| Abd paracentesis w/imaging (49083) |
$431.26 |
$718.76 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$761.14 |
$1,268.57 |
0.9× |
| Abrasion single lesion (15786) |
$189.79 |
$316.31 |
1.0× |
| Adding Walker Previously Applied Cast (29440) |
$123.74 |
$206.23 |
0.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,603.48 |
$2,672.46 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,462.45 |
$2,437.42 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,576.74 |
$2,627.90 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,787.23 |
$2,978.71 |
1.0× |
| Amniocentesis diagnostic (59000) |
$218.76 |
$364.60 |
0.3× |
| Amputation Finger/Thumb (26951) |
$1,363.33 |
$2,272.22 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,877.42 |
$3,129.03 |
0.6× |
| Anoscopy diagnostic (46600) |
$243.68 |
$406.13 |
2.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$221.59 |
$369.32 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,321.21 |
$2,202.01 |
0.2× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$1,826.99 |
$3,044.98 |
1.3× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$600.79 |
$1,001.32 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$264.96 |
$441.60 |
1.8× |
| Application cast elbow finger short arm (29075) |
$276.34 |
$460.57 |
1.1× |
| Application Cast Finger (29086) |
$132.12 |
$220.20 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$123.74 |
$206.23 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$265.72 |
$442.86 |
1.0× |
| Application Cast Shoulder Spica (29055) |
$265.72 |
$442.86 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$128.69 |
$214.48 |
2.4× |
| Application finger splint static (29130) |
$126.22 |
$210.36 |
1.0× |
| Application Hip Spica Cast 1 Leg (29305) |
$265.72 |
$442.86 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$154.86 |
$258.10 |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$265.72 |
$442.86 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$126.22 |
$210.36 |
0.9× |
| Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) |
$101.87 |
$169.78 |
0.4× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$265.72 |
$442.86 |
1.0× |
| Application of long leg cast (29345) |
$265.72 |
$442.86 |
1.0× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$123.74 |
$206.23 |
0.5× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$265.72 |
$442.86 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$156.32 |
$260.54 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$146.84 |
$244.73 |
1.2× |
| Application short leg splint calf foot (29515) |
$135.79 |
$226.31 |
0.9× |
| Application, cast; figure-of-eight (29049) |
$123.74 |
$206.23 |
0.5× |
| Apply long leg cast brace (29358) |
$276.34 |
$460.57 |
1.1× |
| Apply of clubfoot cast (29450) |
$123.74 |
$206.23 |
0.8× |
| Apply patella tendon bearing cast (29435) |
$265.72 |
$442.86 |
1.0× |
| Apply short leg cast (29405) |
$265.72 |
$442.86 |
1.0× |
| Apply short leg cast (29425) |
$265.72 |
$442.86 |
1.0× |
| Arterial puncture (36600) |
$42.58 |
$70.97 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$424.70 |
$707.83 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$381.74 |
$636.24 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$269.08 |
$448.46 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$263.80 |
$439.67 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$274.36 |
$457.26 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,307.88 |
$3,846.47 |
1.6× |
| Aspir/inj thyroid cyst (60300) |
$161.62 |
$269.36 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$274.36 |
$457.26 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,204.13 |
$3,673.55 |
1.2× |
| Aspiration bladder needle (51100) |
$1,071.48 |
$1,785.80 |
4.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$129.92 |
$216.52 |
0.7× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure |
$1,347.28 |
$2,245.47 |
0.2× |
Biliary Endoscopy Percut,Biopsy (47553)
likely a partial charge, not the full procedure |
$1,347.28 |
$2,245.47 |
0.2× |
Biliary Endoscopy Percut,Dil Strict (47555)
likely a partial charge, not the full procedure |
$1,347.28 |
$2,245.47 |
0.2× |
Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554)
likely a partial charge, not the full procedure |
$1,347.28 |
$2,245.47 |
0.1× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$1,347.28 |
$2,245.47 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$794.21 |
$1,323.69 |
0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$496.43 |
$827.38 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$2,338.92 |
$3,898.20 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$401.26 |
$668.76 |
0.5× |
| Biopsy external ear (69100) |
$477.34 |
$795.56 |
2.2× |
| Biopsy intranasal (30100) |
$880.87 |
$1,468.12 |
0.6× |
| Biopsy muscle deep (20205) |
$2,202.91 |
$3,671.52 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$607.96 |
$1,013.26 |
0.4× |
| Biopsy of eyelid lining (68100) |
$707.78 |
$1,179.63 |
0.3× |
| Biopsy of floor of mouth (41108) |
$880.87 |
$1,468.12 |
0.6× |
| Biopsy of lip (40490) |
$286.04 |
$476.74 |
1.3× |
| Biopsy of mouth lesion (40808) |
$286.04 |
$476.74 |
0.6× |
| Biopsy of nail unit (11755) |
$477.34 |
$795.56 |
0.7× |
| Biopsy of palate, uvula (42100) |
$880.87 |
$1,468.12 |
0.6× |
| Biopsy of tongue (41100) |
$653.60 |
$1,089.34 |
1.3× |
| Biopsy of uterus lining (58100) |
$156.50 |
$260.84 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$735.54 |
$1,225.90 |
0.2× |
| Biopsy Oropharynx (42800) |
$880.87 |
$1,468.12 |
0.6× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$744.73 |
$1,241.21 |
0.5× |
| Biopsy pleura percutaneous needle (32400) |
$716.08 |
$1,193.47 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$1,033.92 |
$1,723.20 |
0.7× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,107.58 |
$1,845.96 |
0.7× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$716.08 |
$1,193.47 |
0.5× |
| Biopsy tongue posterior one-third (41105) |
$1,916.23 |
$3,193.72 |
0.6× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,392.36 |
$3,987.26 |
0.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$807.91 |
$1,346.52 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$886.12 |
$1,476.86 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,874.24 |
$3,123.73 |
0.5× |
| Bl exchange/transfuse nb (36450) |
$333.12 |
$555.20 |
0.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$259.55 |
$432.58 |
0.4× |
| Bladder Irrigation Simple (51700) |
$259.55 |
$432.58 |
1.1× |
| Bladder Scan (51798) |
$74.05 |
$123.41 |
1.4× |
| Blood patch (62273) |
$773.17 |
$1,288.62 |
1.2× |
| Blood transfusion service (36430) |
$432.46 |
$720.76 |
1.1× |
| Bone marrow aspiration only (38220) |
$309.72 |
$516.20 |
0.2× |
| Bone Marrow Biopsy (38221) |
$280.10 |
$466.84 |
0.2× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$348.87 |
$581.45 |
0.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$375.74 |
$626.24 |
0.2× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,449.70 |
$2,416.17 |
0.9× |
| Brnchsc removal bronchial valve initial (31648) |
$2,983.72 |
$4,972.87 |
0.9× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,144.43 |
$1,907.38 |
0.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$860.58 |
$1,434.30 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$375.74 |
$626.23 |
0.2× |
Bronchoscopy W/Placement Tracheal Stent (31631)
unusually low: confirm this is the full procedure |
$2,378.18 |
$3,963.63 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,207 |
$2,011.67 |
0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,110.88 |
$1,851.47 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$860.58 |
$1,434.30 |
0.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$555.97 |
$926.61 |
0.4× |
| Bx anorectal wall anal approach (45100) |
$1,573.40 |
$2,622.33 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$1,359.30 |
$2,265.51 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$473.69 |
$789.48 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$496.43 |
$827.38 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$464.58 |
$774.30 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$165.79 |
$276.32 |
0.8× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$453.49 |
$755.81 |
1.6× |
| Cautery Cervix Electro/Thermal (57510) |
$1,732.19 |
$2,886.98 |
0.6× |
| Cautery cervix laser ablation (57513) |
$1,732.19 |
$2,886.98 |
0.6× |
| Change Cystostomy Tube Complicated (51710) |
$896.17 |
$1,493.62 |
1.4× |
| Change Cystostomy Tube Simple (51705) |
$275.14 |
$458.57 |
1.2× |
| Chemical Cautery Tissue (17250) |
$147.57 |
$245.95 |
0.8× |
| Chemical peel face dermal (15789) |
$189.46 |
$315.76 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$263.80 |
$439.67 |
0.9× |
| Chest tube placement (32551) |
$506.84 |
$844.74 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$150.59 |
$250.99 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,364.38 |
$3,940.63 |
0.7× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$828.95 |
$1,381.59 |
0.4× |
| Circum 28 days or older (54161) |
$453.54 |
$755.90 |
0.2× |
| Circumcision (54150) |
$2,397.41 |
$3,995.68 |
1.3× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$277.15 |
$461.91 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$292.99 |
$488.32 |
0.2× |
| Close tear duct opening (68761) |
$250.24 |
$417.07 |
0.9× |
| Close Tear Duct Opening (68760) |
$263.39 |
$438.98 |
0.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$218.76 |
$364.60 |
1.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$600.79 |
$1,001.32 |
0.4× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$218.76 |
$364.60 |
0.2× |
| Closed rx prox/neck femur fx,manip (27232) |
$202.87 |
$338.12 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,832.24 |
$3,053.74 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$196.66 |
$327.76 |
0.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$292.99 |
$488.32 |
0.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$218.76 |
$364.60 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$322.94 |
$538.23 |
1.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,702.54 |
$2,837.57 |
1.2× |
| Closed treat wrist dislocation (25660) |
$218.76 |
$364.60 |
1.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$208.89 |
$348.15 |
0.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,345.55 |
$2,242.58 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$196.66 |
$327.76 |
0.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$227.51 |
$379.18 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$218.76 |
$364.60 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$218.76 |
$364.60 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$227.51 |
$379.18 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$335.04 |
$558.40 |
0.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,456.07 |
$7,426.79 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$196.66 |
$327.76 |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$322.94 |
$538.23 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$227.51 |
$379.18 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$196.66 |
$327.76 |
0.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$719.57 |
$1,199.29 |
3.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$304.71 |
$507.85 |
0.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,418.83 |
$2,364.72 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$291.76 |
$486.28 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$218.76 |
$364.60 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$286.04 |
$476.74 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$600.79 |
$1,001.32 |
1.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$218.76 |
$364.60 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$218.76 |
$364.60 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,770.64 |
$2,951.07 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$227.51 |
$379.18 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$208.89 |
$348.15 |
0.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$227.51 |
$379.18 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$218.76 |
$364.60 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$218.76 |
$364.60 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$196.66 |
$327.76 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$196.66 |
$327.76 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$196.66 |
$327.76 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$348.44 |
$580.74 |
0.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$218.76 |
$364.60 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$206.35 |
$343.91 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$196.66 |
$327.76 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$196.66 |
$327.76 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$196.66 |
$327.76 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$234.76 |
$391.27 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$227.51 |
$379.18 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$253.43 |
$422.38 |
1.1× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$2,039.98 |
$3,399.97 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$304.71 |
$507.85 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$196.66 |
$327.76 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$329.18 |
$548.64 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$196.66 |
$327.76 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$196.66 |
$327.76 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$196.66 |
$327.76 |
0.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,581.25 |
$2,635.42 |
1.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,723.47 |
$4,539.12 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$218.76 |
$364.60 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,545.99 |
$4,243.32 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$227.51 |
$379.18 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$192.64 |
$321.06 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$248.24 |
$413.74 |
0.2× |
| Colonoscopy thru stoma (44388) |
$1,058.36 |
$1,763.93 |
1.3× |
| Colonoscopy w/ablation (45388) |
$285.74 |
$476.23 |
0.3× |
| Colpocentesis (57020) |
$776.84 |
$1,294.73 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$351.43 |
$585.72 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$156.50 |
$260.84 |
0.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,732.19 |
$2,886.98 |
0.6× |
| Colposcopy entire vagina w/cervix if present (57420) |
$351.43 |
$585.72 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$351.43 |
$585.72 |
1.3× |
| Colposcopy vulva (56820) |
$150.49 |
$250.81 |
0.8× |
| Colposcopy vulva w/biopsy (56821) |
$337.91 |
$563.19 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$351.43 |
$585.72 |
1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$381.72 |
$636.20 |
0.5× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$170.50 |
$284.17 |
0.2× |
| Complete replacement picc rs&i (36584) |
$820.61 |
$1,367.68 |
0.6× |
| Complex Cystometrogram (51726) |
$397.55 |
$662.59 |
1.8× |
| Complex Drainage, Wound (10180) |
$1,395.42 |
$2,325.70 |
0.5× |
| Complex Uroflowmetry (51741) |
$127.01 |
$211.68 |
0.6× |
| Conization of cervix (57522) |
$3,325.74 |
$5,542.90 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$218.76 |
$364.60 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$227.51 |
$379.18 |
1.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,282.72 |
$3,804.53 |
1.5× |
| Corneal smear (65430) |
$135.41 |
$225.69 |
0.3× |
| Correction eyelid w/implant (67912) |
$2,186.46 |
$3,644.10 |
1.0× |
| Correction of astigmatism (65772) |
$778.10 |
$1,296.83 |
0.9× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$849.46 |
$1,415.76 |
0.9× |
| Cryotherapy of skin (17340) |
$312.02 |
$520.04 |
5.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$227.51 |
$379.18 |
1.9× |
| Curette/treat cornea (65435) |
$849.46 |
$1,415.76 |
0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$460.49 |
$767.48 |
0.2× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$391.70 |
$652.83 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$500.87 |
$834.79 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$535 |
$891.66 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,123.97 |
$1,873.28 |
0.6× |
| Cysto w/ureter stricture tx (52341) |
$423.50 |
$705.84 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$523.95 |
$873.25 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$1,342.94 |
$2,238.24 |
0.7× |
| Cystoscopy w/complex removal stone & stent (52315) |
$1,660.19 |
$2,766.99 |
0.9× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$443.18 |
$738.64 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$466.26 |
$777.10 |
0.1× |
| Cystourethroscopy (52000) |
$615.58 |
$1,025.98 |
1.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$443.18 |
$738.64 |
0.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$348.51 |
$580.85 |
0.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$590.20 |
$983.66 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$200.41 |
$334.01 |
0.5× |
| Debride nail 1-5 (11720) |
$89.25 |
$148.75 |
1.7× |
| Debride nail 6 or more (11721) |
$89.25 |
$148.75 |
1.7× |
| Debride skin musc at fx site (11011) |
$292.99 |
$488.32 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$433.43 |
$722.38 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$333.95 |
$556.59 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,299.47 |
$2,165.78 |
0.9× |
| Declot vascular device (36593) |
$185.53 |
$309.22 |
0.6× |
| Delivery placenta separate procedure (59414) |
$964.52 |
$1,607.53 |
0.3× |
| Dermabrasion superficial any site (15783) |
$312.02 |
$520.04 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$299.39 |
$498.99 |
0.8× |
| Destruc retinal lesn,photocoag (67210) |
$593.09 |
$988.48 |
1.2× |
| Destruction anal lesion(s) (46924) |
$1,302.28 |
$2,170.46 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$207.23 |
$345.39 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$283.48 |
$472.47 |
1.6× |
| Destruction ciliary body (66740) |
$2,682.70 |
$4,471.16 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$1,952.36 |
$3,253.93 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$2,116.10 |
$3,526.83 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$312.02 |
$520.04 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$189.46 |
$315.76 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$189.46 |
$315.76 |
1.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$189.46 |
$315.76 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$189.46 |
$315.76 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$127.37 |
$212.28 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$189.46 |
$315.76 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$189.46 |
$315.76 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$98.36 |
$163.94 |
0.5× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$127.37 |
$212.28 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$60.40 |
$100.66 |
0.3× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,488.05 |
$4,146.75 |
0.8× |
| Destruction vaginal lesions simple (57061) |
$2,488.05 |
$4,146.75 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,014.09 |
$1,690.15 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$717.08 |
$1,195.13 |
0.9× |
| Dil urethra,female,subsequent (53661) |
$127.01 |
$211.68 |
1.1× |
| Dilate urethra stricture (53620) |
$2,119.36 |
$3,532.26 |
3.4× |
| Dilate Urethra Stricture (53600) |
$397.55 |
$662.59 |
1.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,153.42 |
$3,589.04 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$391.26 |
$652.09 |
0.5× |
| Dilation Esophagus Guide Wire (43453) |
$701.92 |
$1,169.86 |
0.4× |
| Dilation Nasolacrimal Duct (68801) |
$135.41 |
$225.69 |
0.3× |
| Dilation of cervical canal (57800) |
$1,732.19 |
$2,886.98 |
0.6× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$127.01 |
$211.68 |
1.1× |
| Dilation of salivary duct (42650) |
$530.96 |
$884.94 |
0.4× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$127.01 |
$211.68 |
1.1× |
| Drain bladder by trocar/cath (51101) |
$135.87 |
$226.45 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$227.51 |
$379.18 |
0.4× |
| Drain spinal cord cyst (62268) |
$267.44 |
$445.73 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$302.22 |
$503.70 |
1.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$413.50 |
$689.17 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$227.51 |
$379.18 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,353.15 |
$2,255.25 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$174.59 |
$290.99 |
1.0× |
| Drainage mouth roof lesion (42000) |
$292.99 |
$488.32 |
1.4× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$218.76 |
$364.60 |
0.4× |
| Drainage of abscess; submaxillary, external (42320) |
$218.76 |
$364.60 |
0.4× |
| Drainage of deep rectal abscess (45020) |
$1,486.05 |
$2,476.75 |
0.6× |
| Drainage of eye (65800) |
$1,776.18 |
$2,960.30 |
0.8× |
| Drainage of eyelid abscess (67700) |
$314.76 |
$524.60 |
1.1× |
| Drainage of gum lesion (41800) |
$223.14 |
$371.89 |
1.9× |
| Drainage of hematoma/fluid (10140) |
$1,047.04 |
$1,745.06 |
0.7× |
| Drainage of hydrocele (55000) |
$250.98 |
$418.30 |
0.4× |
| Drainage of mouth lesion (41017) |
$600.79 |
$1,001.32 |
0.2× |
| Drainage of pelvic abscess (45000) |
$592.25 |
$987.08 |
0.5× |
| Drainage of perirenal or renal abscess, open (50020) |
$2,090.75 |
$3,484.59 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$1,353.15 |
$2,255.25 |
0.9× |
| Draw blood off venous device (36591) |
$71.08 |
$118.47 |
0.6× |
| Dressing change under anesthesia (15852) |
$454.72 |
$757.87 |
0.7× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$600.79 |
$1,001.32 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$304.71 |
$507.85 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$304.71 |
$507.85 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$223.14 |
$371.89 |
1.2× |
| Dstrj lesion anus simple chemical (46900) |
$312.02 |
$520.04 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$376.48 |
$627.47 |
0.2× |
| Egd flexible foreign body removal (43247) |
$1,244.41 |
$2,074.01 |
1.5× |
| Egd guide wire insertion (43248) |
$996.77 |
$1,661.29 |
1.2× |
| Egd place gastrostomy tube (43246) |
$1,009.08 |
$1,681.80 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$888.17 |
$1,480.28 |
0.5× |
| Egd remove lesion snare (43251) |
$474.43 |
$790.72 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,225.98 |
$2,043.30 |
0.7× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$218.76 |
$364.60 |
1.9× |
| Endocervical Curettage (57505) |
$421.60 |
$702.66 |
0.5× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
likely a partial charge, not the full procedure |
$3,131.38 |
$5,218.96 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,314.21 |
$3,857.01 |
0.7× |
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure |
$2,314.21 |
$3,857.01 |
0.4× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$1,483.32 |
$2,472.20 |
0.4× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,641.34 |
$2,735.57 |
0.5× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,860.23 |
$3,100.39 |
0.5× |
| Escharotomy initial incision (16035) |
$397.60 |
$662.66 |
1.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$671.56 |
$1,119.27 |
0.8× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$970.27 |
$1,617.12 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$93.95 |
$156.58 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$423.51 |
$705.85 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,025.89 |
$1,709.82 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$700.60 |
$1,167.66 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$496.43 |
$827.38 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$792.52 |
$1,320.86 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$454.72 |
$757.87 |
0.3× |
| Exc frenum labial/buccal (40819) |
$600.79 |
$1,001.32 |
0.4× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$474.26 |
$790.43 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$549.75 |
$916.25 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$533.26 |
$888.78 |
1.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$406.20 |
$677 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$467.60 |
$779.33 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$774.86 |
$1,291.42 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$479.50 |
$799.16 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,732.83 |
$4,554.72 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,657.18 |
$2,761.98 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$754.71 |
$1,257.85 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,070.57 |
$1,784.29 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,733.84 |
$2,889.73 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,802.92 |
$3,004.86 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,320.08 |
$2,200.13 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,174.23 |
$3,623.72 |
2.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$443.18 |
$738.64 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,340.76 |
$3,901.27 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,320.87 |
$3,868.12 |
1.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,359.89 |
$2,266.48 |
0.8× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$1,678.02 |
$2,796.70 |
0.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,215.55 |
$2,025.92 |
0.8× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$1,784.15 |
$2,973.59 |
0.6× |
| Excision Chalazion Single (67800) |
$337.76 |
$562.93 |
1.2× |
| Excision external ear partial simple repair (69110) |
$2,092.44 |
$3,487.40 |
0.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$477.34 |
$795.56 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$477.34 |
$795.56 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$533.01 |
$888.35 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,174.98 |
$1,958.30 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$959.83 |
$1,599.72 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$794.21 |
$1,323.69 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$398.54 |
$664.23 |
0.6× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,057.48 |
$1,762.47 |
1.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$920.62 |
$1,534.37 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,523.53 |
$2,539.21 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,211.49 |
$2,019.15 |
0.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$488.92 |
$814.86 |
0.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,047.79 |
$1,746.31 |
1.6× |
| Excision of bone lower jaw (21025) |
$3,276.13 |
$5,460.21 |
0.6× |
| Excision of chalazion; multiple, different lids (67805) |
$337.76 |
$562.93 |
1.2× |
| Excision of facial bone(s) (21026) |
$3,276.13 |
$5,460.21 |
0.6× |
| Excision of fibrous tuberosities, dentoalveolar structures (41822) |
$1,115.19 |
$1,858.65 |
0.8× |
| Excision of hydrocele; unilateral (55040) |
$659.20 |
$1,098.66 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$849.46 |
$1,415.76 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$616.25 |
$1,027.09 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$794.21 |
$1,323.69 |
0.5× |
| Excision of nail fold toe (11765) |
$197.03 |
$328.39 |
0.5× |
Excision of osseous tuberosities, dentoalveolar structures (41823)
unusually low: confirm this is the full procedure |
$1,669.52 |
$2,782.53 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,762.17 |
$6,270.28 |
1.4× |
| Excision of single external papilla or tag, anus (46220) |
$1,689.64 |
$2,816.07 |
1.6× |
| Excision of vaginal cyst or tumor (57135) |
$2,392.36 |
$3,987.26 |
0.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,761.75 |
$2,936.25 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$443.18 |
$738.64 |
0.3× |
| Excision, nasal polyp(s), simple (30110) |
$1,916.23 |
$3,193.72 |
1.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$550.42 |
$917.37 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,499.92 |
$4,166.54 |
1.3× |
| Exploration penetrating wound spx chest (20101) |
$1,481.67 |
$2,469.45 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$492.42 |
$820.70 |
0.3× |
| Exploration Penetrating Wound Spx Neck (20100) |
$262.25 |
$437.08 |
0.5× |
| Explore/irrigate tear ducts (68840) |
$135.41 |
$225.69 |
0.5× |
| Extern drain prostate absc,simple (55720) |
$2,176.88 |
$3,628.14 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$4,338.42 |
$7,230.70 |
1.5× |
| Fetal Contraction Stress Test (59020) |
$126.53 |
$210.88 |
0.7× |
| Fetal Scalp Blood Sampling (59030) |
$165.92 |
$276.53 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$958.72 |
$1,597.86 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$133.39 |
$222.32 |
0.4× |
| Fitting of diaphragm/cap (57170) |
$17.13 |
$28.55 |
0.1× |
| Fluoro exam of g/colon tube (49465) |
$1,017.94 |
$1,696.57 |
4.7× |
| Follow-up surgery of eye (66250) |
$1,009.63 |
$1,682.71 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,229.77 |
$2,049.62 |
0.7× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,167.80 |
$1,946.34 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$197.38 |
$328.96 |
1.0× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$530.96 |
$884.94 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,031.10 |
$1,718.50 |
1.6× |
| Gum graft (41870) |
$1,669.52 |
$2,782.53 |
1.2× |
| Hemorrhoidectomy (46255) |
$1,252.60 |
$2,087.66 |
0.5× |
| Hysteroscopy ablation (58563) |
$1,917.22 |
$3,195.36 |
0.4× |
| Hysteroscopy biopsy (58558) |
$617.80 |
$1,029.66 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$297.49 |
$495.81 |
1.4× |
| I&d abscess simple (10060) |
$224.55 |
$374.25 |
1.2× |
| I&d below fascia foot 1 bursal space (28002) |
$2,258.95 |
$3,764.92 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,006.36 |
$3,343.94 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,854.78 |
$4,757.97 |
1.5× |
| I&d mouth/tong extra,masticator (41018) |
$600.79 |
$1,001.32 |
0.4× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,826.99 |
$3,044.98 |
0.6× |
| I&d perianal abscess superficial (46050) |
$695.30 |
$1,158.83 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$223.14 |
$371.89 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,226.91 |
$3,711.51 |
1.5× |
| Image Cath Fluid Peri/Retro (49406) |
$2,414.35 |
$4,023.91 |
1.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,282.72 |
$3,804.53 |
1.5× |
| Impression & Preparation Auricular Prosthesis (21086) |
$3,276.13 |
$5,460.21 |
1.1× |
| Incise inner eye adhesns,laser (65860) |
$593.06 |
$988.43 |
1.2× |
| Incise/drain eyelid lining (68020) |
$1,997.63 |
$3,329.38 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$260.50 |
$434.16 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,149.77 |
$1,916.29 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,832.22 |
$3,053.70 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$223.14 |
$371.89 |
0.6× |
| Incision and drainage of abscess of pelvis (57010) |
$1,717.39 |
$2,862.31 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$224.22 |
$373.70 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$397.30 |
$662.18 |
1.4× |
| Incision of eardrum (69420) |
$292.99 |
$488.32 |
1.4× |
| Incision of rectal abscess (46040) |
$2,701.58 |
$4,502.64 |
2.5× |
| Incision thrombosed hemorrhoid external (46083) |
$315.35 |
$525.58 |
1.4× |
| Incision&drainage bursa foot (28001) |
$2,409.82 |
$4,016.36 |
1.6× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$337.76 |
$562.93 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$897.60 |
$1,496 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$169.36 |
$282.26 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$424.70 |
$707.83 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$218.76 |
$364.60 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$417.51 |
$695.85 |
0.7× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$337.76 |
$562.93 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$346.78 |
$577.96 |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$472.94 |
$788.23 |
1.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$432.70 |
$721.17 |
0.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$778.75 |
$1,297.92 |
1.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$311.63 |
$519.38 |
0.4× |
| Inject Nerv Blck,Pudendal (64430) |
$682.45 |
$1,137.42 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$263.80 |
$439.67 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$173.65 |
$289.41 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$339.18 |
$565.30 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$349.98 |
$583.30 |
0.5× |
| Injection for identification of sentinel node (38792) |
$698.74 |
$1,164.56 |
1.9× |
| Injection of drug into cavity behind eye (67500) |
$250.24 |
$417.07 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$301.19 |
$501.98 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$408.37 |
$680.61 |
1.5× |
| Injection therapeutic carpal tunnel (20526) |
$98.12 |
$163.54 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$414.87 |
$691.45 |
1.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$218.76 |
$364.60 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$98.36 |
$163.94 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$278.03 |
$463.38 |
1.5× |
| Injection,ant chamber,eye,air/liquid (66020) |
$1,776.18 |
$2,960.30 |
0.8× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$412.72 |
$687.87 |
0.1× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$14,426.53 |
$24,044.22 |
1.5× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$17,806.01 |
$29,676.68 |
1.9× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$10,502.27 |
$17,503.79 |
1.1× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$11,467.39 |
$19,112.32 |
1.5× |
| Insert 1 electrode pm-defib (33216) |
$6,866.20 |
$11,443.66 |
0.9× |
| Insert and remove bone pin (20650) |
$1,826.99 |
$3,044.98 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$227.51 |
$379.18 |
2.0× |
| Insert cervical dilator (59200) |
$132.62 |
$221.04 |
0.5× |
| Insert Drug Implant Device (11981) |
$986.86 |
$1,644.77 |
8.2× |
| Insert eye socket implant (67550) |
$2,742.58 |
$4,570.96 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$197.81 |
$329.68 |
0.1× |
| Insert nasal septal button (30220) |
$600.79 |
$1,001.32 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$1,045.26 |
$1,742.10 |
0.4× |
| Insert pessary/other device (57160) |
$156.50 |
$260.84 |
0.9× |
| Insert picc cath (36569) |
$1,143.35 |
$1,905.59 |
0.8× |
| Insert picvad cath (36570) |
$1,161.97 |
$1,936.62 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$84.84 |
$141.39 |
0.7× |
| Insert tun ip cath perc (49418) |
$1,331.61 |
$2,219.35 |
0.4× |
| Insert tunneled cv cath (36561) |
$573.75 |
$956.24 |
0.2× |
| Insert Tunneled Cv Cath With Pump (36563) |
$13,623.20 |
$22,705.34 |
2.7× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$1,161.97 |
$1,936.62 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$98.69 |
$164.48 |
0.8× |
| Insertion of cannula (36810) |
$238.94 |
$398.23 |
0.1× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$3,003.40 |
$5,005.66 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,774.31 |
$2,957.18 |
1.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,983.72 |
$4,972.87 |
5.3× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$460.49 |
$767.48 |
0.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$6,866.20 |
$11,443.66 |
0.9× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$4,029.67 |
$6,716.11 |
0.2× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$2,884.76 |
$4,807.93 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$779.38 |
$1,298.96 |
0.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,775.15 |
$4,625.25 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$9,014.57 |
$15,024.28 |
1.8× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,775.15 |
$4,625.25 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$688.83 |
$1,148.05 |
0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,866.20 |
$11,443.66 |
0.9× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$5,495.68 |
$9,159.47 |
0.7× |
| Intraoral i&d tongue/floor lingual (41000) |
$866.30 |
$1,443.84 |
1.8× |
| Intraoral i&d tongue/floor masticator space (41009) |
$218.76 |
$364.60 |
0.4× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,418.83 |
$2,364.72 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,418.83 |
$2,364.72 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$337.30 |
$562.18 |
1.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$253.43 |
$422.38 |
1.1× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$1,490.47 |
$2,484.11 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,621.65 |
$2,702.74 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$1,710.50 |
$2,850.84 |
0.3× |
| Laryngoscope w/vc inj (31570) |
$1,362.63 |
$2,271.05 |
0.4× |
| Laryngoscopy Direct Aspiration (31515) |
$1,725.63 |
$2,876.05 |
4.9× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$1,051.51 |
$1,752.51 |
0.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$304.71 |
$507.85 |
1.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$456.99 |
$761.65 |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$99.41 |
$165.68 |
0.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$292.99 |
$488.32 |
1.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,975.37 |
$3,292.28 |
1.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,108.38 |
$1,847.30 |
0.7× |
| Laser repair to improve eye fluid flow (65855) |
$593.06 |
$988.43 |
1.2× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$593.06 |
$988.43 |
1.2× |
| Laser treatment of retina (67040) |
$1,680.70 |
$2,801.16 |
0.4× |
| Laser vaporization surgery prostate, complete (52648) |
$3,137.45 |
$5,229.08 |
0.6× |
| Late closure of wound (13160) |
$2,499.92 |
$4,166.54 |
0.8× |
| Lithotripsy (50590) |
$4,204.33 |
$7,007.22 |
1.3× |
| Liver Biopsy (47000) |
$744.73 |
$1,241.21 |
0.5× |
| Lysis of labial adhesions (56441) |
$1,326.18 |
$2,210.30 |
0.5× |
| Marsup Bartholin Gland Cyst (56440) |
$2,392.36 |
$3,987.26 |
0.8× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,803.36 |
$3,005.59 |
0.3× |
| Mastectomy partial (19301) |
$500.34 |
$833.90 |
0.1× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$970.76 |
$1,617.93 |
0.2× |
| Measure Kidney Pressure Thru Tube (50396) |
$218.76 |
$364.60 |
0.3× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$416.63 |
$694.38 |
0.1× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$389.82 |
$649.70 |
0.6× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$3,919.35 |
$6,532.25 |
1.3× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$292.99 |
$488.32 |
1.6× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$848.59 |
$1,414.32 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,499.27 |
$2,498.78 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$156.11 |
$260.18 |
0.4× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$235.32 |
$392.20 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$259.55 |
$432.58 |
1.1× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$125.96 |
$209.93 |
0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$125.96 |
$209.93 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$1,108.92 |
$1,848.20 |
1.4× |
| Ocular reconst transplant (65780) |
$1,849.48 |
$3,082.47 |
0.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,982.32 |
$6,637.20 |
1.1× |
Open rx mandible fx+extern fix (21454)
unusually low: confirm this is the full procedure |
$2,039.98 |
$3,399.97 |
0.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$4,379 |
$7,298.34 |
1.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$716.08 |
$1,193.47 |
1.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$2,931.49 |
$4,885.81 |
0.4× |
| Percutaneous Tx Malar Area Fracture (21355) |
$3,276.13 |
$5,460.21 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$227.51 |
$379.18 |
0.4× |
| Perq device breast 1st imag (19281) |
$314.88 |
$524.80 |
0.2× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,380.45 |
$3,967.42 |
1.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$381.10 |
$635.17 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$348.44 |
$580.74 |
0.9× |
| Prep face/oral prost finl obturator (21080) |
$3,276.13 |
$5,460.21 |
1.1× |
| Prep face/oral prost temp obturator (21079) |
$3,276.13 |
$5,460.21 |
1.1× |
| Prepare face/oral prosthesis (21083) |
$3,276.13 |
$5,460.21 |
1.1× |
| Prepare face/oral prosthesis (21087) |
$3,276.13 |
$5,460.21 |
0.6× |
| Prepare face/oral prosthesis (21085) |
$1,418.83 |
$2,364.72 |
6.6× |
| Prepare face/oral prosthesis (21088) |
$3,276.13 |
$5,460.21 |
1.1× |
| Prepare face/oral prosthesis (21082) |
$3,276.13 |
$5,460.21 |
1.1× |
| Preputial Stretching (54450) |
$264.78 |
$441.30 |
1.2× |
| Probe nasolacrimal duct (68810) |
$250.24 |
$417.07 |
0.9× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,503.76 |
$4,172.94 |
1.0× |
| Proctosigmoidoscopy w/bx (45305) |
$997.13 |
$1,661.89 |
0.9× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$570.09 |
$950.15 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$561.09 |
$935.15 |
1.5× |
| Puncture Aspiration (10160) |
$223.14 |
$371.89 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$352.51 |
$587.51 |
0.5× |
Reconstruction of mouth (40842)
unusually low: confirm this is the full procedure |
$1,812.25 |
$3,020.41 |
0.3× |
| Relocation of skin pocket for pacemaker (33222) |
$1,566.07 |
$2,610.12 |
0.8× |
| Removal fb intranasal (30300) |
$227.51 |
$379.18 |
1.9× |
| Removal foreign body foot deep (28192) |
$1,832.22 |
$3,053.70 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$496.43 |
$827.38 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$477.34 |
$795.56 |
0.3× |
| Removal foreign body pharynx (42809) |
$71.20 |
$118.66 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$97.22 |
$162.03 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$74.05 |
$123.41 |
1.4× |
| Removal Implant Deep (20680) |
$2,340.74 |
$3,901.24 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,944.87 |
$3,241.45 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$496.43 |
$827.38 |
0.8× |
| Removal of bone lesion (23140) |
$419.30 |
$698.83 |
0.1× |
| Removal of eye lesion (65400) |
$1,776.18 |
$2,960.30 |
2.0× |
| Removal of fixation device (20665) |
$218.76 |
$364.60 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$227.51 |
$379.18 |
0.8× |
Removal of kidney stone (50081)
unusually low: confirm this is the full procedure |
$3,901.18 |
$6,501.97 |
0.5× |
| Removal of nail bed (11750) |
$496.43 |
$827.38 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$290.03 |
$483.39 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$123.74 |
$206.23 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$123.74 |
$206.23 |
0.5× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$728.66 |
$1,214.43 |
0.4× |
| Remove anal fist subq (46270) |
$714.40 |
$1,190.66 |
0.3× |
| Remove by ligat int hem grp (46945) |
$1,486.05 |
$2,476.75 |
0.6× |
| Remove by ligat int hem grps (46946) |
$1,486.05 |
$2,476.75 |
0.6× |
| Remove drug implant device (11982) |
$438.08 |
$730.13 |
1.1× |
| Remove eye lesion (66130) |
$2,682.70 |
$4,471.16 |
1.2× |
| Remove Eyelid Foreign Body (67938) |
$218.76 |
$364.60 |
0.8× |
| Remove eyelid lesions (67801) |
$849.46 |
$1,415.76 |
0.9× |
| Remove eyelid lining lesion (68115) |
$1,997.63 |
$3,329.38 |
0.9× |
| Remove eyelid lining lesion (68130) |
$1,776.18 |
$2,960.30 |
0.8× |
| Remove eyelid lining lesion (68135) |
$849.46 |
$1,415.76 |
0.4× |
| Remove foreign body from eye (65210) |
$135.41 |
$225.69 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$695.30 |
$1,158.83 |
0.3× |
| Remove in/ex hem grp w/fistu (46258) |
$700.60 |
$1,167.66 |
0.3× |
| Remove prostate regrowth (52630) |
$797.20 |
$1,328.66 |
0.2× |
| Remove stent via transureth (50386) |
$728.66 |
$1,214.43 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,167.16 |
$1,945.26 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$117.22 |
$195.36 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$227.51 |
$379.18 |
1.9× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$708.56 |
$1,180.93 |
0.0× |
| Remv/revisn shldr/hip spica cast (29710) |
$265.72 |
$442.86 |
1.0× |
| Renal biopsy (50200) |
$744.73 |
$1,241.21 |
0.5× |
Repair arm tendon/muscle (24341)
unusually low: confirm this is the full procedure |
$2,997.76 |
$4,996.27 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$736.50 |
$1,227.50 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$480.37 |
$800.62 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$550.47 |
$917.45 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$348.44 |
$580.74 |
0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$304.71 |
$507.85 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$433.14 |
$721.91 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$483.78 |
$806.30 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$632.18 |
$1,053.63 |
0.9× |
| Repair detached retina (67105) |
$994.72 |
$1,657.87 |
2.0× |
| Repair ectropion suture (67914) |
$981.55 |
$1,635.91 |
0.5× |
| Repair Entropion Suture (67921) |
$1,997.63 |
$3,329.38 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,188.37 |
$1,980.61 |
0.8× |
| Repair eyelid defect (67916) |
$920.82 |
$1,534.70 |
0.4× |
| Repair eyelid wound (67930) |
$2,077.54 |
$3,462.56 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$1,427.15 |
$2,378.58 |
0.5× |
| Repair hand tendon (26410) |
$1,578.97 |
$2,631.62 |
1.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,349.20 |
$2,248.66 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,139.55 |
$1,899.24 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$292.99 |
$488.32 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$284.77 |
$474.62 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$227.51 |
$379.18 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$477.26 |
$795.44 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$227.51 |
$379.18 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$304.71 |
$507.85 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$491.37 |
$818.95 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$292.99 |
$488.32 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$227.51 |
$379.18 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$227.51 |
$379.18 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$304.71 |
$507.85 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$491.37 |
$818.95 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$304.71 |
$507.85 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$227.51 |
$379.18 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$223.14 |
$371.89 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$292.99 |
$488.32 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$298.85 |
$498.08 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$491.37 |
$818.95 |
0.3× |
| Repair lead pace-defib dual (33220) |
$5,495.68 |
$9,159.47 |
1.6× |
| Repair of nail bed (11760) |
$173.15 |
$288.59 |
0.3× |
| Repair Spica/Body/Jacket Cast (29720) |
$101.87 |
$169.78 |
0.7× |
| Repair Tongue Laceration (41250) |
$292.99 |
$488.32 |
0.7× |
| Repair tooth socket (41874) |
$1,669.52 |
$2,782.53 |
0.6× |
| Replace duod/jej tube perc (49451) |
$1,108.92 |
$1,848.20 |
1.4× |
| Replace eye fluid (67025) |
$1,184.39 |
$1,973.99 |
0.6× |
| Replace g/c tube perc (49450) |
$2,429.04 |
$4,048.40 |
3.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,429.04 |
$4,048.40 |
3.0× |
| Reposition gastrostomy tube (43761) |
$247.75 |
$412.91 |
1.1× |
| Reposition pacing-defib lead (33215) |
$2,760.25 |
$4,600.41 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$1,376.80 |
$2,294.66 |
0.4× |
| Retrobulbar injection alcohol (67505) |
$337.76 |
$562.93 |
1.2× |
| Revise eyelashes (67825) |
$337.76 |
$562.93 |
1.2× |
| Revise Eyelashes,Forceps (67820) |
$218.76 |
$364.60 |
1.8× |
| Revision of iris (66761) |
$593.06 |
$988.43 |
1.2× |
| Revision of iris (66762) |
$663.14 |
$1,105.24 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,287.79 |
$2,146.31 |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$192.85 |
$321.42 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$148.43 |
$247.38 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,689.34 |
$2,815.57 |
1.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,340.74 |
$3,901.24 |
0.9× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,988.01 |
$4,980.01 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$444.88 |
$741.48 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,065.76 |
$1,776.26 |
1.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$684.60 |
$1,141 |
1.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$416.63 |
$694.38 |
0.1× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$1,161.97 |
$1,936.62 |
0.4× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$13,623.20 |
$22,705.34 |
2.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,775.15 |
$4,625.25 |
1.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$935.20 |
$1,558.66 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,033.14 |
$1,721.90 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$811 |
$1,351.66 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,473.40 |
$2,455.66 |
0.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$416.63 |
$694.38 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$304.71 |
$507.85 |
0.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$972.34 |
$1,620.56 |
4.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$712.64 |
$1,187.73 |
1.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$416.63 |
$694.38 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,057.46 |
$1,762.44 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$127.37 |
$212.28 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$123.74 |
$206.23 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$127.37 |
$212.28 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$127.37 |
$212.28 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$127.37 |
$212.28 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$127.37 |
$212.28 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$98.36 |
$163.94 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$127.37 |
$212.28 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$98.36 |
$163.94 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$189.46 |
$315.76 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$127.37 |
$212.28 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$599.65 |
$999.42 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$376.48 |
$627.47 |
0.4× |
| Simple biopsy of growth of throat behind nose (42804) |
$1,916.23 |
$3,193.72 |
0.6× |
| Simple Cystometrogram (51725) |
$1,310.27 |
$2,183.79 |
5.8× |
| Simple drainage of abscess of saliva gland (42300) |
$1,213.87 |
$2,023.12 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$304.71 |
$507.85 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$298.85 |
$498.08 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$298.85 |
$498.08 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$304.71 |
$507.85 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$304.71 |
$507.85 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$304.71 |
$507.85 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$292.99 |
$488.32 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$227.51 |
$379.18 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$304.71 |
$507.85 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$227.51 |
$379.18 |
1.3× |
| Skin pinch graft (15050) |
$613.52 |
$1,022.54 |
0.9× |
| Skin tissue rearrangement (14040) |
$1,637.20 |
$2,728.66 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,135.02 |
$1,891.70 |
0.3× |
| Slitting of prepuce (54001) |
$1,655.52 |
$2,759.20 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$223.14 |
$371.89 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$304.71 |
$507.85 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$304.71 |
$507.85 |
0.8× |
| Snip incision lacrimal punctum (68440) |
$632.60 |
$1,054.33 |
2.2× |
| Spinal puncture lumbar diagnostic (62270) |
$421.48 |
$702.46 |
0.7× |
| Strapping ankle (29540) |
$141.02 |
$235.04 |
1.0× |
| Strapping elbow/wrist (29260) |
$119.32 |
$198.87 |
2.2× |
| Strapping hand/finger (29280) |
$123.74 |
$206.23 |
2.3× |
| Strapping Hip (29520) |
$101.87 |
$169.78 |
0.8× |
| Strapping knee (29530) |
$110.07 |
$183.45 |
0.9× |
| Strapping shoulder (29240) |
$150.31 |
$250.52 |
1.2× |
| Strapping toes (29550) |
$123.74 |
$206.23 |
2.3× |
| Strapping unna boot (29580) |
$216.98 |
$361.63 |
1.5× |
| Subconjunctival injection (68200) |
$92.15 |
$153.58 |
0.2× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,997.63 |
$3,329.38 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$281.71 |
$469.51 |
0.8× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$196.39 |
$327.31 |
0.3× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$219.50 |
$365.84 |
0.3× |
| Temporary Closure Eyelids Suture (67875) |
$1,380.94 |
$2,301.57 |
1.5× |
| Tenolysis flexor foot single tendon (28220) |
$2,258.95 |
$3,764.92 |
1.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,014.09 |
$1,690.15 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$813.94 |
$1,356.57 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$813.94 |
$1,356.57 |
1.4× |
| Throat Surgery Procedure (42999) |
$654.75 |
$1,091.25 |
3.1× |
| Thyroid biopsy (60100) |
$338.57 |
$564.28 |
0.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,041.67 |
$3,402.79 |
1.1× |
| Tongue and mouth surg unlisted (41599) |
$293.65 |
$489.42 |
1.4× |
| Trach Tube Change (31502) |
$275.14 |
$458.57 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,428.29 |
$2,380.48 |
2.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$900.22 |
$1,500.37 |
4.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$624.82 |
$1,041.37 |
0.4× |
| Tracheostomy planned (31600) |
$2,141.97 |
$3,569.95 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$126.53 |
$210.88 |
0.5× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$716.08 |
$1,193.47 |
0.1× |
| Treat Fracture Radius & Ulna (25560) |
$196.66 |
$327.76 |
0.9× |
| Treat humerus fracture (24500) |
$379.57 |
$632.61 |
1.7× |
| Treat humerus fracture (23600) |
$218.76 |
$364.60 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$213.73 |
$356.22 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$757.81 |
$1,263.01 |
1.3× |
| Treat toe fracture (28525) |
$4,379 |
$7,298.34 |
1.5× |
| Treat Vaginal Bleeding (57180) |
$337.91 |
$563.19 |
1.8× |
| Treat wrist bone fracture (25622) |
$196.66 |
$327.76 |
0.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,266.37 |
$2,110.62 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$241.19 |
$401.98 |
1.1× |
| Treatment extensive retinopathy photocoagulation (67228) |
$593.09 |
$988.48 |
1.2× |
Treatment of broken upper or lower jaw bone (21445)
unusually low: confirm this is the full procedure |
$2,039.98 |
$3,399.97 |
0.4× |
| Treatment of choroid lesion (67220) |
$458.83 |
$764.72 |
0.9× |
| Treatment of retinal lesion (67227) |
$3,219.88 |
$5,366.47 |
0.9× |
| Trim skin lesion (11055) |
$295.22 |
$492.03 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$274.22 |
$457.02 |
1.5× |
| Trim skin lesions over 4 (11057) |
$289.43 |
$482.38 |
1.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$89.25 |
$148.75 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,579.34 |
$4,298.90 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$436.66 |
$727.77 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$218.76 |
$364.60 |
0.6× |
| Tympanostomy (69433) |
$880.87 |
$1,468.12 |
1.8× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,360.41 |
$2,267.35 |
0.2× |
| Unlisted procedure anus (46999) |
$1,370.75 |
$2,284.58 |
1.6× |
| Unlisted Procedure Casting/Strapping (29799) |
$105.94 |
$176.57 |
0.7× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$1,501.54 |
$2,502.57 |
7.0× |
| Unlisted procedure leg/ankle (27899) |
$1,689.34 |
$2,815.57 |
7.6× |
| Unlisted Procedure Rectum (45999) |
$615.94 |
$1,026.56 |
0.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,116.76 |
$1,861.26 |
2.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$625.14 |
$1,041.90 |
3.4× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$13,298.78 |
$22,164.64 |
1.4× |
| Vaginal delivery only (59409) |
$964.52 |
$1,607.53 |
0.3× |
| Vasectomy (55250) |
$512.41 |
$854.02 |
0.3× |
| Venipuncture (36415) |
$15 |
$25 |
1.6× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$25.67 |
$42.79 |
0.2× |
Vestibuloplasty Anterior (40840)
unusually low: confirm this is the full procedure |
$1,812.25 |
$3,020.41 |
0.3× |
Vestibuloplasty Posterior Bilateral (40843)
unusually low: confirm this is the full procedure |
$1,812.25 |
$3,020.41 |
0.3× |
| Wedging of cast (29740) |
$101.87 |
$169.78 |
0.4× |
| Windowing of cast (29730) |
$123.74 |
$206.23 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$571.62 |
$952.70 |
1.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$418.21 |
$697.01 |
0.6× |
Xtroral i&d absc cst/hmtma floor mouth subment (41016)
likely a partial charge, not the full procedure |
$600.79 |
$1,001.32 |
0.1× |