| Ablate inf turbinate submuc (30802) |
$2,337.98 |
$5,783 |
1.5× |
| Ankle arthroscopy/surgery (29894) |
$4,930.37 |
$12,816 |
1.5× |
| Anterior Tibial Tubercleplasty (27418) |
$10,933.92 |
$24,034 |
1.5× |
| Arterial puncture (36600) |
$76 |
$152 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$462.53 |
$2,550 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$462.53 |
$1,800 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$462.53 |
$2,550 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$462.53 |
$2,550 |
1.5× |
| Arthrodesis ankle open (27870) |
$19,345.78 |
$75,560 |
1.5× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$19,345.78 |
$125,398 |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$10,933.92 |
$25,939 |
1.5× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$26,420.57 |
$51,131 |
1.5× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$40,886.50 |
$81,773 |
1.5× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$40,886.50 |
$88,781 |
1.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$10,933.92 |
$25,939 |
1.5× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$40,886.50 |
$55,260 |
1.5× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$26,420.57 |
$71,025 |
1.5× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$26,420.57 |
$46,963 |
1.5× |
| Arthroplasty Ankle W/Implant (27702) |
$40,886.50 |
$55,260 |
1.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$26,420.57 |
$177,563 |
1.5× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$19,345.78 |
$38,663 |
1.5× |
| Arthroplasty, patella; with prosthesis (27438) |
$19,345.78 |
$50,159 |
1.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$4,930.37 |
$12,816 |
1.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,930.37 |
$22,643 |
1.5× |
| Arthroscopy of joint (29999) |
$371.69 |
$3,213 |
1.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$4,930.37 |
$17,354 |
1.5× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$4,930.37 |
$25,474 |
1.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,930.37 |
$36,575 |
1.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$19,345.78 |
$36,944 |
1.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,930.37 |
$22,643 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$10,933.92 |
$24,382 |
1.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,930.37 |
$22,643 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,930.37 |
$28,304 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$10,933.92 |
$28,192 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy, subtalar joint, surgical; with synovectomy High Cost/Complex Surgery (29905) |
$10,933.92 |
$24,034 |
1.5× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$4,930.37 |
$13,099 |
1.5× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$10,933.92 |
$25,524 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$302.32 |
$2,550 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,488.69 |
$6,230 |
1.5× |
| Bladder Scan (51798) |
$137.50 |
$275 |
2.3× |
| Blepharoplasty upper eyelid (15822) |
$3,109.02 |
$7,719 |
1.5× |
| Blood transfusion service (36430) |
$1,300 |
$2,600 |
2.9× |
| Bone graft, any donor area; major or large (20902) |
$10,933.92 |
$25,939 |
1.5× |
| Cerv artific diskectomy (22856) |
$26,420.57 |
$87,591 |
1.5× |
| Claviculectomy; partial (23120) |
$4,930.37 |
$12,816 |
1.5× |
| Closed treatment nasal fracture w/stabilization (21320) |
$4,995.85 |
$12,939 |
1.5× |
| Correction hammertoe (28285) |
$4,930.37 |
$13,099 |
1.5× |
| Correction of bunion (28299) |
$10,933.92 |
$24,034 |
1.5× |
| Correction of bunion (28297) |
$19,345.78 |
$38,663 |
1.5× |
| Create eardrum opening (69436) |
$2,337.98 |
$5,740 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,376.93 |
$16,590 |
1.5× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$10,933.92 |
$24,329 |
1.5× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,422.98 |
$5,730 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$2,942.44 |
$7,774 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$2,942.44 |
$7,762 |
1.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,682.01 |
$6,888 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,488.69 |
$4,925 |
1.5× |
| Elbow arthroscopy/surgery (29836) |
$10,933.92 |
$28,613 |
1.5× |
| Elbow arthroscopy/surgery (29838) |
$4,930.37 |
$12,816 |
1.5× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,930.37 |
$13,099 |
1.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,488.69 |
$6,465 |
1.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$4,376.93 |
$10,526 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,488.69 |
$6,477 |
1.5× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$8,920.21 |
$23,604 |
1.5× |
| Exc hand les sc < 1.5 cm (26115) |
$2,488.69 |
$4,925 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,422.98 |
$6,266 |
1.5× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,488.69 |
$6,488 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,376.93 |
$8,295 |
1.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,376.93 |
$11,290 |
1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,488.69 |
$4,499 |
1.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,930.37 |
$14,352 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,422.98 |
$6,181 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,422.98 |
$6,400 |
1.5× |
| Excision Distal Ulna Partial/Complete (25240) |
$4,930.37 |
$13,099 |
1.5× |
| Excision lesion mouth roof (42104) |
$4,995.85 |
$12,905 |
1.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$2,422.98 |
$6,397 |
1.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,488.69 |
$6,456 |
1.5× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$2,422.98 |
$6,395 |
1.5× |
| Excision olecranon bursa (24105) |
$4,930.37 |
$12,816 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$4,930.37 |
$16,403 |
1.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$4,376.93 |
$11,429 |
1.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,488.69 |
$6,483 |
1.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,422.98 |
$6,254 |
1.5× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$2,422.98 |
$6,412 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,376.93 |
$11,303 |
1.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$4,376.93 |
$11,438 |
1.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$4,930.37 |
$13,099 |
1.5× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$4,930.37 |
$13,099 |
1.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,422.98 |
$6,408 |
1.5× |
| Explor ankle jt+tenosynovectomy (27626) |
$4,930.37 |
$12,816 |
1.5× |
| Exploration of spinal fusion (22830) |
$10,933.92 |
$25,000 |
1.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,930.37 |
$16,200 |
1.5× |
| Fixation of knee joint (27570) |
$2,422.98 |
$4,873 |
1.5× |
| Fixation of shoulder (23700) |
$2,422.98 |
$6,401 |
1.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,995.85 |
$12,023 |
1.5× |
| Fuse hand bones with graft (25825) |
$10,933.92 |
$24,034 |
1.5× |
| Fusion of foot bones (28730) |
$19,345.78 |
$36,944 |
1.5× |
| Fusion of foot bones (28740) |
$10,933.92 |
$25,939 |
1.5× |
| Fusion of knuckle with graft (26852) |
$10,933.92 |
$24,034 |
1.5× |
| Fusion/graft of wrist joint (25805) |
$10,933.92 |
$24,034 |
1.5× |
| Gastrocnemius Recession (27687) |
$4,930.37 |
$19,813 |
1.5× |
| Graft ear crtlg autogenous nose/ear (21235) |
$8,920.21 |
$23,433 |
1.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,933.92 |
$24,034 |
1.5× |
| Hand tendon reconstruction (26502) |
$4,930.37 |
$13,099 |
1.5× |
| Hip arthro w/labral repair (29916) |
$10,933.92 |
$64,435 |
1.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,376.93 |
$11,260 |
1.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,376.93 |
$11,442 |
1.5× |
| Implant cochlear device (69930) |
$49,683.56 |
$101,311 |
1.5× |
| Implant neuroelectrodes (63650) |
$9,603.05 |
$26,065 |
1.5× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$19,345.78 |
$39,927 |
1.5× |
| Incise finger tendon sheath (26055) |
$2,422.98 |
$6,402 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$612.55 |
$2,550 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,376.93 |
$11,307 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,488.69 |
$5,998 |
1.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$10,933.92 |
$25,000 |
1.5× |
| Incision bone cortex foot (28005) |
$4,930.37 |
$12,816 |
1.5× |
| Incision extensor tendon sheath wrist (25000) |
$2,422.98 |
$6,403 |
1.5× |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
$66,370.79 |
$73,611 |
1.5× |
| Incision of metatarsal (28308) |
$4,930.37 |
$13,099 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,332.75 |
$3,564 |
1.5× |
| Inj tendon sheath/ligament (20550) |
$462.53 |
$1,800 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,332.75 |
$2,625 |
1.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,063.65 |
$3,000 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,200 |
$3,563 |
1.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,332.75 |
$2,550 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,063.65 |
$2,856 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$1,063.65 |
$2,768 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$462.53 |
$6,426 |
1.5× |
| Inner ear surgery proc unlisted (69949) |
$356.89 |
$1,800 |
1.5× |
| Insrt/redo spine n generator (63685) |
$46,497.47 |
$310,656 |
1.5× |
| Knee arthroscopy/surgery (29883) |
$4,930.37 |
$13,099 |
1.5× |
| Knee arthroscopy/surgery (29876) |
$4,930.37 |
$13,099 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$10,933.92 |
$25,939 |
1.5× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$29,232.78 |
$104,214 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$10,933.92 |
$26,998 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$10,933.92 |
$28,301 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$10,933.92 |
$28,120 |
1.5× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$10,933.92 |
$25,939 |
1.5× |
| Laryngoscopy with biopsy (31576) |
$2,682.01 |
$6,897 |
1.5× |
| Late closure of wound (13160) |
$5,339.81 |
$7,228 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$10,933.92 |
$25,939 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$19,345.78 |
$38,663 |
1.5× |
| Manipulation, elbow, under anesthesia (24300) |
$2,422.98 |
$6,461 |
1.5× |
| Mastoidectomy (69502) |
$8,920.21 |
$22,724 |
1.5× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$4,995.85 |
$12,924 |
1.5× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$5,339.81 |
$14,637 |
1.5× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$10,634.43 |
$24,013 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$10,634.43 |
$26,811 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$10,634.43 |
$26,423 |
1.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$5,618 |
$14,228 |
1.5× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$10,634.43 |
$25,211 |
1.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,682.01 |
$6,891 |
1.5× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$10,634.43 |
$20,801 |
1.5× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$10,634.43 |
$26,390 |
1.5× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$10,634.43 |
$25,527 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,682.01 |
$6,892 |
1.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$10,634.43 |
$24,063 |
1.5× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$10,634.43 |
$24,071 |
1.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$10,634.43 |
$24,590 |
1.5× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$8,920.21 |
$17,776 |
1.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,422.98 |
$6,399 |
1.5× |
| Nerve repair w/allograft (64910) |
$13,223.76 |
$17,101 |
1.5× |
| Nipple/areola reconstruction (19350) |
$5,899.91 |
$15,092 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,332.75 |
$3,566 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,200 |
$2,768 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,063.65 |
$2,742 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,200 |
$2,770 |
1.7× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$46,497.47 |
$295,863 |
1.5× |
| Open Osteochondral Autograft Talus (28446) |
$10,933.92 |
$24,034 |
1.5× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$10,933.92 |
$24,034 |
1.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$10,933.92 |
$25,939 |
1.5× |
| Open Treatment Humeral Condylar Fracture (24579) |
$19,345.78 |
$78,288 |
1.5× |
| Open treatment metatarsal fracture each (28485) |
$10,933.92 |
$24,034 |
1.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$10,933.92 |
$72,850 |
1.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,933.92 |
$25,939 |
1.5× |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
$10,933.92 |
$28,415 |
1.5× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$19,345.78 |
$25,000 |
1.5× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$19,345.78 |
$73,889 |
1.5× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$10,933.92 |
$25,000 |
1.5× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$10,933.92 |
$24,034 |
1.5× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$10,933.92 |
$25,000 |
1.5× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$10,933.92 |
$24,034 |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$10,933.92 |
$24,034 |
1.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,930.37 |
$13,099 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,930.37 |
$12,816 |
1.5× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$10,933.92 |
$37,590 |
1.5× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$4,930.37 |
$12,816 |
1.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,930.37 |
$12,816 |
1.5× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$10,933.92 |
$25,939 |
1.5× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$10,933.92 |
$37,590 |
1.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,930.37 |
$12,816 |
1.5× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$19,345.78 |
$75,236 |
1.5× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$19,345.78 |
$36,448 |
1.5× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$10,933.92 |
$25,939 |
1.5× |
| Osteotomy Clavicle W Bone Graft (23485) |
$19,345.78 |
$73,889 |
1.5× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$8,920.21 |
$12,715 |
1.5× |
| Partial Excision Bone Fibula (27641) |
$4,930.37 |
$13,099 |
1.5× |
| Partial excision bone metacarpal (26230) |
$4,930.37 |
$13,099 |
1.5× |
| Partial excision bone talus/calcaneus (28120) |
$4,930.37 |
$14,152 |
1.5× |
| Partial Excision Bone Tibia (27640) |
$4,930.37 |
$12,816 |
1.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,422.98 |
$6,266 |
1.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,930.37 |
$12,816 |
1.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,422.98 |
$6,405 |
1.5× |
| Partial Removal Foot Fascia (28060) |
$4,930.37 |
$13,099 |
1.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,930.37 |
$12,816 |
1.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$4,930.37 |
$12,816 |
1.5× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$10,933.92 |
$25,939 |
1.5× |
| Radial styloidectomy (25230) |
$4,930.37 |
$13,099 |
1.5× |
| Radical resection tumor phalanx or toe (28175) |
$2,422.98 |
$5,994 |
1.5× |
| Rebuild eardrum structures (69637) |
$8,920.21 |
$21,743 |
1.5× |
| Rebuild eardrum structures (69633) |
$8,920.21 |
$20,703 |
1.5× |
| Rebuild eardrum structures (69632) |
$8,920.21 |
$21,774 |
1.5× |
| Rebuild outer ear canal (69310) |
$8,920.21 |
$23,310 |
1.5× |
| Reconstr disloc patella w mscl adv (27422) |
$10,933.92 |
$24,039 |
1.5× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$19,345.78 |
$38,663 |
1.5× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$10,933.92 |
$26,459 |
1.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$10,933.92 |
$24,034 |
1.5× |
| Release i-p jt contracture (26525) |
$2,422.98 |
$6,266 |
1.5× |
| Release palm contracture (26121) |
$4,930.37 |
$12,816 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$88.89 |
$1,800 |
1.5× |
| Removal Implant Deep (20680) |
$4,376.93 |
$11,201 |
1.5× |
| Removal of adenoids (42831) |
$4,995.85 |
$12,893 |
1.5× |
| Removal of adenoids (42830) |
$4,995.85 |
$12,924 |
1.5× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$10,933.92 |
$25,000 |
1.5× |
| Removal of finger lesion (26210) |
$2,422.98 |
$4,873 |
1.5× |
| Removal of Head of Radius (24130) |
$4,930.37 |
$13,099 |
1.5× |
| Removal of heel bone (28118) |
$4,930.37 |
$12,816 |
1.5× |
| Removal of kneecap (27350) |
$10,933.92 |
$26,821 |
1.5× |
| Removal of palm tendon each (26170) |
$2,422.98 |
$6,412 |
1.5× |
| Removal of posterior segmental instrumentation (22852) |
$10,933.92 |
$30,822 |
1.5× |
| Removal of skin wrinkles (15829) |
$5,339.81 |
$14,668 |
1.5× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,942.44 |
$7,752 |
1.5× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$5,268.06 |
$13,663 |
1.5× |
| Removal of tonsils (42825) |
$8,920.21 |
$23,701 |
1.5× |
| Removal of tonsils (42826) |
$4,995.85 |
$12,970 |
1.5× |
| Removal of wrist bone (25210) |
$4,930.37 |
$13,099 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,109.02 |
$7,322 |
1.5× |
| Remove wrist joint cartilage (25107) |
$4,930.37 |
$13,099 |
1.5× |
| Remove wrist tendon lesion (25111) |
$2,422.98 |
$6,408 |
1.5× |
| Remove/graft foot lesion (28103) |
$10,933.92 |
$24,034 |
1.5× |
| Remove/graft leg bone lesion (27637) |
$10,933.92 |
$24,034 |
1.5× |
| Repair achilles tendon (27650) |
$10,933.92 |
$39,688 |
1.5× |
| Repair arm tendon/muscle (24341) |
$10,933.92 |
$25,939 |
1.5× |
| Repair arm/leg nerve (64857) |
$5,147.57 |
$45,602 |
1.5× |
| Repair collat ankle ligmnt,secondary (27698) |
$10,933.92 |
$37,590 |
1.5× |
| Repair eardrum structures (69635) |
$8,920.21 |
$22,724 |
1.5× |
| Repair elbow deb/attch open (24359) |
$4,930.37 |
$12,816 |
1.5× |
| Repair finger tendon (26432) |
$2,422.98 |
$6,355 |
1.5× |
| Repair finger/hand tendon (26350) |
$4,930.37 |
$12,816 |
1.5× |
| Repair forearm tendon/muscle (25260) |
$4,930.37 |
$12,816 |
1.5× |
| Repair forearm tendon/muscle (25265) |
$4,930.37 |
$13,099 |
1.5× |
| Repair hallux rigidus (28289) |
$4,930.37 |
$12,816 |
1.5× |
| Repair hand joint with graft (26542) |
$4,930.37 |
$13,099 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$612.55 |
$1,800 |
1.5× |
| Repair kneecap tendon (27380) |
$10,933.92 |
$25,939 |
1.5× |
| Repair lower leg tendons (27676) |
$10,933.92 |
$24,837 |
1.5× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$10,933.92 |
$24,034 |
1.5× |
| Repair nasal septal perforations (30630) |
$4,995.85 |
$12,160 |
1.5× |
| Repair of ankle ligament (27695) |
$10,933.92 |
$24,034 |
1.5× |
| Repair of eardrum structures (69631) |
$8,920.21 |
$23,187 |
1.5× |
| Repair of foot bones (28320) |
$19,345.78 |
$38,663 |
1.5× |
| Repair Of Foot Tendon (28208) |
$4,930.37 |
$12,816 |
1.5× |
| Repair of leg tendon each (27658) |
$4,930.37 |
$13,099 |
1.5× |
| Repair of nail bed (11760) |
$1,113.66 |
$5,242 |
1.5× |
| Repair of nasal septum (30520) |
$4,995.85 |
$12,770 |
1.5× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$8,920.21 |
$20,777 |
1.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$10,933.92 |
$24,034 |
1.5× |
| Repair of thigh musc (27385) |
$10,933.92 |
$24,314 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$10,933.92 |
$25,939 |
1.5× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$10,933.92 |
$24,034 |
1.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$10,933.92 |
$24,034 |
1.5× |
| Repair/revise wrist joint (25320) |
$10,933.92 |
$25,939 |
1.5× |
| Replace elbow joint (24363) |
$26,420.57 |
$55,260 |
1.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,930.37 |
$12,737 |
1.5× |
| Resect Inferior Turbinate (30140) |
$4,995.85 |
$12,675 |
1.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$19,345.78 |
$56,949 |
1.5× |
| Revise arm/leg nerve (64708) |
$2,942.44 |
$14,035 |
1.5× |
| Revise external ear (69300) |
$4,995.85 |
$12,993 |
1.5× |
| Revise median n/carpal tunnel surg (64721) |
$2,942.44 |
$8,098 |
1.5× |
| Revise middle ear & mastoid (69642) |
$8,920.21 |
$21,902 |
1.5× |
| Revise middle ear & mastoid (69646) |
$8,920.21 |
$21,885 |
1.5× |
| Revise middle ear & mastoid (69645) |
$8,920.21 |
$23,163 |
1.5× |
| Revise middle ear bone (69661) |
$8,920.21 |
$21,388 |
1.5× |
| Revise middle ear bone (69660) |
$8,920.21 |
$21,615 |
1.5× |
| Revise ulnar nerve at elbow (64718) |
$2,942.44 |
$10,526 |
1.5× |
| Revise wrist/forearm tendon (25280) |
$4,930.37 |
$13,099 |
1.5× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$16,790.21 |
$58,995 |
1.5× |
| Revision of foot (28116) |
$4,930.37 |
$16,982 |
1.5× |
| Revision of lower leg tendon (27685) |
$4,930.37 |
$13,099 |
1.5× |
| Revision of nose (30450) |
$8,920.21 |
$22,549 |
1.5× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$26,420.57 |
$38,879 |
1.5× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$19,345.78 |
$51,589 |
1.5× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$9,603.05 |
$19,721 |
1.5× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$8,920.21 |
$22,798 |
1.5× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$8,920.21 |
$23,393 |
1.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$9,109.61 |
$10,845 |
1.5× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$9,754.98 |
$21,445 |
1.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,109.61 |
$20,376 |
1.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,930.37 |
$13,099 |
1.5× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$10,933.92 |
$37,590 |
1.5× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$10,933.92 |
$24,034 |
1.5× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$8,920.21 |
$17,776 |
1.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,930.37 |
$12,737 |
1.5× |
| Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) |
$10,933.92 |
$27,362 |
1.5× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,930.37 |
$22,643 |
1.5× |
| Sinus endo w/balloon dil (31296) |
$10,634.43 |
$20,801 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,113.66 |
$10,292 |
1.5× |
| Skin Tissue Procedure (17999) |
$302.32 |
$2,625 |
1.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$8,920.21 |
$17,776 |
1.5× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,942.44 |
$14,035 |
1.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,422.98 |
$6,395 |
1.5× |
| Tendon excision palm/finger (26145) |
$2,422.98 |
$6,390 |
1.5× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$4,930.37 |
$13,099 |
1.5× |
| Tenodesis long tendon biceps (23430) |
$10,933.92 |
$24,034 |
1.5× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$4,930.37 |
$13,099 |
1.5× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$4,930.37 |
$12,816 |
1.5× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$4,930.37 |
$12,816 |
1.5× |
| Tenotomy elbow lateral/medial debride open (24358) |
$4,930.37 |
$35,000 |
1.5× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$2,422.98 |
$6,407 |
1.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,422.98 |
$6,461 |
1.5× |
| Ther Apheresis,Platelets (36513) |
$1,150 |
$2,300 |
2.6× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$19,345.78 |
$38,663 |
1.5× |
| Tibial arthroscopy/surgery (29856) |
$19,345.78 |
$38,663 |
1.5× |
| Tissue expander placement breast reconstruction (19357) |
$20,765.63 |
$52,280 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,995.85 |
$12,975 |
1.5× |
| Total hip arthroplasty (27130) |
$18,000 |
$78,288 |
1.4× |
| Total knee arthroplasty (27447) |
$19,345.78 |
$38,663 |
1.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$2,942.44 |
$7,639 |
1.5× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$10,933.92 |
$25,939 |
1.5× |
| Transplant hand tendon (26480) |
$4,930.37 |
$13,099 |
1.5× |
| Treat elbow fracture (24635) |
$10,933.92 |
$24,034 |
1.5× |
| Treat Finger Fracture Each (26727) |
$4,930.37 |
$12,816 |
1.5× |
| Treat fracture radius/ulna (25575) |
$10,933.92 |
$25,939 |
1.5× |
| Treat fx distal radial (25606) |
$4,930.37 |
$13,099 |
1.5× |
| Treat radius fracture (24665) |
$10,933.92 |
$25,939 |
1.5× |
| Treat spine fracture (22325) |
$19,345.78 |
$30,000 |
1.5× |
| Treat thumb fracture (26665) |
$4,930.37 |
$13,099 |
1.5× |
| Treat ulnar fracture (24685) |
$10,933.92 |
$38,382 |
1.5× |
| Treatment of ankle fracture (27822) |
$10,933.92 |
$25,939 |
1.5× |
| Treatment of ankle fracture (27792) |
$10,933.92 |
$25,939 |
1.5× |
| Treatment of tibia fracture (27759) |
$19,345.78 |
$38,663 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,113.66 |
$2,443 |
1.5× |
| Unlisted procedure foot or toes (28899) |
$371.69 |
$2,550 |
1.5× |
| Unlisted procedure humerus/elbow (24999) |
$371.69 |
$1,800 |
1.5× |
| Unlisted Procedure Nervous System (64999) |
$462.53 |
$2,550 |
1.5× |
| Unlisted procedure shoulder (23929) |
$371.69 |
$1,800 |
1.5× |
| Unlisted procedure, forearm or wrist (25999) |
$371.69 |
$1,800 |
1.5× |
| Venipuncture (36415) |
$15.50 |
$31 |
1.7× |
| Wrist arthroscop,excis triang cart (29846) |
$4,930.37 |
$13,099 |
1.5× |
| Wrist arthroscopy/surgery (29845) |
$4,930.37 |
$13,099 |
1.5× |