| Abd paracentesis w/imaging (49083) |
$381.90 |
$1,273 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$365.40 |
$1,218 |
0.5× |
| Ablate inf turbinate submuc (30802) |
$598.05 |
$1,993.50 |
0.4× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$598.05 |
$1,993.50 |
0.4× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$609 |
$2,030 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$1,156.80 |
$3,856 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$1,156.80 |
$3,856 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,298.18 |
$4,327.25 |
0.5× |
| Amputation, foot; transmetatarsal (28805) |
$1,464.90 |
$4,883 |
0.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,787.55 |
$5,958.50 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$348 |
$1,160 |
2.5× |
| Application cast elbow finger short arm (29075) |
$188.70 |
$629 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$83.40 |
$278 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$188.70 |
$629 |
0.8× |
| Application finger splint static (29130) |
$89.70 |
$299 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$67.95 |
$226.50 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$85.05 |
$283.50 |
0.6× |
| Application of long leg cast (29345) |
$188.70 |
$629 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$279 |
$930 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$89.70 |
$299 |
0.8× |
| Application short leg splint calf foot (29515) |
$67.95 |
$226.50 |
0.5× |
| Apply short leg cast (29405) |
$188.70 |
$629 |
0.8× |
| Apply short leg cast (29425) |
$188.70 |
$629 |
0.8× |
| Arterial puncture (36600) |
$40.50 |
$135 |
0.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$2,568.60 |
$8,562 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$157.35 |
$524.50 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$198 |
$660 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$163.35 |
$544.50 |
0.6× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$1,577.20 |
$5,257.34 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure |
$2,561.75 |
$8,539.16 |
0.4× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889)
likely a partial charge, not the full procedure |
$2,893.20 |
$9,644 |
0.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,265.60 |
$4,218.66 |
0.4× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
likely a partial charge, not the full procedure |
$1,185.90 |
$3,953 |
0.1× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,266.08 |
$4,220.25 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,688.10 |
$5,627 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,688.10 |
$5,627 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$805.50 |
$2,685 |
0.1× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$1,680.60 |
$5,602 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$892.50 |
$2,975 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,006.88 |
$3,356.25 |
0.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$805.50 |
$2,685 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,006.88 |
$3,356.25 |
0.2× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$844.05 |
$2,813.50 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$221.40 |
$738 |
0.8× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$848.10 |
$2,827 |
0.5× |
| Av fistula revision (36833) |
$2,267.40 |
$7,558 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$111.30 |
$371 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$446.55 |
$1,488.50 |
0.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$688.95 |
$2,296.50 |
0.2× |
| Biopsy Oropharynx (42800) |
$1,415.40 |
$4,718 |
1.1× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,136.40 |
$3,788 |
0.8× |
| Biopsy soft tissue of back (21920) |
$1,136.40 |
$3,788 |
0.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$2,734.20 |
$9,114 |
3.4× |
| Bladder Irrigation Simple (51700) |
$188.85 |
$629.50 |
0.9× |
| Bladder Scan (51798) |
$65.70 |
$219 |
1.3× |
| Blood patch (62273) |
$221.40 |
$738 |
0.4× |
| Blood transfusion service (36430) |
$268.35 |
$894.50 |
0.7× |
| Bone marrow aspiration only (38220) |
$458.70 |
$1,529 |
0.3× |
| Bone Marrow Biopsy (38221) |
$893.70 |
$2,979 |
0.6× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$385.20 |
$1,284 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,146.60 |
$3,822 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$893.10 |
$2,977 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$1,206.68 |
$4,022.25 |
0.8× |
| Bx vulva/perineum 1 lesion (56605) |
$1,182.60 |
$3,942 |
1.5× |
| Bx/exc lymph node needle superficial (38505) |
$602.70 |
$2,009 |
0.4× |
| Canthotomy Separate Procedure (67715) |
$724.50 |
$2,415 |
0.4× |
| Cataract surgery complex (66982) |
$1,061.70 |
$3,539 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$117.30 |
$391 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$183.30 |
$611 |
0.9× |
| Chemical Cautery Tissue (17250) |
$209.25 |
$697.50 |
1.2× |
| Chest tube placement (32551) |
$593.70 |
$1,979 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$98.40 |
$328 |
0.9× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,171.10 |
$7,237 |
0.7× |
| Chromotubation of oviduct, including materials (58350) |
$730.60 |
$2,435.33 |
0.2× |
| Circum 28 days or older (54161) |
$1,364.40 |
$4,548 |
0.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$531.30 |
$1,771 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$177.60 |
$592 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$177.60 |
$592 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$459.30 |
$1,531 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$441 |
$1,470 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$177.60 |
$592 |
0.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$253.50 |
$845 |
1.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$600.90 |
$2,003 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,147.50 |
$3,825 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$133.50 |
$445 |
0.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$177.60 |
$592 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$133.50 |
$445 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$177.60 |
$592 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$144.60 |
$482 |
0.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,022.40 |
$3,408 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$144.60 |
$482 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$148.50 |
$495 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$177.60 |
$592 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$144.60 |
$482 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$133.50 |
$445 |
0.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,763.10 |
$5,877 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$153 |
$510 |
0.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$870 |
$2,900 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$177.60 |
$592 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$729.90 |
$2,433 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$176.40 |
$588 |
0.1× |
| Colonoscopy flex w/rem forcep (45384) |
$633 |
$2,110 |
0.6× |
| Colonoscopy thru stoma (44388) |
$700.80 |
$2,336 |
0.9× |
| Colonoscopy w/ablation (45388) |
$525.60 |
$1,752 |
0.5× |
| Colporrhaphy suture injury vagina (57200) |
$2,375.10 |
$7,917 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$700.80 |
$2,336 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$350.40 |
$1,168 |
0.3× |
| Complete replacement picc rs&i (36584) |
$742.50 |
$2,475 |
0.5× |
| Complex Drainage, Wound (10180) |
$1,250.40 |
$4,168 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$176.55 |
$588.50 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$52.50 |
$175 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$686.10 |
$2,287 |
6.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$963.60 |
$3,212 |
0.7× |
| Create eardrum opening (69436) |
$884.70 |
$2,949 |
0.7× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$2,568.60 |
$8,562 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$80.70 |
$269 |
0.7× |
| Curettage postpartum (59160) |
$1,197.10 |
$3,990.33 |
0.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,045.30 |
$10,151 |
1.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,233.30 |
$4,111 |
0.4× |
| Cysto w/destruction of lesions (52214) |
$879.52 |
$2,931.75 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$1,727.70 |
$5,759 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,489.42 |
$4,964.75 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,857.50 |
$9,525 |
0.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$1,428.75 |
$4,762.50 |
0.5× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$1,339.65 |
$4,465.50 |
0.3× |
| Cysto/uretero w/lithotripsy (52356) |
$2,768.40 |
$9,228 |
0.6× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,359.48 |
$11,198.25 |
0.7× |
| Cystoscopy w/biopsy (52204) |
$1,048.58 |
$3,495.25 |
0.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,014.90 |
$3,383 |
0.6× |
| Cystoscopy,insert ureteral stent (52332) |
$2,243.48 |
$7,478.25 |
0.7× |
| Cystourethroscopy (52000) |
$1,014.90 |
$3,383 |
1.7× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,014.90 |
$3,383 |
0.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$616.65 |
$2,055.50 |
0.3× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,051.50 |
$3,505 |
0.3× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$863.85 |
$2,879.50 |
0.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$1,339.65 |
$4,465.50 |
0.4× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$1,727.70 |
$5,759 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,156.80 |
$3,856 |
3.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$372.30 |
$1,241 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$653.10 |
$2,177 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,035.30 |
$3,451 |
0.7× |
| Declot vascular device (36593) |
$262.20 |
$874 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$2,209.05 |
$7,363.50 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$1,164.20 |
$3,880.68 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$499.95 |
$1,666.50 |
2.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$563.40 |
$1,878 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$563.40 |
$1,878 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,530.90 |
$5,103 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$531.90 |
$1,773 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$666.90 |
$2,223 |
0.8× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,252.80 |
$4,176 |
1.2× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$1,014.90 |
$3,383 |
0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$940.80 |
$3,136 |
0.3× |
| Dilation of anal sphincter (45905) |
$1,252.80 |
$4,176 |
1.2× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,290 |
$4,300 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$210.90 |
$703 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$931.20 |
$3,104 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$377.10 |
$1,257 |
2.2× |
| Drainage of gum lesion (41800) |
$80.70 |
$269 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$705.15 |
$2,350.50 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$505.95 |
$1,686.50 |
0.4× |
| Draw blood off venous device (36591) |
$144.45 |
$481.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$232.35 |
$774.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$177.75 |
$592.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$122.40 |
$408 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$8.10 |
$27 |
0.3× |
| Dstrj lesion anus simple surg excision (46922) |
$868.15 |
$2,893.83 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$565.20 |
$1,884 |
0.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$633 |
$2,110 |
0.4× |
| Egd flexible foreign body removal (43247) |
$565.20 |
$1,884 |
0.7× |
| Egd place gastrostomy tube (43246) |
$827.10 |
$2,757 |
0.5× |
| Egd remove lesion snare (43251) |
$422 |
$1,406.66 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$423.90 |
$1,413 |
0.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$225 |
$750 |
0.8× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,525.25 |
$8,417.50 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$282.60 |
$942 |
0.4× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,108.20 |
$3,694 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$80.70 |
$269 |
0.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$295.65 |
$985.50 |
0.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$591.30 |
$1,971 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,201.20 |
$4,004 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$465.60 |
$1,552 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$394.20 |
$1,314 |
0.3× |
| Exc back tum deep < 5 cm (21932) |
$1,182.60 |
$3,942 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$1,182.60 |
$3,942 |
0.8× |
| Exc frenum labial/buccal (40819) |
$815.40 |
$2,718 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$1,182.60 |
$3,942 |
0.5× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$1,845 |
$6,150 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$203 |
$676.66 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$295.65 |
$985.50 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$443.48 |
$1,478.25 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$394.20 |
$1,314 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,182.60 |
$3,942 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$591.30 |
$1,971 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$591.30 |
$1,971 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$233.70 |
$779 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$701.10 |
$2,337 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$591.30 |
$1,971 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$295.65 |
$985.50 |
0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,241.10 |
$4,137 |
1.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$591.30 |
$1,971 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,182.60 |
$3,942 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,008 |
$3,360 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,008 |
$3,360 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,182.60 |
$3,942 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,182.60 |
$3,942 |
0.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$394.20 |
$1,314 |
0.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,182.60 |
$3,942 |
0.5× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$1,436.10 |
$4,787 |
0.5× |
| Exchange nephrostomy cath (50435) |
$1,142.70 |
$3,809 |
0.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,031.10 |
$3,437 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$934.80 |
$3,116 |
0.7× |
| Excise cutaneous neurofibroma (64788) |
$394.20 |
$1,314 |
0.2× |
| Excise lesion testis (54512) |
$999.30 |
$3,331 |
0.3× |
| Excise/repair mouth lesion (40812) |
$609 |
$2,030 |
0.5× |
| Excision external ear partial simple repair (69110) |
$233.70 |
$779 |
0.1× |
| Excision hidradenitis axillary complex repair (11451) |
$1,182.60 |
$3,942 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$1,182.60 |
$3,942 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$815.40 |
$2,718 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$591.30 |
$1,971 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$233.70 |
$779 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$609 |
$2,030 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$203 |
$676.66 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$147.83 |
$492.75 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$118.26 |
$394.20 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$591.30 |
$1,971 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$233.70 |
$779 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$118.26 |
$394.20 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$609 |
$2,030 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$1,998.60 |
$6,662 |
0.6× |
| Excision of lesion of tongue without closure (41110) |
$609 |
$2,030 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$591.30 |
$1,971 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$609 |
$2,030 |
0.4× |
| Excision of local lesion of epididymis (54830) |
$1,436.10 |
$4,787 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$465.60 |
$1,552 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,252.80 |
$4,176 |
1.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$465.60 |
$1,552 |
0.2× |
| Excision of tongue lesion (41112) |
$609 |
$2,030 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$591.30 |
$1,971 |
0.2× |
| Excision olecranon bursa (24105) |
$1,302.90 |
$4,343 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$577.35 |
$1,924.50 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,182.60 |
$3,942 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$609 |
$2,030 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$394.20 |
$1,314 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,182.60 |
$3,942 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,182.60 |
$3,942 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,182.60 |
$3,942 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,182.60 |
$3,942 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,182.60 |
$3,942 |
0.4× |
| Fetal non-stress test (59025) |
$95.40 |
$318 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$493.20 |
$1,644 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$206.85 |
$689.50 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$339.60 |
$1,132 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$158.10 |
$527 |
0.8× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$233.70 |
$779 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$129 |
$430 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$690 |
$2,300 |
1.1× |
| Hemorrhoidectomy (46255) |
$1,241.10 |
$4,137 |
0.5× |
| Hemorrhoidectomy external complete (46250) |
$1,241.10 |
$4,137 |
0.5× |
| Hysteroscopy ablation (58563) |
$1,957.20 |
$6,524 |
0.5× |
| Hysteroscopy biopsy (58558) |
$1,881.60 |
$6,272 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$940.80 |
$3,136 |
0.3× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$730.60 |
$2,435.33 |
0.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$1,881.60 |
$6,272 |
0.4× |
| I&d abscess simple (10060) |
$150.30 |
$501 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$931.20 |
$3,104 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$80.70 |
$269 |
0.0× |
| I&d perianal abscess superficial (46050) |
$505.95 |
$1,686.50 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$236.70 |
$789 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$931.20 |
$3,104 |
0.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$931.20 |
$3,104 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$1,359.60 |
$4,532 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,035.90 |
$3,453 |
0.7× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,211 |
$4,036.68 |
0.2× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure |
$1,177.20 |
$3,924 |
0.2× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$1,177.20 |
$3,924 |
0.1× |
| Incise finger tendon sheath (26055) |
$963.30 |
$3,211 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$346.65 |
$1,155.50 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$688.50 |
$2,295 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$239.40 |
$798 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$121.50 |
$405 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$80.70 |
$269 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$934.80 |
$3,116 |
0.7× |
| Incision of eardrum (69421) |
$973.05 |
$3,243.50 |
0.3× |
| Incision of rectal abscess (46040) |
$1,092 |
$3,640 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$80.70 |
$269 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$465.60 |
$1,552 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$656.78 |
$2,189.25 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$192 |
$640 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$949.69 |
$3,165.62 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,617.65 |
$5,392.16 |
2.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,997.85 |
$6,659.50 |
2.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$345.30 |
$1,151 |
0.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$417.60 |
$1,392 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$460.80 |
$1,536 |
0.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$292.80 |
$976 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$544.50 |
$1,815 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,667.12 |
$5,557.08 |
2.7× |
| Injection anes other peripheral nerve/branch (64450) |
$1,005.90 |
$3,353 |
1.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$197.70 |
$659 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$170.10 |
$567 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$556.80 |
$1,856 |
2.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$463.95 |
$1,546.50 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$1,014.90 |
$3,383 |
9.1× |
| Insert cervical dilator (59200) |
$102 |
$340 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$1,063.20 |
$3,544 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$532.50 |
$1,775 |
0.2× |
| Insert picc cath (36569) |
$1,795.50 |
$5,985 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$216.60 |
$722 |
1.9× |
| Insert tun ip cath perc (49418) |
$1,914.30 |
$6,381 |
0.6× |
| Insert tunneled cv cath (36561) |
$1,528.42 |
$5,094.75 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,233.35 |
$7,444.50 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,795.50 |
$5,985 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,768.72 |
$5,895.75 |
0.6× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$1,211 |
$4,036.66 |
0.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$547.50 |
$1,825 |
0.4× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure |
$2,978.25 |
$9,927.50 |
0.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$2,834.55 |
$9,448.50 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$369.30 |
$1,231 |
1.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$169.20 |
$564 |
0.8× |
| Knee arthroscopy/surgery (29883) |
$2,049.40 |
$6,831.34 |
0.7× |
Knee arthroscopy/surgery (29885)
likely a partial charge, not the full procedure |
$1,688.10 |
$5,627 |
0.3× |
| Knee arthroscopy/surgery (29876) |
$1,266.08 |
$4,220.25 |
0.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$5,358 |
$17,860 |
0.9× |
| Lap ing hernia repair init (49650) |
$3,033.90 |
$10,113 |
0.6× |
Lap insert tunnel ip cath (49324)
unusually low: confirm this is the full procedure |
$1,914.30 |
$6,381 |
0.4× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,152.80 |
$7,176 |
0.4× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$1,986.60 |
$6,622 |
0.4× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
unusually low: confirm this is the full procedure |
$3,018.60 |
$10,062 |
0.3× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure |
$3,018.60 |
$10,062 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$1,291.72 |
$4,305.75 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,016 |
$6,720 |
0.4× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure |
$3,018.60 |
$10,062 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$2,977.50 |
$9,925 |
0.6× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,042.60 |
$10,142 |
0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$3,033.90 |
$10,113 |
0.6× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure |
$2,016 |
$6,720 |
0.4× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure |
$3,030.60 |
$10,102 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,344 |
$4,480 |
0.3× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
unusually low: confirm this is the full procedure |
$3,018.60 |
$10,062 |
0.3× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure |
$2,016 |
$6,720 |
0.4× |
Laps W/Revision Intraperitoneal Catheter (49325)
unusually low: confirm this is the full procedure |
$1,914.30 |
$6,381 |
0.4× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$1,530.90 |
$5,103 |
0.5× |
| Laryngoscope w/vc inj (31570) |
$1,530.90 |
$5,103 |
0.5× |
| Laryngoscopy w/biopsy (31535) |
$1,148.18 |
$3,827.25 |
0.4× |
| Laryngoscopy w/exc of tumor (31540) |
$1,530.90 |
$5,103 |
0.5× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,401.32 |
$4,671.09 |
0.2× |
| Ligation of a-v fistula (37607) |
$2,267.40 |
$7,558 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$1,201.20 |
$4,004 |
0.8× |
| Lip Surgery Procedure (40799) |
$931.20 |
$3,104 |
4.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,339.65 |
$4,465.50 |
0.4× |
| Lithotripsy (50590) |
$3,341.40 |
$11,138 |
1.1× |
| Marsup Bartholin Gland Cyst (56440) |
$1,370.02 |
$4,566.75 |
0.5× |
| Mastectomy partial (19301) |
$688.95 |
$2,296.50 |
0.2× |
| Myelography Lumbar Injection (62305) |
$532.80 |
$1,776 |
0.8× |
| Myelography Lumbar Injection (62304) |
$496.50 |
$1,655 |
0.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$496.50 |
$1,655 |
0.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$496.50 |
$1,655 |
0.7× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$1,157.70 |
$3,859 |
0.2× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$1,543.60 |
$5,145.33 |
0.3× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$1,543.60 |
$5,145.33 |
0.5× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
unusually low: confirm this is the full procedure |
$1,929.50 |
$6,431.66 |
0.3× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$1,543.60 |
$5,145.34 |
0.3× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$1,543.60 |
$5,145.34 |
0.3× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,246.88 |
$4,156.25 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$794.70 |
$2,649 |
0.5× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,543.60 |
$5,145.34 |
0.3× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,157.70 |
$3,859 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$256.80 |
$856 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$8.10 |
$27 |
0.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$525.60 |
$1,752 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,073.90 |
$6,913 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,029.30 |
$3,431 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$626.70 |
$2,089 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$526.20 |
$1,754 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$525.60 |
$1,752 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$420 |
$1,400 |
0.7× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$13,710 |
$45,700 |
0.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$3,995.70 |
$13,319 |
0.6× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$3,995.70 |
$13,319 |
0.6× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
unusually low: confirm this is the full procedure |
$2,341.12 |
$7,803.75 |
0.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$609 |
$2,030 |
0.2× |
| Partial removal of thyroid (60220) |
$3,244.20 |
$10,814 |
0.6× |
| Pelvic exam under anesthesia (57410) |
$1,252.80 |
$4,176 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$789.90 |
$2,633 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,110.30 |
$3,701 |
0.8× |
| Perq dev breast 1st strtctc (19283) |
$513.60 |
$1,712 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$504 |
$1,680 |
0.8× |
| Perq device breast 1st imag (19281) |
$438.60 |
$1,462 |
0.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$980.70 |
$3,269 |
0.7× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$583.20 |
$1,944 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$185.40 |
$618 |
0.9× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$8,541.90 |
$28,473 |
0.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$5,635.50 |
$18,785 |
0.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$3,891.90 |
$12,973 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$5,471.70 |
$18,239 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,471.70 |
$18,239 |
0.9× |
| Phalangectomy toe each toe (28150) |
$1,156.80 |
$3,856 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$158.40 |
$528 |
0.4× |
| Placement of seton (46020) |
$626.40 |
$2,088 |
0.3× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,301.40 |
$4,338 |
0.4× |
Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679)
likely a partial charge, not the full procedure |
$672 |
$2,240 |
0.1× |
| Prostatectomy (turp) (52601) |
$1,859.70 |
$6,199 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$688.95 |
$2,296.50 |
2.0× |
| Puncture Aspiration (10160) |
$330 |
$1,100 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,377.90 |
$4,593 |
2.3× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,236.75 |
$4,122.50 |
0.2× |
| Removal fb intranasal (30300) |
$116.70 |
$389 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,156.80 |
$3,856 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$629.10 |
$2,097 |
1.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,156.80 |
$3,856 |
0.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,267.40 |
$7,558 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$46.20 |
$154 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,252.80 |
$4,176 |
24.6× |
| Removal Implant Deep (20680) |
$1,398.30 |
$4,661 |
0.6× |
| Removal of adenoids (42831) |
$598.05 |
$1,993.50 |
0.2× |
| Removal of adenoids (42830) |
$1,097.10 |
$3,657 |
0.4× |
| Removal of adenoids (42836) |
$973.05 |
$3,243.50 |
0.3× |
| Removal of lens material (66840) |
$1,061.70 |
$3,539 |
0.5× |
| Removal of nail bed (11750) |
$609 |
$2,030 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,182.60 |
$3,942 |
6.8× |
| Removal of sperm cord lesion (55520) |
$1,516.95 |
$5,056.50 |
0.5× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$581.55 |
$1,938.50 |
0.3× |
| Removal of testis (54520) |
$1,436.10 |
$4,787 |
0.5× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$1,415.40 |
$4,718 |
0.3× |
| Removal of tonsils (42826) |
$1,415.40 |
$4,718 |
0.5× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$1,435.72 |
$4,785.75 |
0.5× |
| Remove anal fist subq (46270) |
$1,154.70 |
$3,849 |
0.5× |
| Remove bladder stone (52318) |
$1,339.65 |
$4,465.50 |
0.4× |
| Remove drug implant device (11982) |
$1,008 |
$3,360 |
2.6× |
| Remove ear lesion (69540) |
$1,047.52 |
$3,491.75 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$228.60 |
$762 |
0.8× |
| Remove in/ex hem groups 2+ (46260) |
$1,241.10 |
$4,137 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,154.70 |
$3,849 |
0.5× |
| Remove renal tube w/fluoro (50389) |
$488.10 |
$1,627 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$970.65 |
$3,235.50 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$42 |
$140 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$217.20 |
$724 |
1.9× |
| Renal biopsy (50200) |
$693 |
$2,310 |
0.5× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,393.20 |
$4,644 |
0.2× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,236.75 |
$4,122.50 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$330.90 |
$1,103 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$756.75 |
$2,522.50 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$380.10 |
$1,267 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$343.80 |
$1,146 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$390.15 |
$1,300.50 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$401.55 |
$1,338.50 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$365.10 |
$1,217 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$313.28 |
$1,044.25 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,990.20 |
$6,634 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$408.30 |
$1,361 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$197.10 |
$657 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$449.10 |
$1,497 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$166.20 |
$554 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$225.30 |
$751 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$160 |
$533.33 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$117 |
$390 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$197.10 |
$657 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$125.70 |
$419 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$295.65 |
$985.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$408.30 |
$1,361 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$408.30 |
$1,361 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$126 |
$420 |
0.4× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$1,393.20 |
$4,644 |
0.2× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,033.90 |
$10,113 |
0.5× |
| Repair of nail bed (11760) |
$275.70 |
$919 |
0.4× |
| Repair of nasal septum (30520) |
$678.38 |
$2,261.25 |
0.2× |
Repair of thigh musc (27385)
unusually low: confirm this is the full procedure |
$2,434.20 |
$8,114 |
0.4× |
| Repair Tongue Laceration (41250) |
$201.60 |
$672 |
0.5× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$1,990.20 |
$6,634 |
0.4× |
| Resect Inferior Turbinate (30140) |
$758.70 |
$2,529 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$1,055.10 |
$3,517 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$727.20 |
$2,424 |
0.4× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$581.55 |
$1,938.50 |
0.2× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$2,568.60 |
$8,562 |
0.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$1,575 |
$5,250 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$126 |
$420 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$688.50 |
$2,295 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$698.92 |
$2,329.75 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$409.50 |
$1,365 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$957 |
$3,190 |
0.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$897.75 |
$2,992.50 |
0.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,932.30 |
$6,441 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,879.80 |
$6,266 |
0.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,033.90 |
$10,113 |
0.5× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure |
$2,492.70 |
$8,309 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,033.90 |
$10,113 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$3,033.90 |
$10,113 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,492.70 |
$8,309 |
0.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$225.30 |
$751 |
0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$261.30 |
$871 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$564 |
$1,880 |
2.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$468.90 |
$1,563 |
0.9× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,221.60 |
$4,072 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$350.40 |
$1,168 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$700.80 |
$2,336 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$227.70 |
$759 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$132 |
$440 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$122.70 |
$409 |
0.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$227.70 |
$759 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$122.70 |
$409 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$126.60 |
$422 |
0.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$150.30 |
$501 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$173.70 |
$579 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$150.30 |
$501 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$150.30 |
$501 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$583.35 |
$1,944.50 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$583.35 |
$1,944.50 |
0.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$758.70 |
$2,529 |
0.4× |
| Skin Tissue Procedure (17999) |
$583.58 |
$1,945.25 |
3.4× |
| Skn sub grft f/n/hf/g child (15277) |
$408 |
$1,360 |
0.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,787.55 |
$5,958.50 |
0.4× |
| Slitting of prepuce (54001) |
$1,364.40 |
$4,548 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$148.80 |
$496 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$172.80 |
$576 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$172.05 |
$573.50 |
0.5× |
| Sphincterotomy (46080) |
$1,241.10 |
$4,137 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$246.60 |
$822 |
0.4× |
| Strapping ankle (29540) |
$86.40 |
$288 |
0.6× |
| Strapping unna boot (29580) |
$151.80 |
$506 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$465.60 |
$1,552 |
1.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$382.50 |
$1,275 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$380.40 |
$1,268 |
0.7× |
| Throat Surgery Procedure (42999) |
$765.45 |
$2,551.50 |
3.7× |
| Thrombolytic Art Therapy (37211) |
$3,036.60 |
$10,122 |
0.6× |
| Thrombolytic Therapy, Stroke (37195) |
$190.80 |
$636 |
0.7× |
| Thrombolytic Venous Therapy (37212) |
$935.70 |
$3,119 |
0.3× |
| Thyroidectomy, total or complete (60240) |
$3,244.20 |
$10,814 |
0.6× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$577.35 |
$1,924.50 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,415.40 |
$4,718 |
0.5× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,206.85 |
$10,689.50 |
0.3× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$4,047.90 |
$13,493 |
0.4× |
| Transurethral resection of bladder neck (52500) |
$1,727.70 |
$5,759 |
0.6× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,512 |
$5,040 |
0.3× |
| Treat eyelid lesion (67850) |
$416.40 |
$1,388 |
0.5× |
| Treat Fracture Radius & Ulna (25560) |
$177.60 |
$592 |
0.8× |
Treat fx rad extra-articul (25607)
unusually low: confirm this is the full procedure |
$1,997.85 |
$6,659.50 |
0.3× |
| Treat humerus fracture (24500) |
$177.60 |
$592 |
0.8× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,185.30 |
$3,951 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,147.50 |
$3,825 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$177.60 |
$592 |
0.8× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$2,341.12 |
$7,803.75 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$41.70 |
$139 |
0.8× |
| Trurl rescj postop bladder neck contracture (52640) |
$1,727.70 |
$5,759 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$842.10 |
$2,807 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$842.10 |
$2,807 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$356.10 |
$1,187 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$228.60 |
$762 |
0.7× |
| Unlisted laparoscopic procedure liver (47379) |
$3,042.60 |
$10,142 |
0.6× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,516.95 |
$5,056.50 |
0.3× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$1,008 |
$3,360 |
0.2× |
| Unlisted procedure anus (46999) |
$1,241.10 |
$4,137 |
1.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$189 |
$630 |
0.9× |
| Unlisted Procedure Nervous System (64999) |
$683.70 |
$2,279 |
2.6× |
| Unlisted Procedure Rectum (45999) |
$1,252.80 |
$4,176 |
1.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,090.10 |
$6,967 |
3.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,516.95 |
$5,056.50 |
1.9× |
| Unlisted procedure, male genital system (55899) |
$1,182.60 |
$3,942 |
5.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$2,734.20 |
$9,114 |
15.7× |
| Urology Surgery Procedure (53899) |
$186 |
$620 |
0.9× |
| Vasectomy (55250) |
$1,565.10 |
$5,217 |
0.9× |
| Venipuncture (36415) |
$7.80 |
$26 |
0.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,470.38 |
$4,901.25 |
0.5× |