| Abd paracentesis w/imaging (49083) |
$1,366.40 |
$1,366.40 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$299.30 |
$299.30 |
0.3× |
| Abdomen Surgery Procedure (22999) |
$1,547.20 |
$1,547.20 |
5.6× |
| Acne surgery (10040) |
$192.45 |
$192.45 |
0.9× |
| Adding Walker Previously Applied Cast (29440) |
$119.65 |
$119.65 |
0.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,070.15 |
$2,070.15 |
0.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,570.15 |
$2,570.15 |
1.1× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,125 |
$3,125 |
1.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,120.75 |
$2,120.75 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,950 |
$2,950 |
1.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,970 |
$2,970 |
1.3× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,048.40 |
$3,048.40 |
1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,195.30 |
$2,195.30 |
0.6× |
| Amputation Finger/Thumb (26951) |
$2,685.90 |
$2,685.90 |
0.7× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,609.30 |
$3,609.30 |
1.0× |
| Anorectal myomectomy Facility (45108) |
$1,301.50 |
$1,301.50 |
0.4× |
| Anoscopy diagnostic (46600) |
$372.75 |
$372.75 |
2.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$352.55 |
$352.55 |
0.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$892.50 |
$892.50 |
0.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,553.80 |
$2,553.80 |
0.8× |
Anterior tibial tubercleplasty (27418)
unusually low: confirm this is the full procedure |
$3,076 |
$3,076 |
0.4× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,460.40 |
$2,460.40 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$224.70 |
$224.70 |
1.2× |
| Appl Multlay Comprs Arm/Hand (29584) |
$224.70 |
$224.70 |
1.2× |
| Application cast elbow finger short arm (29075) |
$238.70 |
$238.70 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$254.10 |
$254.10 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$7,114.55 |
$7,114.55 |
108.2× |
| Application finger splint static (29130) |
$158.60 |
$158.60 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$236.52 |
$236.52 |
1.3× |
| Application Long Leg Cast Brace (29358) |
$337.40 |
$337.40 |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$313.95 |
$313.95 |
1.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$272.15 |
$272.15 |
0.9× |
| Application of long leg cast (29345) |
$305.60 |
$305.60 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$525 |
$525 |
1.7× |
| Application Patellar Tendon Bearing Cast (29435) |
$245.80 |
$245.80 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$386.60 |
$386.60 |
2.6× |
| Application short arm splint forearm-hand static (29125) |
$213.45 |
$213.45 |
1.4× |
| Apply Hand/Wrist Cast (29085) |
$206.90 |
$206.90 |
1.1× |
| Apply long leg splint (29505) |
$198.18 |
$198.18 |
1.1× |
| Apply short leg cast (29405) |
$235.22 |
$235.22 |
0.8× |
| Apply short leg cast (29425) |
$215.20 |
$215.20 |
0.7× |
| Apply short leg splint (29515) |
$188.45 |
$188.45 |
1.0× |
| Arterial puncture (36600) |
$201.36 |
$201.36 |
1.4× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$12,806.92 |
$12,806.92 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$189.30 |
$189.30 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$172.85 |
$172.85 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$169.40 |
$169.40 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$186.05 |
$186.05 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$281.18 |
$281.18 |
0.8× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$8,837.65 |
$8,837.65 |
1.1× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,928.85 |
$1,928.85 |
0.5× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$6,268.60 |
$6,268.60 |
1.7× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$13,198.02 |
$13,198.02 |
0.9× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889)
likely a partial charge, not the full procedure |
$4,235.45 |
$4,235.45 |
0.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,020.90 |
$4,020.90 |
1.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,278.50 |
$2,278.50 |
0.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$5,876.05 |
$5,876.05 |
1.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,153.05 |
$2,153.05 |
0.6× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,619.52 |
$4,619.52 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$1,905.35 |
$1,905.35 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,773.70 |
$1,773.70 |
0.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$2,249.10 |
$2,249.10 |
0.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,398.10 |
$1,398.10 |
0.4× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$7,738.55 |
$7,738.55 |
1.0× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$5,581.90 |
$5,581.90 |
1.5× |
| Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) |
$11,345.45 |
$11,345.45 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,982.28 |
$4,982.28 |
1.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,092.70 |
$6,092.70 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$9,624.85 |
$9,624.85 |
2.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,938.38 |
$7,938.38 |
2.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,997.42 |
$4,997.42 |
0.6× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,001.70 |
$3,001.70 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,756.32 |
$4,756.32 |
1.3× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,316.70 |
$5,316.70 |
0.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,577.65 |
$7,577.65 |
0.9× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,166.40 |
$2,166.40 |
0.6× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$2,080.60 |
$2,080.60 |
0.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$11,196.65 |
$11,196.65 |
1.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$7,499.52 |
$7,499.52 |
2.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,339.55 |
$1,339.55 |
0.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,842.58 |
$2,842.58 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$969.15 |
$969.15 |
1.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$139.25 |
$139.25 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$343.35 |
$343.35 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$448.40 |
$448.40 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$363.32 |
$363.32 |
1.6× |
| Axillary lymphadenectomy; complete (38745) |
$3,794.95 |
$3,794.95 |
0.6× |
Axillary lymphadenectomy; superficial Facility (38740)
likely a partial charge, not the full procedure |
$1,852.75 |
$1,852.75 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$349.82 |
$349.82 |
0.3× |
| Biopsy external ear (69100) |
$233.25 |
$233.25 |
0.9× |
| Biopsy muscle deep (20205) |
$892.50 |
$892.50 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$750.75 |
$750.75 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$899.60 |
$899.60 |
0.2× |
| Biopsy of lip (40490) |
$250 |
$250 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,494.85 |
$4,494.85 |
1.0× |
| Biopsy soft tissue back,superf (21920) |
$304.20 |
$304.20 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,350.55 |
$1,350.55 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$1,865.60 |
$1,865.60 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$1,460 |
$1,460 |
0.3× |
| Bladder Irrigation Simple (51700) |
$238.22 |
$238.22 |
0.9× |
| Blood patch (62273) |
$807.20 |
$807.20 |
1.0× |
| Blood transfusion service (36430) |
$1,410.70 |
$1,410.70 |
2.9× |
Breast Reduction (19318)
unusually low: confirm this is the full procedure |
$3,630 |
$3,630 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$2,285.60 |
$2,285.60 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$488.25 |
$488.25 |
0.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,101.45 |
$3,101.45 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$422.45 |
$422.45 |
1.7× |
| Chemical cautery tissue (17250) |
$251.25 |
$251.25 |
1.1× |
| Chemodenervation internal anal sphincter (46505) |
$830 |
$830 |
0.6× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$110 |
$110 |
0.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$506.90 |
$506.90 |
1.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,366 |
$1,366 |
5.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,140.50 |
$1,140.50 |
4.1× |
| Closed Rx Radial Shaft Fx (25500) |
$575.18 |
$575.18 |
2.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,530.40 |
$1,530.40 |
0.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$806.60 |
$806.60 |
2.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$949.12 |
$949.12 |
3.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$885.60 |
$885.60 |
3.2× |
| Closed Treat Vert Body Fract (22310) |
$635.80 |
$635.80 |
2.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$391.45 |
$391.45 |
1.4× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$540.20 |
$540.20 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$553.95 |
$553.95 |
2.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,568 |
$2,568 |
1.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$692.75 |
$692.75 |
2.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$706.80 |
$706.80 |
2.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$524.80 |
$524.80 |
1.9× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$483.35 |
$483.35 |
0.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$521.90 |
$521.90 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$458.15 |
$458.15 |
1.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,481 |
$1,481 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,625.15 |
$1,625.15 |
5.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$975.15 |
$975.15 |
3.5× |
| Closed Treatment Sesamoid Fracture (28530) |
$244.40 |
$244.40 |
0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$883.15 |
$883.15 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$981.60 |
$981.60 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,391.62 |
$1,391.62 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$970.85 |
$970.85 |
3.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,038.40 |
$1,038.40 |
0.6× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,381.50 |
$1,381.50 |
0.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,706.05 |
$1,706.05 |
6.2× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,141.65 |
$2,141.65 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,571.30 |
$1,571.30 |
5.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$864.12 |
$864.12 |
3.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,782.30 |
$1,782.30 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$520.92 |
$520.92 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,655.85 |
$1,655.85 |
6.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$932.65 |
$932.65 |
3.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,162.35 |
$1,162.35 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$725.65 |
$725.65 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,303.60 |
$1,303.60 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,629.60 |
$1,629.60 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$497.32 |
$497.32 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$420.65 |
$420.65 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,417.80 |
$1,417.80 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$658.40 |
$658.40 |
2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$711.48 |
$711.48 |
2.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$467.12 |
$467.12 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,567.45 |
$1,567.45 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$782.88 |
$782.88 |
2.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,209.20 |
$1,209.20 |
4.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,792.40 |
$1,792.40 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$977 |
$977 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$485.90 |
$485.90 |
1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$994.05 |
$994.05 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$741.40 |
$741.40 |
2.7× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,487.60 |
$1,487.60 |
5.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,108.50 |
$1,108.50 |
4.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$926.95 |
$926.95 |
3.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$911.05 |
$911.05 |
3.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$558.85 |
$558.85 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$920.05 |
$920.05 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,013.72 |
$2,013.72 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,313.35 |
$2,313.35 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,520.78 |
$1,520.78 |
5.5× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,866 |
$1,866 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,240 |
$1,240 |
4.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,851 |
$3,851 |
2.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$351.98 |
$351.98 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$301.90 |
$301.90 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$386.28 |
$386.28 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$413.48 |
$413.48 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,609.68 |
$1,609.68 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$863.28 |
$863.28 |
3.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$856.58 |
$856.58 |
3.1× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$728.80 |
$728.80 |
2.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,465.28 |
$1,465.28 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$696.15 |
$696.15 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$282.88 |
$282.88 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,360.85 |
$1,360.85 |
4.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$698.30 |
$698.30 |
2.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$974.42 |
$974.42 |
3.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,382.75 |
$1,382.75 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$975.55 |
$975.55 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$482.72 |
$482.72 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$4,926.05 |
$4,926.05 |
2.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$955.12 |
$955.12 |
3.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$494.45 |
$494.45 |
0.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$323.65 |
$323.65 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$964.12 |
$964.12 |
3.5× |
| Cltx post ankle fx w/mnpj (27768) |
$1,507.05 |
$1,507.05 |
0.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,733.95 |
$1,733.95 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,490.62 |
$1,490.62 |
5.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,155.40 |
$1,155.40 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$581.45 |
$581.45 |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,682.10 |
$1,682.10 |
0.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$790.05 |
$790.05 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$404.18 |
$404.18 |
1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,084.88 |
$1,084.88 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,144.55 |
$2,144.55 |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,561.70 |
$1,561.70 |
0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,692.20 |
$1,692.20 |
6.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,981.75 |
$1,981.75 |
1.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,713.40 |
$1,713.40 |
6.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$992.18 |
$992.18 |
3.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$395.01 |
$395.01 |
2.7× |
| Colonoscopy flex w/inj submuc (45381) |
$1,556.90 |
$1,556.90 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$2,714.30 |
$2,714.30 |
2.0× |
| Colonoscopy w/band ligation (45398) |
$2,936.55 |
$2,936.55 |
2.2× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,738.58 |
$2,738.58 |
2.1× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,925 |
$3,925 |
1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$959.95 |
$959.95 |
2.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$313.05 |
$313.05 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$431.20 |
$431.20 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$383.58 |
$383.58 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$255.40 |
$255.40 |
1.7× |
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 |
$4,203.50 |
$4,203.50 |
0.3× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
likely a partial charge, not the full procedure |
$2,386.90 |
$2,386.90 |
0.3× |
| Correction hammertoe (28285) |
$3,370.68 |
$3,370.68 |
0.9× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,696.80 |
$1,696.80 |
0.2× |
| Correction of bunion (28292) |
$1,663.75 |
$1,663.75 |
0.5× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$1,987.90 |
$1,987.90 |
0.2× |
| Correction of bunion (28297) |
$12,132.12 |
$12,132.12 |
0.8× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$150 |
$150 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,759.80 |
$1,759.80 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$484.15 |
$484.15 |
3.3× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$739.45 |
$739.45 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$142.02 |
$142.02 |
0.3× |
| Debride nail 1-5 (11720) |
$54.10 |
$54.10 |
0.8× |
| Debride nail 6 or more (11721) |
$90 |
$90 |
1.4× |
| Debride skin musc at fx site (11011) |
$857.85 |
$857.85 |
1.1× |
| Debride tissue/muscle (11043) |
$668.15 |
$668.15 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$393.75 |
$393.75 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$784.10 |
$784.10 |
0.4× |
| Delivery placenta separate procedure (59414) |
$488.25 |
$488.25 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$767.55 |
$767.55 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$1,034.25 |
$1,034.25 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,196.25 |
$1,196.25 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$348.55 |
$348.55 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$458.75 |
$458.75 |
2.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$713.50 |
$713.50 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$354.25 |
$354.25 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$410.90 |
$410.90 |
1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$277.85 |
$277.85 |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$341.70 |
$341.70 |
1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$377.70 |
$377.70 |
1.7× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$470.75 |
$470.75 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$275.05 |
$275.05 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$370.85 |
$370.85 |
1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$206.90 |
$206.90 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,582.72 |
$3,582.72 |
1.6× |
| Destruction of skin lesions (17106) |
$866.40 |
$866.40 |
1.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$455.55 |
$455.55 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$224.55 |
$224.55 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$520.20 |
$520.20 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$354.90 |
$354.90 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$619.50 |
$619.50 |
0.6× |
| Dilation of anal sphincter (45905) |
$594.85 |
$594.85 |
0.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$467.60 |
$467.60 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$406.90 |
$406.90 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$164.08 |
$164.08 |
0.5× |
| Drainage external auditory canal abscess (69020) |
$503.60 |
$503.60 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$355.10 |
$355.10 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$966.30 |
$966.30 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$778.15 |
$778.15 |
3.5× |
| Drainage of gum lesion (41800) |
$360.55 |
$360.55 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$309.68 |
$309.68 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$565.40 |
$565.40 |
0.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,174.70 |
$1,174.70 |
0.3× |
| Draw blood off venous device (36591) |
$85.65 |
$85.65 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$534.75 |
$534.75 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$410.05 |
$410.05 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$187.45 |
$187.45 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$813.75 |
$813.75 |
0.3× |
| Dx gastr intub w/asp specs (43755) |
$187.70 |
$187.70 |
1.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,367 |
$2,367 |
1.1× |
| Egd flexible foreign body removal (43247) |
$2,265 |
$2,265 |
2.2× |
| Egd place gastrostomy tube (43246) |
$683.90 |
$683.90 |
0.3× |
| Egd remove lesion snare (43251) |
$2,295 |
$2,295 |
1.1× |
| Endometrial Biopsy (58100) |
$302.15 |
$302.15 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$1,630.85 |
$1,630.85 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$163.15 |
$163.15 |
1.1× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,458.45 |
$1,458.45 |
0.8× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,892.10 |
$1,892.10 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,556.10 |
$3,556.10 |
1.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$325.18 |
$325.18 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$290.52 |
$290.52 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$532.60 |
$532.60 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$622.45 |
$622.45 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$446.10 |
$446.10 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$4,511.02 |
$4,511.02 |
2.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$293 |
$293 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$549.08 |
$549.08 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$3,708.40 |
$3,708.40 |
2.0× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,134.70 |
$1,134.70 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$895.68 |
$895.68 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,580.25 |
$1,580.25 |
0.5× |
| Exc rect tum transanal part (45171) |
$2,910.10 |
$2,910.10 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$350 |
$350 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$409.28 |
$409.28 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$528.62 |
$528.62 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$620.65 |
$620.65 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$832.95 |
$832.95 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$830.65 |
$830.65 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$784.28 |
$784.28 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,110.62 |
$1,110.62 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$908.65 |
$908.65 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,117.50 |
$1,117.50 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,223.12 |
$3,223.12 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,566.75 |
$2,566.75 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$580.20 |
$580.20 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,230.15 |
$3,230.15 |
1.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,134.55 |
$1,134.55 |
0.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$9,600.10 |
$9,600.10 |
3.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,045 |
$2,045 |
0.6× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,445.85 |
$1,445.85 |
0.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,551.20 |
$1,551.20 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,547.20 |
$1,547.20 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,763.20 |
$3,763.20 |
2.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,190.70 |
$1,190.70 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,079.40 |
$1,079.40 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,307.25 |
$1,307.25 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,089.22 |
$3,089.22 |
1.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,014.85 |
$3,014.85 |
0.9× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,727.50 |
$1,727.50 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,075.75 |
$1,075.75 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,210.65 |
$1,210.65 |
0.3× |
| Excise cutaneous neurofibroma (64788) |
$1,465 |
$1,465 |
0.7× |
| Excision Breast Lesion (19125) |
$1,788.95 |
$1,788.95 |
0.4× |
| Excision Chalazion Single (67800) |
$173.15 |
$173.15 |
0.5× |
| Excision external ear partial simple repair (69110) |
$967.45 |
$967.45 |
0.3× |
| Excision H/P/P/U Complex Repair (11471) |
$1,104.60 |
$1,104.60 |
0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$1,181.50 |
$1,181.50 |
0.4× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,105.15 |
$1,105.15 |
0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$1,334.30 |
$1,334.30 |
0.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$4,934.52 |
$4,934.52 |
1.5× |
| Excision interdigital morton neuroma single each (28080) |
$1,256.85 |
$1,256.85 |
0.7× |
| Excision lesion meniscus/capsule knee (27347) |
$1,831.45 |
$1,831.45 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$484.48 |
$484.48 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$547.40 |
$547.40 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$585.15 |
$585.15 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$640.60 |
$640.60 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$711.78 |
$711.78 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$404.05 |
$404.05 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$508.20 |
$508.20 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$608.72 |
$608.72 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$715.80 |
$715.80 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$876.20 |
$876.20 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$391.45 |
$391.45 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$471.10 |
$471.10 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$517.52 |
$517.52 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$626.18 |
$626.18 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$760.50 |
$760.50 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$957.60 |
$957.60 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$404.02 |
$404.02 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$501.35 |
$501.35 |
0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$914.05 |
$914.05 |
0.5× |
| Excision of lactiferous duct fistula Facility (19112) |
$1,452.15 |
$1,452.15 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$655 |
$655 |
0.6× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$4,235.42 |
$4,235.42 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$436.10 |
$436.10 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$744.75 |
$744.75 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$768.60 |
$768.60 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$706.80 |
$706.80 |
0.5× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$6,360.08 |
$6,360.08 |
1.6× |
| Excision olecranon bursa (24105) |
$5,622.72 |
$5,622.72 |
1.5× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,066.15 |
$2,066.15 |
0.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,153.80 |
$2,153.80 |
0.7× |
| Excision prepatellar bursa (27340) |
$10,032.70 |
$10,032.70 |
2.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$991.45 |
$991.45 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,816.92 |
$3,816.92 |
2.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,359.75 |
$1,359.75 |
0.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,543.75 |
$1,543.75 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,109.75 |
$2,109.75 |
1.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,771.62 |
$4,771.62 |
1.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$942.65 |
$942.65 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,050 |
$1,050 |
0.6× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,360 |
$1,360 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,040.70 |
$1,040.70 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,876.10 |
$1,876.10 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,411.35 |
$2,411.35 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,785 |
$1,785 |
0.8× |
| Expl retroperitoneum w/wo bx spx (49010) |
$3,904.95 |
$3,904.95 |
0.5× |
| Exploration of knee joint (27310) |
$4,457.28 |
$4,457.28 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,184.15 |
$1,184.15 |
0.6× |
| Explore/treat hand joint (26070) |
$994.85 |
$994.85 |
0.6× |
| Explore/Treat Knee Joint (27331) |
$1,610.95 |
$1,610.95 |
0.4× |
| External cephalic version (59412) |
$9,299.65 |
$9,299.65 |
2.6× |
| Fasciotomy foot and/or toe (28008) |
$11,657.10 |
$11,657.10 |
3.2× |
| Fasciotomy palmar open partial (26045) |
$1,591 |
$1,591 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$5,159.88 |
$5,159.88 |
1.4× |
| Fetal contraction stress test (59020) |
$489.85 |
$489.85 |
2.2× |
| Fetal non-stress test (59025) |
$367.85 |
$367.85 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$252.92 |
$252.92 |
0.6× |
| Fixation of shoulder (23700) |
$1,198.80 |
$1,198.80 |
0.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,057 |
$2,057 |
0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,400 |
$2,400 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,252 |
$2,252 |
1.0× |
| Fusion of foot bones (28740) |
$12,168.50 |
$12,168.50 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$203.22 |
$203.22 |
0.8× |
| Gastrocnemius recession (27687) |
$1,544.80 |
$1,544.80 |
0.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,839.85 |
$1,839.85 |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,584.45 |
$1,584.45 |
0.4× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$2,855 |
$2,855 |
0.2× |
| Hemorrhoidectomy (46255) |
$1,819.15 |
$1,819.15 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,355.35 |
$3,355.35 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$1,461.60 |
$1,461.60 |
0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$1,899.70 |
$1,899.70 |
0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,083.35 |
$1,083.35 |
0.4× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$1,030.30 |
$1,030.30 |
0.2× |
Hysteroscopy w endometrial ablation (58563)
unusually low: confirm this is the full procedure |
$2,696.82 |
$2,696.82 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,059.70 |
$1,059.70 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$570 |
$570 |
2.2× |
| I&d abscess simple (10060) |
$481.70 |
$481.70 |
2.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,081.75 |
$1,081.75 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,561.70 |
$1,561.70 |
0.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,063.90 |
$4,063.90 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$355.45 |
$355.45 |
0.5× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,426.15 |
$1,426.15 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$945 |
$945 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,703.98 |
$2,703.98 |
1.5× |
| Incise external hemorrhoid (46083) |
$678.10 |
$678.10 |
2.4× |
| Incise finger tendon sheath (26055) |
$3,519.68 |
$3,519.68 |
2.0× |
| Incise wrist/forearm tendon (25290) |
$1,226.95 |
$1,226.95 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$775.70 |
$775.70 |
1.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$626.82 |
$626.82 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$632.35 |
$632.35 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$342.62 |
$342.62 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$472.15 |
$472.15 |
2.1× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,732.50 |
$1,732.50 |
0.6× |
| Incision and drainage perianal abscess superficial (46050) |
$809.78 |
$809.78 |
0.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$605.35 |
$605.35 |
0.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,118.20 |
$1,118.20 |
0.3× |
| Incision bone cortex foot (28005) |
$1,964.80 |
$1,964.80 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$964.45 |
$964.45 |
0.5× |
| Incision of eardrum (69420) |
$413.50 |
$413.50 |
1.6× |
| Incision of rectal abscess (46040) |
$1,541.90 |
$1,541.90 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$535.90 |
$535.90 |
0.7× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
unusually low: confirm this is the full procedure |
$3,034.75 |
$3,034.75 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$146.52 |
$146.52 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$360.70 |
$360.70 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$334.20 |
$334.20 |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$197.92 |
$197.92 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$306.60 |
$306.60 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$160.15 |
$160.15 |
0.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$306.60 |
$306.60 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$90.30 |
$90.30 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$269.85 |
$269.85 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$720 |
$720 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$133.90 |
$133.90 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,458.18 |
$1,458.18 |
1.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$462 |
$462 |
0.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$334.20 |
$334.20 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$452.20 |
$452.20 |
1.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$306.60 |
$306.60 |
0.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$241.50 |
$241.50 |
0.3× |
| Injection into skin lesions (11900) |
$141.25 |
$141.25 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$162.80 |
$162.80 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$145.70 |
$145.70 |
0.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$140 |
$140 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$355.40 |
$355.40 |
2.5× |
| Insert cath pleura w/o image (32556) |
$1,111.60 |
$1,111.60 |
0.5× |
| Insert Drug Implant Device (11981) |
$485.90 |
$485.90 |
3.3× |
| Insert non-tunnel cv cath (36556) |
$695.60 |
$695.60 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$554.12 |
$554.12 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$171 |
$171 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,724.75 |
$2,724.75 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$179.45 |
$179.45 |
1.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,233.75 |
$1,233.75 |
1.8× |
| Insj picc rs&i 5 yr+ (36573) |
$1,123.50 |
$1,123.50 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$855.02 |
$855.02 |
0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$739.45 |
$739.45 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$878.08 |
$878.08 |
3.3× |
Knee Arthroscopy/Surgery (29885)
unusually low: confirm this is the full procedure |
$2,607.40 |
$2,607.40 |
0.3× |
| Knee Arthroscopy/Surgery (29874) |
$1,448.20 |
$1,448.20 |
0.4× |
| Knee Arthroscopy/Surgery (29879) |
$6,629.72 |
$6,629.72 |
1.8× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,963.90 |
$2,963.90 |
0.4× |
| Laparoscopy appendectomy (44970) |
$8,419.62 |
$8,419.62 |
1.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,804.72 |
$1,804.72 |
0.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,784.20 |
$3,784.20 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$12,633.35 |
$12,633.35 |
1.9× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$3,474.20 |
$3,474.20 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,885.30 |
$1,885.30 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$951.10 |
$951.10 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$843.15 |
$843.15 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,896.30 |
$1,896.30 |
0.3× |
| Late closure of wound (13160) |
$2,285.40 |
$2,285.40 |
0.6× |
| Lateral retinacular release open (27425) |
$5,106.22 |
$5,106.22 |
1.4× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$2,368.30 |
$2,368.30 |
0.3× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure |
$3,853.25 |
$3,853.25 |
0.3× |
| Ligate/strip short leg vein (37718) |
$1,286.80 |
$1,286.80 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$1,834.90 |
$1,834.90 |
1.8× |
| Ligation or biopsy temporal artery (37609) |
$977.55 |
$977.55 |
0.5× |
| Liver Biopsy (47000) |
$2,161.95 |
$2,161.95 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$423.95 |
$423.95 |
0.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$5,154.80 |
$5,154.80 |
1.4× |
| Mastectomy for gynecomastia (19300) |
$1,678.18 |
$1,678.18 |
0.4× |
| Mastectomy partial (19301) |
$3,872.40 |
$3,872.40 |
0.9× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,653.90 |
$2,653.90 |
0.4× |
| Muscle-skin graft trunk (15734) |
$4,672.50 |
$4,672.50 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$315 |
$315 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$461.35 |
$461.35 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$360.55 |
$360.55 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,709.40 |
$1,709.40 |
1.0× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,865.20 |
$4,865.20 |
2.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,663.75 |
$1,663.75 |
0.8× |
| Njx aa&/strd sciatic nerve (64445) |
$346.50 |
$346.50 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$456 |
$456 |
0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$551.65 |
$551.65 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$372.75 |
$372.75 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$650 |
$650 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$724.50 |
$724.50 |
0.9× |
| Occipital Nerve Block (64405) |
$171.18 |
$171.18 |
0.5× |
| Occlude fallopian tube(s) (58615) |
$9,111.65 |
$9,111.65 |
2.5× |
Omntc epiploectomy rescj omentum spx (49255)
unusually low: confirm this is the full procedure |
$3,186.50 |
$3,186.50 |
0.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,265.18 |
$6,265.18 |
1.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$10,840.75 |
$10,840.75 |
1.3× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$6,799.18 |
$6,799.18 |
0.5× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,697.35 |
$1,697.35 |
0.2× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,901.60 |
$2,901.60 |
0.4× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$4,049.50 |
$4,049.50 |
0.5× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$2,044.10 |
$2,044.10 |
0.3× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
likely a partial charge, not the full procedure |
$3,218.25 |
$3,218.25 |
0.2× |
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269)
unusually low: confirm this is the full procedure |
$3,126.25 |
$3,126.25 |
0.4× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
unusually low: confirm this is the full procedure |
$2,854.15 |
$2,854.15 |
0.4× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
likely a partial charge, not the full procedure |
$2,316.55 |
$2,316.55 |
0.3× |
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 |
$2,539.15 |
$2,539.15 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
likely a partial charge, not the full procedure |
$1,768.45 |
$1,768.45 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$2,154.85 |
$2,154.85 |
0.3× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$2,507.65 |
$2,507.65 |
0.2× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$12,936.18 |
$12,936.18 |
1.6× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$2,403.45 |
$2,403.45 |
0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$10,618.22 |
$10,618.22 |
1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,968 |
$4,968 |
1.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,895.95 |
$7,895.95 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,081.15 |
$3,081.15 |
0.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,740 |
$5,740 |
1.6× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$2,926.10 |
$2,926.10 |
0.4× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,760.60 |
$1,760.60 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,851.30 |
$2,851.30 |
0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$10,618.28 |
$10,618.28 |
1.3× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$4,627.42 |
$4,627.42 |
0.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,104.20 |
$4,104.20 |
0.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$4,065.10 |
$4,065.10 |
0.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$4,717.05 |
$4,717.05 |
1.3× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$4,620.80 |
$4,620.80 |
0.3× |
| Osteochondral knee autograft (27416) |
$9,218.92 |
$9,218.92 |
1.1× |
Osteoplasty, radius OR ulna; shortening Facility (25390)
unusually low: confirm this is the full procedure |
$2,566.75 |
$2,566.75 |
0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,293.35 |
$1,293.35 |
0.4× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222)
unusually low: confirm this is the full procedure |
$2,700 |
$2,700 |
0.3× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457)
unusually low: confirm this is the full procedure |
$3,270.50 |
$3,270.50 |
0.4× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455)
unusually low: confirm this is the full procedure |
$3,051.85 |
$3,051.85 |
0.4× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$5,386.10 |
$5,386.10 |
1.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$2,136.25 |
$2,136.25 |
0.6× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,700.20 |
$1,700.20 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$5,584.70 |
$5,584.70 |
1.5× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure |
$2,479.85 |
$2,479.85 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,131.40 |
$1,131.40 |
0.3× |
| Patellectomy or hemipatellectomy (27350) |
$12,682.68 |
$12,682.68 |
1.6× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$2,292 |
$2,292 |
0.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$1,256.85 |
$1,256.85 |
0.3× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$8,319.72 |
$8,319.72 |
2.3× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$968.85 |
$968.85 |
0.3× |
| Peritoneal Lavage (49084) |
$367.15 |
$367.15 |
0.4× |
| Perq device breast 1st imag (19281) |
$1,364.90 |
$1,364.90 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$123.75 |
$123.75 |
0.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$6,698.08 |
$6,698.08 |
1.8× |
| Picc line placement (36569) |
$2,210.88 |
$2,210.88 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$141.95 |
$141.95 |
0.3× |
| Placement of seton (46020) |
$1,475.50 |
$1,475.50 |
0.5× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure |
$1,819.15 |
$1,819.15 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$348.60 |
$348.60 |
0.3× |
| Proctosigmoid w/biopsy (45305) |
$724.25 |
$724.25 |
0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,485 |
$2,485 |
0.7× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$4,651.88 |
$4,651.88 |
1.3× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure |
$2,568.30 |
$2,568.30 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$583.55 |
$583.55 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$248.80 |
$248.80 |
0.5× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure |
$2,527.10 |
$2,527.10 |
0.3× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,003.95 |
$2,003.95 |
0.5× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$2,896 |
$2,896 |
0.9× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$2,016 |
$2,016 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$2,070 |
$2,070 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$23,725.80 |
$23,725.80 |
7.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,256.85 |
$3,256.85 |
1.5× |
| Rcnstj Dislocating Patella (27420) |
$4,513.95 |
$4,513.95 |
0.6× |
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344)
unusually low: confirm this is the full procedure |
$3,631.70 |
$3,631.70 |
0.4× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,299.80 |
$6,299.80 |
0.8× |
| Reconstruction of nail bed with graft (11762) |
$540.80 |
$540.80 |
0.2× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500) |
$11,442.75 |
$11,442.75 |
1.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$11,947.80 |
$11,947.80 |
1.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,404.90 |
$1,404.90 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$1,253.95 |
$1,253.95 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,086.68 |
$1,086.68 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$494.30 |
$494.30 |
0.6× |
| Removal foreign body intranasal (30300) |
$350.50 |
$350.50 |
2.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$692.05 |
$692.05 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,789.45 |
$1,789.45 |
0.5× |
| Removal foreign body pharynx (42809) |
$564.90 |
$564.90 |
1.1× |
| Removal foreign body shoulder subcutaneous (23330) |
$457.30 |
$457.30 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,229.50 |
$1,229.50 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,359.65 |
$2,359.65 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$61.70 |
$61.70 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$131.80 |
$131.80 |
2.0× |
| Removal implant deep (20680) |
$6,572 |
$6,572 |
2.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,700.82 |
$2,700.82 |
1.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$334.80 |
$334.80 |
0.4× |
| Removal Intact Mammary Implant (19328) |
$1,697.60 |
$1,697.60 |
0.4× |
| Removal of anal fissure (46200) |
$1,132.45 |
$1,132.45 |
0.4× |
| Removal of ankle implant (27704) |
$2,006.80 |
$2,006.80 |
0.6× |
| Removal of arm foreign body (24200) |
$680.40 |
$680.40 |
0.4× |
| Removal of breast capsule (19371) |
$11,814.30 |
$11,814.30 |
2.7× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$243.55 |
$243.55 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$356.55 |
$356.55 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,118 |
$1,118 |
0.8× |
| Removal of foreign body in scrotum (55120) |
$1,248.20 |
$1,248.20 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$141.40 |
$141.40 |
0.3× |
| Removal of heel spur (28119) |
$5,101.60 |
$5,101.60 |
1.4× |
| Removal of implant from finger or hand (26320) |
$945 |
$945 |
0.5× |
| Removal of iud (58301) |
$237.80 |
$237.80 |
0.7× |
Removal Of Knee Prosthesis (27488)
likely a partial charge, not the full procedure |
$3,026.50 |
$3,026.50 |
0.2× |
| Removal of nail bed (11750) |
$463.80 |
$463.80 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$962 |
$962 |
0.3× |
| Removal of wrist bone (25210) |
$1,688.40 |
$1,688.40 |
0.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,825.25 |
$1,825.25 |
0.5× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,578 |
$1,578 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$209.20 |
$209.20 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$213.70 |
$213.70 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$154.25 |
$154.25 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$140.25 |
$140.25 |
0.4× |
| Remove anal fist subq (46270) |
$1,455.85 |
$1,455.85 |
0.5× |
| Remove drug implant device (11982) |
$325.05 |
$325.05 |
0.7× |
| Remove ext hem groups 2+ (46250) |
$1,463.95 |
$1,463.95 |
0.5× |
| Remove Lower Leg Bone Lesion (27635) |
$1,951.45 |
$1,951.45 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,632.75 |
$1,632.75 |
0.5× |
| Remove Tendon Sheath Lesion (26160) |
$574.10 |
$574.10 |
0.3× |
| Remove/Insert Drug Implant (11983) |
$802.90 |
$802.90 |
1.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$264.15 |
$264.15 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$264.15 |
$264.15 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$140.22 |
$140.22 |
0.9× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,794.70 |
$1,794.70 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$528.80 |
$528.80 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,186.85 |
$1,186.85 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$766.82 |
$766.82 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,071.42 |
$1,071.42 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$581 |
$581 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$809.20 |
$809.20 |
1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$777.30 |
$777.30 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,085.30 |
$1,085.30 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,988.90 |
$1,988.90 |
1.1× |
| Repair Finger Tendon (26433) |
$1,786.05 |
$1,786.05 |
0.5× |
| Repair hand tendon (26410) |
$1,599.80 |
$1,599.80 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$6,179.68 |
$6,179.68 |
1.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,937.80 |
$1,937.80 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,172.20 |
$2,172.20 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,626.85 |
$2,626.85 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,024.22 |
$1,024.22 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$540.25 |
$540.25 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$664.70 |
$664.70 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,302.18 |
$1,302.18 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$753.90 |
$753.90 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$801.60 |
$801.60 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,538 |
$1,538 |
3.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,049.55 |
$1,049.55 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$455 |
$455 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$522.08 |
$522.08 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$793.55 |
$793.55 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,311.60 |
$1,311.60 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$829.25 |
$829.25 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$462.40 |
$462.40 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$604.20 |
$604.20 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,089.05 |
$1,089.05 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$654.68 |
$654.68 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,218.62 |
$1,218.62 |
0.5× |
| Repair lower leg tendons (27676) |
$5,271.10 |
$5,271.10 |
0.7× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$3,151.85 |
$3,151.85 |
0.4× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$2,090.55 |
$2,090.55 |
0.3× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
unusually low: confirm this is the full procedure |
$2,563.60 |
$2,563.60 |
0.5× |
Repair of knee cartilage (27403)
likely a partial charge, not the full procedure |
$1,144.75 |
$1,144.75 |
0.1× |
| Repair of leg tendon each (27658) |
$1,273.40 |
$1,273.40 |
0.3× |
| Repair of nail bed (11760) |
$424.92 |
$424.92 |
0.5× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$5,388.10 |
$5,388.10 |
0.7× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
likely a partial charge, not the full procedure |
$2,300 |
$2,300 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure |
$3,180.20 |
$3,180.20 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,530.25 |
$2,530.25 |
0.6× |
| Repair Spica Body Cast/Jacket (29720) |
$176.60 |
$176.60 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,682.65 |
$1,682.65 |
0.5× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,918.35 |
$1,918.35 |
0.2× |
| Repair tongue laceration (41252) |
$710.75 |
$710.75 |
2.7× |
| Repair Tongue Laceration (41250) |
$522.20 |
$522.20 |
1.0× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
unusually low: confirm this is the full procedure |
$2,705.60 |
$2,705.60 |
0.3× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure |
$2,983.70 |
$2,983.70 |
0.4× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$3,231.32 |
$3,231.32 |
0.4× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$2,186.35 |
$2,186.35 |
0.3× |
| Repair/graft achilles tendon (27652) |
$6,267.05 |
$6,267.05 |
0.8× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,172.05 |
$2,172.05 |
2.1× |
| Revise ulnar nerve at elbow (64718) |
$5,023.02 |
$5,023.02 |
2.3× |
| Revision of foot (28116) |
$1,987.90 |
$1,987.90 |
0.5× |
| Revision of lower leg tendon (27685) |
$1,584.45 |
$1,584.45 |
0.4× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$3,690 |
$3,690 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$3,538 |
$3,538 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
likely a partial charge, not the full procedure |
$4,410.50 |
$4,410.50 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$4,790 |
$4,790 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138)
likely a partial charge, not the full procedure |
$4,023.60 |
$4,023.60 |
0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$703.32 |
$703.32 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$403.50 |
$403.50 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170.42 |
$170.42 |
1.1× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$174.85 |
$174.85 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,141.10 |
$1,141.10 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$568.55 |
$568.55 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$892.50 |
$892.50 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$699.70 |
$699.70 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$620.30 |
$620.30 |
0.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$330 |
$330 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$384.10 |
$384.10 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,840 |
$1,840 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,767.50 |
$1,767.50 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,041 |
$1,041 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,448 |
$1,448 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,407.25 |
$1,407.25 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,766.90 |
$1,766.90 |
0.5× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$5,093.52 |
$5,093.52 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,088.88 |
$1,088.88 |
1.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$621.50 |
$621.50 |
2.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$29,473.80 |
$29,473.80 |
8.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,322.40 |
$1,322.40 |
1.9× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$6,089.30 |
$6,089.30 |
1.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,327.92 |
$6,327.92 |
1.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$192.22 |
$192.22 |
0.4× |
| Shave skin lesion 0.5 cm/< (11305) |
$263.28 |
$263.28 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$162 |
$162 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$186.15 |
$186.15 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$245.80 |
$245.80 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$276.25 |
$276.25 |
0.6× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,032.30 |
$2,032.30 |
0.6× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,664.80 |
$1,664.80 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$202.65 |
$202.65 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$216.60 |
$216.60 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$242.88 |
$242.88 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$264.30 |
$264.30 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$234.48 |
$234.48 |
1.0× |
| Sigmoidoscopy w/biopsy (45331) |
$918.75 |
$918.75 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$587.18 |
$587.18 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$240.35 |
$240.35 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$259.55 |
$259.55 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$605.18 |
$605.18 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$307 |
$307 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$478.30 |
$478.30 |
2.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$694.02 |
$694.02 |
3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$240.25 |
$240.25 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$748.25 |
$748.25 |
3.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$348.38 |
$348.38 |
1.6× |
| Skin splt grft trnk/arm/leg (15100) |
$3,074.40 |
$3,074.40 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$563.35 |
$563.35 |
0.7× |
| Skin sub graft trnk/arm/leg (15271) |
$802.50 |
$802.50 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$1,605 |
$1,605 |
0.7× |
| Skin tissue rearrangement (14040) |
$2,767.30 |
$2,767.30 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,605 |
$1,605 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$257.55 |
$257.55 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$441.22 |
$441.22 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$349.35 |
$349.35 |
0.8× |
| Sphincterotomy anal division sphincter spx (46080) |
$606.65 |
$606.65 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$370.88 |
$370.88 |
0.5× |
| Strapping ankle (29540) |
$132.30 |
$132.30 |
0.7× |
| Strapping elbow or wrist (29260) |
$155.95 |
$155.95 |
2.4× |
| Strapping hand/finger (29280) |
$123.38 |
$123.38 |
1.9× |
| Strapping knee (29530) |
$105.90 |
$105.90 |
0.7× |
| Strapping shoulder (29240) |
$154.52 |
$154.52 |
1.0× |
| Strapping thorax (29200) |
$62.95 |
$62.95 |
0.3× |
| Strapping toes (29550) |
$133.95 |
$133.95 |
2.0× |
| Strapping unna boot (29580) |
$116.75 |
$116.75 |
0.6× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$244.40 |
$244.40 |
0.5× |
| Subtalar Arthro W/Deb (29906) |
$2,517.90 |
$2,517.90 |
0.7× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,363.50 |
$3,363.50 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,501.50 |
$1,501.50 |
0.5× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$2,042 |
$2,042 |
0.3× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure |
$2,967.15 |
$2,967.15 |
0.4× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,676.35 |
$1,676.35 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure |
$2,876.75 |
$2,876.75 |
0.4× |
| Synovectomy; metatarsophalangeal joint, each Facility (28072) |
$2,736.50 |
$2,736.50 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$266.45 |
$266.45 |
0.6× |
| Tenodesis long tendon biceps (23430) |
$7,116.82 |
$7,116.82 |
0.9× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,693 |
$1,693 |
0.2× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,646.40 |
$1,646.40 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$832.90 |
$832.90 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$811.20 |
$811.20 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$204.90 |
$204.90 |
0.6× |
| Thyroid biopsy (60100) |
$415.55 |
$415.55 |
0.5× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,514.25 |
$2,514.25 |
0.4× |
Tibial Arthroscopy/Surgery (29855)
likely a partial charge, not the full procedure |
$2,109.45 |
$2,109.45 |
0.3× |
| Tnot elbow lateral/medial debride open (24358) |
$1,789.45 |
$1,789.45 |
0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,284.80 |
$2,284.80 |
0.6× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,240 |
$3,240 |
0.2× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,233 |
$3,233 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$851.80 |
$851.80 |
3.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$766.85 |
$766.85 |
2.3× |
| Treat clavicle dislocation (23540) |
$484.75 |
$484.75 |
1.8× |
| Treat clavicle fracture (23505) |
$959.40 |
$959.40 |
0.5× |
| Treat fracture radius/ulna (25575) |
$9,316.78 |
$9,316.78 |
1.2× |
| Treat humerus fracture (24500) |
$814.78 |
$814.78 |
3.0× |
| Treat humerus fracture (23600) |
$796.18 |
$796.18 |
2.9× |
| Treat Knee Fracture (27535) |
$5,340.38 |
$5,340.38 |
0.7× |
Treat Knee Fracture (27540)
unusually low: confirm this is the full procedure |
$3,030.95 |
$3,030.95 |
0.4× |
| Treat Knee Fracture(S) (27538) |
$1,062.10 |
$1,062.10 |
3.9× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$2,570.15 |
$2,570.15 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$840.10 |
$840.10 |
3.1× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$2,248.85 |
$2,248.85 |
0.3× |
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure |
$3,338.50 |
$3,338.50 |
0.4× |
Treat Thigh Fracture (27245)
unusually low: confirm this is the full procedure |
$3,247.65 |
$3,247.65 |
0.4× |
| Treat Thumb Dislocation (26641) |
$801.15 |
$801.15 |
2.9× |
| Treat thumb fracture (26665) |
$2,091.60 |
$2,091.60 |
0.6× |
| Treat wrist bone fracture (25622) |
$654.40 |
$654.40 |
2.4× |
| Treat Wrist Bone Fracture (25630) |
$674.75 |
$674.75 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,467 |
$1,467 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$791.58 |
$791.58 |
2.9× |
| Treatment of foot infection (28003) |
$1,887.40 |
$1,887.40 |
0.5× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,096 |
$3,096 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,382.85 |
$1,382.85 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$479 |
$479 |
1.7× |
| Trim skin lesion (11055) |
$179.55 |
$179.55 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$121.55 |
$121.55 |
0.5× |
| Trim skin lesions over 4 (11057) |
$265.92 |
$265.92 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$43.25 |
$43.25 |
0.7× |
| Tube thoracostomy includes water seal (32551) |
$923.05 |
$923.05 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$9,299.65 |
$9,299.65 |
2.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,226.40 |
$1,226.40 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$529.35 |
$529.35 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$392.72 |
$392.72 |
0.9× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,646.55 |
$2,646.55 |
0.2× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure |
$2,240 |
$2,240 |
0.3× |
| Unlisted procedure excision pressure ulcer (15999) |
$347.15 |
$347.15 |
0.4× |
| Unlisted procedure nervous system (64999) |
$500 |
$500 |
1.5× |
| Unlisted procedure rectum (45999) |
$855.50 |
$855.50 |
0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,125.20 |
$2,125.20 |
2.1× |
| Us urine capacity measure (51798) |
$132.50 |
$132.50 |
2.0× |
| Vaginal delivery only (59409) |
$6,629.88 |
$6,629.88 |
1.8× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$8,855.70 |
$8,855.70 |
2.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$3,138.20 |
$3,138.20 |
0.6× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$1,482.85 |
$1,482.85 |
0.4× |
Vasc Embolize/Occlude Bleed (37244)
likely a partial charge, not the full procedure |
$2,280.45 |
$2,280.45 |
0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,086.75 |
$1,086.75 |
0.5× |
| Venipuncture (36415) |
$71 |
$71 |
7.6× |
| Venipuncture cutdown under age 1 yr (36420) |
$236.65 |
$236.65 |
1.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$162.80 |
$162.80 |
0.3× |
| Wedge excision skin nail fold (11765) |
$348.25 |
$348.25 |
0.8× |
| Windowing of cast (29730) |
$151.40 |
$151.40 |
0.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,047.40 |
$1,047.40 |
1.3× |