| Abd paracentesis w/imaging (49083) |
$625.60 |
$736 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$369.75 |
$435 |
0.4× |
| Ablate inf turbinate submuc (30802) |
$408 |
$480 |
0.2× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$469.62 |
$552.50 |
0.3× |
| Abortion (59841) |
$629 |
$740 |
0.2× |
Acetabuloplasty resection femoral head (27122)
likely a partial charge, not the full procedure |
$2,350.25 |
$2,765 |
0.3× |
| Acne surgery (10040) |
$258.38 |
$303.98 |
1.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,225.28 |
$1,441.50 |
0.3× |
| Adding Walker Previously Applied Cast (29440) |
$109.65 |
$129 |
0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,068.88 |
$1,257.50 |
0.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,109.25 |
$1,305 |
0.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,522.35 |
$1,791 |
0.4× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,394 |
$1,640 |
0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,014.90 |
$1,194 |
0.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,632 |
$1,920 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,643.48 |
$1,933.50 |
0.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,653.25 |
$1,945 |
0.7× |
| Amniocentesis diagnostic (59000) |
$437.75 |
$515 |
0.4× |
| Amniocentesis therapeutic (59001) |
$344.25 |
$405 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,588.18 |
$1,868.46 |
0.4× |
| Amputate metacarpal bone (26910) |
$1,534.12 |
$1,804.84 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,402.50 |
$1,650 |
0.4× |
| Amputation foot transmetarsal (28805) |
$825.35 |
$971 |
0.2× |
| Amputation metatarsal with toe single (28810) |
$1,017.88 |
$1,197.50 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,649 |
$1,940 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$724.20 |
$852 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$860.20 |
$1,012 |
0.2× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$2,046.80 |
$2,408 |
0.3× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$654.50 |
$770 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$1,381.25 |
$1,625 |
0.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$1,039.12 |
$1,222.50 |
0.3× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$1,372.75 |
$1,615 |
0.4× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$1,440.75 |
$1,695 |
0.4× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$1,224 |
$1,440 |
0.4× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$323 |
$380 |
0.3× |
| Anoscopy diagnostic (46600) |
$155.55 |
$183 |
1.0× |
| Anoscopy w/control bleeding (46614) |
$238 |
$280 |
0.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$319.04 |
$375.34 |
0.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$412.25 |
$485 |
0.3× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$493 |
$580 |
0.2× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$420.75 |
$495 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$195.50 |
$230 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge, not the full procedure |
$1,260.55 |
$1,483 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,249.50 |
$1,470 |
0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$306 |
$360 |
1.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$215.05 |
$253 |
1.2× |
| Appl Multlay Comprs Arm/Hand (29584) |
$145.35 |
$171 |
0.8× |
| Application cast elbow finger short arm (29075) |
$161.17 |
$189.61 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$204 |
$240 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$110.50 |
$130 |
1.7× |
| Application finger splint static (29130) |
$78.85 |
$92.76 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$175.95 |
$207 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$289 |
$340 |
0.9× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$1,836 |
$2,160 |
0.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$250.75 |
$295 |
0.8× |
| Application of long leg cast (29345) |
$282.62 |
$332.50 |
0.9× |
| Application of rigid total contact leg cast (29445) |
$297.50 |
$350 |
1.0× |
| Application Patellar Tendon Bearing Cast (29435) |
$246.50 |
$290 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$217.49 |
$255.87 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$148.75 |
$175 |
1.0× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,234.62 |
$1,452.50 |
0.2× |
| Apply Hand/Wrist Cast (29085) |
$183.41 |
$215.78 |
1.0× |
| Apply long leg splint (29505) |
$152.58 |
$179.50 |
0.8× |
| Apply short leg cast (29405) |
$181.84 |
$213.93 |
0.6× |
| Apply short leg cast (29425) |
$194.32 |
$228.62 |
0.6× |
| Apply short leg splint (29515) |
$147.48 |
$173.50 |
0.8× |
| Arterial puncture (36600) |
$105.82 |
$124.50 |
0.7× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,211.25 |
$1,425 |
0.3× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)
likely a partial charge, not the full procedure |
$1,243.12 |
$1,462.50 |
0.2× |
Artery-vein autograft (36825)
likely a partial charge, not the full procedure |
$1,334.50 |
$1,570 |
0.2× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$1,375.30 |
$1,618 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$134.72 |
$158.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$105.82 |
$124.50 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$218.45 |
$257 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$192.52 |
$226.50 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$120.70 |
$142 |
0.4× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,357.45 |
$1,597 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,545.30 |
$1,818 |
0.2× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,202.75 |
$1,415 |
0.3× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
likely a partial charge, not the full procedure |
$1,313.25 |
$1,545 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$2,632.45 |
$3,097 |
0.1× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,746.75 |
$2,055 |
0.5× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
likely a partial charge, not the full procedure |
$2,370.65 |
$2,789 |
0.2× |
Arthroplasty, knee, tibial plateau; Facility (27440)
likely a partial charge, not the full procedure |
$1,397.40 |
$1,644 |
0.1× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441)
likely a partial charge, not the full procedure |
$1,746.75 |
$2,055 |
0.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,181.92 |
$1,390.50 |
0.3× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,389.32 |
$1,634.50 |
0.4× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,045.50 |
$1,230 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,313.25 |
$1,545 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,479 |
$1,740 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,045.50 |
$1,230 |
0.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$1,113.50 |
$1,310 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$888.25 |
$1,045 |
0.2× |
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867)
likely a partial charge, not the full procedure |
$2,724.25 |
$3,205 |
0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,088.85 |
$1,281 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,568.25 |
$1,845 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$1,717 |
$2,020 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,542.75 |
$1,815 |
0.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,971.58 |
$2,319.50 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$2,292.88 |
$2,697.50 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,329.40 |
$1,564 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$2,201.08 |
$2,589.50 |
0.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$1,249.50 |
$1,470 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$2,299.68 |
$2,705.50 |
0.3× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$1,211.68 |
$1,425.50 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$891.22 |
$1,048.50 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,303.48 |
$1,533.50 |
0.4× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107)
likely a partial charge, not the full procedure |
$1,255.88 |
$1,477.50 |
0.2× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure |
$1,810.50 |
$2,130 |
0.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$995.35 |
$1,171 |
0.3× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$1,330.25 |
$1,565 |
0.4× |
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Facility (23105)
likely a partial charge, not the full procedure |
$1,338.75 |
$1,575 |
0.2× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure |
$2,210 |
$2,600 |
0.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,313.25 |
$1,545 |
0.4× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$973.25 |
$1,145 |
0.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$816 |
$960 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$763.30 |
$898 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$573.75 |
$675 |
0.2× |
| Artificial Insemination Intra-Uterine (58322) |
$107.95 |
$127 |
0.5× |
| Artificial insemination; intra-cervical Facility (58321) |
$90.10 |
$106 |
0.3× |
| Aspirate pleura w/ imaging (32555) |
$801.12 |
$942.50 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$124.95 |
$147 |
0.4× |
| Aspiration and injection for treatment of bone cyst (20615) |
$1,117.75 |
$1,315 |
1.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$414.80 |
$488 |
0.2× |
| Aspiration bladder needle (51100) |
$111.78 |
$131.50 |
0.4× |
Av fistula revision (36833)
likely a partial charge, not the full procedure |
$1,445 |
$1,700 |
0.2× |
Av Fuse Uppr Arm Basilic (36819)
likely a partial charge, not the full procedure |
$1,436.50 |
$1,690 |
0.2× |
Av fusion/forearm vein (36820)
likely a partial charge, not the full procedure |
$1,372.75 |
$1,615 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$166.60 |
$196 |
0.7× |
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure |
$1,882.75 |
$2,215 |
0.3× |
Axillary lymphadenectomy; superficial Facility (38740)
likely a partial charge, not the full procedure |
$1,275 |
$1,500 |
0.2× |
| Biopsy bone open deep (20245) |
$1,338.75 |
$1,575 |
0.4× |
| Biopsy bone open superficial (20240) |
$268.60 |
$316 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$794.75 |
$935 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$226.95 |
$267 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$201.88 |
$237.50 |
0.2× |
| Biopsy External Auditory Canal (69105) |
$272 |
$320 |
0.2× |
| Biopsy external ear (69100) |
$171.70 |
$202 |
0.7× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$739.50 |
$870 |
0.2× |
| Biopsy intranasal (30100) |
$310.25 |
$365 |
0.2× |
| Biopsy muscle deep (20205) |
$572.05 |
$673 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$57.38 |
$67.50 |
0.0× |
| Biopsy Muscle Superficial (20200) |
$433.50 |
$510 |
0.2× |
| Biopsy Nail Unit Separate Procedure (11755) |
$141.95 |
$167 |
0.2× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$208.68 |
$245.50 |
0.1× |
| Biopsy of breast; open, incisional (19101) |
$692.32 |
$814.50 |
0.2× |
| Biopsy of floor of mouth (41108) |
$164.48 |
$193.50 |
0.1× |
| Biopsy of lip (40490) |
$246.50 |
$290 |
0.9× |
| Biopsy of mouth lesion (40808) |
$331.50 |
$390 |
0.6× |
| Biopsy of palate, uvula (42100) |
$198.48 |
$233.50 |
0.1× |
| Biopsy of tongue (41100) |
$192.10 |
$226 |
0.3× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$901 |
$1,060 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$724.62 |
$852.50 |
0.2× |
| Biopsy Oropharynx (42800) |
$213.35 |
$251 |
0.1× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$905.25 |
$1,065 |
0.3× |
| Biopsy Salivary Gland Incisional (42405) |
$396.95 |
$467 |
0.2× |
| Biopsy soft tissue back,superf (21920) |
$527 |
$620 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$329.38 |
$387.50 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$459 |
$540 |
0.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$450.50 |
$530 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$819.40 |
$964 |
0.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$535.50 |
$630 |
0.3× |
| Biopsy Tongue Posterior One-Third (41105) |
$199.32 |
$234.50 |
0.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$263.50 |
$310 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$174.25 |
$205 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$155.55 |
$183 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$931.18 |
$1,095.50 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,173 |
$1,380 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$199.75 |
$235 |
0.3× |
| Bladder Irrigation Simple (51700) |
$125.64 |
$147.81 |
0.5× |
| Blepharotomy drain absc eyelid (67700) |
$417.45 |
$491.12 |
1.2× |
| Blood patch (62273) |
$1,765.88 |
$2,077.50 |
2.2× |
| Blood transfusion service (36430) |
$644.30 |
$758 |
1.3× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$5,520.75 |
$6,495 |
0.7× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$691.48 |
$813.50 |
0.1× |
| Bone marrow aspiration only (38220) |
$301.75 |
$355 |
0.2× |
| Bone Marrow Biopsy (38221) |
$1,083.75 |
$1,275 |
0.6× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$698.70 |
$822 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$658.75 |
$775 |
0.3× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$765.85 |
$901 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,313.70 |
$2,722 |
1.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,160.25 |
$1,365 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$317.48 |
$373.50 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$621.35 |
$731 |
0.3× |
| Bx anorectal wall anal approach (45100) |
$625.60 |
$736 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$964.85 |
$1,135.12 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$331.50 |
$390 |
0.2× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,198.50 |
$1,410 |
0.4× |
| Bx/exc lymph node needle superficial (38505) |
$1,376.15 |
$1,619 |
0.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$177.65 |
$209 |
0.7× |
| Cauterization,cervix,electro/thermal (57510) |
$257.12 |
$302.50 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$289 |
$340 |
0.9× |
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure |
$2,416.98 |
$2,843.50 |
0.3× |
| Cessj Therapy Cath Removal (37214) |
$233.75 |
$275 |
0.1× |
| Change of cystostomy tube simple (51705) |
$199.75 |
$235 |
0.7× |
| Chemical cautery tissue (17250) |
$141.10 |
$166 |
0.6× |
| Chemical peel face dermal (15789) |
$760.75 |
$895 |
0.9× |
| Chemical Peel Facial Epidermal (15788) |
$429.25 |
$505 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$412.25 |
$485 |
0.5× |
| Chemodenerv musc migraine (64615) |
$246.50 |
$290 |
0.7× |
| Chemodenerv Musc Neck Dyston (64616) |
$229.50 |
$270 |
0.7× |
| Chemodenerv trunk musc 1-5 (64646) |
$293.25 |
$345 |
0.4× |
| Chemodenervation internal anal sphincter (46505) |
$580.55 |
$683 |
0.4× |
| Chemodenervation of extraocular muscle (67345) |
$408 |
$480 |
1.2× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$206.12 |
$242.50 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$242.25 |
$285 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$148.32 |
$174.50 |
0.1× |
Chromotubation oviduct (58350)
unusually low: confirm this is the full procedure |
$1,674.50 |
$1,970 |
0.3× |
| Circum 28 days or older (54161) |
$399.50 |
$470 |
0.2× |
| Circumcision (54150) |
$297.50 |
$350 |
0.1× |
| Circumcision Neonate (54160) |
$403.75 |
$475 |
0.5× |
| Claviculectomy partial (23120) |
$1,228.25 |
$1,445 |
0.3× |
| Claviculectomy; total (23125) |
$1,496 |
$1,760 |
0.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$417.68 |
$491.38 |
1.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$581.30 |
$683.88 |
2.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$804.88 |
$946.91 |
2.9× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,582.21 |
$1,861.42 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$571.62 |
$672.50 |
2.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$650.73 |
$765.57 |
2.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$744.40 |
$875.77 |
2.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$869.40 |
$1,022.83 |
3.2× |
| Closed Treat Vert Body Fract (22310) |
$641.75 |
$755 |
2.3× |
| Closed treat wrist dislocation (25660) |
$450.50 |
$530 |
1.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$369.75 |
$435 |
1.3× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$527.85 |
$621 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$543.11 |
$638.95 |
2.0× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$412.25 |
$485 |
0.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$883.21 |
$1,039.07 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,798.76 |
$2,116.20 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$623.01 |
$732.95 |
2.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$682.51 |
$802.96 |
2.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$590.80 |
$695.06 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$499.64 |
$587.81 |
1.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,158.12 |
$1,362.50 |
0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$850 |
$1,000 |
3.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$801.57 |
$943.02 |
2.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$232.51 |
$273.54 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$680.82 |
$800.96 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$781.25 |
$919.12 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,060.38 |
$1,247.50 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$694.87 |
$817.50 |
2.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$991.42 |
$1,166.38 |
0.6× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,130.50 |
$1,330 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,154.05 |
$1,357.70 |
4.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,145.38 |
$1,347.50 |
4.2× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,111.38 |
$1,307.50 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$445.07 |
$523.61 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,102.95 |
$4,827 |
2.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$467.04 |
$549.46 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$890.75 |
$1,047.94 |
3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$828.75 |
$975 |
3.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$951.80 |
$1,119.77 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$601.43 |
$707.56 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,099.96 |
$1,294.06 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,075.25 |
$1,265 |
0.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$523.55 |
$615.94 |
1.9× |
| Closed tx septal&nose fx (21337) |
$548.25 |
$645 |
0.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$824.90 |
$970.47 |
3.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$374.32 |
$440.38 |
1.4× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$4,751.50 |
$5,590 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$514.25 |
$605 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$147.05 |
$173 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$935 |
$1,100 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$609.52 |
$717.08 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$544.24 |
$640.28 |
2.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$416.78 |
$490.33 |
1.6× |
Closure of median sternotomy separation with or without debridement (separate procedure) Facility (21750)
likely a partial charge, not the full procedure |
$1,517.25 |
$1,785 |
0.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$742.90 |
$874 |
2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$493 |
$580 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$854.25 |
$1,005 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$707.62 |
$832.50 |
2.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,113.50 |
$1,310 |
4.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,144.14 |
$1,346.06 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$826.62 |
$972.50 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$491.57 |
$578.32 |
1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$926.50 |
$1,090 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$707.35 |
$832.18 |
2.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$607.75 |
$715 |
0.3× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,440.75 |
$1,695 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$871.25 |
$1,025 |
3.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$663.10 |
$780.12 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$654.94 |
$770.52 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$404.49 |
$475.87 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$672.76 |
$791.48 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,334.50 |
$1,570 |
0.7× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,062.50 |
$1,250 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,453.50 |
$1,710 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,075.98 |
$1,265.86 |
3.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,989 |
$2,340 |
1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$990.25 |
$1,165 |
3.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,467.95 |
$1,727 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$393.39 |
$462.81 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$298.26 |
$350.90 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$325.12 |
$382.50 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$260.51 |
$306.48 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,143.25 |
$1,345 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$651.44 |
$766.40 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$416.50 |
$490 |
1.5× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$722.88 |
$850.46 |
2.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,192.63 |
$1,403.10 |
0.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,082.96 |
$1,274.06 |
0.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$960.50 |
$1,130 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$238 |
$280 |
0.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,040 |
$2,400 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$777.75 |
$915 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$596.70 |
$702 |
2.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$680.85 |
$801 |
2.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,083.75 |
$1,275 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$690.20 |
$812 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$620.74 |
$730.28 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$692.75 |
$815 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$687.66 |
$809.02 |
2.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$296.65 |
$349 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$310.25 |
$365 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$714 |
$840 |
2.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,259.29 |
$1,481.52 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$956.25 |
$1,125 |
3.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$941.88 |
$1,108.09 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$704.98 |
$829.38 |
2.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,055.02 |
$1,241.20 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$256.28 |
$301.50 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$857.61 |
$1,008.95 |
0.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,126.25 |
$1,325 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,234.62 |
$1,452.50 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,400 |
$4,000 |
1.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$485.23 |
$570.86 |
0.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$541.42 |
$636.96 |
2.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,200.94 |
$1,412.88 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,054 |
$1,240 |
3.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$634.07 |
$745.96 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$78.20 |
$92 |
0.5× |
| Colonoscopy flex w/blln dilat (45386) |
$401.20 |
$472 |
0.3× |
| Colonoscopy flex w/inj submuc (45381) |
$873.38 |
$1,027.50 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$855.52 |
$1,006.50 |
0.6× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$502.35 |
$591 |
0.4× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$510 |
$600 |
0.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$613.70 |
$722 |
0.5× |
| Colonoscopy stoma w/balloon dilation (44405) |
$811.75 |
$955 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$1,666 |
$1,960 |
1.2× |
| Colonoscopy thru stoma (44388) |
$660.88 |
$777.50 |
0.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$765 |
$900 |
0.6× |
| Colonoscopy w/ablation (45388) |
$476 |
$560 |
0.4× |
| Colonoscopy w/fb removal (45379) |
$408 |
$480 |
0.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,117.75 |
$1,315 |
0.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$636.65 |
$749 |
0.2× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$220.96 |
$259.95 |
0.0× |
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure |
$1,037 |
$1,220 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$1,011.50 |
$1,190 |
0.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$642.26 |
$755.60 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$335.75 |
$395 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$242.25 |
$285 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$310.25 |
$365 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$601.38 |
$707.50 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$539.75 |
$635 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$229.50 |
$270 |
0.7× |
| Colposcopy vulva (56820) |
$225.25 |
$265 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$289 |
$340 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$276.25 |
$325 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$318.75 |
$375 |
0.3× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
unusually low: confirm this is the full procedure |
$1,746.75 |
$2,055 |
0.3× |
Combined anteroposterior colporrhaphy; (57260)
likely a partial charge, not the full procedure |
$1,598 |
$1,880 |
0.3× |
| Conization of cervix (57520) |
$583.10 |
$686 |
0.2× |
| Conization of cervix (57522) |
$534.65 |
$629 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$329.38 |
$387.50 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$216.75 |
$255 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$361.39 |
$425.16 |
0.6× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$928.20 |
$1,092 |
0.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132)
likely a partial charge, not the full procedure |
$3,414.02 |
$4,016.50 |
0.2× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
likely a partial charge, not the full procedure |
$1,457.75 |
$1,715 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,998.80 |
$3,528 |
1.6× |
| Correction hammertoe (28285) |
$884 |
$1,040 |
0.2× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,322.60 |
$1,556 |
0.2× |
| Correction of bunion (28292) |
$1,209.55 |
$1,423 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$1,061.65 |
$1,249 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,469.22 |
$1,728.50 |
0.4× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
likely a partial charge, not the full procedure |
$1,219.75 |
$1,435 |
0.2× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$122.40 |
$144 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$515.10 |
$606 |
3.5× |
| Curettage postpartum (59160) |
$401.62 |
$472.50 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$474.30 |
$558 |
0.2× |
| Cysto w/insert ureteral stent (52332) |
$559.30 |
$658 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$493.85 |
$581 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$711.45 |
$837 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$837.25 |
$985 |
0.1× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$833.85 |
$981 |
0.1× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$785.40 |
$924 |
0.1× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$850 |
$1,000 |
0.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$531.25 |
$625 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$600.10 |
$706 |
0.3× |
| Cystouretero & or pyeloscope (52351) |
$540.60 |
$636 |
0.1× |
| Cystourethroscopy (52000) |
$413.52 |
$486.50 |
0.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$562.70 |
$662 |
0.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$578.85 |
$681 |
0.1× |
| Cystourethroscopy with biopsy (52204) |
$523.60 |
$616 |
0.2× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge, not the full procedure |
$785.40 |
$924 |
0.1× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$501.50 |
$590 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$87.55 |
$103 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,445 |
$1,700 |
0.4× |
| Dcmprn fasct leg post compartment only (27601) |
$947.75 |
$1,115 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$998.32 |
$1,174.50 |
1.3× |
| Debride nail 1-5 (11720) |
$56.96 |
$67.02 |
0.9× |
| Debride nail 6 or more (11721) |
$96.05 |
$113 |
1.5× |
| Debride skin musc at fx site (11011) |
$1,083.75 |
$1,275 |
1.4× |
| Debride tissue/muscle (11043) |
$624.75 |
$735 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$105.40 |
$124 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$162.35 |
$191 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$825.35 |
$971 |
0.4× |
| Declot vascular device (36593) |
$595 |
$700 |
1.6× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$1,802 |
$2,120 |
0.5× |
| Decompression of leg (27892) |
$1,193.82 |
$1,404.50 |
0.3× |
| Decompression Of Tibia Nerve (28035) |
$645.15 |
$759 |
0.3× |
| Delivery placenta separate procedure (59414) |
$1,028.08 |
$1,209.50 |
0.3× |
| Dermabrasion segmental face (15781) |
$803.25 |
$945 |
1.0× |
| Dermabrasion superficial any site (15783) |
$671.50 |
$790 |
1.5× |
| Dermabrasion total face (15780) |
$1,270.75 |
$1,495 |
0.4× |
| Dermabrasion; regional, other than face Facility (15782) |
$739.50 |
$870 |
0.2× |
| Destroy internal hemorrhoids (46930) |
$333.62 |
$392.50 |
0.3× |
| Destruction anal lesion(s) (46924) |
$306 |
$360 |
0.1× |
| Destruction Benign Lesions 15/> (17111) |
$289 |
$340 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$207.73 |
$244.39 |
0.9× |
| Destruction Lesions Vulva Extensive (56515) |
$1,296.25 |
$1,525 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$255 |
$300 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$386.75 |
$455 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$446.25 |
$525 |
2.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$348.50 |
$410 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$403.75 |
$475 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$314.50 |
$370 |
1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$386.75 |
$455 |
1.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$255 |
$300 |
1.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$263.50 |
$310 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$297.50 |
$350 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$306 |
$360 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$238 |
$280 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$408 |
$480 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$416.50 |
$490 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$348.50 |
$410 |
0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$204 |
$240 |
0.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$641.75 |
$755 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$484.50 |
$570 |
0.2× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$1,219.75 |
$1,435 |
0.4× |
| Destruction of skin lesions (17106) |
$701.25 |
$825 |
1.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$386.75 |
$455 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$178.50 |
$210 |
0.8× |
| Destruction Vaginal Lesions Extensive (57065) |
$378.25 |
$445 |
0.1× |
| Destruction Vaginal Lesions Simple (57061) |
$221 |
$260 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,228.25 |
$1,445 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$259.25 |
$305 |
0.3× |
| Dil urethra,female,subsequent (53661) |
$131.75 |
$155 |
0.9× |
| Dilation and curettage (58120) |
$518.50 |
$610 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$289 |
$340 |
0.3× |
| Dilation esophagus over guide wire (43453) |
$522.75 |
$615 |
0.2× |
| Dilation of cervical canal (57800) |
$119 |
$140 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$206.55 |
$243 |
1.4× |
| Dilation Salivary Duct (42650) |
$107.95 |
$127 |
0.1× |
| Disarticulation At Knee (27598) |
$1,618.40 |
$1,904 |
0.4× |
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure |
$933.72 |
$1,098.50 |
0.1× |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838)
unusually low: confirm this is the full procedure |
$2,244 |
$2,640 |
0.4× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
likely a partial charge, not the full procedure |
$1,421.62 |
$1,672.50 |
0.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$388.88 |
$457.50 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$316.62 |
$372.50 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$136 |
$160 |
0.4× |
| Drainage Abscess Parotid Simple (42300) |
$272 |
$320 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$273.50 |
$321.77 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$221 |
$260 |
0.4× |
| Drainage external auditory canal abscess (69020) |
$337.07 |
$396.55 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$336.51 |
$395.90 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$764.15 |
$899 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$444.39 |
$522.81 |
2.0× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$331.50 |
$390 |
0.6× |
| Drainage of gum lesion (41800) |
$329.38 |
$387.50 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$329.80 |
$388 |
0.2× |
| Drainage of hydrocele (55000) |
$232.05 |
$273 |
0.3× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$1,032.75 |
$1,215 |
0.3× |
| Drainage of pelvic abscess (45000) |
$752.25 |
$885 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$451.44 |
$531.11 |
0.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$926.50 |
$1,090 |
0.3× |
| Draw blood off venous device (36591) |
$175.10 |
$206 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$362.82 |
$426.84 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$320.88 |
$377.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$184.88 |
$217.50 |
0.8× |
| Dstrj lesion anus simple chemical (46900) |
$454.75 |
$535 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$437.75 |
$515 |
2.0× |
| Dstrj lesion anus simple surg excision (46922) |
$490.88 |
$577.50 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$199.75 |
$235 |
0.1× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$280.50 |
$330 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$297.50 |
$350 |
0.1× |
| Dx laryngoscopy w/oper scope (31526) |
$280.08 |
$329.50 |
0.1× |
Ear Cartilage Graft (21235)
likely a partial charge, not the full procedure |
$986 |
$1,160 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$337.88 |
$397.50 |
0.2× |
| Egd control bleeding any (43255) |
$569.50 |
$670 |
0.3× |
| Egd dilate stricture (43245) |
$369.32 |
$434.50 |
0.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$337.88 |
$397.50 |
0.2× |
| Egd flexible foreign body removal (43247) |
$403.75 |
$475 |
0.4× |
| Egd guide wire insertion (43248) |
$378.25 |
$445 |
0.4× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$794.75 |
$935 |
0.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$552.50 |
$650 |
0.3× |
| Egd place gastrostomy tube (43246) |
$476.42 |
$560.50 |
0.2× |
| Egd remove lesion snare (43251) |
$344.25 |
$405 |
0.2× |
| Egd tube/cath insertion (43241) |
$161.50 |
$190 |
0.1× |
| Egd us exam duodenum/jejunum (43259) |
$573.75 |
$675 |
0.3× |
| Egd us transmural injxn/mark (43253) |
$326.40 |
$384 |
0.2× |
Emblc/thrmbc femoral popliteal aorto-iliac art (34201)
likely a partial charge, not the full procedure |
$1,300.50 |
$1,530 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
likely a partial charge, not the full procedure |
$1,189.15 |
$1,399 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203)
likely a partial charge, not the full procedure |
$1,194.25 |
$1,405 |
0.2× |
| Endocervical Curettage (57505) |
$195.50 |
$230 |
0.2× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure |
$1,129.65 |
$1,329 |
0.2× |
| Endometrial Biopsy (58100) |
$208.25 |
$245 |
0.9× |
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356)
likely a partial charge, not the full procedure |
$777.75 |
$915 |
0.1× |
| Endoscopic us exam esoph (43237) |
$442 |
$520 |
0.2× |
Endoven ther chem adhes 1st (36482)
likely a partial charge, not the full procedure |
$301.75 |
$355 |
0.0× |
| Endovenous laser, 1st vein (36478) |
$2,358.75 |
$2,775 |
0.7× |
| Endovenous rf 1st vein (36475) |
$2,632.88 |
$3,097.50 |
0.7× |
| Enterorrhaphy single perforation (44602) |
$2,862.38 |
$3,367.50 |
0.7× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$340 |
$400 |
0.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,804.58 |
$3,299.50 |
1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,594.62 |
$3,052.50 |
1.1× |
| Episiotomy or vaginal repair (59300) |
$366.35 |
$431 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$255 |
$300 |
0.3× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$259.25 |
$305 |
0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$164.48 |
$193.50 |
0.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$357 |
$420 |
0.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$493 |
$580 |
0.2× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$382.92 |
$450.50 |
0.2× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$304.72 |
$358.50 |
0.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$505.75 |
$595 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$310.25 |
$365 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$416.50 |
$490 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$93.92 |
$110.50 |
0.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$869.55 |
$1,023 |
0.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,406.75 |
$1,655 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$971.12 |
$1,142.50 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$247.78 |
$291.50 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$246.50 |
$290 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$437.75 |
$515 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,004.28 |
$1,181.50 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$342.55 |
$403 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$1,034.88 |
$1,217.50 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,436.50 |
$1,690 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$284.75 |
$335 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$448.38 |
$527.50 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$977.50 |
$1,150 |
0.5× |
| Exc Frenum Labial/Buccal (40819) |
$561 |
$660 |
0.3× |
| Exc ganglion wrist recurrent (25112) |
$799 |
$940 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$745.45 |
$877 |
0.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$395.68 |
$465.50 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$862.75 |
$1,015 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$675.75 |
$795 |
0.4× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$633.68 |
$745.50 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$1,156 |
$1,360 |
0.4× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$701.25 |
$825 |
0.3× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$1,717 |
$2,020 |
0.6× |
| Exc rect tum transanal part (45171) |
$1,164.50 |
$1,370 |
0.4× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,527.90 |
$2,974 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$327.25 |
$385 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$307.70 |
$362 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$425 |
$500 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$582.68 |
$685.50 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$569.50 |
$670 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$741.62 |
$872.50 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,149.62 |
$1,352.50 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,082.90 |
$1,274 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$671.50 |
$790 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$990.25 |
$1,165 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$893.35 |
$1,051 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,609.90 |
$1,894 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$473.88 |
$557.50 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$920.55 |
$1,083 |
0.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,062.50 |
$1,250 |
0.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,030.62 |
$1,212.50 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,640.50 |
$1,930 |
0.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,003 |
$1,180 |
0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,062.50 |
$1,250 |
0.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,139.42 |
$1,340.50 |
0.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,508.75 |
$1,775 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,136.02 |
$1,336.50 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,177.25 |
$1,385 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$580.55 |
$683 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,054 |
$1,240 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$966.88 |
$1,137.50 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$843.62 |
$992.50 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,598 |
$1,880 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$580.12 |
$682.50 |
0.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,178.95 |
$1,387 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$630.70 |
$742 |
0.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,436.50 |
$1,690 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,279.25 |
$1,505 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$986 |
$1,160 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$871.25 |
$1,025 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$797.72 |
$938.50 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$163.62 |
$192.50 |
0.1× |
| Excise cutaneous neurofibroma (64788) |
$728.45 |
$857 |
0.3× |
| Excise Inferior Turbinate (30130) |
$847.45 |
$997 |
0.2× |
| Excise lesion testis (54512) |
$1,101.60 |
$1,296 |
0.3× |
| Excise mandible lesion (21040) |
$707.20 |
$832 |
0.2× |
| Excise Wrist Tendon Sheath (25118) |
$790.50 |
$930 |
0.4× |
| Excise/repair mouth lesion (40812) |
$398.22 |
$468.50 |
0.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$744.60 |
$876 |
0.2× |
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815)
likely a partial charge, not the full procedure |
$986 |
$1,160 |
0.1× |
| Excision Breast Lesion (19125) |
$1,138.58 |
$1,339.50 |
0.3× |
| Excision external ear partial simple repair (69110) |
$850 |
$1,000 |
0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$892.50 |
$1,050 |
0.3× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$799 |
$940 |
0.2× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$1,058.25 |
$1,245 |
0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$803.25 |
$945 |
0.2× |
| Excision hydrocele bilateral (55041) |
$1,024.25 |
$1,205 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$911.20 |
$1,072 |
0.5× |
| Excision Lesion Floor Mouth (41116) |
$391 |
$460 |
0.1× |
| Excision lesion meniscus/capsule knee (27347) |
$1,105 |
$1,300 |
0.3× |
| Excision lesion mouth roof (42104) |
$367.20 |
$432 |
0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$705.08 |
$829.50 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$369.75 |
$435 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$605.20 |
$712 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$445.82 |
$524.50 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$552.50 |
$650 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$612 |
$720 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$586.50 |
$690 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$429.25 |
$505 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$490.02 |
$576.50 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$613.28 |
$721.50 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$694.88 |
$817.50 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$816 |
$960 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$408.85 |
$481 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$509.15 |
$599 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$552.50 |
$650 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$641.75 |
$755 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$697.42 |
$820.50 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$514.25 |
$605 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$369.75 |
$435 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$420.75 |
$495 |
0.5× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$1,721.25 |
$2,025 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$667.25 |
$785 |
0.4× |
| Excision of hydrocele unilateral (55040) |
$685.52 |
$806.50 |
0.2× |
| Excision of infected graft; extremity Facility (35903) |
$1,317.50 |
$1,550 |
0.4× |
| Excision of lactiferous duct fistula Facility (19112) |
$552.50 |
$650 |
0.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$514.25 |
$605 |
0.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$533.80 |
$628 |
0.1× |
| Excision of lesion of tongue without closure (41110) |
$246.50 |
$290 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$363.38 |
$427.50 |
0.2× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
likely a partial charge, not the full procedure |
$1,840.25 |
$2,165 |
0.3× |
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410)
likely a partial charge, not the full procedure |
$1,241.42 |
$1,460.50 |
0.2× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure |
$2,137.32 |
$2,514.50 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$595 |
$700 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$415.22 |
$488.50 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$660.45 |
$777 |
0.3× |
Excision of submandibular (submaxillary) gland Facility (42440)
likely a partial charge, not the full procedure |
$748 |
$880 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$269.48 |
$317.03 |
0.2× |
| Excision of tongue lesion (41112) |
$187 |
$220 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$403.75 |
$475 |
0.1× |
| Excision of vaginal septum (57130) |
$352.75 |
$415 |
0.1× |
| Excision olecranon bursa (24105) |
$728.88 |
$857.50 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,270.75 |
$1,495 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$1,394 |
$1,640 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,224 |
$1,440 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,510.88 |
$1,777.50 |
0.5× |
| Excision prepatellar bursa (27340) |
$779.88 |
$917.50 |
0.2× |
| Excision radial head (24130) |
$1,062.50 |
$1,250 |
0.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,026.80 |
$1,208 |
0.3× |
| Excision tendon finger flexor/extensor each (26180) |
$922.25 |
$1,085 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,004.70 |
$1,182 |
0.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$595 |
$700 |
0.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$782 |
$920 |
0.4× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$646.85 |
$761 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$934.15 |
$1,099 |
0.5× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$482.38 |
$567.50 |
0.1× |
| Excision, nasal polyp(s), simple Facility (30110) |
$510 |
$600 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$981.75 |
$1,155 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$675.75 |
$795 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$675.75 |
$795 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$824.50 |
$970 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,003 |
$1,180 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$1,593.75 |
$1,875 |
0.5× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$939.25 |
$1,105 |
0.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$637.92 |
$750.50 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$973.25 |
$1,145 |
0.4× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$1,842.38 |
$2,167.50 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$867 |
$1,020 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$941.80 |
$1,108 |
0.5× |
| Exploration of knee joint (27310) |
$1,504.50 |
$1,770 |
0.4× |
| Exploration of middle ear (69440) |
$1,234.20 |
$1,452 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$845.75 |
$995 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$905.25 |
$1,065 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$671.50 |
$790 |
0.2× |
Explore Parathyroid Glands (60500)
likely a partial charge, not the full procedure |
$1,747.18 |
$2,055.50 |
0.3× |
| Explore/biopsy eye socket (67400) |
$1,771.82 |
$2,084.50 |
0.4× |
| Explore/Treat Elbow Joint (24101) |
$1,042.10 |
$1,226 |
0.3× |
| Explore/treat hand joint (26070) |
$641.75 |
$755 |
0.4× |
| Explore/Treat Knee Joint (27331) |
$858.50 |
$1,010 |
0.2× |
| External cephalic version (59412) |
$204 |
$240 |
0.1× |
| Fasciectomy Palm Only (26121) |
$1,253.75 |
$1,475 |
0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$861.05 |
$1,013 |
0.2× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$963.05 |
$1,133 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$983.02 |
$1,156.50 |
0.3× |
| Fasciotomy, hip or thigh, any type (27025) |
$1,610.75 |
$1,895 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,504.50 |
$1,770 |
0.4× |
| Fetal contraction stress test (59020) |
$422.02 |
$496.50 |
1.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$773.50 |
$910 |
2.3× |
| Fetal non-stress test (59025) |
$93.50 |
$110 |
0.4× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$1,079.50 |
$1,270 |
3.2× |
| Filleted finger/toe flap (14350) |
$1,303.05 |
$1,533 |
0.6× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$170 |
$200 |
0.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$578 |
$680 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$986 |
$1,160 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$250.75 |
$295 |
0.6× |
| Fit/Insert Intravag Support Device (57160) |
$164.05 |
$193 |
0.7× |
| Fitting of diaphragm/cap (57170) |
$121.55 |
$143 |
0.5× |
| Fixation of shoulder (23700) |
$414.38 |
$487.50 |
0.2× |
| Fna bx w/fluor gdn 1st les (10007) |
$985.58 |
$1,159.50 |
1.2× |
| Foreskin manipulation (54450) |
$139.40 |
$164 |
0.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$216.75 |
$255 |
0.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,440.75 |
$1,695 |
0.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,066.75 |
$1,255 |
0.5× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,215.92 |
$1,430.50 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$50.26 |
$59.13 |
0.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,780.35 |
$3,271 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,441.60 |
$1,696 |
0.7× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$1,479 |
$1,740 |
0.6× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$824.50 |
$970 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$864.02 |
$1,016.50 |
1.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,129.65 |
$1,329 |
0.3× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$2,461.18 |
$2,895.50 |
0.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$693.60 |
$816 |
0.2× |
| Hemorrhoidectomy (46255) |
$962.62 |
$1,132.50 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$952 |
$1,120 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$1,054 |
$1,240 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,975 |
$3,500 |
1.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$926.50 |
$1,090 |
0.3× |
| Hymenotomy Simple Incision (56442) |
$94.35 |
$111 |
0.0× |
| Hysteroscopy biopsy (58558) |
$787.10 |
$926 |
0.2× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$658.75 |
$775 |
0.1× |
Hysteroscopy removal leiomyomata (58561)
likely a partial charge, not the full procedure |
$654.50 |
$770 |
0.1× |
Hysteroscopy w endometrial ablation (58563)
likely a partial charge, not the full procedure |
$480.25 |
$565 |
0.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$591.18 |
$695.50 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$777.32 |
$914.50 |
0.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$743.75 |
$875 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$378.25 |
$445 |
1.4× |
| I&d abscess simple (10060) |
$269.88 |
$317.50 |
1.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,079.92 |
$1,270.50 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,411 |
$1,660 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$588.62 |
$692.50 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$438.60 |
$516 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,373.60 |
$1,616 |
0.4× |
| I&d forearm/wrist bursa (25031) |
$752.25 |
$885 |
0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,368.50 |
$1,610 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$358.70 |
$422 |
0.5× |
| I&d shoulder deep abscess/hematoma (23030) |
$935 |
$1,100 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$331.50 |
$390 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$579.28 |
$681.50 |
0.3× |
| I&d vulva/perineal abscess (56405) |
$244.34 |
$287.45 |
0.7× |
| Ileoscopy thru stoma (44380) |
$57.80 |
$68 |
0.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$127.50 |
$150 |
0.1× |
| Image Cath Fluid Peri/Retro (49406) |
$2,188.75 |
$2,575 |
1.2× |
| Incise external hemorrhoid (46083) |
$342.12 |
$402.50 |
1.2× |
| Incise finger tendon sheath (26055) |
$1,130.08 |
$1,329.50 |
0.6× |
| Incise wrist/forearm tendon (25290) |
$909.50 |
$1,070 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$459 |
$540 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,109.25 |
$1,305 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$550.80 |
$648 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$544.85 |
$641 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$306 |
$360 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$274.12 |
$322.50 |
1.2× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$798.58 |
$939.50 |
0.3× |
| Incision and drainage perianal abscess superficial (46050) |
$349.35 |
$411 |
0.3× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$361.25 |
$425 |
0.1× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$745.02 |
$876.50 |
0.2× |
| Incision bone cortex foot (28005) |
$1,275 |
$1,500 |
0.3× |
| Incision bone cortex hand/finger (26034) |
$1,136.88 |
$1,337.50 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$699.98 |
$823.50 |
0.4× |
| Incision of eardrum (69420) |
$238 |
$280 |
0.9× |
| Incision of eyelid fold (67715) |
$2,042.55 |
$2,403 |
0.8× |
| Incision of labial frenum (frenotomy) (40806) |
$187 |
$220 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$393.12 |
$462.50 |
0.2× |
| Incision of rectal abscess (46045) |
$906.95 |
$1,067 |
0.3× |
| Incision of rectal abscess (46040) |
$1,045.50 |
$1,230 |
0.8× |
Incision of tibia & fibula (27709)
likely a partial charge, not the full procedure |
$2,511.75 |
$2,955 |
0.2× |
Incision of windpipe (31601)
likely a partial charge, not the full procedure |
$810.48 |
$953.50 |
0.1× |
| Incisional biopsy skin single lesion (11106) |
$126.65 |
$149 |
0.2× |
| Induced abortion by d&c (59840) |
$429.25 |
$505 |
0.1× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
likely a partial charge, not the full procedure |
$1,814.75 |
$2,135 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$129.83 |
$152.74 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$125.80 |
$148 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$168.30 |
$198 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,618.40 |
$1,904 |
1.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$861.90 |
$1,014 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$155.55 |
$183 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$119.85 |
$141 |
0.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$133.02 |
$156.50 |
0.2× |
| Injection aa&/strd pudendal nerve (64430) |
$226.15 |
$266.06 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$163.62 |
$192.50 |
0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$204.85 |
$241 |
0.6× |
| Injection anesthetic agent femoral nerve single (64447) |
$187.85 |
$221 |
0.2× |
| Injection into skin lesions (11900) |
$88.82 |
$104.50 |
0.4× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$184.02 |
$216.50 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$108.38 |
$127.50 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$120.40 |
$141.66 |
0.4× |
| Injection(s) spider veins (36468) |
$357 |
$420 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$6.80 |
$8 |
0.0× |
| Ins cath ren art 1st bilat (36252) |
$690.62 |
$812.50 |
0.2× |
| Ins cath ren art 1st unilat (36251) |
$486.20 |
$572 |
0.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$780.30 |
$918 |
0.2× |
Ins cath ren art 2nd+ unilat (36253)
likely a partial charge, not the full procedure |
$668.95 |
$787 |
0.1× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$423.30 |
$498 |
0.1× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$552.50 |
$650 |
0.0× |
| Ins tun ip cath for dial opn (49421) |
$399.50 |
$470 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$246.50 |
$290 |
1.7× |
| Insert cath pleura w/ image (32557) |
$1,247.38 |
$1,467.50 |
0.7× |
| Insert cath pleura w/o image (32556) |
$1,445 |
$1,700 |
0.7× |
| Insert cervical dilator (59200) |
$139.40 |
$164 |
0.4× |
| Insert Drug Implant Device (11981) |
$289 |
$340 |
1.9× |
| Insert gastrostomy tube percutaneous (49440) |
$383.35 |
$451 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$527 |
$620 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$350.93 |
$412.86 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,137.75 |
$2,515 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$138.55 |
$163 |
0.9× |
| Insert tun ip cath perc (49418) |
$386.75 |
$455 |
0.1× |
| Insert tunneled cv cath (36561) |
$1,564 |
$1,840 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$229.92 |
$270.50 |
1.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$468.44 |
$551.11 |
0.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,415.25 |
$1,665 |
2.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$171.28 |
$201.50 |
0.0× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$733.55 |
$863 |
0.0× |
| Insj picc rs&i 5 yr+ (36573) |
$1,226.12 |
$1,442.50 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,679.62 |
$3,152.50 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,785 |
$2,100 |
0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,524.28 |
$591.25 |
0.7× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$246.50 |
$290 |
0.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$626.88 |
$737.50 |
0.2× |
| Intro cath dialysis circuit (36901) |
$310.25 |
$365 |
0.2× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure |
$711.88 |
$837.50 |
0.1× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
likely a partial charge, not the full procedure |
$442 |
$520 |
0.1× |
| Intro Gastrointestinal Tube (44500) |
$58.89 |
$69.28 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$306 |
$360 |
1.2× |
| Irrigation maxillary sinus (31000) |
$199.75 |
$235 |
0.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$310.25 |
$365 |
1.1× |
| Knee Arthroscopy/Surgery (29874) |
$1,135.18 |
$1,335.50 |
0.3× |
| Knee Arthroscopy/Surgery (29879) |
$1,423.75 |
$1,675 |
0.4× |
| Labyrinthotomy Transcanal (69801) |
$231.20 |
$272 |
0.1× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$996.62 |
$1,172.50 |
0.1× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$789.65 |
$929 |
0.1× |
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure |
$3,149.25 |
$3,705 |
0.3× |
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure |
$843.20 |
$992 |
0.1× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
likely a partial charge, not the full procedure |
$1,534.25 |
$1,805 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,217.62 |
$1,432.50 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$716.12 |
$842.50 |
0.1× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$719.10 |
$846 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,895.50 |
$2,230 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,336.62 |
$1,572.50 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,853 |
$2,180 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$1,838.55 |
$2,163 |
0.4× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
likely a partial charge, not the full procedure |
$1,637.95 |
$1,927 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541)
likely a partial charge, not the full procedure |
$1,411 |
$1,660 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
likely a partial charge, not the full procedure |
$1,806.25 |
$2,125 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$2,027.68 |
$2,385.50 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$2,652.85 |
$3,121 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,513 |
$1,780 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$1,746.75 |
$2,055 |
0.1× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,125.82 |
$1,324.50 |
0.2× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure |
$1,623.50 |
$1,910 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$750.55 |
$883 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,335.78 |
$1,571.50 |
0.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673)
likely a partial charge, not the full procedure |
$1,613.30 |
$1,898 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$646 |
$760 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,351.50 |
$1,590 |
0.2× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$1,688.10 |
$1,986 |
0.1× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge, not the full procedure |
$1,143.25 |
$1,345 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$896.75 |
$1,055 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$651.10 |
$766 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,559.75 |
$1,835 |
0.2× |
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584)
unusually low: confirm this is the full procedure |
$2,539.80 |
$2,988 |
0.4× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$234.18 |
$275.50 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$171.92 |
$202.26 |
0.8× |
| Laryngoscopy Direct Aspiration (31515) |
$191.25 |
$225 |
0.4× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$269.45 |
$317 |
0.6× |
| Laryngoscopy flexible diagnostic (31575) |
$188.70 |
$222 |
0.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$319.74 |
$376.16 |
1.4× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$234.18 |
$275.50 |
0.5× |
| Laryngoscopy w/biopsy (31535) |
$352.75 |
$415 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$352.75 |
$415 |
0.1× |
| Laryngoscopy w/exc of tumor (31540) |
$432.22 |
$508.50 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$352.26 |
$414.43 |
0.2× |
| Late closure of wound (13160) |
$1,757.38 |
$2,067.50 |
0.4× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$442 |
$520 |
0.1× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,401.22 |
$1,648.50 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure |
$2,363 |
$2,780 |
0.2× |
| Ligate leg veins open (37761) |
$1,058.25 |
$1,245 |
0.3× |
| Ligate/strip long leg vein (37722) |
$790.50 |
$930 |
0.2× |
| Ligate/strip short leg vein (37718) |
$782 |
$920 |
0.2× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$1,536.80 |
$1,808 |
0.4× |
| Ligation of a-v fistula (37607) |
$745.45 |
$877 |
0.2× |
| Ligation of femoral vein Facility (37650) |
$905.25 |
$1,065 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$561 |
$660 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$690.62 |
$812.50 |
0.4× |
| Lithotripsy (50590) |
$1,323.45 |
$1,557 |
0.3× |
| Liver Biopsy (47000) |
$1,494.72 |
$1,758.50 |
0.8× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$109.65 |
$129 |
3.4× |
| Lysis Intranasal Synechia (30560) |
$263.50 |
$310 |
0.4× |
| Lysis of labial adhesions (56441) |
$345.95 |
$407 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$514.25 |
$605 |
0.2× |
| Manipulat Palm Cord Post Inj (26341) |
$182.75 |
$215 |
0.7× |
| Manipulation knee joint under general anesthesia (27570) |
$314.50 |
$370 |
0.2× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$718.25 |
$845 |
0.4× |
| Manipulation, wrist, under anesthesia (25259) |
$833 |
$980 |
0.5× |
| Marsupialization Bartholins Gland Cyst (56440) |
$358.28 |
$421.50 |
0.1× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,550.42 |
$3,000.50 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$992.38 |
$1,167.50 |
0.2× |
| Mastectomy partial (19301) |
$1,415.25 |
$1,665 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$2,163.25 |
$2,545 |
0.3× |
Mastoidectomy; complete (69502)
likely a partial charge, not the full procedure |
$1,711.05 |
$2,013 |
0.3× |
Mastoidectomy; modified radical Facility (69505)
unusually low: confirm this is the full procedure |
$2,167.08 |
$2,549.50 |
0.3× |
| Metatarsectomy (28140) |
$1,020.85 |
$1,201 |
0.3× |
| Myelography Lumbar Injection (62305) |
$1,827.50 |
$2,150 |
2.1× |
| Myelography Lumbar Injection (62304) |
$1,523.20 |
$1,792 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,466.25 |
$1,725 |
1.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,413.55 |
$1,663 |
1.6× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$493 |
$580 |
0.1× |
| Myringoplasty (69620) |
$411.40 |
$484 |
0.1× |
| N Block Inj, Plantar Digit (64455) |
$65.02 |
$76.50 |
0.2× |
| Nasal endoscopy dx (31231) |
$472.60 |
$556 |
2.1× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$446.25 |
$525 |
0.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$314.50 |
$370 |
0.1× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$682.12 |
$802.50 |
0.1× |
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292)
likely a partial charge, not the full procedure |
$1,788.40 |
$2,104 |
0.2× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
likely a partial charge, not the full procedure |
$362.52 |
$426.50 |
0.0× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$283.90 |
$334 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$299.62 |
$352.50 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$312.38 |
$367.50 |
0.2× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$875.50 |
$1,030 |
0.1× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$850 |
$1,000 |
0.1× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$756.50 |
$890 |
0.1× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$601.38 |
$707.50 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$326.90 |
$384.60 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,139 |
$1,340 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$67.15 |
$79 |
2.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$73.10 |
$86 |
2.3× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$794.75 |
$935 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$423.30 |
$498 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$501.50 |
$590 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,285.62 |
$1,512.50 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,127.95 |
$1,327 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,151.75 |
$1,355 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,439.90 |
$1,694 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$999.60 |
$1,176 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$342.12 |
$402.50 |
0.8× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$484.50 |
$570 |
0.1× |
| Occipital Nerve Block (64405) |
$190.40 |
$224 |
0.6× |
Omntc epiploectomy rescj omentum spx (49255)
likely a partial charge, not the full procedure |
$1,534.25 |
$1,805 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$805.38 |
$947.50 |
0.2× |
Open thrombect av fistula (36831)
likely a partial charge, not the full procedure |
$750.55 |
$883 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,717 |
$2,020 |
0.2× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$2,233.38 |
$2,627.50 |
0.2× |
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure |
$1,342.15 |
$1,579 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,326 |
$1,560 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$1,035.30 |
$1,218 |
0.3× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,131.35 |
$1,331 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)
likely a partial charge, not the full procedure |
$1,202.75 |
$1,415 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure |
$1,390.60 |
$1,636 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848)
likely a partial charge, not the full procedure |
$1,751 |
$2,060 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge, not the full procedure |
$1,564.42 |
$1,840.50 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,538.50 |
$1,810 |
0.2× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366)
unusually low: confirm this is the full procedure |
$2,326.45 |
$2,737 |
0.4× |
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269)
unusually low: confirm this is the full procedure |
$2,669 |
$3,140 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure |
$2,086.75 |
$2,455 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure |
$2,752.30 |
$3,238 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$1,011.50 |
$1,190 |
0.1× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630)
likely a partial charge, not the full procedure |
$1,371.05 |
$1,613 |
0.2× |
Open treatment of orbital floor blowout fracture; combined approach Facility (21387)
likely a partial charge, not the full procedure |
$1,418.65 |
$1,669 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge, not the full procedure |
$1,547 |
$1,820 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
likely a partial charge, not the full procedure |
$1,249.92 |
$1,470.50 |
0.2× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670)
likely a partial charge, not the full procedure |
$1,635.40 |
$1,924 |
0.2× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge, not the full procedure |
$1,738.25 |
$2,045 |
0.1× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$2,367.25 |
$2,785 |
0.6× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555)
likely a partial charge, not the full procedure |
$1,488.35 |
$1,751 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge, not the full procedure |
$1,984.75 |
$2,335 |
0.1× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge, not the full procedure |
$2,031.92 |
$2,390.50 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
likely a partial charge, not the full procedure |
$1,304.75 |
$1,535 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$1,908.25 |
$2,245 |
0.1× |
Open treatment talus fracture (28445)
likely a partial charge, not the full procedure |
$2,286.50 |
$2,690 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,534.25 |
$1,805 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,041.25 |
$1,225 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,472.62 |
$1,732.50 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,134.75 |
$1,335 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,086.72 |
$1,278.50 |
0.1× |
| Open tx interphalangeal joint dislocation (26785) |
$1,139 |
$1,340 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,200.20 |
$1,412 |
0.3× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,122 |
$1,320 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,266.50 |
$1,490 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,255.45 |
$1,477 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$1,785 |
$2,100 |
0.2× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,413.12 |
$1,662.50 |
0.2× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$580.55 |
$683 |
0.0× |
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure |
$850.42 |
$1,000.50 |
0.1× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,738.25 |
$2,045 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$2,184.50 |
$2,570 |
0.3× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
likely a partial charge, not the full procedure |
$1,591.62 |
$1,872.50 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$2,720 |
$3,200 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$1,347.25 |
$1,585 |
0.1× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure |
$2,406.35 |
$2,831 |
0.3× |
| Orchiectomy partial (54522) |
$1,098.20 |
$1,292 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,042.95 |
$1,227 |
0.3× |
| Ostectomy calcaneus (28118) |
$1,027.65 |
$1,209 |
0.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,228.25 |
$1,445 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$552.50 |
$650 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$740.35 |
$871 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,041.25 |
$1,225 |
0.3× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$904.40 |
$1,064 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,002.15 |
$1,179 |
0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$947.75 |
$1,115 |
0.3× |
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure |
$1,238.45 |
$1,457 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
likely a partial charge, not the full procedure |
$781.22 |
$919.08 |
0.1× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge, not the full procedure |
$2,171.32 |
$2,554.50 |
0.2× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)
likely a partial charge, not the full procedure |
$1,694.05 |
$1,993 |
0.2× |
Ovarian cystectomy (58925)
likely a partial charge, not the full procedure |
$1,463.28 |
$1,721.50 |
0.3× |
P-mastectomy w/ln removal (19302)
likely a partial charge, not the full procedure |
$1,908.25 |
$2,245 |
0.3× |
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure |
$1,249.50 |
$1,470 |
0.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$1,088 |
$1,280 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$877.20 |
$1,032 |
0.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$454.75 |
$535 |
0.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$935 |
$1,100 |
0.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$863.60 |
$1,016 |
0.5× |
| Partial hymenectomy or revision (56700) |
$384.20 |
$452 |
0.1× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,471.35 |
$1,731 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,277.55 |
$1,503 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$616.25 |
$725 |
0.2× |
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure |
$1,362.55 |
$1,603 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$286.81 |
$337.42 |
0.1× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$742.90 |
$874 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,930.35 |
$2,271 |
0.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$430.95 |
$507 |
0.1× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,005.12 |
$1,182.50 |
0.3× |
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456)
likely a partial charge, not the full procedure |
$705.50 |
$830 |
0.1× |
| Pericardiocentesis W/Imaging (33016) |
$412.25 |
$485 |
0.2× |
| Peritoneal Lavage (49084) |
$214.20 |
$252 |
0.2× |
Perq av fistula creation uxtr sep access sites (36837)
likely a partial charge, not the full procedure |
$879.75 |
$1,035 |
0.0× |
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure |
$671.50 |
$790 |
0.0× |
| Perq dev breast 1st us imag (19285) |
$425 |
$500 |
0.5× |
| Perq device breast 1st imag (19281) |
$1,418.65 |
$1,669 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$275.82 |
$324.50 |
0.1× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$1,113.50 |
$1,310 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$75.65 |
$89 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$255 |
$300 |
0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,419.50 |
$1,670 |
0.4× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$1,020 |
$1,200 |
0.0× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$2,983.50 |
$3,510 |
0.2× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
likely a partial charge, not the full procedure |
$620.50 |
$730 |
0.1× |
| Phleb veins - extrem 20+ (37766) |
$5,142.50 |
$6,050 |
1.5× |
| Picc line placement (36569) |
$153 |
$180 |
0.1× |
| Pin hand dislocation (26676) |
$1,037 |
$1,220 |
0.3× |
| Place Cath Subclavian Art (36225) |
$391 |
$460 |
0.1× |
| Place Cath Thoracic Aorta (36221) |
$383.35 |
$451 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$182.75 |
$215 |
0.4× |
| Placement of seton (46020) |
$514.25 |
$605 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,704.25 |
$2,005 |
0.8× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,292.42 |
$1,520.50 |
0.2× |
| Proctopexy Perineal Approach (45541) |
$1,895.50 |
$2,230 |
0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$222.28 |
$261.50 |
0.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$416.50 |
$490 |
0.1× |
| Proctosigmoidoscopy dilate (45303) |
$1,687.25 |
$1,985 |
1.3× |
| Prostate Saturation Sampling (55706) |
$4,161.60 |
$4,896 |
1.1× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$9,132.40 |
$10,744 |
1.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$858.50 |
$1,010 |
0.2× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$913.75 |
$1,075 |
0.3× |
| Prq skel fixj metar fx w/manj (28476) |
$748 |
$880 |
0.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$984.72 |
$1,158.50 |
0.3× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure |
$1,556.35 |
$1,831 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$986 |
$1,160 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$102.85 |
$121 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$224.40 |
$264 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$274.12 |
$322.50 |
0.6× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure |
$1,568.68 |
$1,845.50 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,147.50 |
$1,350 |
0.3× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$2,346.85 |
$2,761 |
0.7× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$1,601.40 |
$1,884 |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$2,881.50 |
$3,390 |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$2,239.75 |
$2,635 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$1,513 |
$1,780 |
0.5× |
| Radical resection of tumor, femur or knee Facility (27365) |
$4,309.50 |
$5,070 |
1.2× |
Radical resection of tumor; clavicle Facility (23200)
unusually low: confirm this is the full procedure |
$3,136.50 |
$3,690 |
0.4× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$1,972 |
$2,320 |
0.5× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,136.45 |
$1,337 |
0.1× |
| Reconstruct Finger Joint (26548) |
$1,653.25 |
$1,945 |
0.5× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$2,588.68 |
$3,045.50 |
0.2× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
likely a partial charge, not the full procedure |
$1,964.78 |
$2,311.50 |
0.3× |
| Reconstruction of nail bed with graft (11762) |
$334.90 |
$394 |
0.1× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$1,636.25 |
$1,925 |
0.4× |
| Reduce testis torsion (54600) |
$845.75 |
$995 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)
likely a partial charge, not the full procedure |
$1,676.62 |
$1,972.50 |
0.2× |
| Release facial nerve (69955) |
$3,539.82 |
$4,164.50 |
0.5× |
| Release finger contracture (26525) |
$1,415.25 |
$1,665 |
0.8× |
| Release wrist/forearm tendon (25295) |
$1,096.50 |
$1,290 |
0.3× |
| Rem Endovas Vena Cava Filter (37193) |
$654.50 |
$770 |
0.2× |
| Removal Anal Seton Other Marker (46030) |
$378.25 |
$445 |
0.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,232.50 |
$1,450 |
0.4× |
| Removal foreign body foot deep (28192) |
$712.26 |
$837.95 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$433.68 |
$510.22 |
0.5× |
| Removal foreign body intranasal (30300) |
$403.75 |
$475 |
2.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$415.02 |
$488.25 |
0.2× |
| Removal foreign body pharynx (42809) |
$364.65 |
$429 |
0.7× |
| Removal foreign body shoulder subcutaneous (23330) |
$518.50 |
$610 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,126.25 |
$1,325 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$366.78 |
$431.50 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30.18 |
$35.50 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81.60 |
$96 |
1.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$329.38 |
$387.50 |
0.1× |
| Removal implant deep (20680) |
$1,290.30 |
$1,518 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$748.85 |
$881 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$301.75 |
$355 |
0.4× |
| Removal Intact Mammary Implant (19328) |
$1,134.75 |
$1,335 |
0.3× |
| Removal of adenoids (42831) |
$437.75 |
$515 |
0.1× |
| Removal of adenoids (42830) |
$397.38 |
$467.50 |
0.1× |
| Removal of anal fissure (46200) |
$788.38 |
$927.50 |
0.3× |
| Removal of ankle implant (27704) |
$1,156.85 |
$1,361 |
0.3× |
| Removal of arm foreign body (24200) |
$379.52 |
$446.50 |
0.2× |
Removal of bone for graft (20902)
likely a partial charge, not the full procedure |
$658.75 |
$775 |
0.1× |
| Removal of bone lesion (23140) |
$998.75 |
$1,175 |
0.3× |
| Removal of breast capsule (19371) |
$1,457.75 |
$1,715 |
0.3× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$205.36 |
$241.60 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$413.95 |
$487 |
1.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$612 |
$720 |
0.5× |
| Removal of finger lesion (26210) |
$926.50 |
$1,090 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$96.05 |
$113 |
0.2× |
| Removal of heel spur (28119) |
$869.55 |
$1,023 |
0.2× |
Removal of hip prosthesis; (separate procedure) Facility (27090)
likely a partial charge, not the full procedure |
$1,848.32 |
$2,174.50 |
0.2× |
| Removal of implant from finger or hand (26320) |
$739.50 |
$870 |
0.4× |
| Removal of implant material (19330) |
$1,236.75 |
$1,455 |
0.3× |
| Removal of iud (58301) |
$191.25 |
$225 |
0.6× |
Removal Of Knee Prosthesis (27488)
likely a partial charge, not the full procedure |
$2,571.68 |
$3,025.50 |
0.2× |
| Removal of nail bed (11750) |
$482.38 |
$567.50 |
1.1× |
| Removal of salivary stone (42330) |
$306 |
$360 |
0.1× |
| Removal Of Tendon Lesion (27630) |
$952 |
$1,120 |
0.3× |
| Removal of testis (54520) |
$639.62 |
$752.50 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$537.62 |
$632.50 |
0.1× |
| Removal of tonsils (42826) |
$529.12 |
$622.50 |
0.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$574.60 |
$676 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$724.20 |
$852 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$187 |
$220 |
0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$167.88 |
$197.50 |
0.2× |
| Removal Submand Stone,Complicated (42335) |
$728.45 |
$857 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$119.42 |
$140.50 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$888.25 |
$1,045 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$127.32 |
$149.78 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$112.22 |
$132.03 |
0.4× |
| Remove anal fist subq (46270) |
$977.08 |
$1,149.50 |
0.3× |
| Remove cerclage suture (59871) |
$271.15 |
$319 |
0.1× |
| Remove drug implant device (11982) |
$266.48 |
$313.50 |
0.5× |
| Remove Elbow Joint Lining (24102) |
$536.35 |
$631 |
0.1× |
| Remove ext hem groups 2+ (46250) |
$743.75 |
$875 |
0.2× |
| Remove intrvas foreign body (37197) |
$566.10 |
$666 |
0.2× |
| Remove Lower Leg Bone Lesion (27635) |
$1,253.75 |
$1,475 |
0.3× |
| Remove Peritoneal Foreign Body (49402) |
$1,500.25 |
$1,765 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$924.38 |
$1,087.50 |
0.3× |
| Remove Tendon Sheath Lesion (26160) |
$1,202.75 |
$1,415 |
0.7× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$804.95 |
$947 |
0.1× |
| Remove vagina gland lesion (56740) |
$603.92 |
$710.50 |
0.2× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$671.50 |
$790 |
0.1× |
| Remove/Insert Drug Implant (11983) |
$306.42 |
$360.50 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$216.75 |
$255 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$158.95 |
$187 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$141.95 |
$167 |
1.0× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$748 |
$880 |
0.0× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$425 |
$500 |
0.0× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$769.25 |
$905 |
0.0× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$382.50 |
$450 |
0.0× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$745.45 |
$877 |
0.0× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,483.25 |
$1,745 |
0.2× |
| Repair anal fistula (46288) |
$1,079.50 |
$1,270 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,776.50 |
$2,090 |
0.5× |
Repair blood vessel lesion (35190)
likely a partial charge, not the full procedure |
$1,512.15 |
$1,779 |
0.2× |
Repair blood vessel with vein graft; lower extremity Facility (35256)
unusually low: confirm this is the full procedure |
$1,997.50 |
$2,350 |
0.3× |
Repair Choanal Atresia Intranasal (30540)
likely a partial charge, not the full procedure |
$1,282.22 |
$1,508.50 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$837.25 |
$985 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,161.95 |
$1,367 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$736.10 |
$866 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,201.90 |
$1,414 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$692.27 |
$814.44 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$930.75 |
$1,095 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$640.90 |
$754 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$720.05 |
$847.12 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,219.75 |
$1,435 |
0.7× |
Repair Fibula Nonunion (27726)
likely a partial charge, not the full procedure |
$2,082.50 |
$2,450 |
0.3× |
Repair Fistula Oromaxillary (30580)
likely a partial charge, not the full procedure |
$837.25 |
$985 |
0.1× |
Repair fistula; oronasal Facility (30600)
likely a partial charge, not the full procedure |
$780.30 |
$918 |
0.1× |
| Repair Forearm Tendon Sheath (25275) |
$1,419.50 |
$1,670 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$1,320.90 |
$1,554 |
0.4× |
| Repair hand joint with graft (26542) |
$1,453.50 |
$1,710 |
0.4× |
| Repair hand tendon (26410) |
$1,397.28 |
$1,643.86 |
0.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,113.92 |
$1,310.50 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,351.50 |
$1,590 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,211.25 |
$1,425 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,270.75 |
$1,495 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$839.33 |
$987.44 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$552.50 |
$650 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$629 |
$740 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,012.20 |
$1,190.82 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$726.75 |
$855 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$753.95 |
$887 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,114.13 |
$1,310.74 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$632.54 |
$744.16 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$467.50 |
$550 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$595.85 |
$701 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$527 |
$620 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$985.76 |
$1,159.72 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$820.25 |
$965 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$454.04 |
$534.17 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$601.38 |
$707.50 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$875.50 |
$1,030 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$658.75 |
$775 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$824.90 |
$970.47 |
0.4× |
| Repair Lower Leg Tendons (27675) |
$950.30 |
$1,118 |
0.3× |
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure |
$1,360 |
$1,600 |
0.2× |
| Repair Mouth Laceration (40831) |
$551.09 |
$648.34 |
0.9× |
| Repair nasal septal perforations (30630) |
$1,164.50 |
$1,370 |
0.3× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,040 |
$2,400 |
0.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,492.60 |
$1,756 |
0.2× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$1,146.22 |
$1,348.50 |
0.1× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$940.95 |
$1,107 |
0.2× |
Repair of foot bones (28320)
likely a partial charge, not the full procedure |
$1,147.50 |
$1,350 |
0.1× |
| Repair of hydrocele (55060) |
$779.45 |
$917 |
0.2× |
Repair of knee cartilage (27403)
likely a partial charge, not the full procedure |
$1,351.50 |
$1,590 |
0.2× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$633.25 |
$745 |
0.1× |
| Repair of nail bed (11760) |
$221 |
$260 |
0.3× |
| Repair of nasal septum (30520) |
$1,232.50 |
$1,450 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure |
$1,708.50 |
$2,010 |
0.2× |
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724)
unusually low: confirm this is the full procedure |
$2,732.75 |
$3,215 |
0.3× |
| Repair of rectocele (45560) |
$1,411.42 |
$1,660.50 |
0.5× |
| Repair of rectum (45505) |
$1,236.75 |
$1,455 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
likely a partial charge, not the full procedure |
$1,959.25 |
$2,305 |
0.2× |
Repair of shoulder (23420)
likely a partial charge, not the full procedure |
$2,017.90 |
$2,374 |
0.2× |
| Repair of small omphalocele, with primary closure Facility (49600) |
$1,253.75 |
$1,475 |
0.3× |
| Repair Profundus Tendon,Primary (26370) |
$1,305.60 |
$1,536 |
0.4× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$1,457.75 |
$1,715 |
0.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$629 |
$740 |
0.2× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,439.90 |
$1,694 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,266.50 |
$1,490 |
0.3× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,743.35 |
$2,051 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,228.25 |
$1,445 |
0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$964.75 |
$1,135 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,567.40 |
$1,844 |
0.2× |
| Repair tongue laceration (41252) |
$592.25 |
$696.76 |
2.2× |
| Repair Tongue Laceration (41250) |
$252.88 |
$297.50 |
0.5× |
| Repair tympanic membrane (69610) |
$505.75 |
$595 |
0.3× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure |
$810.05 |
$953 |
0.1× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,345.55 |
$1,583 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$892.08 |
$1,049.50 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$614.55 |
$723 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407)
likely a partial charge, not the full procedure |
$1,542.75 |
$1,815 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$1,160.25 |
$1,365 |
0.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,287.75 |
$1,515 |
1.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,181.50 |
$1,390 |
1.2× |
| Replace tunneled cv cath (36578) |
$527.69 |
$620.81 |
0.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$257.55 |
$303 |
0.3× |
| Reposition cv cath w/fluoro (36597) |
$180.62 |
$212.50 |
0.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$285.07 |
$335.38 |
1.0× |
Resection or transplantation of long tendon of biceps (23440)
likely a partial charge, not the full procedure |
$1,606.50 |
$1,890 |
0.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$437.75 |
$515 |
0.1× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$588.20 |
$692 |
0.2× |
| Revise external ear (69300) |
$829.60 |
$976 |
0.2× |
Revise Lower Leg Tendon (27691)
likely a partial charge, not the full procedure |
$1,310.70 |
$1,542 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$1,105 |
$1,300 |
0.5× |
| Revise vag graft via vagina (57295) |
$851.70 |
$1,002 |
0.2× |
| Revision of colostomy simple (44340) |
$1,245.25 |
$1,465 |
0.3× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$2,159 |
$2,540 |
0.5× |
| Revision of foot (28116) |
$1,153.45 |
$1,357 |
0.3× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$6,472.75 |
$7,615 |
1.6× |
| Revision of leg vein (37780) |
$474.30 |
$558 |
0.1× |
| Revision of lower leg tendon (27685) |
$1,116.05 |
$1,313 |
0.3× |
| Revision of toe (28312) |
$1,037 |
$1,220 |
0.3× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$3,183.25 |
$3,745 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$3,029.40 |
$3,564 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
likely a partial charge, not the full procedure |
$3,918.50 |
$4,610 |
0.2× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$646 |
$760 |
0.1× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883)
unusually low: confirm this is the full procedure |
$2,289.05 |
$2,693 |
0.4× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Facility (35881)
unusually low: confirm this is the full procedure |
$2,252.50 |
$2,650 |
0.4× |
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832)
likely a partial charge, not the full procedure |
$1,385.50 |
$1,630 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure |
$4,160.32 |
$4,894.50 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138)
likely a partial charge, not the full procedure |
$3,253.38 |
$3,827.50 |
0.2× |
Rhinoplasty, primary; including major septal repair Facility (30420)
unusually low: confirm this is the full procedure |
$2,627.78 |
$3,091.50 |
0.4× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400)
unusually low: confirm this is the full procedure |
$2,175.15 |
$2,559 |
0.3× |
Rib cartilage graft (21230)
likely a partial charge, not the full procedure |
$1,344.70 |
$1,582 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$336.20 |
$395.53 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$144.50 |
$170 |
1.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$132.60 |
$156 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$807.78 |
$950.34 |
0.2× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$643.45 |
$757 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$680 |
$800 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$391 |
$460 |
0.6× |
| Rplc gtube revj gstrst trc (43763) |
$159.80 |
$188 |
0.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$420.75 |
$495 |
0.2× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$2,830.50 |
$3,330 |
0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,332 |
$3,920 |
1.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,201.50 |
$2,590 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$348.50 |
$410 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,487.50 |
$1,750 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$705.50 |
$830 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,238.45 |
$1,457 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,106.70 |
$1,302 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$867 |
$1,020 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,177.25 |
$1,385 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,487.50 |
$1,750 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$994.50 |
$1,170 |
1.3× |
Rpr blvsl w/grf other/than vein lower extremity (35286)
likely a partial charge, not the full procedure |
$1,606.50 |
$1,890 |
0.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,423.75 |
$1,675 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$781.15 |
$919 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$881.72 |
$1,037.32 |
1.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$739.50 |
$870 |
1.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$4,631.65 |
$5,449 |
1.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$735.25 |
$865 |
1.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,253.97 |
$1,475.26 |
0.3× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$641.75 |
$755 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$467.50 |
$550 |
0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$743.75 |
$875 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$165.75 |
$195 |
0.4× |
| Shave skin lesion 0.5 cm/< (11305) |
$170 |
$200 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$199.75 |
$235 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$335.75 |
$395 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$229.50 |
$270 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$250.75 |
$295 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$293.25 |
$345 |
0.6× |
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure |
$1,125.82 |
$1,324.50 |
0.1× |
| Shoulder arthroscopy (29805) |
$989.82 |
$1,164.50 |
0.3× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,270.75 |
$1,495 |
0.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,080.35 |
$1,271 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$250.75 |
$295 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$280.50 |
$330 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$155.06 |
$182.42 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$284.75 |
$335 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$259.25 |
$305 |
1.2× |
| Sigmoidoscopy & decompress (45337) |
$204 |
$240 |
0.2× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$5,051.55 |
$5,943 |
3.8× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,293.30 |
$2,698 |
1.7× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$297.50 |
$350 |
0.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$539.75 |
$635 |
0.5× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$297.50 |
$350 |
0.0× |
| Sigmoidoscopy w/biopsy (45331) |
$903.12 |
$1,062.50 |
0.9× |
| Sigmoidoscopy w/fb removal (45332) |
$178.50 |
$210 |
0.1× |
| Sigmoidoscopy w/us guide bx (45342) |
$450.50 |
$530 |
0.3× |
| Simple Cystometrogram (51725) |
$420.75 |
$495 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$682.12 |
$802.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$293.25 |
$345 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$352.75 |
$415 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$619.03 |
$728.27 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$441.15 |
$519 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$501.50 |
$590 |
2.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$624.75 |
$735 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$236.30 |
$278 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$665.12 |
$782.50 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$391 |
$460 |
1.7× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030)
likely a partial charge, not the full procedure |
$896.75 |
$1,055 |
0.1× |
| Skin pinch graft (15050) |
$1,168.75 |
$1,375 |
1.4× |
| Skin splt grft trnk/arm/leg (15100) |
$1,789.25 |
$2,105 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$260.10 |
$306 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$3,604 |
$4,240 |
4.4× |
| Skin sub grft t/arm/lg child (15273) |
$3,604 |
$4,240 |
1.6× |
| Skin tissue rearrangement (14040) |
$1,594.60 |
$1,876 |
0.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,449.25 |
$1,705 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,067.62 |
$2,432.50 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$541.45 |
$637 |
0.2× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$1,471.35 |
$1,731 |
0.3× |
| Slitting of prepuce (54001) |
$353.18 |
$415.50 |
0.2× |
| Slitting of prepuce (54000) |
$280.50 |
$330 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$345.95 |
$407 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$501.50 |
$590 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$592.88 |
$697.50 |
1.3× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$1,538.50 |
$1,810 |
0.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$280.50 |
$330 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$289 |
$340 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$310.25 |
$365 |
0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,056.62 |
$4,772.50 |
1.2× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
likely a partial charge, not the full procedure |
$1,603.10 |
$1,886 |
0.2× |
| Strapping ankle (29540) |
$87.55 |
$103 |
0.5× |
| Strapping elbow or wrist (29260) |
$92.21 |
$108.48 |
1.4× |
| Strapping hand/finger (29280) |
$96.90 |
$114 |
1.5× |
| Strapping Hip (29520) |
$96.90 |
$114 |
0.7× |
| Strapping knee (29530) |
$97.84 |
$115.10 |
0.7× |
| Strapping shoulder (29240) |
$119.85 |
$141 |
0.8× |
| Strapping thorax (29200) |
$96.90 |
$114 |
0.5× |
| Strapping toes (29550) |
$86.70 |
$102 |
1.3× |
| Strapping unna boot (29580) |
$118.15 |
$139 |
0.7× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$177.22 |
$208.50 |
0.4× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$95.20 |
$112 |
0.4× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$333.62 |
$392.50 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,232.50 |
$1,450 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$731 |
$860 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$1,045.50 |
$1,230 |
0.3× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,262.25 |
$1,485 |
0.2× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure |
$1,597.15 |
$1,879 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,330.25 |
$1,565 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
likely a partial charge, not the full procedure |
$1,755.25 |
$2,065 |
0.2× |
| Synovectomy, carpometacarpal joint Facility (26130) |
$960.50 |
$1,130 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,070.58 |
$1,259.50 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$86.28 |
$101.50 |
0.2× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge, not the full procedure |
$892.92 |
$1,050.50 |
0.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$949.02 |
$1,116.50 |
0.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,300.50 |
$1,530 |
0.4× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,521.50 |
$1,790 |
0.4× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,640.50 |
$1,930 |
0.2× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$731.85 |
$861 |
0.2× |
| Tenotomy flexor finger open each tendon (26455) |
$867 |
$1,020 |
0.5× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$753.52 |
$886.50 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$451.78 |
$531.50 |
0.3× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$998.75 |
$1,175 |
0.3× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,394 |
$1,640 |
0.2× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$1,207 |
$1,420 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$587.35 |
$691 |
0.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,270.75 |
$1,495 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,679.18 |
$1,975.50 |
2.4× |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
likely a partial charge, not the full procedure |
$1,168.75 |
$1,375 |
0.2× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876)
unusually low: confirm this is the full procedure |
$2,082.50 |
$2,450 |
0.3× |
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321)
likely a partial charge, not the full procedure |
$1,702.55 |
$2,003 |
0.3× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge, not the full procedure |
$1,734 |
$2,040 |
0.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$467.50 |
$550 |
0.1× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$731 |
$860 |
0.1× |
| Thrombolytic Therapy Stroke (37195) |
$392.52 |
$461.79 |
1.1× |
| Thrombolytic Venous Therapy (37212) |
$648.12 |
$762.50 |
0.2× |
| Thyroid biopsy (60100) |
$1,223.15 |
$1,439 |
1.6× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260)
likely a partial charge, not the full procedure |
$1,904 |
$2,240 |
0.3× |
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure |
$1,657.50 |
$1,950 |
0.2× |
| Tnot elbow lateral/medial debride open (24358) |
$1,096.50 |
$1,290 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,436.50 |
$1,690 |
0.4× |
| Tongue and mouth surg unlisted (41599) |
$431.38 |
$507.50 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$600.95 |
$707 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,245.72 |
$3,818.50 |
0.2× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,412.75 |
$4,015 |
0.2× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure |
$1,589.50 |
$1,870 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$382.50 |
$450 |
0.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$439.07 |
$516.55 |
1.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$585.03 |
$688.27 |
0.3× |
| Tracheostomy planned (31600) |
$555.05 |
$653 |
0.2× |
| Tracheotomy tube change (31502) |
$81.56 |
$95.95 |
0.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$807.50 |
$950 |
2.4× |
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400)
likely a partial charge, not the full procedure |
$1,462 |
$1,720 |
0.2× |
| Transplant hand tendon (26480) |
$1,615 |
$1,900 |
0.4× |
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure |
$1,479.85 |
$1,741 |
0.2× |
| Treat Big Toe Fracture (28505) |
$854.25 |
$1,005 |
0.2× |
| Treat clavicle dislocation (23540) |
$512.99 |
$603.52 |
1.9× |
| Treat clavicle fracture (23505) |
$722.50 |
$850 |
0.4× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,312 |
$2,720 |
0.2× |
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure |
$1,419.08 |
$1,669.50 |
0.2× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,900.18 |
$2,235.50 |
0.2× |
| Treat Hand Dislocation (26685) |
$1,202.75 |
$1,415 |
0.3× |
| Treat humerus fracture (24500) |
$750.74 |
$883.22 |
2.7× |
| Treat humerus fracture (23600) |
$699.12 |
$822.50 |
2.5× |
| Treat knee fracture (27532) |
$1,768 |
$2,080 |
0.5× |
Treat Knee Fracture (27535)
likely a partial charge, not the full procedure |
$1,925.25 |
$2,265 |
0.2× |
| Treat Knee Fracture(S) (27538) |
$986 |
$1,160 |
3.6× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,595.45 |
$1,877 |
0.2× |
Treat Lower Leg Fracture (27828)
likely a partial charge, not the full procedure |
$2,766.75 |
$3,255 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$644.67 |
$758.43 |
2.3× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$1,351.50 |
$1,590 |
0.2× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$1,719.55 |
$2,023 |
0.2× |
| Treat Thigh Fracture (27246) |
$803.25 |
$945 |
2.9× |
Treat Thigh Fracture (27245)
unusually low: confirm this is the full procedure |
$2,677.50 |
$3,150 |
0.3× |
| Treat Thumb Dislocation (26641) |
$808.40 |
$951.06 |
2.9× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$816.06 |
$960.06 |
0.5× |
| Treat wrist bone fracture (25622) |
$635.66 |
$747.84 |
2.3× |
| Treat Wrist Bone Fracture (25630) |
$644.24 |
$757.93 |
2.3× |
| Treatment closed elbow dislocation req anes (24605) |
$968.15 |
$1,139 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$745.45 |
$877 |
2.7× |
| Treatment mouth roof lesion (42160) |
$379.10 |
$446 |
0.1× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,564 |
$1,840 |
0.2× |
| Treatment of foot infection (28003) |
$1,436.50 |
$1,690 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,754 |
$3,240 |
0.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$742.05 |
$873 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$541.45 |
$637 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$463.62 |
$545.43 |
1.7× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,215.50 |
$1,430 |
0.2× |
| Trim skin lesion (11055) |
$93.92 |
$110.50 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$136.85 |
$161 |
0.6× |
| Trim skin lesions over 4 (11057) |
$156.40 |
$184 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$37.64 |
$44.28 |
0.6× |
Trlml balo angiop open/perq img s&i 1st art (37246)
likely a partial charge, not the full procedure |
$786.25 |
$925 |
0.1× |
Trlml balo angiop open/perq w/img s&i 1st vein (37248)
likely a partial charge, not the full procedure |
$561.85 |
$661 |
0.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$689.78 |
$811.50 |
0.2× |
| Tubal ligation (58600) |
$716.12 |
$842.50 |
0.2× |
| Tube thoracostomy includes water seal (32551) |
$412.25 |
$485 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$858.50 |
$1,010 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$641.75 |
$755 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$710.60 |
$836 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$584.89 |
$688.10 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$326.67 |
$384.32 |
0.7× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,133.08 |
$2,509.50 |
0.1× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645)
unusually low: confirm this is the full procedure |
$2,592.50 |
$3,050 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure |
$2,399.98 |
$2,823.50 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
likely a partial charge, not the full procedure |
$1,867.02 |
$2,196.50 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
likely a partial charge, not the full procedure |
$1,587.38 |
$1,867.50 |
0.2× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
likely a partial charge, not the full procedure |
$1,932.90 |
$2,274 |
0.3× |
| Tympanostomy (69433) |
$267.75 |
$315 |
0.4× |
| Tympanostomy general anesthesia (69436) |
$303.88 |
$357.50 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,032.75 |
$1,215 |
0.3× |
| Umbilical cord occlud w/us (59072) |
$1,079.50 |
$1,270 |
3.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$751.40 |
$884 |
3.3× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,020 |
$1,200 |
0.2× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$650.25 |
$765 |
0.1× |
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure |
$1,127.95 |
$1,327 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$809.20 |
$952 |
0.1× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure |
$2,805 |
$3,300 |
0.4× |
| Unlisted procedure anus (46999) |
$674.05 |
$793 |
0.7× |
| Unlisted procedure arthroscopy (29999) |
$1,351.50 |
$1,590 |
4.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$361.25 |
$425 |
1.4× |
| Unlisted procedure femur or knee (27599) |
$314.50 |
$370 |
1.1× |
| Unlisted procedure nervous system (64999) |
$628.15 |
$739 |
1.8× |
| Unlisted procedure rectum (45999) |
$255 |
$300 |
0.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$3,993.56 |
$4,698.30 |
5.7× |
| Unlisted procedure, hands or fingers (26989) |
$544 |
$640 |
2.0× |
| Unlisted procedure, leg or ankle (27899) |
$437.75 |
$515 |
1.6× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$1,363.40 |
$1,604 |
0.3× |
| Us urine capacity measure (51798) |
$110.04 |
$129.46 |
1.7× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,014.48 |
$1,193.50 |
0.3× |
| Uvulectomy excision of uvula (42140) |
$357 |
$420 |
0.1× |
| Vaginal delivery only (59409) |
$1,589.50 |
$1,870 |
0.4× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$1,713.60 |
$2,016 |
0.5× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
likely a partial charge, not the full procedure |
$1,096.50 |
$1,290 |
0.2× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263)
unusually low: confirm this is the full procedure |
$2,035.75 |
$2,395 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure |
$1,806.25 |
$2,125 |
0.3× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$1,829.62 |
$2,152.50 |
0.3× |
Vasc embolize/occlude venous (37241)
likely a partial charge, not the full procedure |
$812.60 |
$956 |
0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$777.75 |
$915 |
0.3× |
| Venipuncture (36415) |
$31.45 |
$37 |
3.4× |
| Venipuncture, cutdown; age 1 or over (36425) |
$96.62 |
$113.68 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$142.80 |
$168 |
0.0× |
| Vulvectomy Simple Partial (56620) |
$765.42 |
$900.50 |
0.2× |
| Wedge excision skin nail fold (11765) |
$278.38 |
$327.50 |
0.6× |
| Wedging of cast (29740) |
$155.10 |
$182.47 |
0.5× |
| Windowing of cast (29730) |
$136 |
$160 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$648.98 |
$763.50 |
1.4× |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
likely a partial charge, not the full procedure |
$1,358.30 |
$1,598 |
0.2× |
Xcpsl ctrc rmvl cplx insj 1+ (66989)
likely a partial charge, not the full procedure |
$1,699.15 |
$1,999 |
0.3× |