| Abd paracentesis w/imaging (49083) |
$1,449.55 |
$1,705.35 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$687.90 |
$809.30 |
0.7× |
| Ablate inf turbinate submuc (30802) |
$436.87 |
$513.97 |
0.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$11,381.50 |
$13,390 |
0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,147.10 |
$2,526 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,619.03 |
$1,904.74 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$1,582.03 |
$1,861.21 |
0.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$635.86 |
$748.07 |
0.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$5,329.43 |
$6,269.92 |
1.0× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$275.49 |
$324.10 |
1.6× |
| Application cast elbow finger short arm (29075) |
$231.75 |
$272.65 |
0.8× |
| Application finger splint static (29130) |
$195.68 |
$230.22 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$257.50 |
$302.94 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$292.62 |
$344.26 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$227.70 |
$267.88 |
1.7× |
| Apply long leg splint (29505) |
$225.59 |
$265.40 |
1.3× |
| Apply short leg splint (29515) |
$258.28 |
$303.85 |
1.5× |
| Arterial puncture (36600) |
$126.65 |
$149 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$275.20 |
$323.77 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$315.95 |
$371.71 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$262.60 |
$308.94 |
0.8× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,748.19 |
$5,586.10 |
0.3× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
likely a partial charge, not the full procedure |
$2,396.89 |
$2,819.87 |
0.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$872.61 |
$1,026.60 |
0.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,050.71 |
$1,236.13 |
0.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,777.96 |
$3,268.19 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,186.87 |
$1,396.32 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,413.75 |
$2,839.71 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,253.54 |
$2,651.22 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,626.50 |
$3,090 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,542.45 |
$2,991.12 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,619.50 |
$3,081.76 |
0.3× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$1,446.05 |
$1,701.23 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,911.04 |
$3,424.75 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$1,393.80 |
$1,639.76 |
2.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$225.44 |
$265.22 |
0.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$626.86 |
$737.48 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,132.68 |
$2,509.03 |
1.0× |
| Aspiration bladder needle (51100) |
$152.06 |
$178.89 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$264.40 |
$311.06 |
1.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$426.78 |
$502.10 |
0.4× |
| Biopsy external ear (69100) |
$256.66 |
$301.96 |
1.0× |
| Biopsy muscle deep (20205) |
$652.38 |
$767.51 |
0.2× |
| Biopsy of lip (40490) |
$472.33 |
$555.68 |
1.9× |
| Biopsy of palate, uvula (42100) |
$787.40 |
$926.36 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$721.41 |
$848.72 |
0.2× |
| Biopsy Oropharynx (42800) |
$486.96 |
$572.89 |
0.3× |
| Biopsy Salivary Gland,Needle (42400) |
$300.05 |
$353 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$301.17 |
$354.32 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,072.59 |
$1,261.87 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$726.60 |
$854.82 |
1.0× |
| Blood patch (62273) |
$236.12 |
$277.79 |
0.3× |
| Blood transfusion service (36430) |
$871.37 |
$1,025.14 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$2,194.32 |
$2,581.54 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$382.66 |
$450.19 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,313.63 |
$1,545.44 |
0.8× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$411.55 |
$484.18 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$413.47 |
$486.43 |
0.6× |
| Change of cystostomy tube simple (51705) |
$316.52 |
$372.38 |
1.2× |
| Chemical cautery tissue (17250) |
$205.61 |
$241.89 |
1.0× |
| Circum 28 days or older (54161) |
$2,132.68 |
$2,509.03 |
1.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$424.13 |
$498.98 |
1.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,338.75 |
$1,575 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$811.59 |
$954.81 |
3.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$154.79 |
$182.10 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$829.48 |
$975.86 |
3.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$229.45 |
$269.94 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$734.98 |
$864.68 |
2.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$778.23 |
$915.56 |
3.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$493.91 |
$581.07 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$426.31 |
$501.54 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$818.16 |
$962.54 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,364.03 |
$1,604.74 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$461.70 |
$543.18 |
1.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,721.23 |
$2,024.98 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$668.88 |
$786.92 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$724.48 |
$852.32 |
2.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$809.79 |
$952.69 |
3.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$679.39 |
$799.28 |
2.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,312.19 |
$1,543.76 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$360.38 |
$423.98 |
1.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$176.80 |
$208 |
1.3× |
| Colonoscopy flex w/rem forcep (45384) |
$1,194.84 |
$1,405.69 |
1.0× |
| Colonoscopy thru stoma (44388) |
$955.87 |
$1,124.55 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$524.82 |
$617.44 |
1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$397.22 |
$467.32 |
1.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$533.37 |
$627.50 |
1.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$516.26 |
$607.36 |
1.6× |
| Colposcopy vulva w/biopsy (56821) |
$526.62 |
$619.54 |
1.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$533.80 |
$628 |
1.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$793.64 |
$933.70 |
0.8× |
| Conization of cervix (57522) |
$1,153.59 |
$1,357.17 |
0.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$253.96 |
$298.78 |
1.8× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$473.42 |
$556.97 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$213.91 |
$251.66 |
1.6× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,053.47 |
$1,239.38 |
0.3× |
| Cysto w/insert ureteral stent (52332) |
$645.53 |
$759.45 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$890.39 |
$1,047.52 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,330.82 |
$1,565.68 |
0.6× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$1,533.46 |
$1,804.07 |
0.3× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$2,543.20 |
$2,992 |
0.3× |
| Cystourethroscopy (52000) |
$880.70 |
$1,036.12 |
1.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$635.59 |
$747.75 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$777.46 |
$914.66 |
0.4× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge, not the full procedure |
$1,177.86 |
$1,385.72 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$406.55 |
$478.29 |
1.0× |
| Debride nail 1-5 (11720) |
$77.04 |
$90.64 |
1.3× |
| Debride tissue/muscle (11043) |
$641.16 |
$754.30 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$269.76 |
$317.36 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$645.22 |
$759.08 |
1.5× |
| Destruction Benign Lesions 15/> (17111) |
$321.03 |
$377.68 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$293.97 |
$345.85 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$348.89 |
$410.46 |
1.7× |
| Destruction Premalignant Lesion 15/> (17004) |
$444.57 |
$523.02 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$212.81 |
$250.37 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$955.87 |
$1,124.55 |
1.0× |
| Dilation and curettage (58120) |
$3,250.86 |
$3,824.54 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,901.60 |
$2,237.18 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$700.40 |
$824 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$387.88 |
$456.33 |
1.9× |
| Drainage of hematoma/fluid (10140) |
$446.51 |
$525.30 |
0.3× |
| Draw blood off venous device (36591) |
$115.60 |
$136 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$210.11 |
$247.19 |
1.0× |
| Dx bone marrow bx & aspir (38222) |
$473.42 |
$556.97 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,428.45 |
$2,857 |
1.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,002.82 |
$2,356.26 |
1.0× |
| Egd flexible foreign body removal (43247) |
$919.80 |
$1,082.12 |
1.0× |
| Egd remove lesion snare (43251) |
$2,002.82 |
$2,356.26 |
1.0× |
| Endocervical Curettage (57505) |
$947.85 |
$1,115.12 |
1.0× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure |
$1,455.98 |
$1,712.92 |
0.3× |
| Endometrial Biopsy (58100) |
$282.25 |
$332.06 |
1.4× |
| Endovenous rf 1st vein (36475) |
$2,101.20 |
$2,472 |
0.6× |
Ethmoidectomy Intranasal Anterior (31200)
likely a partial charge, not the full procedure |
$1,341.95 |
$1,578.77 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$127.82 |
$150.38 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$946.03 |
$1,112.98 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$304.79 |
$358.58 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,024.20 |
$1,204.95 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$412.46 |
$485.25 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$557.20 |
$655.53 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$522.18 |
$614.33 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$339.07 |
$398.90 |
0.5× |
| Exc Frenum Labial/Buccal (40819) |
$780.07 |
$917.73 |
0.5× |
| Exc ganglion wrist recurrent (25112) |
$843.09 |
$991.87 |
0.5× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,693.83 |
$1,992.74 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$737.52 |
$867.67 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$1,643.31 |
$1,933.31 |
0.5× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$966.09 |
$1,136.58 |
0.5× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,418.26 |
$2,845.01 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$351.69 |
$413.75 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$370.63 |
$436.03 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$724.91 |
$852.84 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,143.76 |
$2,522.07 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,540.88 |
$1,812.80 |
0.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$948.17 |
$1,115.49 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$599.90 |
$705.76 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$952.54 |
$1,120.64 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$867.75 |
$1,020.88 |
0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$475.06 |
$558.89 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,505.95 |
$1,771.70 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,312.37 |
$1,543.97 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,452.65 |
$1,709 |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,255.47 |
$1,477.02 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$883.73 |
$1,039.68 |
0.3× |
| Excise Wrist Tendon Sheath (25118) |
$1,766.76 |
$2,078.54 |
1.1× |
| Excise/repair mouth lesion (40812) |
$692.53 |
$814.74 |
0.4× |
| Excision Aural Polyp (69540) |
$282.68 |
$332.57 |
0.2× |
| Excision Breast Lesion (19125) |
$2,047.91 |
$2,409.30 |
0.5× |
Excision Facial Bone (21026)
likely a partial charge, not the full procedure |
$1,116.73 |
$1,313.80 |
0.2× |
| Excision interdigital morton neuroma single each (28080) |
$1,116.73 |
$1,313.80 |
0.7× |
| Excision lesion meniscus/capsule knee (27347) |
$1,443.70 |
$1,698.47 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$832.46 |
$979.37 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$596.97 |
$702.32 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$846.33 |
$995.68 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$688.95 |
$810.53 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$474.52 |
$558.26 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$329.80 |
$388 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$518.30 |
$609.76 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,476.53 |
$1,737.10 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,673.96 |
$1,969.36 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$478.55 |
$563 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$557.60 |
$656 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,171.44 |
$1,378.16 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$717.03 |
$843.57 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$397.69 |
$467.87 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$707.43 |
$832.27 |
0.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,354.05 |
$1,593 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$1,765.05 |
$2,076.52 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$431.94 |
$508.17 |
0.3× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure |
$2,693.57 |
$3,168.91 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$764.31 |
$899.19 |
0.3× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$6,140.12 |
$7,223.67 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,250.86 |
$3,824.54 |
1.0× |
| Excision olecranon bursa (24105) |
$783.95 |
$922.29 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,556.75 |
$1,831.47 |
0.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$684.71 |
$805.54 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,448.08 |
$1,703.62 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,130.27 |
$1,329.73 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,167.90 |
$1,374 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$804.90 |
$946.94 |
0.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$896.80 |
$1,055.06 |
0.3× |
| Exploration maxillary sinus (31020) |
$1,053.73 |
$1,239.68 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,251.20 |
$1,472 |
0.7× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,273.85 |
$1,498.65 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$1,216.95 |
$1,431.70 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$622.72 |
$732.61 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$358.90 |
$422.24 |
0.9× |
| Fit/Insert Intravag Support Device (57160) |
$195.24 |
$229.68 |
0.9× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$398.35 |
$468.65 |
0.1× |
| Frenulotomy of penis (54164) |
$706.52 |
$831.20 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,150.41 |
$1,353.42 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,761.51 |
$2,072.36 |
0.6× |
| Hysteroscopy biopsy (58558) |
$1,631.93 |
$1,919.92 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$776.53 |
$913.56 |
0.2× |
| I&d abscess simple (10060) |
$295.92 |
$348.14 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,230.91 |
$1,448.13 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,602.17 |
$1,884.90 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$505.89 |
$595.16 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$669.11 |
$787.19 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$381.44 |
$448.76 |
0.9× |
| Incision and drainage perianal abscess superficial (46050) |
$940.11 |
$1,106.02 |
1.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,970.41 |
$3,494.60 |
1.0× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$770.81 |
$906.84 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,388.90 |
$1,634 |
0.8× |
| Incision of eardrum (69421) |
$386.10 |
$454.23 |
0.1× |
| Incision of eardrum (69420) |
$314.70 |
$370.24 |
1.3× |
| Incision of labial frenum (frenotomy) (40806) |
$221 |
$260 |
0.4× |
| Incision of rectal abscess (46040) |
$1,251.09 |
$1,471.87 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$538.12 |
$633.08 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$189.98 |
$223.51 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$230.56 |
$271.26 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$951.67 |
$1,119.61 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$51.72 |
$60.85 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$455.38 |
$535.74 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$275.78 |
$324.45 |
0.9× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$719.66 |
$846.66 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$214.88 |
$252.80 |
0.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$312.91 |
$368.13 |
1.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$596.22 |
$701.43 |
0.8× |
| Injection for identification of sentinel node (38792) |
$451.62 |
$531.32 |
1.1× |
| Injection into skin lesions (11900) |
$179.04 |
$210.64 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$280.22 |
$329.66 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$218.84 |
$257.45 |
0.7× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$1,584.66 |
$1,864.30 |
0.1× |
| Insert Drug Implant Device (11981) |
$215.38 |
$253.38 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$1,995.26 |
$2,347.37 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$197.09 |
$231.87 |
1.4× |
| Insert tunneled cv cath (36561) |
$1,331.18 |
$1,566.09 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$163.08 |
$191.86 |
1.2× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$777.75 |
$915 |
0.5× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$539.31 |
$634.48 |
0.1× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
likely a partial charge, not the full procedure |
$1,839.43 |
$2,164.03 |
0.2× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
likely a partial charge, not the full procedure |
$994.70 |
$1,170.23 |
0.1× |
| Insj picc rs&i 5 yr+ (36573) |
$2,500.85 |
$2,942.18 |
1.5× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$3,099.27 |
$3,646.20 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$394.92 |
$464.62 |
1.6× |
| Knee Arthroscopy/Surgery (29874) |
$1,135.06 |
$1,335.37 |
0.3× |
| Labyrinthotomy Transcanal (69801) |
$904.30 |
$1,063.88 |
0.6× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,399.99 |
$1,647.05 |
0.2× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$3,681 |
$4,330.59 |
0.3× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,043.40 |
$2,404 |
0.3× |
| Laparoscopy tubal block (58671) |
$5,993.13 |
$7,050.74 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,993.13 |
$7,050.74 |
1.0× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,699.88 |
$3,176.33 |
0.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$3,128.22 |
$3,680.26 |
0.5× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
unusually low: confirm this is the full procedure |
$2,148.52 |
$2,527.67 |
0.3× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$5,993.13 |
$7,050.74 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,993.13 |
$7,050.74 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,993.13 |
$7,050.74 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$195.76 |
$230.31 |
1.0× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$4,469.70 |
$5,258.47 |
0.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,208.25 |
$2,597.94 |
0.6× |
| Lysis Intranasal Synechia (30560) |
$743.30 |
$874.47 |
1.3× |
Male sling procedure (53440)
likely a partial charge, not the full procedure |
$2,114.92 |
$2,488.14 |
0.2× |
| Mastectomy partial (19301) |
$1,623.18 |
$1,909.62 |
0.4× |
| Metatarsectomy (28140) |
$1,435.82 |
$1,689.20 |
0.4× |
| Myringoplasty (69620) |
$1,607.72 |
$1,891.43 |
0.5× |
| Nasal endoscopy dx (31231) |
$508.67 |
$598.43 |
2.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,373.20 |
$1,615.52 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$829.10 |
$975.41 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,374.45 |
$1,617 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$473.45 |
$557 |
1.1× |
| Njx aa&/strd sciatic nerve (64445) |
$149.89 |
$176.34 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,464.47 |
$1,722.90 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$742.59 |
$873.64 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,464.47 |
$1,722.90 |
2.0× |
| Occipital Nerve Block (64405) |
$400.20 |
$470.83 |
1.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,445.45 |
$1,700.53 |
0.4× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
likely a partial charge, not the full procedure |
$1,753.87 |
$2,063.38 |
0.1× |
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 |
$1,430.90 |
$1,683.41 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
unusually low: confirm this is the full procedure |
$2,427.76 |
$2,856.19 |
0.3× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$2,048.67 |
$2,410.20 |
0.3× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,213.26 |
$2,603.84 |
0.7× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$1,523 |
$1,791.77 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$2,441.77 |
$2,872.67 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$639.60 |
$752.47 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$878.59 |
$1,033.64 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,548.72 |
$1,822.02 |
0.1× |
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure |
$1,937.55 |
$2,279.47 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,523.98 |
$1,792.92 |
0.5× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$3,438.96 |
$4,045.84 |
0.5× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,387.89 |
$1,632.81 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,882.33 |
$2,214.50 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure |
$2,654.52 |
$3,122.96 |
0.4× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
likely a partial charge, not the full procedure |
$1,522.54 |
$1,791.22 |
0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,874.78 |
$5,735.04 |
0.7× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$1,844.48 |
$2,169.98 |
0.1× |
| Ovarian cystectomy (58925) |
$5,329.43 |
$6,269.92 |
1.0× |
P-mastectomy w/ln removal (19302)
unusually low: confirm this is the full procedure |
$2,595.58 |
$3,053.62 |
0.4× |
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure |
$2,612.38 |
$3,073.39 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$971.58 |
$1,143.04 |
0.6× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,263.35 |
$1,486.29 |
0.8× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,845.55 |
$2,171.24 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$953.16 |
$1,121.37 |
1.3× |
| Perq device breast 1st imag (19281) |
$1,492.42 |
$1,755.79 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$265.52 |
$312.38 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$895 |
$1,052.94 |
1.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,710.73 |
$2,012.62 |
0.5× |
| Phleb veins - extrem 20+ (37766) |
$1,131.19 |
$1,330.81 |
0.3× |
| Picc line placement (36569) |
$1,661.70 |
$1,954.94 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$182.16 |
$214.30 |
0.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,269.69 |
$1,493.75 |
0.4× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure |
$3,404.25 |
$4,005 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$320.24 |
$376.75 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$904.15 |
$1,063.70 |
1.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$404.73 |
$476.15 |
1.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$2,721.45 |
$3,201.70 |
0.9× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$2,475.83 |
$2,912.74 |
0.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$3,856.58 |
$4,537.15 |
0.5× |
| Relocation of skin pocket for pacemaker (33222) |
$692.24 |
$814.40 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$355.10 |
$417.77 |
0.5× |
| Removal foreign body intranasal (30300) |
$382.68 |
$450.22 |
2.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55 |
$64.71 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$120.84 |
$142.16 |
2.0× |
| Removal of adenoids (42830) |
$667.31 |
$785.07 |
0.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$163.20 |
$192 |
0.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$459.64 |
$540.75 |
0.7× |
| Removal of iud (58301) |
$315.18 |
$370.80 |
1.0× |
Removal Of Knee Prosthesis (27488)
likely a partial charge, not the full procedure |
$2,481.41 |
$2,919.31 |
0.2× |
| Removal of nail bed (11750) |
$674.57 |
$793.62 |
1.6× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$975.80 |
$1,148 |
0.2× |
| Removal of tonsils (42826) |
$768.40 |
$904 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$225.45 |
$265.23 |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$281.04 |
$330.63 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$396.70 |
$466.70 |
1.4× |
| Remove drug implant device (11982) |
$387.84 |
$456.29 |
0.8× |
| Remove ext hem groups 2+ (46250) |
$834.04 |
$981.22 |
0.3× |
| Remove inner ear (69905) |
$3,962.13 |
$4,661.33 |
0.6× |
Remove palate/lesion (42120)
unusually low: confirm this is the full procedure |
$2,603.40 |
$3,062.82 |
0.4× |
Remove Prostate Regrowth (52630)
likely a partial charge, not the full procedure |
$1,060.48 |
$1,247.62 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$419.80 |
$493.88 |
0.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$203.99 |
$239.99 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$300.29 |
$353.28 |
2.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$129.85 |
$152.77 |
0.9× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$768.34 |
$903.93 |
0.0× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$1,233.58 |
$1,451.27 |
0.1× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$741.94 |
$872.87 |
0.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,369.78 |
$1,611.51 |
3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$950.46 |
$1,118.19 |
2.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,180 |
$2,564.70 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,239.53 |
$2,634.74 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$505.34 |
$594.52 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$512.17 |
$602.55 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$693.36 |
$815.72 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$923.41 |
$1,086.36 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$634.74 |
$746.75 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$592.75 |
$697.35 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$538.43 |
$633.45 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$554.20 |
$652 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$536.24 |
$630.88 |
1.3× |
| Repair intrinsic muscles hand each muscle (26591) |
$1,793.90 |
$2,110.47 |
0.5× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,799.98 |
$3,294.09 |
0.4× |
| Repair of nasal septum (30520) |
$1,261.85 |
$1,484.53 |
0.4× |
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468)
likely a partial charge, not the full procedure |
$351.65 |
$413.70 |
0.1× |
| Repair tympanic membrane (69610) |
$3,304.97 |
$3,888.20 |
2.1× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$2,997.13 |
$3,526.03 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$2,887.27 |
$3,396.79 |
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 |
$4,712.82 |
$5,544.49 |
0.3× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure |
$3,874.96 |
$4,558.78 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138)
likely a partial charge, not the full procedure |
$3,110.94 |
$3,659.93 |
0.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,108.38 |
$1,303.98 |
2.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,334.26 |
$1,569.72 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$476.14 |
$560.16 |
0.3× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$1,969.32 |
$2,316.85 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,799.98 |
$3,294.09 |
0.8× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,399.99 |
$1,647.05 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure |
$1,969.32 |
$2,316.85 |
0.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,399.99 |
$1,647.05 |
0.4× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,926.10 |
$2,266 |
0.3× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure |
$1,969.32 |
$2,316.85 |
0.3× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,594.09 |
$1,875.40 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,036.15 |
$1,219 |
1.9× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,073.33 |
$1,262.74 |
0.3× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$1,269.48 |
$1,493.50 |
0.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$234.46 |
$275.83 |
0.6× |
| Shoulder arthroscopy (29805) |
$991.62 |
$1,166.61 |
0.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,064.25 |
$3,605 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$293.07 |
$344.79 |
1.4× |
| Simple Cystometrogram (51725) |
$976.18 |
$1,148.45 |
3.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$233.76 |
$275.01 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$409.76 |
$482.08 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$369.90 |
$435.18 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$510.86 |
$601 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$269.47 |
$317.02 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$493.78 |
$580.92 |
2.4× |
| Skin sub graft trnk/arm/leg (15271) |
$1,219.26 |
$1,434.43 |
1.6× |
| Skin sub grft t/arm/lg child (15273) |
$2,591.96 |
$3,049.36 |
1.2× |
| Skin tissue rearrangement (14040) |
$1,844.11 |
$2,169.54 |
0.9× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,929.19 |
$2,269.63 |
0.4× |
| Slitting of prepuce (54001) |
$2,132.68 |
$2,509.03 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$329.62 |
$387.80 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$719.66 |
$846.66 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$344.25 |
$405 |
0.5× |
| Strapping unna boot (29580) |
$151.50 |
$178.23 |
0.9× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$628.26 |
$739.13 |
0.2× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,589.91 |
$1,870.48 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,298.31 |
$1,527.42 |
0.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,119.09 |
$1,316.58 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$156.12 |
$183.66 |
0.4× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge, not the full procedure |
$648.87 |
$763.38 |
0.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$831.31 |
$978.01 |
1.3× |
| Thrombolytic Therapy Stroke (37195) |
$319.59 |
$375.99 |
0.9× |
| Thyroid biopsy (60100) |
$485.66 |
$571.36 |
0.7× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure |
$2,689.91 |
$3,164.60 |
0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$925.65 |
$1,089 |
0.3× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$5,359.81 |
$6,305.66 |
0.4× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,829.62 |
$3,328.96 |
0.2× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure |
$1,933.50 |
$2,274.70 |
0.3× |
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure |
$2,145.71 |
$2,524.37 |
0.4× |
| Transurethral resection bladder neck (52500) |
$1,284.11 |
$1,510.72 |
0.4× |
| Treat clavicle fracture (23505) |
$741.25 |
$872.06 |
0.4× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,899.86 |
$2,235.13 |
0.3× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,579.08 |
$1,857.74 |
0.2× |
| Treat Thigh Fracture (27245) |
$4,507.07 |
$5,302.44 |
0.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,235.90 |
$1,454 |
0.7× |
| Treat wrist bone fracture (25622) |
$1,054.10 |
$1,240.12 |
4.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$816.53 |
$960.62 |
3.2× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,126.05 |
$6,030.65 |
0.7× |
| Trim skin lesion (11055) |
$133.85 |
$157.47 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$150.24 |
$176.75 |
0.7× |
| Tubal ligation (58600) |
$1,010.80 |
$1,189.18 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$1,846.42 |
$2,172.25 |
1.1× |
| Tympanostomy (69433) |
$846.61 |
$996.01 |
1.5× |
| Tympanostomy general anesthesia (69436) |
$871.12 |
$1,024.85 |
0.5× |
| Unlisted procedure, stomach (43999) |
$958.77 |
$1,127.97 |
1.0× |
| Us urine capacity measure (51798) |
$76.50 |
$90 |
1.3× |
Vag hyst complex (58290)
unusually low: confirm this is the full procedure |
$3,364.64 |
$3,958.40 |
0.4× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,329.43 |
$6,269.92 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$817.90 |
$962.24 |
0.4× |
| Venipuncture (36415) |
$39.95 |
$47 |
4.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,176.31 |
$3,736.84 |
0.9× |
| Wedge excision skin nail fold (11765) |
$538.43 |
$633.45 |
1.3× |