| Abd paracentesis w/imaging (49083) |
$1,492.80 |
$1,866 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$535.20 |
$669 |
0.5× |
| Abortion (59841) |
$527.20 |
$659 |
0.1× |
| Acne surgery (10040) |
$172 |
$215 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,951.20 |
$3,689 |
0.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,324 |
$4,155 |
1.4× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,975.60 |
$3,719.50 |
1.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,824 |
$3,530 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,720.40 |
$4,650.50 |
1.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,856 |
$3,570 |
1.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,006.40 |
$3,758 |
1.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,181.20 |
$3,976.50 |
1.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,007.20 |
$3,759 |
1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,888.80 |
$2,361 |
0.5× |
| Amputation Finger/Thumb (26951) |
$1,756.80 |
$2,196 |
0.5× |
| Amputation foot transmetarsal (28805) |
$1,658.40 |
$2,073 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$998.40 |
$1,248 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$897.60 |
$1,122 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$880.80 |
$1,101 |
0.2× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,817.60 |
$2,272 |
0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$1,504.80 |
$1,881 |
0.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$1,637.60 |
$2,047 |
0.4× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$1,862.40 |
$2,328 |
0.6× |
| Anoscopy Ablation Lesion (46615) |
$391.20 |
$489 |
0.1× |
| Anoscopy diagnostic (46600) |
$287.60 |
$359.50 |
1.9× |
| Anoscopy w/control bleeding (46614) |
$176.80 |
$221 |
0.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$312 |
$390 |
0.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$570.40 |
$713 |
0.4× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$190.40 |
$238 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$598.40 |
$748 |
0.2× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) unusually low: confirm this is the full procedure |
$1,744.80 |
$2,181 |
0.3× |
Anterior tibial tubercleplasty (27418) likely a partial charge, not the full procedure |
$1,739.20 |
$2,174 |
0.2× |
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) unusually low: confirm this is the full procedure |
$1,790.40 |
$2,238 |
0.3× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$2,048 |
$2,560 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$406.40 |
$508 |
2.2× |
| Application cast elbow finger short arm (29075) |
$394.80 |
$493.50 |
1.3× |
| Application Cast Finger (29086) |
$141.60 |
$177 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$408.80 |
$511 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$244.80 |
$306 |
3.7× |
| Application finger splint static (29130) |
$218.40 |
$273 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$312.40 |
$390.50 |
1.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$424 |
$530 |
1.4× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) likely a partial charge, not the full procedure |
$2,685.60 |
$3,357 |
0.2× |
| Application of long leg cast (29345) |
$461.60 |
$577 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$198.80 |
$248.50 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$263.60 |
$329.50 |
1.8× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,597.60 |
$1,997 |
0.2× |
| Application, cast; figure-of-eight Facility (29049) |
$184.80 |
$231 |
0.6× |
| Apply Hand/Wrist Cast (29085) |
$289.60 |
$362 |
1.6× |
| Apply long leg splint (29505) |
$353.60 |
$442 |
2.0× |
| Apply short leg cast (29405) |
$389.60 |
$487 |
1.3× |
| Apply short leg cast (29425) |
$388.80 |
$486 |
1.2× |
| Apply short leg splint (29515) |
$263.60 |
$329.50 |
1.5× |
| Arterial puncture (36600) |
$213.60 |
$267 |
1.4× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,973.60 |
$2,467 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$327.60 |
$409.50 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$570.40 |
$713 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$243.20 |
$304 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$269.60 |
$337 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$293.20 |
$366.50 |
0.9× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$2,390.40 |
$2,988 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$818.40 |
$1,023 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$2,431.20 |
$3,039 |
0.3× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$2,160 |
$2,700 |
0.6× |
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) likely a partial charge, not the full procedure |
$2,071.20 |
$2,589 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$2,138.40 |
$2,673 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$3,468 |
$4,335 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$1,124 |
$1,405 |
0.3× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,709.60 |
$2,137 |
0.5× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) likely a partial charge, not the full procedure |
$2,716.80 |
$3,396 |
0.2× |
Arthroplasty, radial head; with implant Facility (24366) likely a partial charge, not the full procedure |
$3,762.40 |
$4,703 |
0.3× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$1,652 |
$2,065 |
0.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,840 |
$2,300 |
0.5× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,262.40 |
$2,828 |
0.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,070.40 |
$2,588 |
0.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,835.20 |
$3,544 |
0.8× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,428 |
$1,785 |
0.4× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,892.80 |
$2,366 |
0.5× |
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) unusually low: confirm this is the full procedure |
$3,093.60 |
$3,867 |
0.4× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,227.20 |
$1,534 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,406.40 |
$1,758 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,249.60 |
$2,812 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,146.40 |
$2,683 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,818.40 |
$2,273 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$3,341.60 |
$4,177 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,540 |
$1,925 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$3,164 |
$3,955 |
0.4× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$1,752.80 |
$2,191 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$2,241.60 |
$2,802 |
0.3× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$1,524.80 |
$1,906 |
0.4× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$1,314.40 |
$1,643 |
0.4× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$1,524 |
$1,905 |
0.4× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$1,375.20 |
$1,719 |
0.4× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$1,483.20 |
$1,854 |
0.4× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$1,472.80 |
$1,841 |
0.4× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$2,316 |
$2,895 |
0.6× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$1,771.20 |
$2,214 |
0.5× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) unusually low: confirm this is the full procedure |
$3,013.60 |
$3,767 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,135.20 |
$2,669 |
0.6× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,384.80 |
$1,731 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,104.80 |
$1,381 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$966 |
$1,207.50 |
1.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$130.40 |
$163 |
0.4× |
| Aspiration and injection for treatment of bone cyst (20615) |
$350.40 |
$438 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,000.80 |
$1,251 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$949.60 |
$1,187 |
0.4× |
| Aspiration bladder needle (51100) |
$157.60 |
$197 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$305.20 |
$381.50 |
1.4× |
Axillary lymphadenectomy; complete (38745) unusually low: confirm this is the full procedure |
$2,874.40 |
$3,593 |
0.4× |
Axillary lymphadenectomy; superficial Facility (38740) unusually low: confirm this is the full procedure |
$2,938.40 |
$3,673 |
0.4× |
Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) unusually low: confirm this is the full procedure |
$4,980.80 |
$6,226 |
0.4× |
| Biopsy bone open deep (20245) |
$1,596 |
$1,995 |
0.5× |
| Biopsy bone open superficial (20240) |
$488.80 |
$611 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,324 |
$1,655 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,825.20 |
$2,281.50 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,116.80 |
$1,396 |
1.1× |
| Biopsy external ear (69100) |
$612.40 |
$765.50 |
2.3× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$904.80 |
$1,131 |
0.3× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,393.20 |
$1,741.50 |
0.8× |
| Biopsy intranasal (30100) |
$1,825.20 |
$2,281.50 |
1.1× |
| Biopsy muscle deep (20205) |
$833.60 |
$1,042 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,194 |
$1,492.50 |
0.6× |
| Biopsy Nail Unit Separate Procedure (11755) |
$962.80 |
$1,203.50 |
1.2× |
| Biopsy of breast; open, incisional (19101) |
$5,132 |
$6,415 |
1.2× |
| Biopsy of lip (40490) |
$430.80 |
$538.50 |
1.6× |
| Biopsy of mouth lesion (40808) |
$561.60 |
$702 |
0.9× |
| Biopsy of palate, uvula (42100) |
$1,790.40 |
$2,238 |
1.0× |
| Biopsy of penis (54100) |
$1,062.80 |
$1,328.50 |
0.6× |
| Biopsy of tongue (41100) |
$908 |
$1,135 |
1.5× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$1,898.40 |
$2,373 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,239.60 |
$7,799.50 |
1.4× |
| Biopsy pleura percutaneous needle (32400) |
$1,040 |
$1,300 |
0.6× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$574 |
$717.50 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$825.60 |
$1,032 |
1.0× |
| Biopsy soft tissue back,superf (21920) |
$884.80 |
$1,106 |
0.5× |
| Biopsy soft tissue back/flank deep (21925) |
$1,658 |
$2,072.50 |
0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$647.20 |
$809 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$2,588 |
$3,235 |
1.4× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$729.60 |
$912 |
0.4× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$2,598 |
$3,247.50 |
1.4× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,170.80 |
$1,463.50 |
0.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$569.60 |
$712 |
0.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,327.60 |
$1,659.50 |
0.7× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$2,038.80 |
$2,548.50 |
1.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,711.60 |
$4,639.50 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$905.20 |
$1,131.50 |
0.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,046 |
$1,307.50 |
1.0× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$300 |
$375 |
0.1× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$300 |
$375 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,555.20 |
$1,944 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$3,126.80 |
$3,908.50 |
0.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$850.40 |
$1,063 |
1.1× |
| Bladder Irrigation Simple (51700) |
$269.60 |
$337 |
1.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,336.80 |
$1,671 |
0.6× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$1,516 |
$1,895 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$756 |
$945 |
2.1× |
| Blood patch (62273) |
$480.80 |
$601 |
0.6× |
| Blood transfusion service (36430) |
$992.80 |
$1,241 |
2.0× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$5,528 |
$6,910 |
0.7× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) likely a partial charge, not the full procedure |
$944.80 |
$1,181 |
0.1× |
| Bone marrow aspiration only (38220) |
$1,376.80 |
$1,721 |
0.7× |
| Bone Marrow Biopsy (38221) |
$453.60 |
$567 |
0.2× |
Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$1,694.40 |
$2,118 |
0.2× |
| Breast Reduction (19318) |
$5,512.80 |
$6,891 |
0.7× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$740.80 |
$926 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,218.80 |
$2,773.50 |
1.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,711.20 |
$5,889 |
1.1× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$784.80 |
$981 |
0.2× |
| Bronch ebus samplng 1/2 node (31652) |
$4,674 |
$5,842.50 |
1.1× |
| Bronch ebus samplng 3/> node (31653) |
$4,701.60 |
$5,877 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,220 |
$2,775 |
1.1× |
| Bronchoscopy Balloon Occlusion (31634) |
$8,522.40 |
$10,653 |
1.1× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,268 |
$2,835 |
1.1× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,236.80 |
$2,796 |
1.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,218.80 |
$2,773.50 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,140.80 |
$1,426 |
0.6× |
| Bx anorectal wall anal approach (45100) |
$3,290.40 |
$4,113 |
1.1× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$1,032 |
$1,290 |
0.3× |
| Bx breast 1st lesion mr imag (19085) |
$1,513.60 |
$1,892 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$1,728 |
$2,160 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$3,026.40 |
$3,783 |
1.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,591.20 |
$1,989 |
0.9× |
| Bx Prostate Transperineal Ultrasound-Guided (55709) |
$875.20 |
$1,094 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,170.80 |
$1,463.50 |
0.6× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,720.80 |
$2,151 |
0.5× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$1,859.20 |
$2,324 |
0.5× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) likely a partial charge, not the full procedure |
$2,334.40 |
$2,918 |
0.3× |
| Carpectomy All Bones Proximal Row (25215) |
$1,734.40 |
$2,168 |
0.5× |
| Cauterization,cervix,electro/thermal (57510) |
$284 |
$355 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$558.40 |
$698 |
1.6× |
| Change Cystostomy Tube Complicated (51710) |
$368 |
$460 |
0.5× |
| Change of cystostomy tube simple (51705) |
$310.40 |
$388 |
1.1× |
| Chemical cautery tissue (17250) |
$264.40 |
$330.50 |
1.2× |
| Chemical peel face dermal (15789) |
$991.60 |
$1,239.50 |
1.2× |
| Chemical Peel Facial Epidermal (15788) |
$382 |
$477.50 |
0.8× |
| Chemical peel, nonfacial; dermal Facility (15793) |
$995.20 |
$1,244 |
2.2× |
| Chemical peel, nonfacial; epidermal Facility (15792) |
$588 |
$735 |
0.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$938.40 |
$1,173 |
1.2× |
| Chemodenerv musc migraine (64615) |
$498.40 |
$623 |
1.5× |
| Chemodenerv Musc Neck Dyston (64616) |
$366.40 |
$458 |
1.1× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$507.60 |
$634.50 |
1.5× |
| Chemodenerv trunk musc 1-5 (64646) |
$966.40 |
$1,208 |
1.2× |
| Chemodenervation internal anal sphincter (46505) |
$608 |
$760 |
0.5× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$316.80 |
$396 |
0.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$928.80 |
$1,161 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$520 |
$650 |
1.5× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,726.40 |
$3,408 |
1.2× |
Chromotubation oviduct (58350) likely a partial charge, not the full procedure |
$175.20 |
$219 |
0.0× |
| Circum 28 days or older (54161) |
$737.60 |
$922 |
0.3× |
| Circumcision (54150) |
$298.40 |
$373 |
0.1× |
| Circumcision Neonate (54160) |
$415.20 |
$519 |
0.5× |
| Claviculectomy partial (23120) |
$1,908.80 |
$2,386 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$493.20 |
$616.50 |
1.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$625.60 |
$782 |
2.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,762.80 |
$2,203.50 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$706.40 |
$883 |
2.6× |
| Closed Rx Radial Shaft Fx (25500) |
$565.20 |
$706.50 |
2.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,906.40 |
$2,383 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$837.60 |
$1,047 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$648 |
$810 |
2.4× |
| Closed Treat Vert Body Fract (22310) |
$678.80 |
$848.50 |
2.5× |
| Closed treat wrist dislocation (25660) |
$806.40 |
$1,008 |
2.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$499.20 |
$624 |
1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$754.80 |
$943.50 |
2.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,756.40 |
$2,195.50 |
1.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,108.80 |
$2,636 |
1.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$622 |
$777.50 |
2.3× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,909.60 |
$3,637 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$653.20 |
$816.50 |
2.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$578 |
$722.50 |
2.1× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$1,447.20 |
$1,809 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$482.40 |
$603 |
1.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,569.60 |
$3,212 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$863.20 |
$1,079 |
3.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$728.42 |
$910.53 |
2.7× |
| Closed Treatment Sesamoid Fracture (28530) |
$362.80 |
$453.50 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$608 |
$760 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$947.60 |
$1,184.50 |
3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,516.40 |
$3,145.50 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$760 |
$950 |
2.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$682.80 |
$853.50 |
2.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,702.80 |
$2,128.50 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,369.60 |
$1,712 |
5.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,438.40 |
$1,798 |
5.2× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,860.40 |
$2,325.50 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$930 |
$1,162.50 |
3.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,959.20 |
$2,449 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$376 |
$470 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,577.60 |
$1,972 |
5.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$595.20 |
$744 |
2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,728 |
$2,160 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$534.40 |
$668 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,673.20 |
$2,091.50 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,691.60 |
$2,114.50 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$604.80 |
$756 |
2.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$648.80 |
$811 |
2.4× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$692.80 |
$866 |
0.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,553.20 |
$1,941.50 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$223.20 |
$279 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,671.60 |
$2,089.50 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$631.60 |
$789.50 |
2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$508.40 |
$635.50 |
1.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,056 |
$1,320 |
4.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$775.60 |
$969.50 |
2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$508.40 |
$635.50 |
1.8× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$790.40 |
$988 |
2.9× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$404.80 |
$506 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,156 |
$1,445 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$992.80 |
$1,241 |
3.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,233.60 |
$1,542 |
4.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,148 |
$1,435 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,516.80 |
$1,896 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$553.60 |
$692 |
2.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,675.20 |
$2,094 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$662.40 |
$828 |
2.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$866 |
$1,082.50 |
3.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$728.40 |
$910.50 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$750.80 |
$938.50 |
2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$460 |
$575 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$698.80 |
$873.50 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,972 |
$2,465 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,216.80 |
$2,771 |
1.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,140 |
$1,425 |
4.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$864.80 |
$1,081 |
3.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,333.60 |
$2,917 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$364.80 |
$456 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$395.60 |
$494.50 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$472 |
$590 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$400.80 |
$501 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,368 |
$1,710 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$601.20 |
$751.50 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$468.40 |
$585.50 |
1.7× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$729.60 |
$912 |
2.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,779.60 |
$2,224.50 |
1.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,890.80 |
$2,363.50 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$332.80 |
$416 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$836 |
$1,045 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$662.80 |
$828.50 |
2.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$662.40 |
$828 |
2.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,285.60 |
$2,857 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$639.60 |
$799.50 |
2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$616.80 |
$771 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,126.40 |
$1,408 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$761.60 |
$952 |
2.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$488 |
$610 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$762.80 |
$953.50 |
2.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,455.20 |
$1,819 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,398.40 |
$1,748 |
5.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,300.40 |
$2,875.50 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$595.60 |
$744.50 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,062.80 |
$2,578.50 |
1.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$745.20 |
$931.50 |
2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$378.80 |
$473.50 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,588.80 |
$1,986 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,699.20 |
$2,124 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,854 |
$2,317.50 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,524 |
$3,155 |
1.4× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$965.60 |
$1,207 |
3.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$720 |
$900 |
2.6× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,449.60 |
$3,062 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$217.60 |
$272 |
1.5× |
| Colonoscopy flex w/blln dilat (45386) |
$1,482.40 |
$1,853 |
1.1× |
| Colonoscopy flex w/inj submuc (45381) |
$931.20 |
$1,164 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,398.40 |
$1,748 |
1.0× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$877.60 |
$1,097 |
0.7× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$723.20 |
$904 |
0.5× |
| Colonoscopy Stoma Control Bleeding (44391) |
$508 |
$635 |
0.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$584.80 |
$731 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$1,000 |
$1,250 |
0.7× |
| Colonoscopy Through Stoma With Decompression (44408) |
$647.20 |
$809 |
0.6× |
| Colonoscopy thru stoma (44388) |
$970.40 |
$1,213 |
0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,197.60 |
$1,497 |
0.9× |
| Colonoscopy w/ablation (45388) |
$871.20 |
$1,089 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,450.40 |
$1,813 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$1,245.60 |
$1,557 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,484 |
$1,855 |
1.1× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,402.40 |
$1,753 |
0.5× |
Colpocleisis (le fort type) (57120) likely a partial charge, not the full procedure |
$1,310.40 |
$1,638 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$825.60 |
$1,032 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$592 |
$740 |
1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$380.80 |
$476 |
1.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$578.40 |
$723 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,068.80 |
$1,336 |
0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$4,014.40 |
$5,018 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$532.80 |
$666 |
1.6× |
| Colposcopy vulva (56820) |
$329.60 |
$412 |
1.5× |
| Colposcopy vulva w/biopsy (56821) |
$967.20 |
$1,209 |
2.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$420.80 |
$526 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$483.20 |
$604 |
0.5× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) unusually low: confirm this is the full procedure |
$2,472 |
$3,090 |
0.4× |
Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$1,997.60 |
$2,497 |
0.4× |
| Complex Cystometrogram (51726) |
$692.40 |
$865.50 |
2.5× |
| Complex Uroflowmetry (51741) |
$179.20 |
$224 |
0.7× |
| Conization of cervix (57520) |
$805.60 |
$1,007 |
0.2× |
| Conization of cervix (57522) |
$961.60 |
$1,202 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$292 |
$365 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$641.60 |
$802 |
4.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$307.20 |
$384 |
2.1× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) likely a partial charge, not the full procedure |
$3,091.20 |
$3,864 |
0.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,306.40 |
$2,883 |
1.1× |
| Convert nephrostomy catheter (50434) |
$2,433.60 |
$3,042 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,678.40 |
$2,098 |
0.9× |
| Correction hammertoe (28285) |
$998.40 |
$1,248 |
0.3× |
| Correction of inverted nipples Facility (19355) |
$1,514.40 |
$1,893 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,765.60 |
$2,207 |
0.5× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$7,322.40 |
$9,153 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$687.20 |
$859 |
4.6× |
| Curettage postpartum (59160) |
$538.40 |
$673 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$949.60 |
$1,187 |
0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$943.20 |
$1,179 |
0.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,337.60 |
$2,922 |
0.6× |
| Cysto w/destruction of lesions (52214) |
$1,629.60 |
$2,037 |
0.4× |
Cysto w/dilat rx balo cath urtl strix/sten male (52284) likely a partial charge, not the full procedure |
$420 |
$525 |
0.1× |
| Cysto w/insert ureteral stent (52332) |
$1,138.40 |
$1,423 |
0.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,084 |
$1,355 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$1,003.20 |
$1,254 |
0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$812.80 |
$1,016 |
0.3× |
| Cysto w/ureter stricture tx (52341) |
$1,140.80 |
$1,426 |
0.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,367.20 |
$1,709 |
0.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$1,335.20 |
$1,669 |
0.3× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$1,421.60 |
$1,777 |
0.2× |
Cysto/uretero w/lithotripsy (52356) unusually low: confirm this is the full procedure |
$1,984 |
$2,480 |
0.3× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$1,636 |
$2,045 |
0.3× |
Cystolithotomy (51050) likely a partial charge, not the full procedure |
$1,219.20 |
$1,524 |
0.2× |
| Cystometrogram w/vp (51728) |
$881.60 |
$1,102 |
1.1× |
| Cystometrogram W/Vp&Up (51729) |
$961.60 |
$1,202 |
1.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$1,076 |
$1,345 |
0.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$1,430.40 |
$1,788 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,029.60 |
$1,287 |
0.4× |
| Cystouretero & or pyeloscope (52351) |
$1,080.80 |
$1,351 |
0.3× |
| Cystourethroscopy (52000) |
$619.20 |
$774 |
0.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$1,509.60 |
$1,887 |
0.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$944 |
$1,180 |
0.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,209.60 |
$1,512 |
0.3× |
| Cystourethroscopy with biopsy (52204) |
$1,177.60 |
$1,472 |
0.5× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$711.20 |
$889 |
0.2× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) likely a partial charge, not the full procedure |
$1,734.40 |
$2,168 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$556 |
$695 |
0.2× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,197.60 |
$1,497 |
0.5× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) likely a partial charge, not the full procedure |
$1,264.80 |
$1,581 |
0.2× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$931.20 |
$1,164 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$136 |
$170 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,015.20 |
$1,269 |
0.3× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,220 |
$1,525 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$724.80 |
$906 |
0.9× |
| Debride nail 1-5 (11720) |
$65.60 |
$82 |
1.0× |
| Debride nail 6 or more (11721) |
$94.40 |
$118 |
1.4× |
| Debride skin musc at fx site (11011) |
$880 |
$1,100 |
1.1× |
| Debride tissue/muscle (11043) |
$374.40 |
$468 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,140 |
$1,425 |
2.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$778 |
$972.50 |
0.4× |
| Declot vascular device (36593) |
$397.60 |
$497 |
1.1× |
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) likely a partial charge, not the full procedure |
$1,951.20 |
$2,439 |
0.2× |
| Decompression of leg (27892) |
$1,322.40 |
$1,653 |
0.4× |
| Decompression of lower leg (27600) |
$1,021.60 |
$1,277 |
0.3× |
| Decompressive fasciotomy hand (26037) |
$1,494.40 |
$1,868 |
0.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,217.60 |
$1,522 |
0.5× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$1,145.60 |
$1,432 |
0.5× |
| Delivery placenta separate procedure (59414) |
$239.20 |
$299 |
0.1× |
| Dermabrasion segmental face (15781) |
$1,870 |
$2,337.50 |
2.4× |
| Dermabrasion superficial any site (15783) |
$868 |
$1,085 |
1.9× |
| Dermabrasion total face (15780) |
$3,971.60 |
$4,964.50 |
1.2× |
| Dermabrasion; regional, other than face Facility (15782) |
$3,746.40 |
$4,683 |
1.2× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$1,840.80 |
$2,301 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$676.40 |
$845.50 |
0.5× |
| Destruction anal lesion(s) (46924) |
$1,737.60 |
$2,172 |
0.6× |
| Destruction Benign Lesions 15/> (17111) |
$286.40 |
$358 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$561.60 |
$702 |
2.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,599.20 |
$1,999 |
1.6× |
| Destruction Lesions Vulva Extensive (56515) |
$645.60 |
$807 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$364.80 |
$456 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$566 |
$707.50 |
2.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$690.40 |
$863 |
3.1× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$873.60 |
$1,092 |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$1,030.80 |
$1,288.50 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$1,030.80 |
$1,288.50 |
1.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$320 |
$400 |
1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$377.20 |
$471.50 |
1.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$456 |
$570 |
2.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$619.20 |
$774 |
1.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$660.80 |
$826 |
1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$619.20 |
$774 |
2.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$360.40 |
$450.50 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$394.80 |
$493.50 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$430.40 |
$538 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$595.60 |
$744.50 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$720 |
$900 |
1.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$258 |
$322.50 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,436.40 |
$3,045.50 |
1.1× |
| Destruction of skin lesions (17106) |
$1,140 |
$1,425 |
2.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$388.80 |
$486 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$316.80 |
$396 |
1.4× |
| Destruction Vaginal Lesions Extensive (57065) |
$606.40 |
$758 |
0.2× |
| Destruction Vaginal Lesions Simple (57061) |
$217.60 |
$272 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,040.40 |
$1,300.50 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$364.80 |
$456 |
0.4× |
| Dil urethra,female,subsequent (53661) |
$208 |
$260 |
1.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$556 |
$695 |
0.4× |
| Dilate urethra stricture (53600) |
$286.40 |
$358 |
1.0× |
| Dilation and curettage (58120) |
$4,060.80 |
$5,076 |
1.1× |
| Dilation and curettage of cervical stump Facility (57558) |
$272 |
$340 |
0.1× |
| Dilation of anal sphincter (45905) |
$479.20 |
$599 |
0.4× |
| Dilation of cervical canal (57800) |
$2,478.40 |
$3,098 |
0.7× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$184 |
$230 |
1.3× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$256 |
$320 |
1.7× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$146.40 |
$183 |
0.0× |
| Dilation of vagina (57400) |
$369.60 |
$462 |
0.1× |
| Drain lower leg bursa (27604) |
$942.40 |
$1,178 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$292.80 |
$366 |
0.4× |
| Drain shoulder bursa (23031) |
$302.40 |
$378 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$243.20 |
$304 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$256.80 |
$321 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$336 |
$420 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$650.40 |
$813 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$1,650 |
$2,062.50 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$540.80 |
$676 |
2.4× |
| Drainage of gum lesion (41800) |
$222.40 |
$278 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$3,540 |
$4,425 |
1.9× |
| Drainage of hydrocele (55000) |
$371.20 |
$464 |
0.5× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$908.80 |
$1,136 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$256.80 |
$321 |
0.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,080.80 |
$1,351 |
0.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,072 |
$1,340 |
0.3× |
| Draw blood off venous device (36591) |
$202.40 |
$253 |
1.4× |
| Dressing change under anesthesia (15852) |
$133.60 |
$167 |
0.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$1,798.40 |
$2,248 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$312 |
$390 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$429.60 |
$537 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$196 |
$245 |
0.9× |
| Dstrj lesion anus simple chemical (46900) |
$820.40 |
$1,025.50 |
1.8× |
| Dstrj lesion anus simple cryosurgery (46916) |
$558.40 |
$698 |
2.5× |
| Dstrj lesion anus simple surg excision (46922) |
$1,051.20 |
$1,314 |
0.3× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,734.40 |
$2,168 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$394.40 |
$493 |
1.8× |
| Dstrj lesion penis simple surg excision (54060) |
$330.40 |
$413 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$687.20 |
$859 |
1.5× |
| Dx bone marrow bx & aspir (38222) |
$1,599.60 |
$1,999.50 |
0.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$418.80 |
$523.50 |
0.2× |
Ear Cartilage Graft (21235) likely a partial charge, not the full procedure |
$1,844 |
$2,305 |
0.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,305.60 |
$1,632 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,319.20 |
$1,649 |
0.6× |
| Egd band ligation esophgeal/gastric varices (43244) |
$945.60 |
$1,182 |
0.4× |
| Egd control bleeding any (43255) |
$1,003.20 |
$1,254 |
0.5× |
| Egd dilate stricture (43245) |
$1,090.40 |
$1,363 |
0.5× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$948.80 |
$1,186 |
0.4× |
| Egd flexible foreign body removal (43247) |
$833.60 |
$1,042 |
0.8× |
| Egd guide wire insertion (43248) |
$812.80 |
$1,016 |
0.8× |
| Egd place gastrostomy tube (43246) |
$2,544.80 |
$3,181 |
1.2× |
| Egd remove lesion snare (43251) |
$1,014.40 |
$1,268 |
0.5× |
| Egd tube/cath insertion (43241) |
$648 |
$810 |
0.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$544.80 |
$681 |
3.8× |
| Endocervical Curettage (57505) |
$1,082.40 |
$1,353 |
1.1× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353) unusually low: confirm this is the full procedure |
$2,119.20 |
$2,649 |
0.4× |
| Endometrial Biopsy (58100) |
$424.40 |
$530.50 |
1.9× |
| Enterorrhaphy single perforation (44602) |
$4,980 |
$6,225 |
1.2× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,004 |
$1,255 |
0.5× |
| Epididymectomy unilateral (54860) |
$1,806.40 |
$2,258 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$529.60 |
$662 |
0.1× |
| Escharotomy initial incision (16035) |
$513.60 |
$642 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$889.60 |
$1,112 |
0.9× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$728 |
$910 |
0.3× |
| Esophagoscopy flexible guide wire dilation (43226) |
$586.40 |
$733 |
0.3× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$552 |
$690 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$640 |
$800 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$172.40 |
$215.50 |
1.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,321.60 |
$1,652 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,592.80 |
$1,991 |
0.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,518.40 |
$1,898 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,008 |
$1,260 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$889.20 |
$1,111.50 |
1.1× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,335.20 |
$1,669 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,866.80 |
$2,333.50 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,144 |
$2,680 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,691.20 |
$2,114 |
2.1× |
| Exc back les sc < 3 cm (21930) |
$2,418.40 |
$3,023 |
1.3× |
| Exc back tum deep < 5 cm (21932) |
$1,636.80 |
$2,046 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$768 |
$960 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,784.80 |
$2,231 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$2,555.60 |
$3,194.50 |
1.4× |
| Exc ganglion wrist recurrent (25112) |
$968 |
$1,210 |
0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$918.40 |
$1,148 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$800.80 |
$1,001 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,472.80 |
$1,841 |
0.8× |
| Exc neck tum deep < 5 cm (21556) |
$1,372.80 |
$1,716 |
0.4× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$592.80 |
$741 |
0.3× |
| Exc rect tum transanal part (45171) |
$2,329.60 |
$2,912 |
0.8× |
Exc skin abd (15830) likely a partial charge, not the full procedure |
$2,174.40 |
$2,718 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,689.60 |
$2,112 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$341.60 |
$427 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,288.80 |
$2,861 |
2.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,199.60 |
$2,749.50 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,532 |
$5,665 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,834.40 |
$4,793 |
2.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,203.60 |
$5,254.50 |
1.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$6,496.80 |
$8,121 |
2.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,688 |
$3,360 |
1.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,082 |
$1,352.50 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,840.80 |
$2,301 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,964.80 |
$2,456 |
1.1× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,824.80 |
$2,281 |
1.0× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,606.40 |
$3,258 |
1.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,020 |
$1,275 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,788 |
$2,235 |
0.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,267.20 |
$1,584 |
0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,927.20 |
$2,409 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,322.40 |
$1,653 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,341.60 |
$1,677 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,200.80 |
$1,501 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,832 |
$3,540 |
1.5× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$1,890.40 |
$2,363 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,017.60 |
$1,272 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,808.80 |
$2,261 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,996 |
$2,495 |
1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,840.40 |
$2,300.50 |
0.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,254.40 |
$1,568 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,456.80 |
$1,821 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$786.40 |
$983 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$782.40 |
$978 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$684 |
$855 |
0.4× |
| Exchange nephrostomy cath (50435) |
$2,313.60 |
$2,892 |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,073.60 |
$2,592 |
1.0× |
| Excise excessive skin arm (15836) |
$1,953.60 |
$2,442 |
0.6× |
| Excise tendon forearm/wrist (25109) |
$779.20 |
$974 |
0.2× |
| Excise Wrist Tendon Sheath (25118) |
$1,844.80 |
$2,306 |
1.0× |
| Excision Breast Lesion (19125) |
$1,678.40 |
$2,098 |
0.4× |
| Excision Chalazion Single (67800) |
$244.80 |
$306 |
0.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,063.20 |
$1,329 |
0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$696 |
$870 |
0.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$3,602.40 |
$4,503 |
1.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,550.80 |
$4,438.50 |
1.1× |
| Excision hydrocele bilateral (55041) |
$2,079.20 |
$2,599 |
0.5× |
| Excision lesion meniscus/capsule knee (27347) |
$1,288.80 |
$1,611 |
0.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$711.20 |
$889 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$408.80 |
$511 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,018 |
$1,272.50 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$842.40 |
$1,053 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,143.60 |
$1,429.50 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,229.20 |
$1,536.50 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,358.40 |
$1,698 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,224.80 |
$1,531 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$991.20 |
$1,239 |
1.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,120.80 |
$1,401 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,237.60 |
$2,797 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,774.40 |
$3,468 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,057.60 |
$2,572 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,457.60 |
$1,822 |
1.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,090.80 |
$1,363.50 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,205.60 |
$2,757 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,402.80 |
$4,253.50 |
1.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,416.80 |
$4,271 |
1.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$588.80 |
$736 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,055.60 |
$1,319.50 |
1.3× |
Excision of cervical stump, vaginal approach; Facility (57550) likely a partial charge, not the full procedure |
$1,027.20 |
$1,284 |
0.2× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$2,659.20 |
$3,324 |
0.8× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) unusually low: confirm this is the full procedure |
$2,086.40 |
$2,608 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$801.60 |
$1,002 |
0.4× |
| Excision of hydrocele unilateral (55040) |
$1,844.80 |
$2,306 |
0.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,634.40 |
$2,043 |
1.5× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,267.20 |
$1,584 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,617.60 |
$2,022 |
0.9× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,644.80 |
$2,056 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$727.20 |
$909 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$2,459.20 |
$3,074 |
1.8× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$1,597.60 |
$1,997 |
0.7× |
| Excision of thrombosed hemorrhoid, external (46320) |
$570.40 |
$713 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$860.80 |
$1,076 |
0.2× |
| Excision olecranon bursa (24105) |
$1,472.80 |
$1,841 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$1,446.40 |
$1,808 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,536.80 |
$1,921 |
0.4× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) likely a partial charge, not the full procedure |
$1,022.40 |
$1,278 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) likely a partial charge, not the full procedure |
$1,775.26 |
$2,219.07 |
0.2× |
| Excision or fulguration; Skene's glands Facility (53270) |
$499.20 |
$624 |
0.1× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$401.60 |
$502 |
0.1× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$620 |
$775 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,844 |
$3,555 |
0.9× |
| Excision prepatellar bursa (27340) |
$1,617.60 |
$2,022 |
0.4× |
| Excision tendon finger flexor/extensor each (26180) |
$1,111.20 |
$1,389 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,145.20 |
$2,681.50 |
1.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,389.60 |
$1,737 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$826.40 |
$1,033 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,109.60 |
$1,387 |
0.6× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,704 |
$2,130 |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,217.60 |
$1,522 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Facility (15835) |
$2,280 |
$2,850 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$1,754.40 |
$2,193 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$2,188.80 |
$2,736 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$2,150.40 |
$2,688 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,814.40 |
$2,268 |
0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$1,591.20 |
$1,989 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,251.20 |
$2,814 |
0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,176 |
$1,470 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$2,103.20 |
$2,629 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,544 |
$1,930 |
0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$1,317.60 |
$1,647 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,419.20 |
$1,774 |
0.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,119.20 |
$1,399 |
0.3× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,111.20 |
$1,389 |
0.6× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$975.20 |
$1,219 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$716.80 |
$896 |
0.3× |
Expl retroperitoneum w/wo bx spx (49010) unusually low: confirm this is the full procedure |
$2,636 |
$3,295 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,840 |
$3,550 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$1,231.20 |
$1,539 |
0.7× |
| Exploration of knee joint (27310) |
$1,590.40 |
$1,988 |
0.4× |
| Exploration penetrating wound spx chest (20101) |
$566.40 |
$708 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,136.80 |
$1,421 |
0.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,704 |
$2,130 |
2.8× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,152.80 |
$1,441 |
0.3× |
Explore Parathyroid Glands (60500) unusually low: confirm this is the full procedure |
$2,805.60 |
$3,507 |
0.4× |
| Explore/treat hand joint (26070) |
$889.60 |
$1,112 |
0.5× |
| Explore/Treat Knee Joint (27331) |
$977.60 |
$1,222 |
0.3× |
| External cephalic version (59412) |
$241.60 |
$302 |
0.1× |
| Fasciectomy Palm Only (26121) |
$2,299.20 |
$2,874 |
0.6× |
| Fasciotomy foot and/or toe (28008) |
$1,123.20 |
$1,404 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$974.40 |
$1,218 |
0.3× |
| Fasciotomy palmar percutaneous (26040) |
$1,572.80 |
$1,966 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,283.20 |
$2,854 |
0.6× |
| Fetal contraction stress test (59020) |
$204.80 |
$256 |
0.9× |
| Fetal non-stress test (59025) |
$411.60 |
$514.50 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$896.40 |
$1,120.50 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$412 |
$515 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$706.40 |
$883 |
1.6× |
| Fit/Insert Intravag Support Device (57160) |
$338.80 |
$423.50 |
1.5× |
| Fitting of diaphragm/cap (57170) |
$164.80 |
$206 |
0.7× |
| Fixation of shoulder (23700) |
$989.60 |
$1,237 |
0.6× |
| Flap; neurovascular pedicle (15750) |
$2,284.80 |
$2,856 |
0.6× |
| Fluid pressure muscle (20950) |
$525.60 |
$657 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$318 |
$397.50 |
1.2× |
| Forehead flap w/vasc pedicle (15731) |
$2,438.40 |
$3,048 |
0.6× |
| Foreskin manipulation (54450) |
$236.80 |
$296 |
0.9× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,387.20 |
$2,984 |
1.0× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,094.40 |
$2,618 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,195.60 |
$3,994.50 |
1.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,262.40 |
$4,078 |
1.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,011.20 |
$3,764 |
1.3× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$3,373.60 |
$4,217 |
1.5× |
| Fusion of finger tendons (26474) |
$1,317.60 |
$1,647 |
0.7× |
Fusion of hand bones (25820) unusually low: confirm this is the full procedure |
$2,547.20 |
$3,184 |
0.3× |
Fusion of wrist joint (25800) likely a partial charge, not the full procedure |
$1,812 |
$2,265 |
0.2× |
| Fusion/graft of finger joint (26862) |
$1,804.80 |
$2,256 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$92.80 |
$116 |
0.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,956.80 |
$4,946 |
0.9× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,197.60 |
$2,747 |
1.0× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$1,706.40 |
$2,133 |
0.7× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,176 |
$1,470 |
0.3× |
| Guide Cathet Fluid Drainage (10030) |
$734.40 |
$918 |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,666.40 |
$2,083 |
0.5× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$2,600 |
$3,250 |
0.2× |
| Hemorrhoidectomy (46255) |
$1,794.40 |
$2,243 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,932 |
$2,415 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$1,291.20 |
$1,614 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,188.80 |
$1,486 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$1,305.60 |
$1,632 |
0.4× |
| Hemorrhoidopexy by stapling (46947) |
$1,408.80 |
$1,761 |
0.5× |
| Hymenotomy Simple Incision (56442) |
$110.40 |
$138 |
0.0× |
| Hysteroscopy biopsy (58558) |
$1,194.40 |
$1,493 |
0.3× |
Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$640 |
$800 |
0.1× |
Hysteroscopy removal leiomyomata (58561) unusually low: confirm this is the full procedure |
$1,764.80 |
$2,206 |
0.3× |
| Hysteroscopy w endometrial ablation (58563) |
$3,088 |
$3,860 |
0.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,024.80 |
$1,281 |
0.3× |
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) likely a partial charge, not the full procedure |
$1,244 |
$1,555 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$514.40 |
$643 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$326.40 |
$408 |
1.2× |
| I&d abscess simple (10060) |
$512.80 |
$641 |
2.3× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$336 |
$420 |
0.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,612.80 |
$2,016 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,316.40 |
$2,895.50 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,035.20 |
$1,294 |
0.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,242.40 |
$1,553 |
0.3× |
| I&d forearm/wrist bursa (25031) |
$757.60 |
$947 |
0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,681.60 |
$2,102 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$583.60 |
$729.50 |
0.7× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,090.40 |
$1,363 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$445.60 |
$557 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$727.20 |
$909 |
0.4× |
| I&d vulva/perineal abscess (56405) |
$607.60 |
$759.50 |
1.8× |
| Ileoscopy thru stoma (44380) |
$134.40 |
$168 |
0.1× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$4,835.20 |
$6,044 |
0.5× |
| Incise external hemorrhoid (46083) |
$477.60 |
$597 |
1.7× |
| Incise finger tendon sheath (26055) |
$2,132.40 |
$2,665.50 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$957.60 |
$1,197 |
2.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,188 |
$1,485 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,034 |
$1,292.50 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,164.80 |
$2,706 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$662.40 |
$828 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$359.20 |
$449 |
1.6× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,608.80 |
$2,011 |
0.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,711.20 |
$2,139 |
0.6× |
| Incision and drainage perianal abscess superficial (46050) |
$1,584.80 |
$1,981 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$4,343.60 |
$5,429.50 |
1.3× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$512 |
$640 |
0.2× |
| Incision bone cortex hand/finger (26034) |
$1,364.80 |
$1,706 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$968.80 |
$1,211 |
0.5× |
| Incision of eyelid fold (67715) |
$1,324.80 |
$1,656 |
0.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$518.40 |
$648 |
0.3× |
| Incision of rectal abscess (46045) |
$964 |
$1,205 |
0.3× |
| Incision of rectal abscess (46040) |
$1,587.20 |
$1,984 |
1.2× |
| Incision of urethra (53020) |
$261.60 |
$327 |
0.1× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$1,334.40 |
$1,668 |
0.4× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$1,025.60 |
$1,282 |
0.3× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$583.20 |
$729 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$496.80 |
$621 |
0.6× |
| Induced abortion by d&c (59840) |
$571.20 |
$714 |
0.2× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$8,678.40 |
$10,848 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$149.60 |
$187 |
0.7× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$440 |
$550 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,283.20 |
$1,604 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$136 |
$170 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$421.20 |
$526.50 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$778.80 |
$973.50 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$344.80 |
$431 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$359.20 |
$449 |
0.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,374 |
$1,717.50 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,266.40 |
$1,583 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$315.20 |
$394 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,110 |
$1,387.50 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,203.60 |
$1,504.50 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$384 |
$480 |
1.1× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$216.80 |
$271 |
0.2× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$308 |
$385 |
0.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$761.60 |
$952 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$668.80 |
$836 |
2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$535.20 |
$669 |
1.6× |
| Injection anesthetic agent femoral nerve single (64447) |
$330.40 |
$413 |
0.4× |
| Injection for identification of sentinel node (38792) |
$195.20 |
$244 |
0.4× |
| Injection into skin lesions (11900) |
$181.20 |
$226.50 |
0.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$919.20 |
$1,149 |
1.3× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$707.20 |
$884 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$104.80 |
$131 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$141.60 |
$177 |
0.4× |
| Injection(s) spider veins (36468) |
$503.60 |
$629.50 |
1.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$344.80 |
$431 |
0.3× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$797.20 |
$996.50 |
1.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$200.80 |
$251 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$375.20 |
$469 |
2.6× |
| Insert cath pleura w/ image (32557) |
$1,903.20 |
$2,379 |
1.1× |
| Insert cath pleura w/o image (32556) |
$3,063.20 |
$3,829 |
1.4× |
| Insert cervical dilator (59200) |
$172.80 |
$216 |
0.5× |
| Insert Drug Implant Device (11981) |
$2,084.40 |
$2,605.50 |
14.1× |
| Insert gastrostomy tube percutaneous (49440) |
$2,234.40 |
$2,793 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$648 |
$810 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$740 |
$925 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$814.40 |
$1,018 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$260 |
$325 |
1.8× |
Insert testicular prosthesis (54660) likely a partial charge, not the full procedure |
$864 |
$1,080 |
0.1× |
| Insert tun ip cath perc (49418) |
$4,141.20 |
$5,176.50 |
1.0× |
| Insert tunneled cv cath (36561) |
$4,378.80 |
$5,473.50 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$221.60 |
$277 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,468.80 |
$5,586 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$699.20 |
$874 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,564.80 |
$14,456 |
1.3× |
| Insj picc rs&i 5 yr+ (36573) |
$1,267.20 |
$1,584 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,071.20 |
$3,839 |
0.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$5,716 |
$7,145 |
0.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$842.94 |
$1,053.67 |
0.3× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,767.60 |
$2,209.50 |
1.1× |
| Intro cath dialysis circuit (36901) |
$2,236 |
$2,795 |
1.3× |
| Intro Gastrointestinal Tube (44500) |
$1,982.40 |
$2,478 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$555.20 |
$694 |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$321.60 |
$402 |
1.2× |
| Island pedicle flap graft (15740) |
$2,101.60 |
$2,627 |
0.9× |
| IV injection test vascular flow flap/graft (15860) |
$247.20 |
$309 |
0.5× |
| Knee Arthroscopy/Surgery (29874) |
$2,220.80 |
$2,776 |
0.6× |
| Knee Arthroscopy/Surgery (29879) |
$2,475.20 |
$3,094 |
0.7× |
Lap ing hernia repair init (49650) unusually low: confirm this is the full procedure |
$2,728.80 |
$3,411 |
0.4× |
Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$912 |
$1,140 |
0.1× |
Laparoscopic surgical splenectomy (38120) likely a partial charge, not the full procedure |
$3,162.40 |
$3,953 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) likely a partial charge, not the full procedure |
$1,990.40 |
$2,488 |
0.3× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,985.60 |
$2,482 |
0.3× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$1,147.20 |
$1,434 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$2,678.40 |
$3,348 |
0.2× |
Laparoscopy tubal block (58671) likely a partial charge, not the full procedure |
$800.80 |
$1,001 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$2,339.20 |
$2,924 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,865.60 |
$2,332 |
0.3× |
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) likely a partial charge, not the full procedure |
$2,432.80 |
$3,041 |
0.2× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) likely a partial charge, not the full procedure |
$1,810.40 |
$2,263 |
0.3× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$2,460.80 |
$3,076 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) unusually low: confirm this is the full procedure |
$3,054.40 |
$3,818 |
0.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$3,334.40 |
$4,168 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$2,337.60 |
$2,922 |
0.5× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) unusually low: confirm this is the full procedure |
$2,196 |
$2,745 |
0.3× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541) likely a partial charge, not the full procedure |
$1,858.40 |
$2,323 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) likely a partial charge, not the full procedure |
$2,333.60 |
$2,917 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$2,030.40 |
$2,538 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) likely a partial charge, not the full procedure |
$2,668.80 |
$3,336 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) likely a partial charge, not the full procedure |
$1,937.60 |
$2,422 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) likely a partial charge, not the full procedure |
$2,340.80 |
$2,926 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) likely a partial charge, not the full procedure |
$1,627.20 |
$2,034 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) likely a partial charge, not the full procedure |
$1,898.40 |
$2,373 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,476 |
$3,095 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$3,239.20 |
$4,049 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) unusually low: confirm this is the full procedure |
$2,622.40 |
$3,278 |
0.4× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$1,086.40 |
$1,358 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) likely a partial charge, not the full procedure |
$1,696 |
$2,120 |
0.3× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673) likely a partial charge, not the full procedure |
$1,580 |
$1,975 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,012 |
$1,265 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,385.60 |
$2,982 |
0.4× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$1,195.20 |
$1,494 |
0.1× |
Laps surg gastrostomy w/o constj gstr tube spx (43653) likely a partial charge, not the full procedure |
$1,268 |
$1,585 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$1,800 |
$2,250 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$1,117.60 |
$1,397 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,681.60 |
$2,102 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$233.60 |
$292 |
1.1× |
| Laryngoscopy Direct Aspiration (31515) |
$759.20 |
$949 |
1.7× |
| Laryngoscopy flexible diagnostic (31575) |
$465.60 |
$582 |
2.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$446.40 |
$558 |
1.0× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$370.40 |
$463 |
1.7× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$3,672 |
$4,590 |
0.6× |
| Late closure of wound (13160) |
$3,140 |
$3,925 |
0.8× |
| Lateral retinacular release open (27425) |
$1,493.60 |
$1,867 |
0.4× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$1,544 |
$1,930 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$1,277.60 |
$1,597 |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$4,634.40 |
$5,793 |
2.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$1,703.20 |
$2,129 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,949.60 |
$2,437 |
0.5× |
| Lithotripsy (50590) |
$3,951.20 |
$4,939 |
1.0× |
| Liver Biopsy (47000) |
$211.20 |
$264 |
0.1× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$740 |
$925 |
1.2× |
Lsh uterus above 250 g (58543) likely a partial charge, not the full procedure |
$2,145.60 |
$2,682 |
0.2× |
| Lyse chest fibrin init day (32561) |
$720 |
$900 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$469.60 |
$587 |
0.7× |
| Lysis of labial adhesions (56441) |
$713.60 |
$892 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$436 |
$545 |
0.2× |
| Manipulat Palm Cord Post Inj (26341) |
$379.20 |
$474 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$935.20 |
$1,169 |
0.5× |
| Manipulation, elbow, under anesthesia (24300) |
$1,132 |
$1,415 |
0.6× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,018.40 |
$1,273 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$1,122.40 |
$1,403 |
0.6× |
| Marsupialization Bartholins Gland Cyst (56440) |
$400 |
$500 |
0.1× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$3,557.60 |
$4,447 |
0.5× |
| Mastectomy for gynecomastia (19300) |
$1,153.60 |
$1,442 |
0.3× |
| Mastectomy partial (19301) |
$2,263.20 |
$2,829 |
0.5× |
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$3,370.40 |
$4,213 |
0.5× |
| Mastopexy (19316) |
$4,189.60 |
$5,237 |
0.6× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,566.40 |
$1,958 |
1.9× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,431.60 |
$1,789.50 |
1.7× |
| Monocyte distribution width whole blood (0427U) |
$12 |
$15 |
2.7× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,985.60 |
$3,732 |
1.3× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$2,436 |
$3,045 |
0.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$3,129.60 |
$3,912 |
0.8× |
| Muscle-skin graft trunk (15734) |
$4,101.60 |
$5,127 |
1.0× |
| Myelography Lumbar Injection (62305) |
$3,802.80 |
$4,753.50 |
4.4× |
| Myelography Lumbar Injection (62304) |
$1,048.80 |
$1,311 |
1.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$3,434.40 |
$4,293 |
3.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,169.60 |
$1,462 |
1.3× |
| N Block Inj, Plantar Digit (64455) |
$646.40 |
$808 |
1.9× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$4,732.80 |
$5,916 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$311.20 |
$389 |
0.6× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$922.40 |
$1,153 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,500 |
$1,875 |
0.8× |
| Needle biopsy of pancreas (48102) |
$2,007.60 |
$2,509.50 |
1.1× |
Nerve pedicle transfer; first stage Facility (64905) likely a partial charge, not the full procedure |
$2,472 |
$3,090 |
0.3× |
Nerve pedicle transfer; second stage Facility (64907) unusually low: confirm this is the full procedure |
$3,153.60 |
$3,942 |
0.3× |
Nerve repair w/allograft (64910) likely a partial charge, not the full procedure |
$1,143.20 |
$1,429 |
0.1× |
Nerve repair w/nerve allograft first strand (64912) likely a partial charge, not the full procedure |
$2,056.80 |
$2,571 |
0.2× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,710.40 |
$3,388 |
1.2× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$1,216.80 |
$1,521 |
0.6× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,561.60 |
$1,952 |
0.7× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,238.40 |
$1,548 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$900.80 |
$1,126 |
2.2× |
| Nipple exploration (19110) |
$1,482.40 |
$1,853 |
0.3× |
| Njx aa&/strd sciatic nerve (64445) |
$373.60 |
$467 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$292 |
$365 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,345.20 |
$1,681.50 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,166.80 |
$1,458.50 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$990.40 |
$1,238 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$891.20 |
$1,114 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,060.80 |
$1,326 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,154.40 |
$1,443 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$268.80 |
$336 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,227.60 |
$1,534.50 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,093.20 |
$1,366.50 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$2,559.20 |
$3,199 |
3.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$812.80 |
$1,016 |
1.8× |
| Occipital Nerve Block (64405) |
$577.20 |
$721.50 |
1.7× |
| Occlude fallopian tube(s) (58615) |
$548 |
$685 |
0.2× |
Omntc epiploectomy rescj omentum spx (49255) unusually low: confirm this is the full procedure |
$2,168.80 |
$2,711 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,766.40 |
$2,208 |
0.4× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge, not the full procedure |
$1,636 |
$2,045 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,756 |
$2,195 |
0.2× |
Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$2,465.60 |
$3,082 |
0.3× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,722.40 |
$3,403 |
0.2× |
Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$1,686.40 |
$2,108 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,890.40 |
$2,363 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$1,204 |
$1,505 |
0.3× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$2,058.40 |
$2,573 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) likely a partial charge, not the full procedure |
$1,406.40 |
$1,758 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,372.80 |
$1,716 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$2,224.80 |
$2,781 |
0.3× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) likely a partial charge, not the full procedure |
$2,223.20 |
$2,779 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) likely a partial charge, not the full procedure |
$1,847.20 |
$2,309 |
0.2× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$3,125.60 |
$3,907 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$2,730.40 |
$3,413 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$2,144.80 |
$2,681 |
0.1× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) likely a partial charge, not the full procedure |
$2,278.40 |
$2,848 |
0.3× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) likely a partial charge, not the full procedure |
$2,044.80 |
$2,556 |
0.1× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) likely a partial charge, not the full procedure |
$1,966.40 |
$2,458 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$1,401.60 |
$1,752 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$1,290.40 |
$1,613 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) likely a partial charge, not the full procedure |
$1,982.40 |
$2,478 |
0.2× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) likely a partial charge, not the full procedure |
$1,825.60 |
$2,282 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge, not the full procedure |
$2,083.20 |
$2,604 |
0.1× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) likely a partial charge, not the full procedure |
$2,222.40 |
$2,778 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) likely a partial charge, not the full procedure |
$1,770.40 |
$2,213 |
0.2× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,879.20 |
$2,349 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,277.60 |
$1,597 |
0.1× |
Open treatment tarsometatarsal joint dislocation (28615) likely a partial charge, not the full procedure |
$2,128.80 |
$2,661 |
0.3× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,151.20 |
$2,689 |
0.6× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,544.80 |
$1,931 |
0.4× |
Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,900 |
$2,375 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$2,078.40 |
$2,598 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,202.40 |
$1,503 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,643.20 |
$2,054 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,094.40 |
$1,368 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,532 |
$1,915 |
0.1× |
Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$1,744.80 |
$2,181 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,442.40 |
$3,053 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,717.60 |
$2,147 |
0.5× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,259.20 |
$1,574 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,746.40 |
$2,183 |
0.2× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,645.60 |
$2,057 |
0.2× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$1,759.20 |
$2,199 |
0.5× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$3,058.40 |
$3,823 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$3,143.20 |
$3,929 |
0.4× |
Optx dstl radl x-artic fx/epiphysl sep (25607) unusually low: confirm this is the full procedure |
$2,675.20 |
$3,344 |
0.3× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) likely a partial charge, not the full procedure |
$2,284 |
$2,855 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$2,148 |
$2,685 |
0.2× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$3,143.20 |
$3,929 |
0.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,809.60 |
$2,262 |
0.5× |
| Ostectomy calcaneus (28118) |
$1,418.40 |
$1,773 |
0.4× |
Osteochondral allograft, knee, open (27415) likely a partial charge, not the full procedure |
$2,867.20 |
$3,584 |
0.2× |
Osteoplasty, radius OR ulna; shortening Facility (25390) unusually low: confirm this is the full procedure |
$2,447.20 |
$3,059 |
0.3× |
Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) likely a partial charge, not the full procedure |
$1,868.80 |
$2,336 |
0.2× |
Osteotomy radius distal third (25350) likely a partial charge, not the full procedure |
$1,484.80 |
$1,856 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) likely a partial charge, not the full procedure |
$2,684.80 |
$3,356 |
0.2× |
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) likely a partial charge, not the full procedure |
$2,122.40 |
$2,653 |
0.3× |
Ovarian cystectomy (58925) likely a partial charge, not the full procedure |
$390.40 |
$488 |
0.1× |
P-mastectomy w/ln removal (19302) unusually low: confirm this is the full procedure |
$2,576.80 |
$3,221 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,094.40 |
$2,618 |
0.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$1,346.40 |
$1,683 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,649.60 |
$2,062 |
0.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,414.40 |
$1,768 |
0.8× |
| Partial hymenectomy or revision (56700) |
$415.20 |
$519 |
0.1× |
Partial removal of thyroid (60220) unusually low: confirm this is the full procedure |
$2,240.80 |
$2,801 |
0.3× |
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60212) unusually low: confirm this is the full procedure |
$2,711.20 |
$3,389 |
0.4× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,972.80 |
$2,466 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,938.40 |
$4,923 |
1.1× |
| Penile Plethysmography (54240) |
$977.60 |
$1,222 |
4.1× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$3,093.60 |
$3,867 |
2.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,238 |
$1,547.50 |
1.6× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) unusually low: confirm this is the full procedure |
$2,596.80 |
$3,246 |
0.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$907.20 |
$1,134 |
0.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,677.60 |
$2,097 |
0.5× |
| Peritoneal Lavage (49084) |
$307.20 |
$384 |
0.3× |
| Perq dev breast 1st mr guide (19287) |
$764.40 |
$955.50 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$3,515.20 |
$4,394 |
4.5× |
| Perq dev breast 1st us imag (19285) |
$1,400 |
$1,750 |
1.8× |
| Perq device breast 1st imag (19281) |
$872.80 |
$1,091 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$684 |
$855 |
2.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,201.60 |
$1,502 |
1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,000.80 |
$2,501 |
0.5× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,964.80 |
$4,956 |
1.1× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,994.80 |
$4,993.50 |
1.1× |
| Picc line placement (36569) |
$1,035.20 |
$1,294 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$367.20 |
$459 |
0.7× |
| Placement of seton (46020) |
$1,402.40 |
$1,753 |
0.5× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$4,299.60 |
$5,374.50 |
0.6× |
| Plmt Expandable Cath Brst Following Prtl Mast (19296) |
$11,178 |
$13,972.50 |
1.2× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$390.80 |
$488.50 |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,438.40 |
$3,048 |
1.0× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$349.60 |
$437 |
1.0× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) unusually low: confirm this is the full procedure |
$1,716.80 |
$2,146 |
0.3× |
| Proctopexy Perineal Approach (45541) |
$2,530.40 |
$3,163 |
0.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$453.60 |
$567 |
0.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$294.40 |
$368 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$508.80 |
$636 |
0.4× |
| Proctosigmoidoscopy dilate (45303) |
$538.40 |
$673 |
0.4× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$339.20 |
$424 |
0.3× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$259.20 |
$324 |
0.2× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) likely a partial charge, not the full procedure |
$2,116 |
$2,645 |
0.3× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) likely a partial charge, not the full procedure |
$1,927.20 |
$2,409 |
0.2× |
| Prostate Saturation Sampling (55706) |
$1,573.60 |
$1,967 |
0.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$948 |
$1,185 |
1.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,461.60 |
$1,827 |
0.4× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$538.40 |
$673 |
0.1× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,723.20 |
$2,154 |
0.5× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,985.60 |
$2,482 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,192.80 |
$1,491 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$316.80 |
$396 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$375.60 |
$469.50 |
0.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$527.20 |
$659 |
1.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$846 |
$1,057.50 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$872.40 |
$1,090.50 |
1.1× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$2,208 |
$2,760 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$2,534.40 |
$3,168 |
0.8× |
| Radical styloidectomy separate procedure (25230) |
$2,248.80 |
$2,811 |
0.6× |
| Re-explore parathyroids (60502) |
$3,784 |
$4,730 |
0.6× |
| Realignment extensor tendon hand each tendon (26437) |
$740 |
$925 |
0.2× |
| Reconstruct Finger Joint (26548) |
$2,006.40 |
$2,508 |
0.6× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$2,816.80 |
$3,521 |
0.2× |
Reconstruct ulna/radioulnar (25337) likely a partial charge, not the full procedure |
$2,185.60 |
$2,732 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,552 |
$1,940 |
0.2× |
| Reconstruction of nail bed with graft (11762) |
$584.80 |
$731 |
0.3× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$1,838.40 |
$2,298 |
0.5× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$2,092.80 |
$2,616 |
0.6× |
Reinforce ulna (25491) likely a partial charge, not the full procedure |
$1,828.80 |
$2,286 |
0.1× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) likely a partial charge, not the full procedure |
$2,352 |
$2,940 |
0.3× |
| Release finger contracture (26525) |
$1,726.40 |
$2,158 |
1.0× |
| Release wrist/forearm tendon (25295) |
$1,298.40 |
$1,623 |
0.4× |
| Relieve pressure on nerve(s) (64722) |
$1,830.40 |
$2,288 |
0.8× |
| Removal Anal Seton Other Marker (46030) |
$1,819.60 |
$2,274.50 |
1.4× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) likely a partial charge, not the full procedure |
$1,994.40 |
$2,493 |
0.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,068 |
$5,085 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$942.40 |
$1,178 |
0.5× |
| Removal foreign body foot deep (28192) |
$795.20 |
$994 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$1,022.80 |
$1,278.50 |
1.3× |
| Removal foreign body intranasal (30300) |
$530.40 |
$663 |
3.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$386.40 |
$483 |
0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,325.60 |
$1,657 |
0.4× |
| Removal foreign body pharynx (42809) |
$484 |
$605 |
1.0× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,405.20 |
$1,756.50 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,167.20 |
$1,459 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$52.40 |
$65.50 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$139.20 |
$174 |
2.1× |
| Removal implant deep (20680) |
$4,798.80 |
$5,998.50 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$946.40 |
$1,183 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$309.60 |
$387 |
0.4× |
| Removal Intact Mammary Implant (19328) |
$2,412.80 |
$3,016 |
0.6× |
| Removal of anal fissure (46200) |
$1,342.40 |
$1,678 |
0.4× |
| Removal of arm foreign body (24200) |
$485.60 |
$607 |
0.3× |
Removal of bone for graft (20902) likely a partial charge, not the full procedure |
$1,375.20 |
$1,719 |
0.2× |
| Removal of bone lesion (23140) |
$1,493.60 |
$1,867 |
0.4× |
| Removal of breast capsule (19371) |
$1,747.20 |
$2,184 |
0.4× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$182.40 |
$228 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$499.20 |
$624 |
1.4× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$917.60 |
$1,147 |
0.7× |
| Removal of finger lesion (26210) |
$1,044 |
$1,305 |
0.6× |
| Removal of foreign body in scrotum (55120) |
$981.60 |
$1,227 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$204 |
$255 |
0.4× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) likely a partial charge, not the full procedure |
$3,036 |
$3,795 |
0.2× |
| Removal of implant from finger or hand (26320) |
$866.40 |
$1,083 |
0.5× |
| Removal of implant material (19330) |
$3,289.60 |
$4,112 |
0.8× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,168 |
$1,460 |
1.7× |
| Removal of iud (58301) |
$515.20 |
$644 |
1.5× |
Removal of kidney stone (50081) unusually low: confirm this is the full procedure |
$4,125.60 |
$5,157 |
0.4× |
Removal Of Knee Prosthesis (27488) likely a partial charge, not the full procedure |
$2,331.20 |
$2,914 |
0.2× |
| Removal of nail bed (11750) |
$863.60 |
$1,079.50 |
1.9× |
| Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of… (54415) |
$957.60 |
$1,197 |
0.2× |
| Removal of testis (54520) |
$1,752.80 |
$2,191 |
0.4× |
Removal of thyroid (60271) unusually low: confirm this is the full procedure |
$3,180.80 |
$3,976 |
0.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,840 |
$4,800 |
1.1× |
| Removal of wrist bone (25210) |
$1,288 |
$1,610 |
0.4× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$2,050.40 |
$2,563 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$499.20 |
$624 |
2.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,716.80 |
$2,146 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$357.20 |
$446.50 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$428.80 |
$536 |
1.4× |
| Remove anal fist subq (46270) |
$1,600.80 |
$2,001 |
0.5× |
| Remove drug implant device (11982) |
$1,423.60 |
$1,779.50 |
2.9× |
| Remove elbow lesion (24120) |
$1,320 |
$1,650 |
0.4× |
| Remove ext hem groups 2+ (46250) |
$3,980.80 |
$4,976 |
1.3× |
| Remove humerus lesion (24110) |
$2,421.60 |
$3,027 |
0.7× |
| Remove Lower Leg Bone Lesion (27635) |
$1,796.80 |
$2,246 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$2,961.20 |
$3,701.50 |
0.9× |
Remove Prostate Regrowth (52630) unusually low: confirm this is the full procedure |
$1,841.60 |
$2,302 |
0.3× |
| Remove renal tube w/fluoro (50389) |
$944 |
$1,180 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$1,254.40 |
$1,568 |
0.7× |
| Remove tissue expander (11971) |
$1,344 |
$1,680 |
0.4× |
| Remove vagina gland lesion (56740) |
$782.40 |
$978 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$1,304 |
$1,630 |
2.6× |
| Remv Ext Canal Foreign Body (69200) |
$375.20 |
$469 |
2.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$187.60 |
$234.50 |
1.3× |
| Remv/revisn shldr/hip spica cast (29710) |
$402 |
$502.50 |
1.3× |
| Renal Biopsy Percutaneous (50200) |
$1,876.80 |
$2,346 |
1.0× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$1,980 |
$2,475 |
0.2× |
| Repair blood vessel direct hand finger (35207) |
$2,084.80 |
$2,606 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,868.80 |
$2,336 |
0.5× |
| Repair brow defect (67900) |
$1,214.40 |
$1,518 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,017.20 |
$1,271.50 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,119.60 |
$1,399.50 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$882.40 |
$1,103 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,027.60 |
$1,284.50 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$906.80 |
$1,133.50 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$968 |
$1,210 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,093.60 |
$1,367 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,009.20 |
$1,261.50 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,683.60 |
$2,104.50 |
0.9× |
| Repair eyelid wound (67930) |
$2,632.80 |
$3,291 |
1.0× |
Repair Fibula Nonunion (27726) likely a partial charge, not the full procedure |
$2,369.60 |
$2,962 |
0.3× |
| Repair Finger Tendon (26433) |
$1,435.20 |
$1,794 |
0.4× |
| Repair Forearm Tendon Sheath (25275) |
$1,696.80 |
$2,121 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$1,968 |
$2,460 |
0.5× |
| Repair hand tendon (26410) |
$1,670.80 |
$2,088.50 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,248 |
$2,810 |
0.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,998.40 |
$2,498 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,208.80 |
$2,761 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,268.80 |
$2,836 |
0.6× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) likely a partial charge, not the full procedure |
$1,062.40 |
$1,328 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,779.20 |
$2,224 |
3.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$752.80 |
$941 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$838.80 |
$1,048.50 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$863.20 |
$1,079 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,296 |
$1,620 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$583.20 |
$729 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$786 |
$982.50 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$765.20 |
$956.50 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$846.40 |
$1,058 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,389.60 |
$1,737 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$936.80 |
$1,171 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$663.20 |
$829 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$769.20 |
$961.50 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,455.20 |
$1,819 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$832.80 |
$1,041 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,074 |
$3,842.50 |
1.3× |
| Repair intrinsic muscles hand each muscle (26591) |
$1,301.60 |
$1,627 |
0.4× |
Repair lower leg tendons (27676) likely a partial charge, not the full procedure |
$1,288.80 |
$1,611 |
0.2× |
| Repair Lower Leg Tendons (27675) |
$1,536.80 |
$1,921 |
0.4× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345) likely a partial charge, not the full procedure |
$1,854.40 |
$2,318 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,778.40 |
$2,223 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268) likely a partial charge, not the full procedure |
$1,203.20 |
$1,504 |
0.2× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$3,024 |
$3,780 |
0.8× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$2,216.80 |
$2,771 |
0.6× |
| Repair of hydrocele (55060) |
$1,713.60 |
$2,142 |
0.4× |
| Repair of nail bed (11760) |
$543.20 |
$679 |
0.7× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$4,100 |
$5,125 |
0.5× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) unusually low: confirm this is the full procedure |
$2,831.20 |
$3,539 |
0.4× |
| Repair of rectocele (45560) |
$1,992 |
$2,490 |
0.6× |
| Repair of rectum (45505) |
$1,682.40 |
$2,103 |
0.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) unusually low: confirm this is the full procedure |
$2,699.20 |
$3,374 |
0.3× |
Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$3,087.20 |
$3,859 |
0.4× |
| Repair of small omphalocele, with primary closure Facility (49600) |
$1,828.80 |
$2,286 |
0.5× |
| Repair Profundus Tendon,Primary (26370) |
$2,299.20 |
$2,874 |
0.6× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,672.80 |
$3,341 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,204.80 |
$2,756 |
0.6× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$2,328 |
$2,910 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$2,300 |
$2,875 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,346.40 |
$1,683 |
0.4× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,840 |
$2,300 |
0.2× |
| Repair tongue laceration (41252) |
$730.40 |
$913 |
2.8× |
| Repair Tongue Laceration (41250) |
$806.40 |
$1,008 |
1.6× |
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) unusually low: confirm this is the full procedure |
$2,844 |
$3,555 |
0.5× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) unusually low: confirm this is the full procedure |
$2,781.60 |
$3,477 |
0.3× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) likely a partial charge, not the full procedure |
$1,919.20 |
$2,399 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,504 |
$1,880 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,354.40 |
$1,693 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Facility (27409) unusually low: confirm this is the full procedure |
$2,551.20 |
$3,189 |
0.3× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,443.20 |
$1,804 |
0.2× |
| Repair/graft finger tendon (26420) |
$1,480 |
$1,850 |
0.4× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$1,610.40 |
$2,013 |
0.2× |
Repair/revise wrist joint (25320) unusually low: confirm this is the full procedure |
$2,609.60 |
$3,262 |
0.3× |
| Repeat control of nosebleed (30906) |
$968 |
$1,210 |
3.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$758.40 |
$948 |
0.8× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$620.80 |
$776 |
0.6× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,155.60 |
$1,444.50 |
1.1× |
| Reposition cv cath w/fluoro (36597) |
$1,795.20 |
$2,244 |
1.0× |
| Reposition gastric feeding tube thru duodenum (43761) |
$599.20 |
$749 |
2.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,895.20 |
$2,369 |
0.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$552 |
$690 |
0.1× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$2,522.40 |
$3,153 |
0.2× |
| Revise finger/toe nerve (64702) |
$1,255.20 |
$1,569 |
0.6× |
Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$1,516 |
$1,895 |
0.2× |
Revise knuckle with implant (26531) likely a partial charge, not the full procedure |
$1,971.20 |
$2,464 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$2,424 |
$3,030 |
1.1× |
| Revise vag graft via vagina (57295) |
$1,197.60 |
$1,497 |
0.3× |
| Revision of colostomy simple (44340) |
$2,050.40 |
$2,563 |
0.5× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$2,866.40 |
$3,583 |
0.7× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$3,448 |
$4,310 |
0.9× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$2,777.60 |
$3,472 |
0.7× |
Revision of nose (30430) unusually low: confirm this is the full procedure |
$2,480 |
$3,100 |
0.4× |
Revision of reconstructed breast (19380) likely a partial charge, not the full procedure |
$1,965.60 |
$2,457 |
0.3× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) likely a partial charge, not the full procedure |
$2,515.20 |
$3,144 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) likely a partial charge, not the full procedure |
$2,575.20 |
$3,219 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) likely a partial charge, not the full procedure |
$3,223.20 |
$4,029 |
0.2× |
Revision of ulna (25360) likely a partial charge, not the full procedure |
$1,620 |
$2,025 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$3,452.80 |
$4,316 |
0.2× |
Revj tot hip arthrp fem only w/wo algrft (27138) likely a partial charge, not the full procedure |
$2,925.60 |
$3,657 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$1,033.60 |
$1,292 |
0.3× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) unusually low: confirm this is the full procedure |
$2,978.40 |
$3,723 |
0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$488.80 |
$611 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$187.20 |
$234 |
1.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$188 |
$235 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,347.20 |
$1,684 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$370.40 |
$463 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$920 |
$1,150 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$627.20 |
$784 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$1,120 |
$1,400 |
4.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$185.60 |
$232 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,782.40 |
$2,228 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,720.80 |
$2,151 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$790.40 |
$988 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,476 |
$1,845 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$1,319.20 |
$1,649 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$974.40 |
$1,218 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,322.40 |
$1,653 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,098.40 |
$1,373 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$2,881.60 |
$3,602 |
3.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,953.60 |
$2,442 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,262.40 |
$1,578 |
1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$692 |
$865 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,279.20 |
$1,599 |
2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,511.20 |
$1,889 |
0.9× |
Rpr non-union mtcrpl/phalanx (26546) unusually low: confirm this is the full procedure |
$2,587.20 |
$3,234 |
0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,192.80 |
$1,491 |
0.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,732.80 |
$2,166 |
0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,138 |
$1,422.50 |
1.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,245.60 |
$1,557 |
0.3× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,452.80 |
$1,816 |
0.4× |
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) likely a partial charge, not the full procedure |
$1,836 |
$2,295 |
0.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,622.40 |
$3,278 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$2,209.60 |
$2,762 |
0.6× |
| Sclerotx Fluid Collection (49185) |
$1,231.20 |
$1,539 |
0.7× |
| Scrotal exploration (55110) |
$916.80 |
$1,146 |
0.2× |
| Sesamoidectomy, thumb or finger (separate procedure) Facility (26185) |
$1,377.60 |
$1,722 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$627.20 |
$784 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$854.40 |
$1,068 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$288 |
$360 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$160.40 |
$200.50 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$403.60 |
$504.50 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$685.20 |
$856.50 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$202 |
$252.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$248.40 |
$310.50 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$385.20 |
$481.50 |
0.9× |
Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,128 |
$1,410 |
0.1× |
| Shoulder arthroscopy (29805) |
$240 |
$300 |
0.1× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,592 |
$3,240 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$356.40 |
$445.50 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$641.89 |
$802.36 |
1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$297.60 |
$372 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$352.40 |
$440.50 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$334.40 |
$418 |
1.5× |
| Sigmoidoscopy & decompress (45337) |
$740.80 |
$926 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,010.40 |
$1,263 |
0.8× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$572 |
$715 |
0.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$870.40 |
$1,088 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$819.20 |
$1,024 |
0.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$228.80 |
$286 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$516 |
$645 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$316.80 |
$396 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,066.40 |
$1,333 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$433.20 |
$541.50 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$467.20 |
$584 |
2.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$940.80 |
$1,176 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$550 |
$687.50 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$836 |
$1,045 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$300.80 |
$376 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,036 |
$1,295 |
4.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$500.40 |
$625.50 |
2.2× |
| Skin pinch graft (15050) |
$1,209.60 |
$1,512 |
1.5× |
| Skin splt grft trnk/arm/leg (15100) |
$2,540.80 |
$3,176 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,992.80 |
$2,491 |
2.4× |
| Skin sub graft trnk/arm/leg (15271) |
$2,223.60 |
$2,779.50 |
2.7× |
| Skin sub grft t/arm/lg child (15273) |
$4,597.60 |
$5,747 |
2.0× |
| Skin tissue rearrangement (14040) |
$3,572.40 |
$4,465.50 |
1.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,092.80 |
$2,616 |
0.5× |
| Skn sub grft f/n/hf/g child (15277) |
$2,397.60 |
$2,997 |
1.0× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$2,310.40 |
$2,888 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$346.40 |
$433 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$549.60 |
$687 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,036 |
$1,295 |
2.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$1,264 |
$1,580 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$530.40 |
$663 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$785.60 |
$982 |
1.0× |
| Sternal Debridement (21627) |
$1,061.60 |
$1,327 |
0.3× |
| Strapping ankle (29540) |
$60.80 |
$76 |
0.3× |
| Strapping knee (29530) |
$72.80 |
$91 |
0.5× |
| Strapping shoulder (29240) |
$86.40 |
$108 |
0.6× |
| Strapping toes (29550) |
$43.20 |
$54 |
0.7× |
| Strapping unna boot (29580) |
$336.80 |
$421 |
1.9× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$456 |
$570 |
2.0× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$1,435.20 |
$1,794 |
1.7× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$1,435.20 |
$1,794 |
1.7× |
| Suction assisted lipectomy lower extremity (15879) |
$1,465.60 |
$1,832 |
0.4× |
| Suction Assisted Lipectomy Trunk (15877) |
$1,465.60 |
$1,832 |
0.4× |
| Suction assisted lipectomy; head and neck (15876) |
$1,465.60 |
$1,832 |
0.4× |
| Suction assisted lipectomy; upper extremity (15878) |
$713.60 |
$892 |
0.3× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,810.40 |
$2,263 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,973.60 |
$2,467 |
0.6× |
| Suspension of testis (54640) |
$1,284 |
$1,605 |
0.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,816 |
$2,270 |
0.8× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,304.80 |
$1,631 |
0.2× |
| Suture of 1 nerve ulnar motor (64836) |
$1,936.80 |
$2,421 |
0.5× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$1,071.20 |
$1,339 |
0.3× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) likely a partial charge, not the full procedure |
$1,944 |
$2,430 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$1,468 |
$1,835 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) likely a partial charge, not the full procedure |
$1,472 |
$1,840 |
0.2× |
| Sympathectomy; radial artery Facility (64821) |
$1,831.20 |
$2,289 |
0.5× |
| Synovectomy, carpometacarpal joint Facility (26130) |
$1,160 |
$1,450 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$1,244 |
$1,555 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,396 |
$1,745 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$276 |
$345 |
0.6× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) likely a partial charge, not the full procedure |
$1,243.20 |
$1,554 |
0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,536 |
$1,920 |
0.4× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$2,150.40 |
$2,688 |
0.3× |
| Tenolysis extensor tendon hand/finger each (26445) |
$1,536.80 |
$1,921 |
0.4× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,642.40 |
$2,053 |
0.9× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Facility (26449) |
$1,725.60 |
$2,157 |
0.5× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$1,078.40 |
$1,348 |
0.3× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$732 |
$915 |
0.2× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$1,084.80 |
$1,356 |
0.6× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$1,108.80 |
$1,386 |
0.3× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$977.60 |
$1,222 |
0.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$919.20 |
$1,149 |
0.3× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,374.40 |
$1,718 |
0.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$1,101.60 |
$1,377 |
0.6× |
| Tenotomy, flexor, palm, open, each tendon Facility (26450) |
$1,166.40 |
$1,458 |
0.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$913.20 |
$1,141.50 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,178.40 |
$1,473 |
1.7× |
| Thrombolytic Therapy Stroke (37195) |
$714 |
$892.50 |
1.9× |
| Thyroid biopsy (60100) |
$453.60 |
$567 |
0.6× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) unusually low: confirm this is the full procedure |
$2,874.40 |
$3,593 |
0.4× |
Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$2,667.20 |
$3,334 |
0.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$3,362.40 |
$4,203 |
0.5× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) unusually low: confirm this is the full procedure |
$6,096 |
$7,620 |
0.4× |
| Tnot elbow lateral/medial debride open (24358) |
$1,820 |
$2,275 |
0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,700 |
$2,125 |
0.5× |
Total hip arthroplasty (27130) likely a partial charge, not the full procedure |
$2,369.60 |
$2,962 |
0.2× |
Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,864 |
$3,580 |
0.2× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) unusually low: confirm this is the full procedure |
$2,525.60 |
$3,157 |
0.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$960 |
$1,200 |
0.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$800 |
$1,000 |
3.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$793.60 |
$992 |
0.5× |
| Tracheostomy planned (31600) |
$1,371.20 |
$1,714 |
0.4× |
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) likely a partial charge, not the full procedure |
$1,032 |
$1,290 |
0.1× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$1,491.20 |
$1,864 |
0.7× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$1,128 |
$1,410 |
0.5× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$3,004.80 |
$3,756 |
0.8× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$1,239.20 |
$1,549 |
0.5× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$6,289.20 |
$7,861.50 |
1.1× |
| Transplant hand tendon (26480) |
$3,508 |
$4,385 |
1.0× |
| Transplant/graft hand tendon (26483) |
$2,480.80 |
$3,101 |
0.7× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$864 |
$1,080 |
0.2× |
Transur electr resection of prostate (52601) unusually low: confirm this is the full procedure |
$2,332.40 |
$2,915.50 |
0.4× |
| Transurethral incision of prostate (52450) |
$1,610.40 |
$2,013 |
0.4× |
| Transurethral resection bladder neck (52500) |
$1,833.60 |
$2,292 |
0.5× |
| Treat Big Toe Fracture (28505) |
$1,384 |
$1,730 |
0.4× |
| Treat clavicle dislocation (23540) |
$354.80 |
$443.50 |
1.3× |
| Treat clavicle fracture (23505) |
$1,443.60 |
$1,804.50 |
0.8× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$2,560.80 |
$3,201 |
0.2× |
Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$1,615.20 |
$2,019 |
0.2× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$2,212.80 |
$2,766 |
0.3× |
| Treat humerus fracture (24500) |
$698.40 |
$873 |
2.5× |
| Treat humerus fracture (23600) |
$688.40 |
$860.50 |
2.5× |
| Treat knee fracture (27532) |
$1,440 |
$1,800 |
0.4× |
Treat Knee Fracture (27535) likely a partial charge, not the full procedure |
$1,907.20 |
$2,384 |
0.2× |
Treat Knee Fracture (27540) likely a partial charge, not the full procedure |
$1,795.20 |
$2,244 |
0.2× |
| Treat Knee Fracture(S) (27538) |
$626.40 |
$783 |
2.3× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,904.80 |
$2,381 |
0.2× |
Treat Lower Leg Fracture (27828) likely a partial charge, not the full procedure |
$2,440 |
$3,050 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$525.60 |
$657 |
1.9× |
| Treat pleurodesis w/agent (32560) |
$807.60 |
$1,009.50 |
1.2× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,390.40 |
$1,738 |
0.2× |
Treat scapula fracture (23585) unusually low: confirm this is the full procedure |
$3,276 |
$4,095 |
0.4× |
| Treat Thigh Fracture (27246) |
$1,014.40 |
$1,268 |
3.7× |
Treat Thigh Fracture (27245) unusually low: confirm this is the full procedure |
$3,066.40 |
$3,833 |
0.4× |
| Treat Thumb Dislocation (26641) |
$876.40 |
$1,095.50 |
3.2× |
| Treat thumb fracture (26665) |
$1,311.20 |
$1,639 |
0.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,640.40 |
$2,050.50 |
0.9× |
| Treat vagina infection (57150) |
$138.40 |
$173 |
2.1× |
| Treat Vaginal Bleeding (57180) |
$324 |
$405 |
1.4× |
| Treat wrist bone fracture (25622) |
$531.60 |
$664.50 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$603.20 |
$754 |
2.2× |
| Treatment closed elbow dislocation req anes (24605) |
$978.40 |
$1,223 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$958.40 |
$1,198 |
3.5× |
| Treatment of anal fissure (46940) |
$322.40 |
$403 |
0.1× |
| Treatment of foot infection (28003) |
$1,345.60 |
$1,682 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,701.60 |
$3,377 |
0.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,074.40 |
$1,343 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,056 |
$1,320 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$553.60 |
$692 |
2.0× |
Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$1,416 |
$1,770 |
0.2× |
| Trim skin lesion (11055) |
$217.20 |
$271.50 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$146.40 |
$183 |
0.7× |
| Trim skin lesions over 4 (11057) |
$133.60 |
$167 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$1,026.40 |
$1,283 |
15.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$1,295.20 |
$1,619 |
0.3× |
| Tubal ligation (58600) |
$1,048 |
$1,310 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$1,232.40 |
$1,540.50 |
0.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,934.40 |
$2,418 |
0.6× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$2,128 |
$2,660 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$907.20 |
$1,134 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$656 |
$820 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$394.40 |
$493 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,519.20 |
$1,899 |
0.8× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,134.40 |
$2,668 |
0.1× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,635.20 |
$2,044 |
0.4× |
| Unlisted laparoscopy procedure stomach (43659) |
$3,410.40 |
$4,263 |
0.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$3,520 |
$4,400 |
0.5× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) unusually low: confirm this is the full procedure |
$2,631.20 |
$3,289 |
0.4× |
| Unlisted Procedure External Ear (69399) |
$640 |
$800 |
2.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$509.60 |
$637 |
0.7× |
| Us urine capacity measure (51798) |
$132.40 |
$165.50 |
2.0× |
Vag hyst complex (58290) unusually low: confirm this is the full procedure |
$3,059.20 |
$3,824 |
0.4× |
| Vaginal delivery only (59409) |
$2,839.20 |
$3,549 |
0.8× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,341.60 |
$2,927 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260) unusually low: confirm this is the full procedure |
$2,114.40 |
$2,643 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) likely a partial charge, not the full procedure |
$1,438.40 |
$1,798 |
0.3× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) unusually low: confirm this is the full procedure |
$2,347.20 |
$2,934 |
0.4× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) unusually low: confirm this is the full procedure |
$1,804.80 |
$2,256 |
0.3× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) likely a partial charge, not the full procedure |
$1,900.80 |
$2,376 |
0.2× |
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) unusually low: confirm this is the full procedure |
$1,764 |
$2,205 |
0.3× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) likely a partial charge, not the full procedure |
$1,339.20 |
$1,674 |
0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,925.60 |
$3,657 |
1.3× |
| Venipuncture (36415) |
$35.20 |
$44 |
3.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$108 |
$135 |
0.2× |
| Vulvectomy Simple Partial (56620) |
$1,372 |
$1,715 |
0.4× |
| Wedge excision skin nail fold (11765) |
$324 |
$405 |
0.7× |
| Windowing of cast (29730) |
$182.40 |
$228 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$1,048.80 |
$1,311 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$857.60 |
$1,072 |
1.0× |