 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$400.88 |
$445.42 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$354.37 |
$393.74 |
0.2× |
| Excision of local lesion of epididymis (54830) |
$2,792.59 |
$3,102.88 |
0.8× |
| Excision of mouth lesion (41116) |
$2,294.32 |
$2,549.25 |
0.7× |
| Excision of nail fold toe (11765) |
$279 |
$310 |
0.7× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$4,127.59 |
$4,586.21 |
2.0× |
| Excision of tongue lesion (41112) |
$2,032.20 |
$2,258 |
0.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,866.60 |
$2,074 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$787.50 |
$875 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,727.92 |
$1,919.92 |
1.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$4,176.14 |
$4,640.15 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,530.48 |
$1,700.53 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,828.98 |
$2,032.20 |
0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,877.18 |
$2,085.75 |
1.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,654.20 |
$1,838 |
0.5× |
| Exploration maxillary sinus (31030) |
$5,359.57 |
$5,955.08 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$693 |
$770 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$157.50 |
$175 |
0.4× |
| Fixation of knee joint (27570) |
$2,990.68 |
$3,322.98 |
1.9× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,044.15 |
$4,493.50 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$180.82 |
$200.91 |
0.8× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$1,899 |
$2,110 |
0.1× |
| Hysteroscopy ablation (58563) |
$3,620.40 |
$4,022.66 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$218.66 |
$242.95 |
0.9× |
| I&d abscess simple (10060) |
$318.60 |
$354 |
1.6× |
| I&d perianal abscess superficial (46050) |
$520.72 |
$578.58 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$614.70 |
$683 |
0.9× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$3,033.61 |
$3,370.68 |
0.5× |
| Incise finger tendon sheath (26055) |
$1,963.21 |
$2,181.34 |
1.2× |
| Incise inner ear (69801) |
$320.40 |
$356 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$427.50 |
$475 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$624.96 |
$694.40 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,609.42 |
$1,788.25 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$286 |
$317.78 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$206.50 |
$229.44 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$319.50 |
$355 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,869.76 |
$2,077.51 |
1.2× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$8,460.64 |
$9,400.70 |
1.3× |
| Incision of eardrum (69420) |
$229.95 |
$255.50 |
1.0× |
| Incision of rectal abscess (46040) |
$1,328.12 |
$1,475.70 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$331.20 |
$368 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$213.30 |
$237 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$154.22 |
$171.36 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$221.40 |
$246 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$365.40 |
$406 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$82.50 |
$91.67 |
0.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$177.85 |
$197.61 |
0.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$614.70 |
$683 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$507.04 |
$563.38 |
0.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$472.78 |
$525.30 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$276.71 |
$307.46 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$638.66 |
$709.62 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,181.93 |
$1,313.25 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$204.75 |
$227.50 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$77.40 |
$86 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$309.98 |
$344.42 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$471.16 |
$523.51 |
1.5× |
| Injection therapeutic carpal tunnel (20526) |
$278.80 |
$309.78 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$225 |
$250 |
0.7× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$167.78 |
$186.43 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$268.20 |
$298 |
1.3× |
| Insert Drug Implant Device (11981) |
$224.64 |
$249.60 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$720.70 |
$800.77 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,407.16 |
$1,563.50 |
0.4× |
| Insert pessary/other device (57160) |
$90 |
$100 |
0.4× |
| Insert picc cath (36569) |
$2,283.75 |
$2,537.50 |
1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,761.30 |
$1,957 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$112.50 |
$125 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,854.23 |
$3,171.37 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$183.15 |
$203.50 |
1.4× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$11,526.75 |
$12,807.50 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,336.50 |
$1,485 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,391.66 |
$2,657.40 |
0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,115.52 |
$5,683.92 |
0.6× |
| Insrt/redo spine n generator (63685) |
$17,570.84 |
$19,523.15 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$411.93 |
$457.70 |
1.7× |
| Lap ing hernia repair init (49650) |
$4,740.22 |
$5,266.90 |
0.8× |
| Laparoscopy Remove Adnexa (58661) |
$8,997.80 |
$9,997.56 |
1.5× |
Laparoscopy tubal block (58671)
unusually low: confirm this is the full procedure |
$2,748.56 |
$3,053.95 |
0.5× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,009.24 |
$4,454.71 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,146.96 |
$5,718.85 |
0.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,366.17 |
$2,629.08 |
0.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$172.10 |
$191.22 |
0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$425.70 |
$473 |
1.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$110.60 |
$122.88 |
0.6× |
| Laryngoscopy w/biopsy (31535) |
$2,192.36 |
$2,435.95 |
0.6× |
| Laryngoscopy w/bx op scope (31536) |
$1,824.50 |
$2,027.22 |
0.5× |
| Laryngoscopy w/fb & op scope (31531) |
$1,854.52 |
$2,060.57 |
0.5× |
| Late closure of wound (13160) |
$1,965.24 |
$2,183.60 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$1,487.84 |
$1,653.15 |
0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,127.59 |
$4,586.21 |
1.2× |
| Lithotripsy (50590) |
$4,232.89 |
$4,703.21 |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$258.01 |
$286.68 |
0.1× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$202.50 |
$225 |
1.0× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
unusually low: confirm this is the full procedure |
$2,723.82 |
$3,026.46 |
0.4× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
unusually low: confirm this is the full procedure |
$2,494.84 |
$2,772.05 |
0.4× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$1,380.59 |
$1,533.98 |
0.4× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$6,455.63 |
$7,172.92 |
0.9× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,816.81 |
$2,018.68 |
1.0× |
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295)
likely a partial charge, not the full procedure |
$1,687.82 |
$1,875.36 |
0.2× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$1,461.04 |
$1,623.38 |
0.2× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$2,026.24 |
$2,251.38 |
0.3× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$370.80 |
$412 |
0.2× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$7,564.50 |
$8,405 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,779.75 |
$1,977.50 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,434.41 |
$4,927.12 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$257.82 |
$286.47 |
0.6× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$7,629.75 |
$8,477.50 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$720 |
$800 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$472.78 |
$525.30 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$252.90 |
$281 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,390.50 |
$1,545 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$663.27 |
$736.96 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$673 |
$747.78 |
1.0× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
unusually low: confirm this is the full procedure |
$3,127.28 |
$3,474.74 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,838.01 |
$3,153.34 |
0.4× |
| Open Treatment Medial Malleolus Fracture (27766) |
$3,895.26 |
$4,328.06 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,980.44 |
$2,200.50 |
0.6× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$4,292.10 |
$4,769 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,149.02 |
$3,498.91 |
1.0× |
| Partial Excision Bone Tibia (27640) |
$7,546.92 |
$8,385.47 |
2.3× |
| Partial Removal Foot Fascia (28060) |
$2,111.70 |
$2,346.34 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$425.70 |
$473 |
1.7× |
| Pin finger fracture each (26756) |
$1,565.81 |
$1,739.79 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$271.35 |
$301.50 |
0.6× |
| Preputial Stretching (54450) |
$174.60 |
$194 |
0.7× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$8,460.64 |
$9,400.70 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$515.46 |
$572.73 |
1.3× |
| Puncture Aspiration (10160) |
$369 |
$410 |
0.9× |
| Reduce testis torsion (54600) |
$4,127.59 |
$4,586.21 |
1.2× |
| Removal fb intranasal (30300) |
$177.98 |
$197.76 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,420.86 |
$1,578.74 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$463.50 |
$515 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,357.20 |
$1,508 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$99.90 |
$111 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$122.94 |
$136.60 |
2.1× |
| Removal Implant Deep (20680) |
$1,842.42 |
$2,047.12 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,672.87 |
$2,969.86 |
1.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$576.90 |
$641 |
0.8× |
| Removal of adenoids (42830) |
$3,159.94 |
$3,511.04 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$260.10 |
$289 |
0.9× |
| Removal of nail bed (11750) |
$405.90 |
$451 |
1.0× |
| Removal of salivary stone (42335) |
$1,854 |
$2,060 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$241.20 |
$268 |
1.2× |
| Removal of testis (54520) |
$4,127.59 |
$4,586.21 |
1.2× |
| Removal of tonsils (42826) |
$2,001.40 |
$2,223.77 |
0.6× |
| Remove bladder stone (52318) |
$4,127.59 |
$4,586.21 |
1.2× |
| Remove drug implant device (11982) |
$483.98 |
$537.76 |
1.1× |
| Remove foreign body from eye (65210) |
$194.85 |
$216.50 |
0.4× |
| Remove shoulder foreign body (23330) |
$351 |
$390 |
0.2× |
| Remove thyroid duct lesion (60280) |
$6,175.62 |
$6,861.80 |
1.0× |
| Remove wrist tendon lesion (25111) |
$1,615.76 |
$1,795.29 |
1.0× |
| Remv cartilage for graft nasal (20912) |
$1,625.11 |
$1,805.68 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$174.60 |
$194 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$193.50 |
$215 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$662.32 |
$735.92 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$817.16 |
$907.96 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$848.25 |
$942.50 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$892.35 |
$991.50 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$659.85 |
$733.16 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$541.80 |
$602 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$865.78 |
$961.98 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$936.45 |
$1,040.50 |
1.3× |
| Repair elbow deb/attch open (24359) |
$2,544.52 |
$2,827.25 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,487.09 |
$2,763.44 |
1.5× |
| Repair finger tendon (26433) |
$2,427.50 |
$2,697.22 |
0.7× |
| Repair hand tendon (26410) |
$2,474.84 |
$2,749.83 |
1.5× |
| Repair incomplete circumcision (54163) |
$1,983.92 |
$2,204.36 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$475.08 |
$527.87 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$513 |
$570 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$357.30 |
$397 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$658.80 |
$732 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$316.29 |
$351.44 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$308.58 |
$342.87 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$399.15 |
$443.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$591.75 |
$657.50 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$465.75 |
$517.50 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$426.42 |
$473.80 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$585 |
$650 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$774.45 |
$860.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$425.70 |
$473 |
1.0× |
| Repair nasal vestibular stenosis (30465) |
$3,429.90 |
$3,811 |
0.6× |
| Repair of nail bed (11760) |
$405.32 |
$450.36 |
0.5× |
| Repair of nasal septum (30520) |
$2,494.56 |
$2,771.73 |
0.8× |
Repair of thigh musc (27385)
unusually low: confirm this is the full procedure |
$2,776.70 |
$3,085.22 |
0.4× |
| Repair Tongue Laceration (41250) |
$360 |
$400 |
0.8× |
| Repair tympanic membrane (69610) |
$1,403.52 |
$1,559.46 |
0.9× |
| Repair wrist joints (25447) |
$3,221.32 |
$3,579.25 |
1.0× |
| Resect Inferior Turbinate (30140) |
$3,381.44 |
$3,757.14 |
1.0× |
| Revise median n/carpal tunnel surg (64721) |
$1,707.60 |
$1,897.34 |
0.9× |
| Revise ulnar nerve at elbow (64718) |
$2,039.40 |
$2,266 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$287.55 |
$319.50 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$417.60 |
$464 |
3.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$880.65 |
$978.50 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,830.83 |
$2,034.25 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,087.51 |
$1,208.34 |
1.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$483.98 |
$537.76 |
1.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,375.21 |
$5,972.46 |
0.9× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,538.28 |
$3,931.42 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$5,244.96 |
$5,827.74 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,661.20 |
$4,068 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,203.35 |
$1,337.05 |
2.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$349.48 |
$388.31 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$74.66 |
$82.96 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$132.30 |
$147 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$148.95 |
$165.50 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$88.20 |
$98 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$153.90 |
$171 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$63.49 |
$70.54 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$153 |
$170 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$216.90 |
$241 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$106.76 |
$118.62 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$217.80 |
$242 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$111.15 |
$123.50 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$625.73 |
$695.25 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$270 |
$300 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$389.25 |
$432.50 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$337.50 |
$375 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$285.37 |
$317.08 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$286.20 |
$318 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$306.90 |
$341 |
1.5× |
Sinus endo w/balloon dil (31296)
likely a partial charge, not the full procedure |
$1,713.32 |
$1,903.68 |
0.2× |
Sinus endo w/balloon dil (31297)
likely a partial charge, not the full procedure |
$1,678.09 |
$1,864.54 |
0.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,683.90 |
$1,871 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,799.77 |
$1,999.74 |
2.4× |
| Skin Tissue Procedure (17999) |
$251.53 |
$279.48 |
1.3× |
| Slitting of prepuce (54001) |
$2,346.75 |
$2,607.50 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$271.35 |
$301.50 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$319.20 |
$354.67 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$306.20 |
$340.22 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$490.46 |
$544.96 |
0.7× |
| Strapping ankle (29540) |
$220.63 |
$245.14 |
1.4× |
| Strapping elbow/wrist (29260) |
$168.09 |
$186.76 |
2.8× |
| Strapping hand/finger (29280) |
$112.04 |
$124.50 |
1.9× |
| Strapping Hip (29520) |
$97.85 |
$108.72 |
0.7× |
| Strapping knee (29530) |
$164.78 |
$183.08 |
1.2× |
| Strapping shoulder (29240) |
$193.71 |
$215.24 |
1.5× |
| Strapping thorax (29200) |
$107.97 |
$119.97 |
0.7× |
| Strapping toes (29550) |
$136.34 |
$151.48 |
2.3× |
| Strapping unna boot (29580) |
$233.10 |
$259 |
1.4× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$4,171.50 |
$4,635 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$100.80 |
$112 |
0.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$2,394.52 |
$2,660.58 |
0.7× |
| Thrombolytic Therapy, Stroke (37195) |
$675 |
$750 |
2.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,744.62 |
$1,938.46 |
0.5× |
| Total hip arthroplasty (27130) |
$14,034.67 |
$15,594.08 |
1.1× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,575.90 |
$1,751 |
2.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$989.38 |
$1,099.32 |
4.2× |
| Treat Finger Fracture Each (26727) |
$2,208.12 |
$2,453.46 |
0.7× |
| Treat fracture of radius (25526) |
$4,857.58 |
$5,397.32 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$497.53 |
$552.81 |
2.0× |
| Treat fx distal radial (25606) |
$2,308.92 |
$2,565.48 |
0.7× |
| Treat humerus fracture (24500) |
$601.82 |
$668.70 |
2.4× |
| Treat humerus fracture (24577) |
$351.62 |
$390.70 |
0.2× |
| Treat humerus fracture (23600) |
$302.40 |
$336 |
1.2× |
| Treat wrist bone fracture (25622) |
$342 |
$380 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$346.95 |
$385.50 |
1.4× |
| Treatment closed elbow dislocation req anes (24605) |
$3,108.87 |
$3,454.30 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315.59 |
$350.66 |
1.3× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$2,890.16 |
$3,211.28 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$424.60 |
$471.78 |
1.7× |
| Trim skin lesion (11055) |
$142.20 |
$158 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$166.05 |
$184.50 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$73.80 |
$82 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$387 |
$430 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$270 |
$300 |
0.7× |
| Tympanostomy (69433) |
$365.40 |
$406 |
0.7× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$6,668.15 |
$7,409.05 |
1.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,668.15 |
$7,409.05 |
1.1× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,668.15 |
$7,409.05 |
1.1× |
| Uvulectomy excision uvula (42140) |
$3,041.10 |
$3,378.99 |
0.9× |
| Vasectomy (55250) |
$655.20 |
$728 |
0.3× |
| Venipuncture (36415) |
$30.60 |
$34 |
3.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,422.69 |
$2,691.88 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$1,239.40 |
$1,377.11 |
3.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$4,055.63 |
$4,506.25 |
5.5× |