| Abd paracentesis w/imaging (49083) |
$291.75 |
$389 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$262.12 |
$349.50 |
0.3× |
| Acne Surgery (10040) |
$189 |
$252 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$552.75 |
$737 |
0.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$156.75 |
$209 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$86.25 |
$115 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$126.38 |
$168.50 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$116.25 |
$155 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$89.25 |
$119 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$105 |
$140 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$87 |
$116 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$105 |
$140 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$517.50 |
$690 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$42 |
$56 |
0.0× |
| Biopsy intranasal (30100) |
$141 |
$188 |
0.1× |
| Biopsy of mouth lesion (40808) |
$274.50 |
$366 |
0.5× |
| Biopsy of palate, uvula (42100) |
$127.50 |
$170 |
0.1× |
| Biopsy of tongue (41100) |
$177.75 |
$237 |
0.3× |
| Biopsy Salivary Gland Incisional (42405) |
$236.25 |
$315 |
0.1× |
| Bx anorectal wall anal approach (45100) |
$485.25 |
$647 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$72.75 |
$97 |
0.1× |
| Chest tube placement (32551) |
$242.25 |
$323 |
0.1× |
| Circumcision (54150) |
$240 |
$320 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$851.25 |
$1,135 |
0.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,830 |
$2,440 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$557.25 |
$743 |
2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$372 |
$496 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$550.50 |
$734 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$797.25 |
$1,063 |
0.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$314.25 |
$419 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$884.25 |
$1,179 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,887.75 |
$2,517 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$480.75 |
$641 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$880.50 |
$1,174 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$567 |
$756 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$336.75 |
$449 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$678 |
$904 |
2.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$215.25 |
$287 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$807 |
$1,076 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$2,362.50 |
$3,150 |
1.9× |
| Colonoscopy w/ablation (45388) |
$2,063.25 |
$2,751 |
1.7× |
| Colonoscopy w/band ligation (45398) |
$1,965 |
$2,620 |
1.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$271.50 |
$362 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$2,043 |
$2,724 |
1.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$713.25 |
$951 |
0.6× |
| Debride nail 1-5 (11720) |
$27.75 |
$37 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$192.75 |
$257 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$426.75 |
$569 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$185.25 |
$247 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$293.25 |
$391 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$335.25 |
$447 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$396 |
$528 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$450 |
$600 |
0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$186 |
$248 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$291 |
$388 |
1.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$383.25 |
$511 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$126 |
$168 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$204.38 |
$272.50 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$160.50 |
$214 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$341.25 |
$455 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$399 |
$532 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$162.75 |
$217 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$236.25 |
$315 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$108.38 |
$144.50 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$162.75 |
$217 |
0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$480 |
$640 |
0.1× |
| Dilation of anal sphincter (45905) |
$272.25 |
$363 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$287.25 |
$383 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$554.25 |
$739 |
2.7× |
| Drainage of eyelid abscess (67700) |
$458.25 |
$611 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$345.75 |
$461 |
0.2× |
| Draw blood off venous device (36591) |
$124.50 |
$166 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$160.50 |
$214 |
0.8× |
| Egd flexible foreign body removal (43247) |
$626.85 |
$835.80 |
0.7× |
| Egd place gastrostomy tube (43246) |
$1,614.75 |
$2,153 |
0.8× |
| Esophagoscp rig trnso biopsy (43193) |
$270.75 |
$361 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$94.50 |
$126 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$847.50 |
$1,130 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$384 |
$512 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$253.50 |
$338 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$279 |
$372 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$361.50 |
$482 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$510 |
$680 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$509.25 |
$679 |
0.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$789 |
$1,052 |
0.3× |
| Excision external ear partial simple repair (69110) |
$445.50 |
$594 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$451.50 |
$602 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$384 |
$512 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$434.25 |
$579 |
0.6× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$372 |
$496 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$312.75 |
$417 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$154.50 |
$206 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$240.75 |
$321 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$163.12 |
$217.50 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$982.50 |
$1,310 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$83.25 |
$111 |
0.2× |
| I&d abscess simple (10060) |
$207 |
$276 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$348 |
$464 |
0.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$490.50 |
$654 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$246.75 |
$329 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$312.38 |
$416.50 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$237 |
$316 |
0.7× |
| Incision labial frenum frenotomy (40806) |
$319.50 |
$426 |
0.6× |
| Incision of eardrum (69420) |
$309 |
$412 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$333.75 |
$445 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$251.25 |
$335 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$128.25 |
$171 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$93.75 |
$125 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$85.50 |
$114 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$303 |
$404 |
1.0× |
| Insert pessary/other device (57160) |
$54 |
$72 |
0.3× |
| Insert picc cath (36569) |
$1,407.75 |
$1,877 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$403.50 |
$538 |
1.6× |
| Liver Biopsy (47000) |
$481.50 |
$642 |
0.3× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,831.50 |
$2,442 |
0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$123.75 |
$165 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$361.50 |
$482 |
1.4× |
| Puncture Aspiration (10160) |
$210.75 |
$281 |
0.5× |
| Removal fb intranasal (30300) |
$154.50 |
$206 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$390 |
$520 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25.50 |
$34 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$177.75 |
$237 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$150.75 |
$201 |
0.7× |
| Remove drug implant device (11982) |
$88.50 |
$118 |
0.2× |
| Remove foreign body from eye (65235) |
$1,188 |
$1,584 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$129.75 |
$173 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$577.88 |
$770.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$633.75 |
$845 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$502.50 |
$670 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$425.25 |
$567 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$492.75 |
$657 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$598.50 |
$798 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$707.25 |
$943 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,627.50 |
$2,170 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$187.50 |
$250 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$171 |
$228 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$225 |
$300 |
1.1× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$103.12 |
$137.50 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$252 |
$336 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$140.25 |
$187 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$222.75 |
$297 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$469.35 |
$625.80 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$161.25 |
$215 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$207.75 |
$277 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$273.75 |
$365 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$125.25 |
$167 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$309 |
$412 |
0.7× |
| Strapping shoulder (29240) |
$67.50 |
$90 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$162.75 |
$217 |
0.4× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,020.50 |
$2,694 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$621 |
$828 |
2.4× |
| Trim skin lesion (11055) |
$115.50 |
$154 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$134.25 |
$179 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$24 |
$32 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$482.25 |
$643 |
0.6× |
| Venipuncture (36415) |
$27.75 |
$37 |
3.0× |