| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,223 |
$1,223 |
1.5× |
| Ablate inf turbinate submuc (30802) |
$1,389 |
$1,389 |
1.0× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$2,200 |
$2,200 |
1.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$18,693 |
$18,693 |
6.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,952 |
$1,952 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,547.50 |
$3,547.50 |
1.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,065.50 |
$2,065.50 |
1.1× |
| Amputate metacarpal bone (26910) |
$4,131 |
$4,131 |
1.4× |
| Amputation Finger/Thumb (26951) |
$4,131 |
$4,131 |
1.4× |
| Amputation of finger/thumb (26952) |
$3,056 |
$3,056 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$9,069 |
$9,069 |
3.1× |
| Analyze infusn pump+reprogram (62368) |
$878 |
$878 |
3.2× |
| Analyze spine infus pump (62367) |
$878 |
$878 |
3.2× |
| Aqueous shunt to extraocular reservoir (66180) |
$2,778 |
$2,778 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$257 |
$257 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$869 |
$869 |
3.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,148 |
$1,148 |
4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$994.50 |
$994.50 |
3.6× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
likely a partial charge, not the full procedure |
$2,886.68 |
$2,886.68 |
0.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$12,246.50 |
$12,246.50 |
0.8× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554)
likely a partial charge, not the full procedure |
$1,739.20 |
$1,739.20 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$5,623 |
$5,623 |
0.2× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$3,159.40 |
$3,159.40 |
0.1× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$3,501.75 |
$3,501.75 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$4,909.20 |
$4,909.20 |
0.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$9,861.75 |
$9,861.75 |
0.6× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$10,670 |
$10,670 |
0.9× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$5,639.09 |
$5,639.09 |
0.9× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$7,898.50 |
$7,898.50 |
0.7× |
| Arthroscopy ankle; ext debridem (29898) |
$6,600 |
$6,600 |
2.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$6,600 |
$6,600 |
2.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$6,569.50 |
$6,569.50 |
2.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$4,131 |
$4,131 |
1.4× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$5,159.83 |
$5,159.83 |
1.7× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,992 |
$5,992 |
2.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$3,962 |
$3,962 |
1.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,962 |
$3,962 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,639.08 |
$5,639.08 |
1.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,967.43 |
$2,967.43 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$10,220 |
$10,220 |
1.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,851.22 |
$1,851.22 |
0.6× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,726.83 |
$2,726.83 |
0.9× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,100.50 |
$4,100.50 |
1.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,547.18 |
$3,547.18 |
0.5× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$2,151 |
$2,151 |
0.7× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$2,617.66 |
$2,617.66 |
0.9× |
| Arthrotomy, elbow; with synovectomy (24102) |
$4,100.50 |
$4,100.50 |
1.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,981 |
$1,981 |
0.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$582 |
$582 |
2.1× |
| Biopsy of palate, uvula (42100) |
$2,778 |
$2,778 |
2.0× |
| Biopsy Salivary Gland Incisional (42405) |
$4,131 |
$4,131 |
2.9× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$938 |
$938 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$5,281 |
$5,281 |
1.5× |
| Bladder Scan (51798) |
$162 |
$162 |
3.0× |
| Blepharoplasty upper eyelid (15822) |
$3,962 |
$3,962 |
2.1× |
| Blood patch (62273) |
$1,685 |
$1,685 |
2.6× |
| Blood transfusion service (36430) |
$1,283 |
$1,283 |
3.2× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$670 |
$670 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,528 |
$1,528 |
0.9× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$872.55 |
$872.55 |
0.3× |
| Carpectomy All Bones Proximal Row (25215) |
$4,100.50 |
$4,100.50 |
1.4× |
| Cataract surgery complex (66982) |
$3,547.50 |
$3,547.50 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$270 |
$270 |
1.4× |
Cerv artific diskectomy (22856)
unusually low: confirm this is the full procedure |
$7,898.50 |
$7,898.50 |
0.5× |
| Cervical lymphadenectomy (complete) (38720) |
$9,082 |
$9,082 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$2,065.50 |
$2,065.50 |
9.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,547 |
$1,547 |
2.4× |
| Circum 28 days or older (54161) |
$5,482.75 |
$5,482.75 |
2.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,962 |
$3,962 |
1.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,600 |
$6,600 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$2,710.32 |
$2,710.32 |
12.1× |
| Closed tx septal&nose fx (21337) |
$5,145.50 |
$5,145.50 |
1.7× |
| Closure of vagina (57120) |
$8,238 |
$8,238 |
1.8× |
| Construct Artific Vagina W Graft (57292) |
$9,321 |
$9,321 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,086.38 |
$1,086.38 |
9.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,439 |
$1,439 |
11.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$2,837.50 |
$2,837.50 |
5.8× |
| Correction hammertoe (28285) |
$4,379.66 |
$4,379.66 |
1.5× |
| Correction of bunion (28298) |
$4,379.68 |
$4,379.68 |
0.7× |
| Create eardrum opening (69436) |
$1,842.88 |
$1,842.88 |
1.3× |
| Create Tear Sac-Nasal Fistula (68720) |
$6,600 |
$6,600 |
1.9× |
| Curette/treat cornea (65435) |
$2,778 |
$2,778 |
3.1× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$6,600 |
$6,600 |
1.4× |
| Cysto w/destruction of lesions (52214) |
$8,238 |
$8,238 |
2.6× |
| Cysto w/removal of tumors small (52234) |
$4,131 |
$4,131 |
1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$7,870 |
$7,870 |
4.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,682.75 |
$2,682.75 |
0.8× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,769 |
$5,769 |
1.2× |
| Cysto/uretero w/lithotripsy (52356) |
$7,003.50 |
$7,003.50 |
1.4× |
| Cystoscopy w/biopsy (52204) |
$3,081 |
$3,081 |
1.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,778 |
$2,778 |
1.5× |
| Cystoscopy,insert ureteral stent (52332) |
$3,715.50 |
$3,715.50 |
1.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,113.25 |
$2,113.25 |
1.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,200 |
$2,200 |
1.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,962 |
$3,962 |
1.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$6,600 |
$6,600 |
3.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$2,065.50 |
$2,065.50 |
0.6× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,962 |
$3,962 |
1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,320.66 |
$1,320.66 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$6,600 |
$6,600 |
17.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,898.66 |
$2,898.66 |
1.9× |
| Destroy cerv/thor facet jnt (64633) |
$3,195 |
$3,195 |
1.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,620.50 |
$3,620.50 |
2.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,448.50 |
$1,448.50 |
8.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,022 |
$2,022 |
2.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,802.60 |
$2,802.60 |
3.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$11,484 |
$11,484 |
6.5× |
| Destruction premalignant lesion 1st (17000) |
$347.25 |
$347.25 |
1.9× |
| Dilation of salivary duct (42650) |
$1,448.50 |
$1,448.50 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,109.68 |
$2,109.68 |
1.3× |
| Drain spinal cord cyst (62268) |
$1,947.50 |
$1,947.50 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$6,600 |
$6,600 |
4.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$3,962 |
$3,962 |
21.8× |
| Endoscopic Injection/Implant (51715) |
$2,778 |
$2,778 |
0.9× |
| Epidural lysis mult sessions (62263) |
$3,540 |
$3,540 |
4.4× |
| Epidural lysis on single day (62264) |
$3,145.50 |
$3,145.50 |
3.9× |
| Esophagoscopy rigid trnso dx (43191) |
$990.50 |
$990.50 |
0.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,552.68 |
$1,552.68 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$4,131 |
$4,131 |
1.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,164.50 |
$3,164.50 |
2.1× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$6,600 |
$6,600 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,962 |
$3,962 |
6.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,778 |
$2,778 |
1.9× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$4,379.66 |
$4,379.66 |
2.9× |
| Exc forearm les sc 3 cm/> (25071) |
$1,389 |
$1,389 |
0.9× |
| Exc frenum labial/buccal (40819) |
$694.50 |
$694.50 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$1,320.66 |
$1,320.66 |
0.9× |
| Exc neck tum deep < 5 cm (21556) |
$5,230 |
$5,230 |
2.0× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$9,879.50 |
$9,879.50 |
1.8× |
| Exc skin abd (15830) |
$9,605.18 |
$9,605.18 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$3,164.50 |
$3,164.50 |
4.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$4,131 |
$4,131 |
11.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,023 |
$3,023 |
4.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,778 |
$2,778 |
1.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,582.25 |
$1,582.25 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,501.75 |
$3,501.75 |
2.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$4,534.50 |
$4,534.50 |
3.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,065.50 |
$2,065.50 |
1.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,661.50 |
$2,661.50 |
1.8× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,389 |
$1,389 |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,065.50 |
$2,065.50 |
0.8× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$4,131 |
$4,131 |
1.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,846 |
$3,846 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,962 |
$3,962 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$6,329 |
$6,329 |
4.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$12,535 |
$12,535 |
3.9× |
| Exchange intraocular lens (66986) |
$2,778 |
$2,778 |
1.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,618.25 |
$1,618.25 |
1.1× |
| Excise cutaneous neurofibroma (64788) |
$7,395 |
$7,395 |
4.2× |
| Excise Inferior Turbinate (30130) |
$2,469.88 |
$2,469.88 |
0.8× |
| Excise parotid gland/lesion (42410) |
$4,317 |
$4,317 |
0.8× |
| Excise pharynx lesion (42808) |
$965.66 |
$965.66 |
0.3× |
| Excise tendon forearm/wrist (25109) |
$694.50 |
$694.50 |
0.2× |
| Excise/repair mouth lesion (40812) |
$2,897 |
$2,897 |
2.1× |
| Excision brach clft cyst,superficial (42810) |
$6,600 |
$6,600 |
2.2× |
| Excision Distal Ulna Partial/Complete (25240) |
$3,300 |
$3,300 |
1.1× |
| Excision external ear partial simple repair (69110) |
$2,897 |
$2,897 |
1.1× |
| Excision lesion mouth roof (42104) |
$2,897 |
$2,897 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,736.25 |
$1,736.25 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$6,600 |
$6,600 |
10.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$347.25 |
$347.25 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,952 |
$1,952 |
3.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,897 |
$2,897 |
4.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,804.25 |
$1,804.25 |
2.8× |
| Excision of gum flap (41821) |
$2,884.50 |
$2,884.50 |
2.1× |
| Excision of hydrocele; unilateral (55040) |
$4,243.75 |
$4,243.75 |
1.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$2,837.50 |
$2,837.50 |
3.1× |
| Excision of lesion of tongue without closure (41110) |
$2,267.25 |
$2,267.25 |
0.8× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$2,158.50 |
$2,158.50 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$4,131 |
$4,131 |
2.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,898.66 |
$2,898.66 |
1.9× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$4,348 |
$4,348 |
2.3× |
| Excision of submandibular (submaxillary) gland (42440) |
$8,666 |
$8,666 |
1.6× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,586.50 |
$1,586.50 |
1.1× |
| Excision of tongue lesion (41112) |
$2,897 |
$2,897 |
1.0× |
| Excision olecranon bursa (24105) |
$7,853 |
$7,853 |
2.7× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$2,249 |
$2,249 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,164.50 |
$3,164.50 |
1.1× |
| Excision or fulguration; urethral caruncle (53265) |
$2,778 |
$2,778 |
1.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$4,131 |
$4,131 |
1.6× |
| Excision, nasal polyp(s), simple (30110) |
$1,650 |
$1,650 |
1.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$2,065.50 |
$2,065.50 |
0.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$2,151 |
$2,151 |
0.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$4,131 |
$4,131 |
1.6× |
| Excision,ben tumor,mandible,intra-oral (21046) |
$4,660.50 |
$4,660.50 |
0.9× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$3,054.50 |
$3,054.50 |
0.6× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,454.50 |
$3,454.50 |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$6,600 |
$6,600 |
2.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$5,335 |
$5,335 |
3.7× |
| Explor ankle jt+tenosynovectomy (27626) |
$4,119 |
$4,119 |
1.4× |
| Exploration of spinal fusion (22830) |
$8,187.56 |
$8,187.56 |
1.2× |
| Explore parathyroid glands (60500) |
$6,600 |
$6,600 |
1.2× |
| Explore/treat ankle joint (27610) |
$3,300 |
$3,300 |
1.1× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,023.25 |
$2,023.25 |
1.4× |
| Extensive surgery of throat (42842) |
$4,503 |
$4,503 |
0.8× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$1,389 |
$1,389 |
0.3× |
| Fasciotomy Iliotibial Open (27305) |
$3,300 |
$3,300 |
1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,109.68 |
$2,109.68 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$926 |
$926 |
2.5× |
| Fixation of knee joint (27570) |
$6,293.50 |
$6,293.50 |
4.3× |
| Fixation of shoulder (23700) |
$2,778 |
$2,778 |
1.9× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$1,923 |
$1,923 |
0.6× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,952 |
$1,952 |
1.0× |
| Fusion of knuckle joint (26516) |
$5,078.33 |
$5,078.33 |
1.7× |
| Fusion of knuckle with graft (26852) |
$3,406.66 |
$3,406.66 |
0.5× |
| Fusion/graft of finger joint (26862) |
$5,145.50 |
$5,145.50 |
1.7× |
| Gastrocnemius Recession (27687) |
$3,937.60 |
$3,937.60 |
1.3× |
| Glossectomy; less than one-half tongue (41120) |
$9,082 |
$9,082 |
1.7× |
Graft ear crtlg autogenous nose/ear (21235)
unusually low: confirm this is the full procedure |
$1,650 |
$1,650 |
0.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,159.40 |
$3,159.40 |
1.0× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$6,386.25 |
$6,386.25 |
2.0× |
| Hyoid myotomy and suspension (21685) |
$4,476.68 |
$4,476.68 |
0.8× |
| I&d abscess simple (10060) |
$4,131 |
$4,131 |
22.7× |
| Implant neuroelectrodes (63650) |
$4,838.75 |
$4,838.75 |
0.8× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$11,846 |
$11,846 |
1.5× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$8,297 |
$8,297 |
0.5× |
| Incise finger tendon sheath (26055) |
$2,065.50 |
$2,065.50 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$3,962 |
$3,962 |
10.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$2,897 |
$2,897 |
7.9× |
| Incision extensor tendon sheath wrist (25000) |
$1,124.50 |
$1,124.50 |
0.8× |
Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568)
likely a partial charge, not the full procedure |
$11,538 |
$11,538 |
0.3× |
| Incision labial frenum frenotomy (40806) |
$926 |
$926 |
1.9× |
| Incision of eardrum (69421) |
$1,187.25 |
$1,187.25 |
0.4× |
| Incision of heel bone (28300) |
$3,937.60 |
$3,937.60 |
0.6× |
| Incision of lingual frenum (41010) |
$1,852 |
$1,852 |
1.3× |
| Incision of metatarsals (28309) |
$5,773.66 |
$5,773.66 |
0.9× |
| Inj neurolytic subarachnoid (62280) |
$1,732 |
$1,732 |
2.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,513.50 |
$2,513.50 |
3.1× |
| Inj tendon sheath/ligament (20550) |
$524 |
$524 |
1.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$698.50 |
$698.50 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$612 |
$612 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,140 |
$2,140 |
3.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,080.50 |
$2,080.50 |
2.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$612 |
$612 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,971 |
$1,971 |
2.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$612 |
$612 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,350 |
$1,350 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$711 |
$711 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,031 |
$2,031 |
2.5× |
| Inject Nerv Blck,Pudendal (64430) |
$1,808 |
$1,808 |
2.3× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,257 |
$2,257 |
2.8× |
| Inject Tendon Origin/Insert (20551) |
$622.75 |
$622.75 |
2.2× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$612 |
$612 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,724 |
$1,724 |
2.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,692 |
$2,692 |
4.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$612 |
$612 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$612 |
$612 |
2.2× |
| Injection anes other peripheral nerve/branch (64450) |
$1,798 |
$1,798 |
2.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,377 |
$2,377 |
3.0× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$2,485.50 |
$2,485.50 |
3.1× |
| Injection procedure for chemonucleolysis, including diskography, intervertebral disk, single or multiple levels, lumbar (62292) |
$998 |
$998 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$608 |
$608 |
2.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$610 |
$610 |
2.2× |
| Injection treatment of nerve (64600) |
$3,540 |
$3,540 |
4.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,807.75 |
$1,807.75 |
6.5× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$612 |
$612 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$612 |
$612 |
2.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$612 |
$612 |
2.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,732 |
$1,732 |
2.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,732 |
$1,732 |
2.2× |
| Insert Bladder Cath Complex (51703) |
$1,981 |
$1,981 |
17.0× |
| Insert picc cath (36569) |
$2,162 |
$2,162 |
1.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$154 |
$154 |
0.1× |
| Insertion of infusion pump (36260) |
$3,701 |
$3,701 |
0.7× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$3,962 |
$3,962 |
0.2× |
| Insj multi-component inflatable penile prosth (54405) |
$11,063 |
$11,063 |
0.6× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$1,448.50 |
$1,448.50 |
0.7× |
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure |
$3,687.66 |
$3,687.66 |
0.5× |
Insrt/redo spine n generator (63685)
unusually low: confirm this is the full procedure |
$8,696 |
$8,696 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$420 |
$420 |
2.0× |
| Island pedicle flap graft (15740) |
$1,449.33 |
$1,449.33 |
0.8× |
| Knee arthroscopy/surgery (29851) |
$5,335 |
$5,335 |
3.7× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$7,375.34 |
$7,375.34 |
1.1× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure |
$3,300 |
$3,300 |
0.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$8,558.83 |
$8,558.83 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,694.30 |
$7,694.30 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$3,689.12 |
$3,689.12 |
0.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$6,315 |
$6,315 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,696 |
$8,696 |
1.3× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$6,184.50 |
$6,184.50 |
0.9× |
| Laparoscopy Remove Adnexa (58661) |
$6,600 |
$6,600 |
1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,131 |
$4,131 |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$3,962 |
$3,962 |
1.2× |
| Laryngoscopy w/bx op scope (31536) |
$8,696 |
$8,696 |
2.6× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,515.58 |
$1,515.58 |
0.9× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,528 |
$1,528 |
0.9× |
| Larynscop w/tumr exc + scope (31541) |
$3,962 |
$3,962 |
1.2× |
| Lateral retinacular release open (27425) |
$6,569.50 |
$6,569.50 |
2.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$8,201 |
$8,201 |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$9,069 |
$9,069 |
6.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,332.75 |
$4,332.75 |
1.4× |
| Lithotripsy (50590) |
$14,291.50 |
$14,291.50 |
4.5× |
| Lysis Intranasal Synechia (30560) |
$1,650 |
$1,650 |
3.4× |
| Mastopexy (19316) |
$4,534.50 |
$4,534.50 |
0.8× |
| Myelography Lumbar Injection (62305) |
$2,103 |
$2,103 |
3.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,700.50 |
$1,700.50 |
2.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,718 |
$1,718 |
2.4× |
| Myringoplasty (69620) |
$2,778 |
$2,778 |
0.9× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,389 |
$1,389 |
7.7× |
| Nasal sinus therapy (30210) |
$1,123.33 |
$1,123.33 |
0.8× |
| Nasal surgery procedure (30999) |
$2,932.83 |
$2,932.83 |
13.7× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$1,813.80 |
$1,813.80 |
0.3× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$1,843.83 |
$1,843.83 |
0.3× |
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288)
likely a partial charge, not the full procedure |
$1,341.12 |
$1,341.12 |
0.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$1,925 |
$1,925 |
0.6× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
likely a partial charge, not the full procedure |
$1,650 |
$1,650 |
0.3× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,174 |
$2,174 |
1.3× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$1,739.20 |
$1,739.20 |
0.3× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$1,739.20 |
$1,739.20 |
0.3× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$2,667.97 |
$2,667.97 |
0.8× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,649.50 |
$1,649.50 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,300 |
$3,300 |
2.0× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,843.83 |
$1,843.83 |
0.3× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,776.50 |
$1,776.50 |
0.3× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,412.26 |
$1,412.26 |
0.2× |
Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705)
unusually low: confirm this is the full procedure |
$1,820.25 |
$1,820.25 |
0.3× |
Nerve Pedicle Xfer,First Stage (64905)
unusually low: confirm this is the full procedure |
$2,555 |
$2,555 |
0.3× |
| Neuroplasty digital 1/both same digit (64702) |
$1,981 |
$1,981 |
1.1× |
| Neuroplasty; nerve of hand or foot (64704) |
$4,348 |
$4,348 |
2.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,924 |
$1,924 |
2.4× |
| Njx Arterial Occlusion Arven Malfrmj Spinal (62294) |
$998 |
$998 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,752.25 |
$1,752.25 |
2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,370 |
$2,370 |
3.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,737.50 |
$1,737.50 |
2.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,439 |
$1,439 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,595 |
$1,595 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,301 |
$2,301 |
3.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,567 |
$2,567 |
3.2× |
Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582)
unusually low: confirm this is the full procedure |
$11,063 |
$11,063 |
0.4× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$4,348 |
$4,348 |
0.7× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$5,889.75 |
$5,889.75 |
0.9× |
| Open rx mandible fx+dental fix (21462) |
$6,715 |
$6,715 |
1.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,195.25 |
$6,195.25 |
0.9× |
| Open treatment metatarsal fracture each (28485) |
$3,949.25 |
$3,949.25 |
0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,220 |
$10,220 |
1.6× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$9,069 |
$9,069 |
0.8× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
unusually low: confirm this is the full procedure |
$4,669 |
$4,669 |
0.4× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$6,569.50 |
$6,569.50 |
1.0× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$10,670 |
$10,670 |
1.6× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$10,670 |
$10,670 |
1.6× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$13,557.75 |
$13,557.75 |
2.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$5,335 |
$5,335 |
0.8× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$3,164.50 |
$3,164.50 |
0.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$6,329 |
$6,329 |
2.1× |
| Open tx carpal scaphoid navicular fracture (25628) |
$3,962 |
$3,962 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,981 |
$1,981 |
0.7× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$4,746.75 |
$4,746.75 |
0.7× |
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure |
$5,732 |
$5,732 |
0.5× |
| Open tx interphalangeal joint dislocation (26785) |
$6,329 |
$6,329 |
2.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,486 |
$5,486 |
1.9× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$6,195.25 |
$6,195.25 |
0.9× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
likely a partial charge, not the full procedure |
$1,574.63 |
$1,574.63 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,110 |
$5,110 |
1.7× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$12,587 |
$12,587 |
1.1× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$7,804 |
$7,804 |
0.7× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$17,321 |
$17,321 |
1.5× |
| Optx orb floor blwt fx pri/bital appr w/allplstc (21390) |
$7,834.50 |
$7,834.50 |
1.5× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,882.50 |
$8,882.50 |
2.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$8,238 |
$8,238 |
2.8× |
| Osteotomy Clavicle W Bone Graft (23485) |
$9,069 |
$9,069 |
0.8× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$4,348 |
$4,348 |
0.8× |
| Paravaginal defect repair vaginal approach (57285) |
$11,538 |
$11,538 |
1.7× |
| Partial Excision Bone Olecranon Process (24147) |
$4,100.50 |
$4,100.50 |
1.4× |
| Partial Excision Bone Radius (25151) |
$1,828.68 |
$1,828.68 |
0.6× |
| Partial excision bone talus/calcaneus (28120) |
$7,477 |
$7,477 |
2.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,320.67 |
$1,320.67 |
0.9× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,188.92 |
$1,188.92 |
0.8× |
| Partial removal of thyroid (60220) |
$10,117 |
$10,117 |
1.8× |
| Penis plastic surgery (54360) |
$6,109 |
$6,109 |
1.9× |
| Percutaneous diskectomy (62287) |
$4,525 |
$4,525 |
2.6× |
| Peri-implant capsulectomy breast complete (19371) |
$3,164.50 |
$3,164.50 |
0.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$7,003.50 |
$7,003.50 |
2.4× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$4,348 |
$4,348 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$3,962 |
$3,962 |
0.6× |
| Pin finger fracture each (26756) |
$2,778 |
$2,778 |
0.9× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$2,897 |
$2,897 |
1.4× |
| Probe nasolacrimal duct (68815) |
$6,329 |
$6,329 |
2.9× |
| Probe nasolacrimal duct (68811) |
$1,648.28 |
$1,648.28 |
0.8× |
| Prostatectomy (turp) (52601) |
$7,232.50 |
$7,232.50 |
1.5× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$8,831.50 |
$8,831.50 |
1.5× |
| Puncture Aspiration (10160) |
$1,595 |
$1,595 |
4.3× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$6,569.50 |
$6,569.50 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,981 |
$1,981 |
1.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,558.33 |
$1,558.33 |
0.5× |
| Rad resec prox/mid phalanx (26260) |
$1,389 |
$1,389 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,351 |
$4,351 |
2.5× |
| Realignment extensor tendon hand each tendon (26437) |
$5,486 |
$5,486 |
1.9× |
| Reconstr disloc patella w mscl adv (27422) |
$5,335 |
$5,335 |
0.8× |
| Reconstruc Ant Male Urethra (53410) |
$15,797 |
$15,797 |
3.3× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$3,556.68 |
$3,556.68 |
1.2× |
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346)
unusually low: confirm this is the full procedure |
$4,195.68 |
$4,195.68 |
0.4× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$11,941.50 |
$11,941.50 |
2.2× |
| Reconstruction midface, lefort i; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$18,945 |
$18,945 |
3.5× |
| Reconstruction of mandibular ramus, sagittal split; in internal rigid fixation (21196) |
$11,941.50 |
$11,941.50 |
2.2× |
| Reduction of Large Breast (19318) |
$8,696 |
$8,696 |
1.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$7,073.25 |
$7,073.25 |
1.1× |
Reinsertion Spinal Fixation Device (22849)
likely a partial charge, not the full procedure |
$2,632.83 |
$2,632.83 |
0.2× |
| Release i-p jt contracture (26525) |
$1,155.59 |
$1,155.59 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$16,476 |
$16,476 |
11.0× |
| Removal foreign body foot deep (28192) |
$4,155 |
$4,155 |
2.8× |
| Removal foreign body foot subcutaneous (28190) |
$4,348 |
$4,348 |
6.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$4,131 |
$4,131 |
2.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,113.25 |
$2,113.25 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$1,177.33 |
$1,177.33 |
22.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,448.50 |
$1,448.50 |
27.1× |
| Removal Implant Deep (20680) |
$3,563.25 |
$3,563.25 |
1.4× |
| Removal Implant From Finger/Hand (26320) |
$1,828.66 |
$1,828.66 |
1.2× |
| Removal of adenoids (42835) |
$1,389 |
$1,389 |
0.5× |
| Removal of adenoids (42831) |
$2,083.50 |
$2,083.50 |
0.7× |
| Removal of adenoids (42830) |
$1,389 |
$1,389 |
0.5× |
| Removal of adenoids (42836) |
$1,981 |
$1,981 |
0.7× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$4,541 |
$4,541 |
0.7× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$4,131 |
$4,131 |
2.8× |
| Removal of eye lesion (65400) |
$2,837.50 |
$2,837.50 |
3.1× |
| Removal of heel bone (28118) |
$4,119 |
$4,119 |
1.4× |
| Removal of infusion pump (36262) |
$2,244 |
$2,244 |
0.7× |
| Removal of kneecap (27350) |
$10,220 |
$10,220 |
1.6× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$4,579.60 |
$4,579.60 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,187.25 |
$1,187.25 |
6.5× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$4,348 |
$4,348 |
2.5× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$4,348 |
$4,348 |
1.4× |
| Removal of testis (54520) |
$9,069 |
$9,069 |
2.8× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,468.25 |
$2,468.25 |
0.5× |
| Removal of tonsils (42826) |
$2,778 |
$2,778 |
0.9× |
| Removal of wrist bone (25210) |
$2,778 |
$2,778 |
0.9× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$3,640.50 |
$3,640.50 |
1.7× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$9,069 |
$9,069 |
3.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$6,600 |
$6,600 |
3.5× |
| Remove bladder stone (52318) |
$4,411.75 |
$4,411.75 |
1.4× |
| Remove digit nerve lesion (64776) |
$1,320.66 |
$1,320.66 |
0.7× |
| Remove ear lesion (69540) |
$1,418.75 |
$1,418.75 |
1.0× |
| Remove elbow lesion (24120) |
$8,201 |
$8,201 |
2.8× |
| Remove femur lesion/bursa (27062) |
$3,300 |
$3,300 |
1.1× |
| Remove knee cyst (27347) |
$4,100.50 |
$4,100.50 |
1.4× |
| Remove part of neck vertebra (22100) |
$6,600 |
$6,600 |
1.0× |
| Remove part thorax vertebra (22101) |
$6,600 |
$6,600 |
1.0× |
| Remove prostate regrowth (52630) |
$6,329 |
$6,329 |
1.3× |
| Remove spine infusion device (62365) |
$3,540 |
$3,540 |
1.1× |
| Remove thyroid duct lesion (60280) |
$6,329 |
$6,329 |
1.2× |
| Remove vc lesion w/scope (31545) |
$5,365.50 |
$5,365.50 |
1.6× |
| Remove wrist tendon lesion (25111) |
$2,379.50 |
$2,379.50 |
1.6× |
Remove/replace ur sphincter (53447)
unusually low: confirm this is the full procedure |
$8,238 |
$8,238 |
0.4× |
| Remv cartilage for graft nasal (20912) |
$1,032.75 |
$1,032.75 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,418.75 |
$1,418.75 |
0.9× |
| Repair achilles tendon (27650) |
$11,679.50 |
$11,679.50 |
1.8× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$6,600 |
$6,600 |
2.2× |
| Repair arm tendon/muscle (24341) |
$4,100.50 |
$4,100.50 |
0.6× |
| Repair brow defect (67900) |
$7,003.50 |
$7,003.50 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$3,846 |
$3,846 |
10.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$3,300 |
$3,300 |
9.0× |
| Repair elbow deb/attch open (24359) |
$6,792.50 |
$6,792.50 |
2.3× |
| Repair Entropion Suture (67921) |
$4,131 |
$4,131 |
1.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,419.46 |
$3,419.46 |
2.3× |
| Repair eyelid defect (67908) |
$4,046.50 |
$4,046.50 |
1.9× |
| Repair eyelid defect (67904) |
$4,131 |
$4,131 |
1.9× |
| Repair eyelid defect (67924) |
$4,131 |
$4,131 |
1.9× |
| Repair finger tendon (26433) |
$4,131 |
$4,131 |
1.4× |
| Repair finger/hand tendon (26350) |
$2,876.87 |
$2,876.87 |
1.0× |
| Repair finger/hand tendon (26370) |
$3,300 |
$3,300 |
1.1× |
| Repair forearm tendon/muscle (25270) |
$2,876.87 |
$2,876.87 |
1.0× |
| Repair hallux rigidus (28289) |
$8,653.50 |
$8,653.50 |
2.9× |
| Repair hand tendon (26410) |
$2,617.68 |
$2,617.68 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$347.25 |
$347.25 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,642.12 |
$1,642.12 |
4.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,448.50 |
$1,448.50 |
3.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,283 |
$2,283 |
6.2× |
Repair medial collateral ligament, elbow w/local tissue (24345)
unusually low: confirm this is the full procedure |
$2,109.68 |
$2,109.68 |
0.3× |
| Repair nasal septal perforations (30630) |
$9,921 |
$9,921 |
3.3× |
Repair nasal vestibular stenosis (30465)
unusually low: confirm this is the full procedure |
$1,650 |
$1,650 |
0.3× |
| Repair of ankle ligament (27695) |
$4,119 |
$4,119 |
0.6× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,846 |
$3,846 |
0.7× |
| Repair of eardrum structures (69631) |
$11,063 |
$11,063 |
2.1× |
| Repair of knee ligament (27407) |
$12,587 |
$12,587 |
1.9× |
| Repair of leg tendon each (27658) |
$4,348 |
$4,348 |
1.5× |
| Repair of nail bed (11760) |
$1,981 |
$1,981 |
3.0× |
| Repair of nasal septum (30520) |
$1,976.76 |
$1,976.76 |
0.7× |
| Repair of sperm duct (55400) |
$20,531 |
$20,531 |
6.4× |
| Repair of thigh musc (27385) |
$10,670 |
$10,670 |
1.6× |
Repair oro-maxillary fistula (30580)
unusually low: confirm this is the full procedure |
$2,109.66 |
$2,109.66 |
0.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,023.25 |
$7,023.25 |
1.1× |
| Repair tympanic membrane (69610) |
$2,468.25 |
$2,468.25 |
1.8× |
| Repair wrist joints (25447) |
$3,666.59 |
$3,666.59 |
1.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$6,569.50 |
$6,569.50 |
1.0× |
| Repair/graft hand tendon (26358) |
$13,139 |
$13,139 |
2.0× |
| Repair/graft wrist bone (25440) |
$11,063 |
$11,063 |
1.7× |
| Repair/transpose nerve (64856) |
$4,348 |
$4,348 |
0.5× |
| Replace Tissue Expander (11970) |
$4,017.83 |
$4,017.83 |
0.6× |
| Replace,penile prosthesis infected (54417) |
$18,945 |
$18,945 |
1.0× |
| Replace/revise brain shunt (62230) |
$10,213 |
$10,213 |
1.3× |
| Replacement or irrigation of tube in membranes covering brain (62194) |
$627 |
$627 |
0.4× |
| Repr elbow lat ligmnt w/tiss (24343) |
$7,804 |
$7,804 |
2.6× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$878 |
$878 |
3.2× |
| Resect Inferior Turbinate (30140) |
$1,662.65 |
$1,662.65 |
0.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$10,670 |
$10,670 |
0.9× |
| Revise arm/leg nerve (64708) |
$965.66 |
$965.66 |
0.5× |
| Revise external ear (69300) |
$1,389 |
$1,389 |
0.5× |
Revise knuckle with implant (26531)
unusually low: confirm this is the full procedure |
$2,555 |
$2,555 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$1,752.50 |
$1,752.50 |
1.0× |
| Revise middle ear & mastoid (69642) |
$18,945 |
$18,945 |
3.5× |
| Revise middle ear & mastoid (69643) |
$22,898 |
$22,898 |
4.3× |
| Revise middle ear & mastoid (69645) |
$14,953 |
$14,953 |
2.8× |
| Revise middle ear & mastoid (69641) |
$9,321 |
$9,321 |
1.7× |
| Revise ulnar nerve at elbow (64718) |
$2,555 |
$2,555 |
1.4× |
| Revise ulnar nerve at wrist (64719) |
$2,743 |
$2,743 |
1.6× |
| Revise wrist/forearm tendon (25280) |
$4,297.75 |
$4,297.75 |
1.5× |
| Revision of infusion pump (36261) |
$3,481 |
$3,481 |
1.0× |
| Revision of reconstructed breast (19380) |
$3,423.54 |
$3,423.54 |
0.6× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$11,538 |
$11,538 |
1.0× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$12,587 |
$12,587 |
0.8× |
| Revision of upper eyelid (15823) |
$3,934 |
$3,934 |
2.1× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$6,329 |
$6,329 |
2.0× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$16,476 |
$16,476 |
1.6× |
| Revision peri-implant capsule breast (19370) |
$2,065.50 |
$2,065.50 |
0.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,131 |
$4,131 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,501.75 |
$3,501.75 |
2.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,754 |
$2,754 |
4.8× |
| Rmvl vitreous ant appr partial removal (67005) |
$1,389 |
$1,389 |
0.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,843.67 |
$6,843.67 |
2.1× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,555 |
$2,555 |
0.9× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$4,348 |
$4,348 |
0.7× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$3,300 |
$3,300 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,205 |
$4,205 |
1.4× |
| Sever cranial nerve (64771) |
$2,743 |
$2,743 |
1.6× |
| Severing of tarsorrhaphy (67710) |
$3,962 |
$3,962 |
4.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$2,251.50 |
$2,251.50 |
12.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$965.66 |
$965.66 |
5.3× |
| Sinus endo w/balloon dil (31296) |
$3,846 |
$3,846 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$3,164.50 |
$3,164.50 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$2,065.50 |
$2,065.50 |
3.1× |
| Skin tissue rearrangement (14040) |
$1,389 |
$1,389 |
0.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$8,696 |
$8,696 |
1.9× |
| Slitting of prepuce (54001) |
$2,897 |
$2,897 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$873 |
$873 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$1,435.50 |
$1,435.50 |
2.2× |
| Submucosal ablation of the tongue base, radiofrequency, one or more sites, per session (41530) |
$2,267.25 |
$2,267.25 |
0.8× |
| Suction assisted lipectomy; trunk (15877) |
$3,924.88 |
$3,924.88 |
1.2× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$1,389 |
$1,389 |
0.3× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$1,981 |
$1,981 |
0.6× |
| Suture of 1 nerve ulnar motor (64836) |
$5,335 |
$5,335 |
1.7× |
| Synovectomy carpometacarpal joint (26130) |
$2,743 |
$2,743 |
0.9× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$2,898.68 |
$2,898.68 |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,448.50 |
$1,448.50 |
1.0× |
| Temporary Closure Eyelids Suture (67875) |
$4,224 |
$4,224 |
4.7× |
| Tendon excision palm/finger (26145) |
$1,749.33 |
$1,749.33 |
1.2× |
| Tendon shortening (26477) |
$872.55 |
$872.55 |
0.3× |
| Tenodesis long tendon biceps (23430) |
$8,660.50 |
$8,660.50 |
1.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,772.76 |
$1,772.76 |
0.6× |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
$3,949.25 |
$3,949.25 |
1.3× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$1,902.35 |
$1,902.35 |
0.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$872.55 |
$872.55 |
0.6× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$3,302.55 |
$3,302.55 |
1.1× |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,962 |
$3,962 |
1.3× |
| Throat Surgery Procedure (42999) |
$990.50 |
$990.50 |
4.6× |
| Thyroidectomy, total or complete (60240) |
$11,063 |
$11,063 |
2.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$11,449 |
$11,449 |
2.1× |
Tissue expander placement breast reconstruction (19357)
likely a partial charge, not the full procedure |
$2,637.08 |
$2,637.08 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,806.50 |
$1,806.50 |
0.6× |
| Total hip arthroplasty (27130) |
$11,403.50 |
$11,403.50 |
1.0× |
| Total knee arthroplasty (27447) |
$10,641.50 |
$10,641.50 |
0.9× |
| Trach Tube Change (31502) |
$416 |
$416 |
1.9× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$2,065.50 |
$2,065.50 |
1.2× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$1,389 |
$1,389 |
0.4× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$9,650.50 |
$9,650.50 |
1.5× |
| Transplant forearm tendon (25312) |
$3,666.58 |
$3,666.58 |
1.2× |
| Transplant forearm tendon (25310) |
$2,109.66 |
$2,109.66 |
0.7× |
| Treat Finger Fracture Each (26727) |
$2,897 |
$2,897 |
1.0× |
| Treat fx distal radial (25606) |
$4,131 |
$4,131 |
1.4× |
| Treat fx rad extra-articul (25607) |
$7,777.50 |
$7,777.50 |
1.2× |
| Treat hand dislocation (26685) |
$1,433 |
$1,433 |
0.5× |
| Treat kneecap dislocation (27566) |
$7,853 |
$7,853 |
1.2× |
| Treat radius fracture (24665) |
$7,853 |
$7,853 |
1.2× |
| Treat ulnar fracture (24685) |
$9,069 |
$9,069 |
1.4× |
| Treatment of ankle fracture (27792) |
$9,458 |
$9,458 |
1.4× |
| Treatment of bone cyst (20615) |
$527 |
$527 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,574.63 |
$1,574.63 |
7.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$9,069 |
$9,069 |
13.6× |
| Unlisted procedure accessory sinuses (31299) |
$1,993.90 |
$1,993.90 |
9.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$1,439 |
$1,439 |
6.7× |
| Unlisted procedure femur or knee (27599) |
$3,807 |
$3,807 |
17.0× |
| Unlisted Procedure Nervous System (64999) |
$1,724 |
$1,724 |
6.2× |
| Unlisted Procedure Small Intestine (44799) |
$1,981 |
$1,981 |
2.4× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$3,023 |
$3,023 |
13.5× |
| Unlisted procedure, hands or fingers (26989) |
$1,320.66 |
$1,320.66 |
5.9× |
| Unlisted procedure, salivary glands or ducts (42699) |
$1,448.50 |
$1,448.50 |
6.8× |
| Uvulectomy excision uvula (42140) |
$1,650 |
$1,650 |
0.5× |
| Vasectomy (55250) |
$4,139.50 |
$4,139.50 |
2.2× |
| Venipuncture (36415) |
$746.75 |
$746.75 |
80.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,448.50 |
$1,448.50 |
0.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$3,164.50 |
$3,164.50 |
4.7× |
| Wrist arthroscop,part synovect (29844) |
$5,486 |
$5,486 |
1.9× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$1,773.75 |
$1,773.75 |
0.4× |
| Xfer single deep low leg tendon (27691) |
$3,937.60 |
$3,937.60 |
0.6× |