| Abd paracentesis w/imaging (49083) |
$393 |
$786 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$643.75 |
$1,287.50 |
0.8× |
| Acne Surgery (10040) |
$54.75 |
$109.50 |
0.3× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,236.75 |
$2,473.50 |
0.4× |
| Amputation thigh through femur any level (27590) |
$631.50 |
$1,263 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$233.50 |
$467 |
0.1× |
| Anoscopy Ablation Lesion (46615) |
$1,377.50 |
$2,755 |
0.6× |
| Anoscopy diagnostic (46600) |
$77.75 |
$155.50 |
0.7× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$797 |
$1,594 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$49.50 |
$99 |
0.3× |
| Application cast elbow finger short arm (29075) |
$43.50 |
$87 |
0.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$148 |
$296 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$51 |
$102 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$21.25 |
$42.50 |
0.4× |
| Application finger splint static (29130) |
$25.75 |
$51.50 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$26.50 |
$53 |
0.2× |
| Application long leg splint thigh ankle/toes (29505) |
$43.50 |
$87 |
0.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$67 |
$134 |
0.3× |
| Application of long leg cast (29345) |
$67 |
$134 |
0.3× |
| Application Short Arm Splint Dynamic (29126) |
$131 |
$262 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$100.50 |
$201 |
0.9× |
| Application short leg splint calf foot (29515) |
$133.25 |
$266.50 |
0.9× |
| Application, cast; figure-of-eight (29049) |
$157.25 |
$314.50 |
0.6× |
| Apply multlay comprs arm/hand (29584) |
$49.50 |
$99 |
0.3× |
| Apply short leg cast (29405) |
$57 |
$114 |
0.2× |
| Arterial puncture (36600) |
$56 |
$112 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$285.25 |
$570.50 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$28.75 |
$57.50 |
0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$285.25 |
$570.50 |
1.1× |
| Arthroscopy of joint (29999) |
$3,295.75 |
$6,591.50 |
15.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,472.50 |
$4,945 |
1.8× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,600.25 |
$7,200.50 |
1.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$285.25 |
$570.50 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$51.25 |
$102.50 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$233.50 |
$467 |
0.1× |
| Biopsy finger joint lining (26110) |
$1,850.50 |
$3,701 |
1.3× |
| Biopsy muscle deep (20205) |
$1,751 |
$3,502 |
0.7× |
| Biopsy Muscle Superficial (20200) |
$1,751 |
$3,502 |
1.2× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$1,751 |
$3,502 |
0.7× |
| Biopsy of nail unit (11755) |
$525.50 |
$1,051 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,840.75 |
$5,681.50 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$1,751 |
$3,502 |
1.2× |
| Biopsy soft tissue shoulder superficial (23065) |
$911.50 |
$1,823 |
0.6× |
| Bladder Irrigation Simple (51700) |
$238.75 |
$477.50 |
1.1× |
| Bladder Scan (51798) |
$50 |
$100 |
1.0× |
| Blood transfusion service (36430) |
$203.88 |
$407.75 |
0.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,192.50 |
$2,385 |
0.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$539.75 |
$1,079.50 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$97.50 |
$195 |
0.5× |
Cervical lymphadenectomy (complete) (38720)
likely a partial charge, not the full procedure |
$1,704.50 |
$3,409 |
0.3× |
| Chemical Cautery Tissue (17250) |
$42 |
$84 |
0.2× |
| Chest tube placement (32551) |
$643.75 |
$1,287.50 |
0.5× |
| Circum 28 days or older (54161) |
$200 |
$400 |
0.1× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,049.25 |
$2,098.50 |
3.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,523.50 |
$5,047 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$209.25 |
$418.50 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$483.25 |
$966.50 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$122 |
$244 |
0.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$209.25 |
$418.50 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$209.25 |
$418.50 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$189 |
$378 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$209.25 |
$418.50 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,622 |
$3,244 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$178 |
$356 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$209.25 |
$418.50 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$209.25 |
$418.50 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$209.25 |
$418.50 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$209.25 |
$418.50 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$622.75 |
$1,245.50 |
0.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$209.25 |
$418.50 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$209.25 |
$418.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,304.25 |
$2,608.50 |
0.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$209.25 |
$418.50 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$209.25 |
$418.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$98.50 |
$197 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$169.25 |
$338.50 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$169.25 |
$338.50 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$483.25 |
$966.50 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$317.25 |
$634.50 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$209.25 |
$418.50 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$209.25 |
$418.50 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$209.25 |
$418.50 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,304.25 |
$2,608.50 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$48.75 |
$97.50 |
0.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,152 |
$4,304 |
1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,012.50 |
$2,025 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$647.50 |
$1,295 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$1,079.25 |
$2,158.50 |
1.0× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$739.75 |
$1,479.50 |
0.7× |
| Colonoscopy thru stoma (44388) |
$647.50 |
$1,295 |
0.8× |
| Colonoscopy w/ablation (45388) |
$360.50 |
$721 |
0.3× |
| Colonoscopy w/band ligation (45398) |
$176.25 |
$352.50 |
0.2× |
| Colporrhaphy suture injury vagina (57200) |
$2,270.75 |
$4,541.50 |
0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$185.75 |
$371.50 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,660.50 |
$3,321 |
1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$877 |
$1,754 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$739.75 |
$1,479.50 |
0.7× |
| Complex Drainage, Wound (10180) |
$120 |
$240 |
0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$122 |
$244 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$36 |
$72 |
0.3× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$5,365.25 |
$10,730.50 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$76.75 |
$153.50 |
0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,979.50 |
$5,959 |
1.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$37.50 |
$75 |
0.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$280.50 |
$561 |
0.5× |
| Debride nail 1-5 (11720) |
$112.25 |
$224.50 |
2.2× |
| Debride nail 6 or more (11721) |
$112.25 |
$224.50 |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$49.25 |
$98.50 |
0.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$183.50 |
$367 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$37.50 |
$75 |
0.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$126.50 |
$253 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$112.25 |
$224.50 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$114.75 |
$229.50 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$118 |
$236 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$81.75 |
$163.50 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$101 |
$202 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$47.50 |
$95 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,195 |
$2,390 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$319 |
$638 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$405 |
$810 |
0.5× |
| Dilation of anal sphincter (45905) |
$1,996.25 |
$3,992.50 |
1.9× |
| Dissection, deep jugular node(s) (38542) |
$5,729.50 |
$11,459 |
1.1× |
| Division of fallopian tube (58600) |
$1,086 |
$2,172 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$213.25 |
$426.50 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$141.50 |
$283 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$117.50 |
$235 |
0.7× |
| Drainage mouth roof lesion (42000) |
$358.75 |
$717.50 |
1.7× |
| Drainage of deep rectal abscess (45020) |
$2,216.50 |
$4,433 |
0.9× |
| Drainage of eyelid abscess (67700) |
$361.75 |
$723.50 |
1.3× |
| Drainage of gum lesion (41800) |
$91.25 |
$182.50 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$51 |
$102 |
0.0× |
| Drainage of hydrocele (55000) |
$70.50 |
$141 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$1,132.75 |
$2,265.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$162.75 |
$325.50 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$167.50 |
$335 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$100.50 |
$201 |
0.6× |
| Egd flexible foreign body removal (43247) |
$973.25 |
$1,946.50 |
1.2× |
| Egd guide wire insertion (43248) |
$1,238.25 |
$2,476.50 |
1.6× |
| Egd place gastrostomy tube (43246) |
$868 |
$1,736 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$2,270.75 |
$4,541.50 |
0.8× |
| Esophagosc dilate balloon 30 (43214) |
$2,227.75 |
$4,455.50 |
1.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$87.50 |
$175 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$19 |
$38 |
0.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,751 |
$3,502 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,930.50 |
$3,861 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$2,847.50 |
$5,695 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,751 |
$3,502 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$113.50 |
$227 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,751 |
$3,502 |
1.2× |
| Exc back les sc < 3 cm (21930) |
$2,847.50 |
$5,695 |
2.0× |
| Exc face les sbq 2 cm/> (21012) |
$911.50 |
$1,823 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$525.50 |
$1,051 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$140.50 |
$281 |
0.1× |
| Exc forearm les sc 3 cm/> (25071) |
$422 |
$844 |
0.3× |
| Exc forearm les sc < 3 cm (25075) |
$449 |
$898 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,751 |
$3,502 |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,648.50 |
$5,297 |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,483.50 |
$2,967 |
1.1× |
| Exc neck tum deep < 5 cm (21556) |
$319 |
$638 |
0.1× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,751 |
$3,502 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$84.25 |
$168.50 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$60.50 |
$121 |
0.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$80 |
$160 |
0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$100.50 |
$201 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$547 |
$1,094 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$117.50 |
$235 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,592.50 |
$5,185 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,592.50 |
$5,185 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$632.50 |
$1,265 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$190.75 |
$381.50 |
0.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,555.50 |
$3,111 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,592.50 |
$5,185 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,751 |
$3,502 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,875 |
$7,750 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$53.50 |
$107 |
0.1× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$1,790.75 |
$3,581.50 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$51 |
$102 |
0.1× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,751 |
$3,502 |
1.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,751 |
$3,502 |
1.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,751 |
$3,502 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,592.50 |
$5,185 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,751 |
$3,502 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,751 |
$3,502 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$319 |
$638 |
0.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,751 |
$3,502 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,751 |
$3,502 |
1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$463.25 |
$926.50 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,472.50 |
$4,945 |
1.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$191.75 |
$383.50 |
0.1× |
| Excise excess skin & tissue (15839) |
$1,751 |
$3,502 |
0.7× |
| Excise/repair mouth lesion (40812) |
$1,074.50 |
$2,149 |
0.8× |
| Excision Breast Lesion (19125) |
$250 |
$500 |
0.1× |
| Excision external ear partial simple repair (69110) |
$1,751 |
$3,502 |
0.7× |
| Excision hidradenitis axillary complex repair (11451) |
$2,592.50 |
$5,185 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$525.50 |
$1,051 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$132.25 |
$264.50 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$136.75 |
$273.50 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$911.50 |
$1,823 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$525.50 |
$1,051 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$160.75 |
$321.50 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$195 |
$390 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,751 |
$3,502 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,470.50 |
$2,941 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$154.75 |
$309.50 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$228 |
$456 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,751 |
$3,502 |
1.2× |
| Excision of bartholin's gland or cyst (56740) |
$2,270.75 |
$4,541.50 |
0.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$90 |
$180 |
0.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$98.50 |
$197 |
0.2× |
| Excision of hydrocele; unilateral (55040) |
$4,906.25 |
$9,812.50 |
1.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$911.50 |
$1,823 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$911.50 |
$1,823 |
0.6× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$420.75 |
$841.50 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,592.50 |
$5,185 |
1.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,592.50 |
$5,185 |
1.0× |
| Excision of tongue lesion (41112) |
$1,790.75 |
$3,581.50 |
0.6× |
| Excision olecranon bursa (24105) |
$2,427.75 |
$4,855.50 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,592.50 |
$5,185 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$294 |
$588 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$795.50 |
$1,591 |
0.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,472.50 |
$4,945 |
1.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$911.50 |
$1,823 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$535.25 |
$1,070.50 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,751 |
$3,502 |
1.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,751 |
$3,502 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$133.50 |
$267 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,132.75 |
$2,265.50 |
0.8× |
| Explore eye socket,drainage (67405) |
$3,101.50 |
$6,203 |
1.5× |
| Fasciotomy palmar open partial (26045) |
$3,224.25 |
$6,448.50 |
1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,224.25 |
$6,448.50 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$184 |
$368 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,735.25 |
$3,470.50 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$372.50 |
$745 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$57 |
$114 |
0.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,914.75 |
$5,829.50 |
1.7× |
| Hemorrhoidectomy (46255) |
$713.75 |
$1,427.50 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$2,855 |
$5,710 |
1.2× |
| I&d abscess simple (10060) |
$81.25 |
$162.50 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,059 |
$4,118 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,059 |
$4,118 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,558 |
$3,116 |
0.9× |
| I&d perianal abscess superficial (46050) |
$686 |
$1,372 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$213.25 |
$426.50 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$360.50 |
$721 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,132.75 |
$2,265.50 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,059 |
$4,118 |
0.8× |
| Incise finger tendon sheath (26055) |
$1,850.50 |
$3,701 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$111.25 |
$222.50 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,132.75 |
$2,265.50 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$57 |
$114 |
0.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$51 |
$102 |
0.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$185.75 |
$371.50 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$73 |
$146 |
0.3× |
| Incision of lingual frenum (41010) |
$778.50 |
$1,557 |
0.6× |
| Incision of rectal abscess (46040) |
$200 |
$400 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$67 |
$134 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$51.25 |
$102.50 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$285.25 |
$570.50 |
1.1× |
| Inject scleros soln in hemorrhoids (46500) |
$686 |
$1,372 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$408 |
$816 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$829 |
$1,658 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$285.25 |
$570.50 |
1.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$28.25 |
$56.50 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$128.25 |
$256.50 |
1.1× |
| Insert cannula,art-ven revisn (36815) |
$4,182 |
$8,364 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$984.25 |
$1,968.50 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,227.25 |
$2,454.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$56 |
$112 |
0.5× |
| Insert tunneled cv cath (36561) |
$3,477.25 |
$6,954.50 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$16.75 |
$33.50 |
0.1× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$316.50 |
$633 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$209 |
$418 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$5,442.25 |
$10,884.50 |
1.0× |
| Laparoscopy tubal block (58671) |
$5,442.25 |
$10,884.50 |
1.0× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$499 |
$998 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,553.25 |
$5,106.50 |
0.5× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$863.50 |
$1,727 |
0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,442.25 |
$10,884.50 |
1.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,146 |
$4,292 |
1.4× |
| Ligation of hemorrhoid(s) (46221) |
$342.50 |
$685 |
0.4× |
| Marsup Bartholin Gland Cyst (56440) |
$2,270.75 |
$4,541.50 |
0.8× |
| Mast mod rad (19307) |
$5,050.75 |
$10,101.50 |
0.9× |
| Mastectomy partial (19301) |
$2,907 |
$5,814 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$449 |
$898 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,850.50 |
$3,701 |
1.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$545.75 |
$1,091.50 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$192 |
$384 |
0.5× |
| Placement of seton (46020) |
$3,854 |
$7,708 |
1.6× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$656.50 |
$1,313 |
0.8× |
| Puncture Aspiration (10160) |
$196 |
$392 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$43.50 |
$87 |
0.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,427.75 |
$4,855.50 |
0.8× |
| Reattachment of part of cutoff finger (20822) |
$3,478.25 |
$6,956.50 |
2.5× |
| Reduce testis torsion (54600) |
$383 |
$766 |
0.1× |
| Removal fb intranasal (30300) |
$67.75 |
$135.50 |
0.6× |
| Removal Foreign Body Foot Complicated (28193) |
$911.50 |
$1,823 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,751 |
$3,502 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$911.50 |
$1,823 |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$525.50 |
$1,051 |
0.4× |
| Removal foreign body pharynx (42809) |
$128 |
$256 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$216.50 |
$433 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$21.50 |
$43 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$21 |
$42 |
0.4× |
| Removal Implant Deep (20680) |
$216.50 |
$433 |
0.1× |
| Removal Implantable Contraceptive Capsules (11976) |
$80 |
$160 |
0.1× |
| Removal of anal fissure (46200) |
$1,377.75 |
$2,755.50 |
0.6× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$2,427.75 |
$4,855.50 |
1.7× |
| Removal of nail bed (11750) |
$525.50 |
$1,051 |
1.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$37.50 |
$75 |
0.2× |
| Removal of testis (54520) |
$349.50 |
$699 |
0.1× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$508.75 |
$1,017.50 |
0.1× |
| Removal of tonsils (42826) |
$2,808.75 |
$5,617.50 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$327.50 |
$655 |
0.2× |
| Remove by ligat int hem grp (46945) |
$2,855 |
$5,710 |
1.2× |
| Remove Eyelid Foreign Body (67938) |
$226.50 |
$453 |
0.8× |
| Remove Pilonidal Cyst Exten (11771) |
$2,592.50 |
$5,185 |
1.0× |
| Remove wrist tendon lesion (25111) |
$195.50 |
$391 |
0.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$389 |
$778 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$51 |
$102 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$49 |
$98 |
0.4× |
| Repair achilles tendon (27650) |
$5,365.25 |
$10,730.50 |
0.8× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$499 |
$998 |
0.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,684.25 |
$7,368.50 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$614.25 |
$1,228.50 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$614.25 |
$1,228.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$392.75 |
$785.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$614.25 |
$1,228.50 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$392.75 |
$785.50 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$392.75 |
$785.50 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$614.25 |
$1,228.50 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$614.25 |
$1,228.50 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,850.50 |
$3,701 |
1.3× |
| Repair hallux rigidus (28289) |
$2,472.50 |
$4,945 |
0.9× |
| Repair hand tendon (26410) |
$233.50 |
$467 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,077.50 |
$8,155 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$538.50 |
$1,077 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$311.25 |
$622.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$373 |
$746 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$120 |
$240 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$392.75 |
$785.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$137.25 |
$274.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$714.75 |
$1,429.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$164.50 |
$329 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$392.75 |
$785.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$392.75 |
$785.50 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$392.75 |
$785.50 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$373 |
$746 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$116.50 |
$233 |
0.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$669.25 |
$1,338.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$144.50 |
$289 |
0.4× |
| Repair of nail bed (11760) |
$177.75 |
$355.50 |
0.3× |
| Repair Tongue Laceration (41250) |
$122 |
$244 |
0.3× |
| Reposition gastrostomy tube (43761) |
$973.25 |
$1,946.50 |
4.4× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$1,760 |
$3,520 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$432.50 |
$865 |
0.1× |
| Resect leg/ankle tum < 5 cm (27615) |
$598 |
$1,196 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,098.75 |
$4,197.50 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$40 |
$80 |
0.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,592.50 |
$5,185 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,227.25 |
$2,454.50 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$686.50 |
$1,373 |
1.2× |
| Rplc gtube revj gstrst trc (43763) |
$973.25 |
$1,946.50 |
4.4× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,737.75 |
$5,475.50 |
1.0× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$3,791 |
$7,582 |
0.7× |
| Rpr blood vessel direct lower extremity (35226) |
$911.50 |
$1,823 |
1.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,227.25 |
$2,454.50 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$200 |
$400 |
0.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$778.50 |
$1,557 |
3.8× |
| Scrotal exploration (55110) |
$349.50 |
$699 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$631.75 |
$1,263.50 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$239.75 |
$479.50 |
1.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$239.75 |
$479.50 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$112.25 |
$224.50 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$167.50 |
$335 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$112.25 |
$224.50 |
0.6× |
| Sigmoidoscopy & decompress (45337) |
$183.50 |
$367 |
0.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$176.50 |
$353 |
0.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$394 |
$788 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$159.50 |
$319 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$134.25 |
$268.50 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$97.25 |
$194.50 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$80 |
$160 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$100.50 |
$201 |
0.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$107 |
$214 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$264.50 |
$529 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$93.25 |
$186.50 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$47.25 |
$94.50 |
0.3× |
| Skin splt grft trnk/arm/leg (15100) |
$3,527.75 |
$7,055.50 |
2.0× |
| Slitting of prepuce (54001) |
$2,403.75 |
$4,807.50 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$294 |
$588 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$141.50 |
$283 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$134.25 |
$268.50 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$220.25 |
$440.50 |
0.4× |
| Strapping ankle (29540) |
$49.50 |
$99 |
0.3× |
| Strapping elbow/wrist (29260) |
$84.75 |
$169.50 |
1.6× |
| Strapping hand/finger (29280) |
$84.75 |
$169.50 |
1.6× |
| Strapping knee (29530) |
$56.25 |
$112.50 |
0.5× |
| Strapping shoulder (29240) |
$45.50 |
$91 |
0.4× |
| Strapping thorax (29200) |
$84.75 |
$169.50 |
0.6× |
| Strapping toes (29550) |
$84.75 |
$169.50 |
1.6× |
| Strapping unna boot (29580) |
$53.75 |
$107.50 |
0.4× |
| Tendon excision palm/finger (26145) |
$1,850.50 |
$3,701 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$643.75 |
$1,287.50 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$65 |
$130 |
0.2× |
| Trach Tube Change (31502) |
$82.50 |
$165 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$286.25 |
$572.50 |
1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$203.75 |
$407.50 |
0.1× |
| Transcatheter biopsy (37200) |
$1,610 |
$3,220 |
0.3× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$2,696.50 |
$5,393 |
1.6× |
| Treat finger dislocation (26775) |
$345 |
$690 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$116 |
$232 |
0.5× |
| Treat ulnar fracture (24685) |
$5,874.25 |
$11,748.50 |
0.9× |
| Treat wrist bone fracture (25622) |
$209.25 |
$418.50 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$209.25 |
$418.50 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$209.25 |
$418.50 |
1.0× |
| Trim skin lesion (11055) |
$112.25 |
$224.50 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$332.50 |
$665 |
0.1× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$1,812.75 |
$3,625.50 |
0.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$148 |
$296 |
1.0× |
| Unlisted procedure shoulder (23929) |
$115.72 |
$231.45 |
0.5× |
| Vaginal delivery only (59409) |
$2,270.75 |
$4,541.50 |
0.8× |
| Vasectomy (55250) |
$953.50 |
$1,907 |
0.5× |
| Vbac delivery only (59612) |
$2,157 |
$4,314 |
0.8× |
| Venipuncture (36415) |
$2.25 |
$4.50 |
0.2× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$36.75 |
$73.50 |
0.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$128 |
$256 |
0.3× |
| Wound Prep F/N/Hf/G (15004) |
$639.25 |
$1,278.50 |
1.8× |