| Abd paracentesis (49082) |
$738.65 |
$869 |
0.8× |
| Abd paracentesis w/imaging (49083) |
$1,806.19 |
$2,124.93 |
1.9× |
| Adding walker to previously applied cast (29440) |
$275.78 |
$324.45 |
1.6× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,355.36 |
$3,947.48 |
1.0× |
| Anoscopy and biopsy (46606) |
$334.62 |
$393.67 |
0.3× |
| Anoscopy diagnostic (46600) |
$335.54 |
$394.75 |
2.4× |
| Application Finger Splint Dynamic (29131) |
$128.70 |
$151.41 |
2.1× |
| Application finger splint static (29130) |
$136.60 |
$160.70 |
1.0× |
| Application of long leg cast (thigh to toes); (29345) |
$478.02 |
$562.38 |
1.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$314.50 |
$370 |
1.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$372.89 |
$438.69 |
2.7× |
| Application of short leg cast (below knee to toes); (29405) |
$454.12 |
$534.26 |
1.5× |
| Application of short leg splint (calf to foot) (29515) |
$344.73 |
$405.56 |
2.0× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$344.73 |
$405.56 |
2.0× |
| Application rigid total contact leg cast (29445) |
$686.70 |
$807.88 |
2.3× |
| Application, cast; shoulder to hand (long arm) (29065) |
$413.68 |
$486.68 |
1.4× |
| Apply hand/wrist cast (29085) |
$413.68 |
$486.68 |
2.4× |
| Apply long arm splint (29105) |
$476.83 |
$560.98 |
2.8× |
| Apply splint short arm dynamic (29126) |
$258.54 |
$304.17 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$546.97 |
$643.49 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$653.14 |
$768.40 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$867.56 |
$1,020.66 |
2.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$671.54 |
$790.04 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$519.39 |
$611.05 |
1.6× |
| Aspirate pleura w/o imaging (32554) |
$1,812.81 |
$2,132.72 |
2.7× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$408 |
$480 |
1.9× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,436.37 |
$1,689.85 |
1.5× |
| Biopsy of uterus lining (58100) |
$310.02 |
$364.73 |
1.5× |
| Bladder irrigation (51700) |
$471.59 |
$554.81 |
1.8× |
| Care of miscarriage (59820) |
$5,655.38 |
$6,653.39 |
1.7× |
| Cast short arm (29075) |
$393 |
$462.35 |
1.3× |
| Casting/strapping procedure (29799) |
$295.92 |
$348.14 |
1.7× |
| Chemical cauterization of granulation tissue (17250) |
$262 |
$308.23 |
1.2× |
| Chest tube placement (32551) |
$1,076.72 |
$1,266.72 |
0.6× |
| Closed rx humer epicondylr fx,manip (24565) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed rx radial shaft fx w/dislocation (25520) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed rx shldr disloc,prox hum fx (23675) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,776.50 |
$2,090 |
6.8× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$551.57 |
$648.90 |
2.1× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$517.10 |
$608.35 |
2.0× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$546.97 |
$643.49 |
2.1× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$551.57 |
$648.90 |
2.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$551.57 |
$648.90 |
2.1× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$551.57 |
$648.90 |
2.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$546.97 |
$643.49 |
2.1× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$551.57 |
$648.90 |
2.1× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$546.97 |
$643.49 |
2.1× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$579.15 |
$681.35 |
2.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$2,528.01 |
$2,974.13 |
0.7× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,236.75 |
$1,455 |
4.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,401.61 |
$2,825.42 |
1.4× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$3,355.36 |
$3,947.48 |
2.0× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21 (27831) |
$2,528.01 |
$2,974.13 |
0.7× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$546.97 |
$643.49 |
2.1× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$393 |
$462.35 |
1.5× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$546.97 |
$643.49 |
2.1× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$2,528.01 |
$2,974.13 |
0.7× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$546.97 |
$643.49 |
2.1× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$413.68 |
$486.68 |
1.6× |
| Closed treatment of ulnar styloid fracture (25650) |
$546.97 |
$643.49 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$413.68 |
$486.68 |
1.6× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$413.68 |
$486.68 |
1.6× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$551.57 |
$648.90 |
2.1× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,723.07 |
$4,380.08 |
2.3× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$721.63 |
$848.98 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$413.68 |
$486.68 |
1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,738.25 |
$2,045 |
6.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$413.68 |
$486.68 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,528.01 |
$2,974.13 |
1.5× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,528.01 |
$2,974.13 |
1.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$413.68 |
$486.68 |
1.6× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$546.97 |
$643.49 |
2.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$413.68 |
$486.68 |
1.6× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$413.68 |
$486.68 |
1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$551.57 |
$648.90 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$413.68 |
$486.68 |
1.6× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,298.19 |
$2,703.75 |
1.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$3,723.07 |
$4,380.08 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,749.55 |
$3,234.77 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$546.97 |
$643.49 |
2.1× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$413.68 |
$486.68 |
1.6× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$546.97 |
$643.49 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$765.76 |
$900.89 |
2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,907.54 |
$3,420.63 |
1.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$551.57 |
$648.90 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$551.57 |
$648.90 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$551.57 |
$648.90 |
2.1× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$546.97 |
$643.49 |
2.1× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$413.68 |
$486.68 |
1.6× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$546.97 |
$643.49 |
2.1× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$413.68 |
$486.68 |
1.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$551.57 |
$648.90 |
2.1× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$482.62 |
$567.79 |
1.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$413.68 |
$486.68 |
1.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$546.97 |
$643.49 |
2.1× |
| Cltx metar fx w/manj (28475) |
$413.68 |
$486.68 |
1.6× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$413.68 |
$486.68 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$551.57 |
$648.90 |
2.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$413.68 |
$486.68 |
1.6× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$551.57 |
$648.90 |
2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,528.01 |
$2,974.13 |
1.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,194.25 |
$1,405 |
4.6× |
| Collect blood from implant venous access device (36591) |
$195.34 |
$229.82 |
1.4× |
| Colonoscopy w/control bleed (45382) |
$1,479.12 |
$1,740.14 |
1.2× |
| Colonoscopy w/fb removal (45379) |
$585.58 |
$688.92 |
0.5× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$893.54 |
$1,051.22 |
0.7× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,016.89 |
$2,372.81 |
1.6× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,195.98 |
$1,407.03 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$745.54 |
$877.10 |
0.6× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$298.77 |
$351.49 |
2.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$561 |
$660 |
4.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$373.46 |
$439.36 |
2.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$298.77 |
$351.49 |
1.2× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$352.08 |
$414.21 |
0.1× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$988.22 |
$1,162.61 |
2.3× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$229.82 |
$270.38 |
3.7× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$252.80 |
$297.41 |
4.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$722.55 |
$850.06 |
1.7× |
| Declot vascular device (36593) |
$882.50 |
$1,038.24 |
2.5× |
| Diagnostic sigmoidoscopy (45330) |
$2,047.23 |
$2,408.50 |
2.1× |
| Drainage external auditory canal, abscess (69020) |
$544.56 |
$640.66 |
0.7× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$660.73 |
$777.33 |
0.9× |
| Drainage finger abscess simple (26010) |
$502.84 |
$591.58 |
2.4× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$544.56 |
$640.66 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$401.23 |
$472.04 |
0.2× |
| Drainage of scrotum (54700) |
$3,470.26 |
$4,082.66 |
1.6× |
| Drainage of tonsil abscess (42700) |
$535.81 |
$630.36 |
2.1× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$990.08 |
$1,164.80 |
0.5× |
| Ed proc insert intraosseous IV (36680) |
$393.45 |
$462.88 |
0.8× |
| Ed proc remve fb nasal- hospital (30300) |
$206.84 |
$243.34 |
1.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$46.89 |
$55.16 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$545.13 |
$641.33 |
1.3× |
| Ed prof burn medium - hospital (16025) |
$519.39 |
$611.05 |
2.5× |
| Ed prof burn small - hospital (16020) |
$275.78 |
$324.45 |
1.3× |
| Ed prof catheterization/straight (51701) |
$204.99 |
$241.17 |
1.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$551.57 |
$648.90 |
2.1× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$2,528.01 |
$2,974.13 |
1.5× |
| Ed prof drain dental abscess-hospital (41800) |
$1,049.75 |
$1,235 |
7.5× |
| Ed prof insert foley cath simple (51702) |
$218.79 |
$257.40 |
1.6× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$451.36 |
$531.02 |
0.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$1,037 |
$1,220 |
4.0× |
| Egd lesion ablation (43270) |
$1,723.64 |
$2,027.81 |
0.9× |
| Egd percutaneous placement gastrostomy tube (43246) |
$572.70 |
$673.77 |
0.3× |
| Egd transoral control bleeding any method (43255) |
$1,723.64 |
$2,027.81 |
0.9× |
| Egd us fine needle bx/aspir (43242) |
$1,308.12 |
$1,538.97 |
0.6× |
| Endocervical curettage (57505) |
$579.15 |
$681.35 |
0.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,368 |
$1,609.41 |
1.8× |
| Escharotomy 1st incision (16035) |
$988.22 |
$1,162.61 |
2.3× |
| Esoph egd dilation <30 mm (43249) |
$1,423.56 |
$1,674.78 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$723.47 |
$851.14 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$526.75 |
$619.70 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,150.02 |
$1,352.96 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,156.91 |
$1,361.07 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$2,022.18 |
$2,379.03 |
1.0× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,746.62 |
$2,054.85 |
1.8× |
| Evac subungual hematoma (11740) |
$204 |
$240 |
1.5× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$1,385.50 |
$1,630 |
0.6× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$2,559.27 |
$3,010.90 |
1.5× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$1,442.34 |
$1,696.87 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$353.92 |
$416.38 |
0.3× |
| Excision or fulguration; urethral caruncle Age Under 21 (53265) |
$3,470.26 |
$4,082.66 |
1.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$1,002.01 |
$1,178.84 |
2.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$464.24 |
$546.16 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,206.26 |
$2,595.60 |
1.3× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$735.42 |
$865.20 |
1.7× |
| Ganglion impar nerve block (64999) |
$957.26 |
$1,126.18 |
3.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$750.32 |
$882.74 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$473.42 |
$556.97 |
0.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$543.29 |
$639.17 |
0.2× |
| I&d abscess simple/single (10060) |
$440.62 |
$518.38 |
2.1× |
| I&d hematoma/seroma/fluid (10140) |
$3,071.30 |
$3,613.29 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$735.42 |
$865.20 |
1.0× |
| Incise & drain bladder (51040) |
$4,597.25 |
$5,408.53 |
2.1× |
| Incise external hemorrhoid (46083) |
$743.75 |
$875 |
2.8× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$748 |
$880 |
1.7× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$374.71 |
$440.84 |
1.8× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,103.13 |
$1,297.80 |
1.5× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$2,013.22 |
$2,368.49 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$527 |
$620 |
1.6× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$3,263.43 |
$3,839.33 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$4,543.05 |
$5,344.77 |
2.6× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$660.73 |
$777.33 |
1.5× |
| Incision of windpipe (31603) |
$1,585.75 |
$1,865.59 |
1.0× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$275.78 |
$324.45 |
1.3× |
| Inj epidural blood or clot patch (62273) |
$1,355.93 |
$1,595.21 |
1.8× |
| Inj paravert f jnt l/s 1 lev (64493) |
$810.15 |
$953.12 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$915.48 |
$1,077.04 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$697.73 |
$820.86 |
0.9× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$908.72 |
$1,069.08 |
2.8× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$753.81 |
$886.83 |
2.3× |
Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566)
likely a partial charge — not the full procedure |
$472.51 |
$555.89 |
0.1× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$1,912.09 |
$2,249.52 |
0.6× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,388.10 |
$1,633.06 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,912.09 |
$2,249.52 |
0.6× |
Insj Tunneled Ctr Vad W/Subq Pump (36563)
likely a partial charge — not the full procedure |
$1,653.32 |
$1,945.08 |
0.3× |
| Intubation endotracheal (31500) |
$468.83 |
$551.56 |
1.9× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$722.55 |
$850.06 |
0.1× |
| Lumbar puncture (62270) |
$1,535.19 |
$1,806.11 |
2.1× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$316 |
$371.77 |
5.1× |
| Meatotomy cutting meatus spx except infant (53020) |
$3,470.26 |
$4,082.66 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40.06 |
$47.12 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$60.43 |
$71.10 |
2.0× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$990.08 |
$1,164.80 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$870.63 |
$1,024.27 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$990.08 |
$1,164.80 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$956.16 |
$1,124.90 |
1.3× |
| Non stress test (59025) |
$510.42 |
$600.49 |
2.4× |
| Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) |
$5,515.65 |
$6,489 |
1.6× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$4,223.15 |
$4,968.41 |
2.1× |
| Pr closed treatment sesamoid fracture (28530) |
$413.68 |
$486.68 |
1.6× |
| Proctosigmoidoscopy dx (45300) |
$286.82 |
$337.43 |
0.3× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$528.58 |
$621.86 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Age Under 21 (21936) |
$2,441.59 |
$2,872.46 |
0.8× |
| Removal foreign body foot complicated (28193) |
$3,263.43 |
$3,839.33 |
1.9× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$2,206.26 |
$2,595.60 |
3.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55.25 |
$65 |
0.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$179.26 |
$210.89 |
2.9× |
| Removal implant superficial (20670) |
$4,355.53 |
$5,124.15 |
2.5× |
| Removal of anal fissure (46200) |
$783.22 |
$921.44 |
0.3× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$1,706.17 |
$2,007.26 |
0.3× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$2,206.26 |
$2,595.60 |
1.3× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,231.83 |
$1,449.21 |
0.7× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$3,263.43 |
$3,839.33 |
1.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$206.84 |
$243.34 |
1.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$206.84 |
$243.34 |
0.4× |
| Removal of foreign body, foot; deep (28192) |
$3,263.43 |
$3,839.33 |
1.9× |
| Removal of nail bed (11750) |
$613.16 |
$721.36 |
1.4× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$1,502.36 |
$1,767.48 |
0.7× |
| Removal tunneled cv cath (36590) |
$614.54 |
$722.98 |
0.4× |
| Removal, non-biodegradable drug delivery implant (11982) |
$399.67 |
$470.20 |
0.8× |
| Removal/revision of cast (29700) |
$478.02 |
$562.38 |
1.6× |
| Remove eyelid foreign body (67938) |
$602.12 |
$708.38 |
1.8× |
| Remove foreign body from eye (65210) |
$237.26 |
$279.13 |
0.5× |
| Remove pharynx foreign body (42809) |
$237.26 |
$279.13 |
0.5× |
| Repair finger tendon (26418) |
$3,355.36 |
$3,947.48 |
2.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$1,299.85 |
$1,529.24 |
0.3× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$1,483.71 |
$1,745.54 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$1,379.83 |
$1,623.33 |
0.4× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$1,020 |
$1,200 |
2.2× |
| Repair of nail bed (11760) |
$988.22 |
$1,162.61 |
1.3× |
| Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) |
$1,766.84 |
$2,078.64 |
0.5× |
| Repair recurrent femoral hernia; reducible Age Under 21 (49555) |
$1,444.18 |
$1,699.04 |
0.4× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
likely a partial charge — not the full procedure |
$1,570.12 |
$1,847.20 |
0.2× |
| Replace tunneled cv cath (36582) |
$1,653.78 |
$1,945.62 |
0.5× |
| Reset dislocated jaw (21480) |
$510 |
$600 |
2.0× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$284.75 |
$335 |
2.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$206.84 |
$243.34 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,263.43 |
$3,839.33 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$250.96 |
$295.25 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$774.95 |
$911.70 |
0.5× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$1,085.66 |
$1,277.25 |
0.3× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$1,526 |
$1,795.29 |
0.4× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$4,672.22 |
$5,496.73 |
1.2× |
| Sigmoidoscopy & polypectomy (45333) |
$1,436.37 |
$1,689.85 |
1.5× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,746.62 |
$2,054.85 |
1.4× |
| Small bowel endoscopy (44376) |
$2,500.43 |
$2,941.68 |
1.2× |
| Small bowel endoscopy/biopsy (44377) |
$2,500.43 |
$2,941.68 |
1.2× |
| Strapping ankle (29540) |
$275.78 |
$324.45 |
1.6× |
| Strapping elbow or wrist (29260) |
$104.80 |
$123.29 |
1.7× |
| Strapping hand/finger (29280) |
$104.80 |
$123.29 |
1.7× |
| Strapping of chest (29200) |
$206.84 |
$243.34 |
1.2× |
| Strapping of knee (29530) |
$128.70 |
$151.41 |
0.9× |
| Strapping of shoulder (29240) |
$128.70 |
$151.41 |
0.9× |
| Strapping of toes (29550) |
$128.70 |
$151.41 |
2.1× |
| Strapping unna boot (29580) |
$747.37 |
$879.26 |
4.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$888.94 |
$1,045.81 |
0.3× |
| Therapeutic spinal puncture drainage csf (62272) |
$624.75 |
$735 |
0.8× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,380.03 |
$1,623.57 |
2.1× |
| Transfusion, blood or blood components (36430) |
$850.33 |
$1,000.39 |
1.8× |
| Treat big toe fracture (28495) |
$413.68 |
$486.68 |
1.6× |
| Treat finger dislocation (26775) |
$482.62 |
$567.79 |
1.6× |
| Treat foot dislocation (28545) |
$5,515.65 |
$6,489 |
1.6× |
| Treat humerus fracture (24577) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat knee fracture (27532) |
$2,528.01 |
$2,974.13 |
0.7× |
| Treat lower leg fracture (27825) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat tail bone fracture (27200) |
$413.68 |
$486.68 |
1.6× |
| Treat thumb fracture (26645) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat toe dislocation (28630) |
$413.68 |
$486.68 |
1.6× |
| Treat ulnar fracture (24675) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat wrist bone fracture (25635) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat wrist bone fracture (25624) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat wrist dislocation (25690) |
$2,528.01 |
$2,974.13 |
1.5× |
| Treat wrist dislocation (25675) |
$546.97 |
$643.49 |
2.1× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$3,018.31 |
$3,550.95 |
1.8× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$413.68 |
$486.68 |
1.6× |
| Treatment of heel fracture (28405) |
$551.57 |
$648.90 |
2.1× |
| Treatment of miscarriage (59812) |
$5,545.07 |
$6,523.61 |
1.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$413.68 |
$486.68 |
1.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$2,401.61 |
$2,825.42 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$551.57 |
$648.90 |
2.1× |
| Tx superficial wound dehiscence simple closure (12020) |
$988.22 |
$1,162.61 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$988.22 |
$1,162.61 |
2.3× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$2,528.01 |
$2,974.13 |
1.5× |
| Venipuncture (36415) |
$26.66 |
$31.36 |
2.9× |
| Wedge excision skin nail fold (11765) |
$302.92 |
$356.38 |
0.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$730.26 |
$859.12 |
0.3× |