| Abd paracentesis w/imaging (49083) |
$1,140.77 |
$2,977.20 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,140.77 |
$2,977.20 |
1.2× |
| Ablate inf turbinate submuc (30802) |
$1,951.53 |
$8,029 |
1.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$22,053.42 |
$53,599 |
1.2× |
| Acne Surgery (10040) |
$507.60 |
$1,015.20 |
2.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,595.12 |
$4,419 |
1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,457.17 |
$17,863.74 |
1.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,595.12 |
$6,003.76 |
1.2× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$9,126.61 |
$25,938.59 |
1.2× |
| Amputate metacarpal bone (26910) |
$4,115.41 |
$17,353.68 |
1.2× |
| Amputation Finger/Thumb (26951) |
$4,115.41 |
$16,323.24 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$4,115.41 |
$12,815.85 |
1.2× |
| Amputation of finger/thumb (26952) |
$4,115.41 |
$12,416.32 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$4,115.41 |
$10,157.92 |
1.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,115.41 |
$12,815.85 |
1.2× |
| Amputation, foot; transmetatarsal (28805) |
$4,115.41 |
$12,815.85 |
1.2× |
| Amputation, leg, through tibia and fibula; (27880) |
$9,126.61 |
$12,000 |
1.2× |
| Ankle arthroscopy/surgery (29892) |
$9,126.61 |
$28,192.28 |
1.2× |
| Ankle arthroscopy/surgery (29894) |
$4,115.41 |
$12,815.85 |
1.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$4,115.41 |
$12,815.85 |
1.2× |
| Ankle scope,part synovectomy (29895) |
$4,115.41 |
$17,353.68 |
1.2× |
| Anoscopy diagnostic (46600) |
$167.34 |
$414 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,169.67 |
$2,274 |
1.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,505.09 |
$2,500 |
1.3× |
| Application cast elbow finger short arm (29075) |
$351.79 |
$930.60 |
1.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$204.39 |
$930.60 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$351.79 |
$1,082.40 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$74.20 |
$468 |
1.3× |
| Application finger splint static (29130) |
$167.34 |
$468 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$204.39 |
$1,082.40 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$204.39 |
$1,082.40 |
1.3× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$16,148.04 |
$73,888.56 |
1.3× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$9,126.61 |
$25,938.59 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$351.79 |
$6,120 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$167.34 |
$1,237.20 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$167.34 |
$3,525.30 |
1.3× |
| Application short leg splint calf foot (29515) |
$204.39 |
$3,556.50 |
1.3× |
| Apply short leg cast (29405) |
$351.79 |
$993 |
1.3× |
| Apply short leg cast (29425) |
$351.79 |
$6,120 |
1.3× |
| Aqueous shunt to extraocular reservoir (66180) |
$6,692.95 |
$15,998.36 |
1.3× |
| Arterial puncture (36600) |
$167.34 |
$400 |
1.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$6,998.82 |
$25,196 |
1.3× |
| Artery-vein autograft (36825) |
$6,998.82 |
$20,167 |
1.3× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$9,126.61 |
$39,687.78 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$386.07 |
$1,686.90 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$887.83 |
$2,569.47 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$386.07 |
$3,858.30 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$386.07 |
$1,940.70 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$386.07 |
$1,686.90 |
1.2× |
| Arthrodesis ankle open (27870) |
$16,148.04 |
$75,559.74 |
1.3× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$16,148.04 |
$125,398.20 |
1.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$22,053.42 |
$51,131 |
1.2× |
| Arthrodesis tibiofibular joint proximal or distal (27871) |
$16,148.04 |
$53,599 |
1.3× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$16,148.04 |
$53,599 |
1.3× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$34,128.22 |
$50,000 |
1.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$34,128.22 |
$88,781.40 |
1.2× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) |
$22,053.42 |
$95,208.78 |
1.2× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$34,128.22 |
$53,268.84 |
1.2× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$22,053.42 |
$71,025.12 |
1.2× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$22,053.42 |
$28,000 |
1.2× |
| Arthrodesis; subtalar (28725) |
$16,148.04 |
$36,944.28 |
1.3× |
| Arthroplasty Ankle W/Implant (27702) |
$34,128.22 |
$53,268.84 |
1.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$22,053.42 |
$177,562.80 |
1.2× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$16,148.04 |
$37,619.46 |
1.3× |
| Arthroplasty radial head w/implant (24366) |
$16,148.04 |
$75,559.74 |
1.3× |
| Arthroplasty, patella; with prosthesis (27438) |
$16,148.04 |
$50,159.28 |
1.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$16,148.04 |
$36,944.28 |
1.3× |
| Arthroscopy ankle; ext debridem (29898) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,115.41 |
$22,643.20 |
1.2× |
| Arthroscopy of joint (29999) |
$310.25 |
$3,213 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$4,115.41 |
$17,353.68 |
1.2× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$9,126.61 |
$54,434.97 |
1.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$4,115.41 |
$25,473.60 |
1.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,115.41 |
$28,304 |
1.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,115.41 |
$36,575.10 |
1.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$4,115.41 |
$17,353.68 |
1.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$4,115.41 |
$36,575.10 |
1.2× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$16,148.04 |
$36,944 |
1.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,115.41 |
$22,643.20 |
1.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,115.41 |
$22,643.20 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,115.41 |
$16,982.40 |
1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,115.41 |
$22,643.20 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,115.41 |
$28,304 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$9,126.61 |
$28,192.28 |
1.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$4,115.41 |
$36,575 |
1.2× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,126.61 |
$50,119.60 |
1.2× |
| Arthroscopy, subtalar joint, surgical; with synovectomy High Cost/Complex Surgery (29905) |
$9,126.61 |
$25,938.59 |
1.2× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
$4,115.41 |
$18,847 |
1.2× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthrotomy, elbow; with synovectomy (24102) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$4,115.41 |
$12,815.85 |
1.2× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$4,115.41 |
$18,847 |
1.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,022.48 |
$8,354.10 |
1.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$4,115.41 |
$14,152 |
1.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$4,115.41 |
$12,815.85 |
1.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$386.07 |
$1,584.60 |
1.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,629.21 |
$12,232.80 |
1.2× |
| Aspiration bladder needle (51100) |
$314.25 |
$1,515 |
1.3× |
| Av Fuse Uppr Arm Basilic (36819) |
$6,998.82 |
$20,167 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$252.35 |
$1,674.30 |
1.3× |
| Biopsy Bone Open Deep (20245) |
$3,653.45 |
$10,428 |
1.2× |
| Biopsy bone open superficial (20240) |
$3,653.45 |
$4,825.15 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,077.32 |
$5,747.96 |
1.2× |
| Biopsy finger joint lining (26110) |
$2,022.48 |
$5,579.71 |
1.3× |
| Biopsy muscle deep (20205) |
$3,653.45 |
$10,428 |
1.2× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$3,653.45 |
$10,428 |
1.2× |
| Biopsy of mouth lesion (40808) |
$678.35 |
$2,550 |
1.3× |
| Biopsy Oropharynx (42800) |
$1,951.53 |
$6,872.85 |
1.3× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,653.45 |
$10,829.40 |
1.2× |
| Biopsy tongue posterior one-third (41105) |
$4,170.07 |
$13,681.95 |
1.3× |
| Biopsy/removal lymph nodes (38510) |
$4,924.70 |
$14,209.83 |
1.2× |
| Bladder Irrigation Simple (51700) |
$314.25 |
$849.60 |
1.3× |
| Bladder Scan (51798) |
$74.20 |
$681.60 |
1.3× |
| Blepharoplasty lower eyelid (15820) |
$2,595.12 |
$3,916.80 |
1.2× |
| Blepharoplasty upper eyelid (15822) |
$2,595.12 |
$7,719.12 |
1.2× |
| Blood patch (62273) |
$887.83 |
$3,807.54 |
1.2× |
| Blood transfusion service (36430) |
$1,876.35 |
$3,752.70 |
4.2× |
| Bone graft, any donor area; major or large (20902) |
$9,126.61 |
$25,938.59 |
1.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$9,126.61 |
$25,938.59 |
1.2× |
| Bone marrow aspiration only (38220) |
$2,077.32 |
$6,331.50 |
1.2× |
| Bone marrow harvest allogen (38230) |
$1,958.88 |
$5,439.36 |
1.3× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$887.83 |
$2,855.66 |
1.2× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$1,000 |
$26,417.22 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,238.69 |
$3,740.98 |
1.2× |
| Bronchoscopy dilate/fx repr (31630) |
$1,170 |
$2,340 |
0.3× |
| Canthotomy Separate Procedure (67715) |
$2,990.32 |
$11,150.40 |
1.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,115.41 |
$12,815.85 |
1.2× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$4,115.41 |
$12,815.85 |
1.2× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$9,126.61 |
$38,145 |
1.2× |
| Capsulotomy Midtarsal (28264) |
$2,022.48 |
$5,898 |
1.3× |
| Carpectomy All Bones Proximal Row (25215) |
$4,115.41 |
$12,960 |
1.2× |
| Cataract surgery complex (66982) |
$2,902.70 |
$20,791.60 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$275.42 |
$455.40 |
1.2× |
| Cerv artific diskectomy (22856) |
$22,053.42 |
$87,590.52 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$314.25 |
$922.20 |
1.3× |
| Chemical Cautery Tissue (17250) |
$252.35 |
$868.80 |
1.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$887.83 |
$2,625 |
1.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$887.83 |
$3,808 |
1.2× |
| Chemodenerv Musc Migraine (64615) |
$1,186.80 |
$2,373.60 |
3.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$386.07 |
$3,750 |
1.2× |
| Chest tube placement (32551) |
$1,979.92 |
$2,467.20 |
1.3× |
| Claviculectomy; partial (23120) |
$4,115.41 |
$12,815.85 |
1.2× |
| Claviculectomy; total (23125) |
$4,102.80 |
$8,205.60 |
1.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,022.48 |
$3,000 |
1.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$310.25 |
$1,953.60 |
1.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$310.25 |
$849.60 |
1.3× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,951.53 |
$4,812 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$310.25 |
$2,191.20 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,022.48 |
$5,016.60 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,022.48 |
$4,449 |
1.3× |
| Closed rx prox/neck femur fx,manip (27232) |
$2,022.48 |
$84,000 |
1.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,022.48 |
$3,000 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$310.25 |
$1,785.60 |
1.3× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,022.48 |
$6,398.40 |
1.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,022.48 |
$3,000 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$310.25 |
$2,604 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$310.25 |
$2,030.40 |
1.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,022.48 |
$4,280.40 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$310.25 |
$2,059.20 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$1,632 |
$3,264 |
6.6× |
| Closed treat wrist dislocation (25660) |
$310.25 |
$1,768.80 |
1.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$310.25 |
$1,264.80 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$4,170.07 |
$7,404.50 |
1.3× |
| Closed treatment of broken top of shin bone at knee (27538) |
$310.25 |
$1,905.60 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$310.25 |
$1,303.80 |
1.3× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$310.25 |
$2,056.80 |
1.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$310.25 |
$1,891.20 |
1.3× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$4,115.41 |
$13,386.84 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$310.25 |
$1,581.60 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$310.25 |
$1,043.40 |
1.3× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,022.48 |
$3,000 |
1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$310.25 |
$2,085.60 |
1.3× |
| Closed Treatment Sternum Fracture (21820) |
$310.25 |
$1,740 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$310.25 |
$5,660.40 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$310.25 |
$1,581 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,022.48 |
$3,000 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$310.25 |
$2,251.20 |
1.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$310.25 |
$6,403.20 |
1.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$310.25 |
$1,677.60 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,022.48 |
$3,110.40 |
1.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$4,115.41 |
$5,474.40 |
1.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$310.25 |
$3,628.80 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$310.25 |
$849.60 |
1.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,022.48 |
$5,016.60 |
1.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$2,925.60 |
$5,851.20 |
5.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$310.25 |
$1,416 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,022.48 |
$5,016.60 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,951.53 |
$4,666.80 |
1.3× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,170.07 |
$6,484.20 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$310.25 |
$849.60 |
1.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$310.25 |
$779.40 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,022.48 |
$3,000 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$310.25 |
$1,744.80 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,022.48 |
$3,000 |
1.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$310.25 |
$642 |
1.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$2,054.40 |
$4,108.80 |
8.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$310.25 |
$1,874.40 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,022.48 |
$3,000 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$310.25 |
$658.80 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$310.25 |
$1,874.40 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,364.40 |
$2,728.80 |
5.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$297.90 |
$869.40 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$678.35 |
$4,282.20 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,782 |
$3,564 |
7.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$310.25 |
$589.20 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,915.20 |
$3,830.40 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$310.25 |
$642 |
1.3× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$678.35 |
$5,224.80 |
1.3× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$310.25 |
$2,757.60 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,022.48 |
$4,280.40 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$310.25 |
$642 |
1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$310.25 |
$2,304 |
1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,022.48 |
$3,927.60 |
1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$310.25 |
$1,867.20 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$310.25 |
$849.60 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$310.25 |
$849.60 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$310.25 |
$849.60 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$310.25 |
$2,929.80 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$310.25 |
$642 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$310.25 |
$1,164 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$310.25 |
$1,581 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,022.48 |
$4,345.02 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,022.48 |
$3,000 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$310.25 |
$1,202.40 |
1.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$310.25 |
$3,292.80 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,022.48 |
$5,016.60 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$310.25 |
$642 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$310.25 |
$856.80 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$310.25 |
$642 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$310.25 |
$751.20 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,856 |
$5,712 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$310.25 |
$1,934.40 |
1.3× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$2,022.48 |
$5,016.60 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$310.25 |
$849.60 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,022.48 |
$5,397.60 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$310.25 |
$642 |
1.3× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,022.48 |
$84,000 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$310.25 |
$642 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$310.25 |
$849.60 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$310.25 |
$1,694.40 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,022.48 |
$3,000 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$310.25 |
$3,381 |
1.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,022.48 |
$4,435.20 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$310.25 |
$642 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$310.25 |
$642 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$310.25 |
$1,942.50 |
1.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,022.48 |
$6,172.50 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$310.25 |
$779.40 |
1.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,022.48 |
$5,016.60 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$310.25 |
$1,932 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,022.48 |
$5,016.60 |
1.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$310.25 |
$1,874.40 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$310.25 |
$849.60 |
1.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,022.48 |
$3,000 |
1.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,022.48 |
$3,000 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,022.48 |
$3,000 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$310.25 |
$4,248 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$310.25 |
$1,050 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,022.48 |
$5,016.60 |
1.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$310.25 |
$1,792.80 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,022.48 |
$3,000 |
1.3× |
| Coccygectomy Primary (27080) |
$4,115.41 |
$18,847 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,505.09 |
$6,221.76 |
1.3× |
| Complex Drainage, Wound (10180) |
$3,653.45 |
$7,110.03 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$167.34 |
$793.20 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$167.34 |
$862.80 |
1.3× |
| Correction hammertoe (28285) |
$4,115.41 |
$14,871.60 |
1.2× |
| Correction of bunion (28298) |
$9,126.61 |
$25,938.59 |
1.2× |
| Correction of bunion (28292) |
$4,115.41 |
$12,815.85 |
1.2× |
| Correction of bunion (28299) |
$9,126.61 |
$25,938.59 |
1.2× |
| Correction of bunion (28297) |
$16,148.04 |
$25,938.59 |
1.3× |
| Correction of inverted nipples (19355) |
$4,924.70 |
$19,555.95 |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,115.41 |
$24,786 |
1.2× |
| Cover eye w/membrane suture (65779) |
$4,944.77 |
$20,260.08 |
1.2× |
| Create eardrum opening (69436) |
$1,951.53 |
$8,718.30 |
1.3× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$6,998.82 |
$20,167 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$167.34 |
$862.80 |
1.3× |
| Curette/treat cornea (65435) |
$1,253.84 |
$2,500 |
1.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$2,838 |
$5,676 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$511.30 |
$2,550 |
1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,653.45 |
$16,590.07 |
1.2× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$4,115.41 |
$12,815.85 |
1.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$890.66 |
$4,848.60 |
1.2× |
| Debride nail 1-5 (11720) |
$74.20 |
$529.20 |
1.3× |
| Debride nail 6 or more (11721) |
$74.20 |
$1,909.20 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$511.30 |
$3,377.40 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$929.58 |
$3,607.20 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,077.32 |
$3,838.20 |
1.2× |
| Decompression of tibia nerve (28035) |
$2,456.07 |
$10,526.34 |
1.2× |
| Decompression; plantar digital nerve (64726) |
$2,456.07 |
$10,526.34 |
1.2× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$2,456.07 |
$7,086 |
1.2× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$2,595.12 |
$7,719.12 |
1.2× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$2,595.12 |
$14,656.04 |
1.2× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$2,595.12 |
$5,247.78 |
1.2× |
| Delivery placenta separate procedure (59414) |
$529.20 |
$1,058.40 |
0.2× |
| Derma-fat-fascia graft (15770) |
$300 |
$10,992.01 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,456.07 |
$17,548.57 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,456.07 |
$17,576.65 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$252.35 |
$350 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,112.46 |
$2,550 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,112.46 |
$2,550 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,456.07 |
$9,210.80 |
1.2× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$2,456.07 |
$10,526.34 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$252.35 |
$418.20 |
1.3× |
| Dilation & curettage cervical stump (57558) |
$4,071.54 |
$14,491.20 |
1.3× |
| Dilation Esophagus Guide Wire (43453) |
$2,413.53 |
$4,617.17 |
1.2× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,238.69 |
$3,366 |
1.2× |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
$9,126.61 |
$39,687.78 |
1.2× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$7,445.75 |
$10,092.98 |
1.3× |
| Divisn plantar fascia/muscle (28250) |
$4,115.41 |
$17,353.68 |
1.2× |
| Drain bladder by trocar/cath (51101) |
$1,080.09 |
$5,448 |
1.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$916.80 |
$1,833.60 |
0.6× |
| Drain hand tendon sheath (26020) |
$4,115.41 |
$14,332.80 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$890.66 |
$1,500 |
1.2× |
| Drain outer ear canal lesion (69020) |
$890.66 |
$2,200 |
1.2× |
| Drain penis lesion (54015) |
$2,077.32 |
$4,894.80 |
1.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$297.90 |
$1,290 |
1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$678.35 |
$4,876.20 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$890.66 |
$2,000 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,077.32 |
$4,059.45 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$252.35 |
$3,451.20 |
1.3× |
| Drainage mouth roof lesion (42000) |
$297.90 |
$869.40 |
1.3× |
| Drainage of eyelid abscess (67700) |
$399.22 |
$1,094.40 |
1.2× |
| Drainage of gum lesion (41800) |
$167.34 |
$658.80 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$2,077.32 |
$4,086.15 |
1.2× |
| Drainage of hydrocele (55000) |
$890.66 |
$4,231.20 |
1.2× |
| Drainage of palmar bursa; single, bursa (26025) |
$4,115.41 |
$12,815.85 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$2,077.32 |
$3,194.40 |
1.2× |
| Drainage skenes gland abscess (53060) |
$2,629.21 |
$12,435 |
1.2× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$678.35 |
$6,480 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$511.30 |
$1,737.60 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$252.35 |
$744.60 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$252.35 |
$744.60 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$85.50 |
$171 |
2.9× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$1,112.46 |
$8,551.07 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,413.53 |
$8,125.10 |
1.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,413.53 |
$6,309.45 |
1.2× |
| Egd flexible foreign body removal (43247) |
$1,140.77 |
$3,366 |
1.2× |
| Egd place gastrostomy tube (43246) |
$1,228.80 |
$2,457.60 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$2,413.53 |
$10,337.20 |
1.2× |
| Egd remove lesion snare (43251) |
$2,413.53 |
$5,687.57 |
1.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,413.53 |
$5,687.57 |
1.2× |
| Elbow arthroscopy/surgery (29838) |
$4,115.41 |
$12,815.85 |
1.2× |
| Elbow arthroscopy/surgery (29837) |
$4,115.41 |
$17,353.68 |
1.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$386.31 |
$3,366 |
1.2× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$9,126.61 |
$25,938.59 |
1.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,115.41 |
$12,815.85 |
1.2× |
| Endovenous rf 1st vein (36475) |
$3,971.37 |
$14,618.15 |
1.3× |
| Epidural lysis mult sessions (62263) |
$1,112.46 |
$2,550 |
1.2× |
| Epidural lysis on single day (62264) |
$1,112.46 |
$4,934.76 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,140.77 |
$3,643.20 |
1.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$2,413.53 |
$4,500 |
1.2× |
| Esophagoscopy rigid trnso dx (43191) |
$2,413.53 |
$7,857.10 |
1.2× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$2,413.53 |
$5,899.72 |
1.2× |
| Ethmoidectomy Intranasal Anterior (31200) |
$3,298.80 |
$6,597.60 |
0.6× |
| Ethmoidectomy; intranasal total (31201) |
$4,274.40 |
$8,548.80 |
2.7× |
| Evacuation of subungual hematoma (11740) |
$167.34 |
$294 |
1.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,077.32 |
$7,035 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,077.32 |
$18,006 |
1.2× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$7,445.75 |
$16,739.13 |
1.3× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$4,115.41 |
$12,815.85 |
1.2× |
| Exc excessive skin &subq tissue forearm/hand (15837) |
$3,653.45 |
$11,594.45 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$890.66 |
$1,735.80 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,077.32 |
$5,998.20 |
1.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$2,077.32 |
$4,221 |
1.2× |
| Exc forearm les sc < 3 cm (25075) |
$2,077.32 |
$9,600 |
1.2× |
| Exc hand les sc < 1.5 cm (26115) |
$2,077.32 |
$4,924.50 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,022.48 |
$6,265.58 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$3,653.45 |
$12,687 |
1.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,456.07 |
$7,086 |
1.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,456.07 |
$7,173.24 |
1.2× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$7,445.75 |
$17,801.18 |
1.3× |
| Exc shoulder tum deep 5 cm/> (23073) |
$3,653.45 |
$14,220.06 |
1.2× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,560 |
$13,834.85 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$476.40 |
$952.80 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$890.66 |
$7,500 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$891.60 |
$1,783.20 |
1.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,077.32 |
$4,310.97 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,653.45 |
$10,333 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,077.32 |
$4,634.25 |
1.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,077.32 |
$5,855.96 |
1.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,653.45 |
$11,594.45 |
1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,505.09 |
$5,820 |
1.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$890.66 |
$2,550 |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,077.32 |
$8,442 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,653.45 |
$22,980.36 |
1.2× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,077.32 |
$4,924.50 |
1.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$2,077.32 |
$7,035 |
1.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,653.45 |
$8,295.04 |
1.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,653.45 |
$26,419 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,653.45 |
$8,295.04 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,653.45 |
$8,295.04 |
1.2× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$3,653.45 |
$7,110.03 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,077.32 |
$4,498.65 |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,653.45 |
$7,110.03 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,077.32 |
$11,636 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,653.45 |
$8,295.04 |
1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,115.41 |
$14,352 |
1.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,022.48 |
$14,352 |
1.3× |
| Exchange intraocular lens (66986) |
$2,902.70 |
$13,049.99 |
1.3× |
| Exchange nephrostomy cath (50435) |
$409.20 |
$818.40 |
0.2× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$2,990.32 |
$7,008.23 |
1.3× |
| Excis jt lining,mc-p jt,each digit (26135) |
$4,115.41 |
$13,200 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,022.48 |
$6,230.40 |
1.3× |
| Excise cutaneous neurofibroma (64788) |
$2,456.07 |
$7,086 |
1.2× |
| Excise excess skin & tissue (15839) |
$3,000 |
$10,333 |
1.0× |
| Excise excess skin tissue,thigh (15832) |
$2,500 |
$12,243 |
0.9× |
| Excise excessive skin arm (15836) |
$1,440 |
$10,333 |
0.5× |
| Excise Inferior Turbinate (30130) |
$4,170.07 |
$11,241 |
1.3× |
| Excise parotid gland/lesion (42420) |
$7,445.75 |
$18,468.60 |
1.3× |
| Excise pharynx lesion (42808) |
$4,170.07 |
$16,763.88 |
1.3× |
| Excise/repair mouth lesion (40812) |
$1,951.53 |
$5,526.16 |
1.3× |
| Excision Chalazion Single (67800) |
$597.60 |
$1,195.20 |
1.9× |
| Excision Distal Ulna Partial/Complete (25240) |
$4,115.41 |
$12,815.85 |
1.2× |
| Excision exostosis(es), external auditory canal (69140) |
$7,445.75 |
$17,845.35 |
1.3× |
| Excision external ear partial simple repair (69110) |
$3,653.45 |
$14,318.40 |
1.2× |
| Excision hidradenitis axillary complex repair (11451) |
$3,653.45 |
$4,825.15 |
1.2× |
| Excision lesion mouth roof (42104) |
$4,170.07 |
$14,270.40 |
1.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,951.53 |
$4,734.77 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,245.60 |
$2,491.20 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$846 |
$1,692 |
1.2× |
| Excision of bartholin's gland or cyst (56740) |
$4,071.54 |
$18,854.40 |
1.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$890.66 |
$2,798.87 |
1.2× |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
$7,445.75 |
$17,229.45 |
1.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$2,022.48 |
$4,593.99 |
1.3× |
| Excision of hydrocele; unilateral (55040) |
$4,503.30 |
$14,167.72 |
1.3× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$4,115.41 |
$18,847 |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$4,170.07 |
$14,225.15 |
1.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,077.32 |
$2,704.75 |
1.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,077.32 |
$4,920 |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,022.48 |
$4,632.79 |
1.3× |
| Excision of nail fold toe (11765) |
$511.30 |
$3,349 |
1.3× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,456.07 |
$16,645 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,064.40 |
$2,128.80 |
0.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$3,653.45 |
$4,825.15 |
1.2× |
| Excision of sublingual gland (42450) |
$7,445.75 |
$12,312.42 |
1.3× |
| Excision of submandibular (submaxillary) gland (42440) |
$7,445.75 |
$12,312.42 |
1.3× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$2,022.48 |
$6,265.58 |
1.3× |
| Excision of tongue lesion (41112) |
$4,170.07 |
$9,577.37 |
1.3× |
| Excision of tongue lesion (41114) |
$4,170.07 |
$14,225.15 |
1.3× |
| Excision olecranon bursa (24105) |
$4,115.41 |
$12,815.85 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$4,115.41 |
$16,403 |
1.2× |
| Excision Prepatellar Bursa (27340) |
$4,115.41 |
$17,353.68 |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,653.45 |
$8,122.05 |
1.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,022.48 |
$14,871.60 |
1.3× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$2,022.48 |
$4,593.99 |
1.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,077.32 |
$4,924.50 |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$3,653.45 |
$5,925.03 |
1.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$3,653.45 |
$11,594.95 |
1.2× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$3,653.45 |
$8,295.04 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$3,653.45 |
$10,333 |
1.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,653.45 |
$11,891.45 |
1.2× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$4,115.41 |
$12,815.85 |
1.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,170.07 |
$9,577.37 |
1.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,022.48 |
$4,593.99 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$2,077.32 |
$5,747.96 |
1.2× |
| Explor ankle jt+tenosynovectomy (27626) |
$4,115.41 |
$12,815.85 |
1.2× |
| Exploration of ankle joint (27612) |
$4,115.41 |
$12,815.85 |
1.2× |
| Exploration Of Foot Joint (28020) |
$4,115.41 |
$12,815.85 |
1.2× |
| Exploration of knee joint (27310) |
$4,115.41 |
$12,815.85 |
1.2× |
| Exploration of spinal fusion (22830) |
$9,126.61 |
$12,000 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,077.32 |
$3,731.82 |
1.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,923.60 |
$3,847.20 |
0.6× |
| Explore treat shoulder joint (23107) |
$9,126.61 |
$37,590 |
1.2× |
| Explore/treat ankle joint (27620) |
$4,115.41 |
$12,815.85 |
1.2× |
| Explore/treat ankle joint (27610) |
$4,115.41 |
$12,815.85 |
1.2× |
| Explore/treat elbow joint (24101) |
$4,115.41 |
$12,815.85 |
1.2× |
| Explore/treat hand joint (26070) |
$1,824 |
$3,648 |
1.1× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,247.60 |
$4,495.20 |
1.4× |
| Fasciotomy foot and/or toe (28008) |
$4,115.41 |
$12,815.85 |
1.2× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$4,115.41 |
$26,458.52 |
1.2× |
| Fasciotomy palmar open partial (26045) |
$4,115.41 |
$12,815.85 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,115.41 |
$16,200 |
1.2× |
| Filleted finger/toe flap (14350) |
$2,595.12 |
$6,003.76 |
1.2× |
| Fine needle aspiration orbital contents (67415) |
$2,990.32 |
$13,600.80 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$511.30 |
$850 |
1.3× |
| Finger tendon transfer (26497) |
$4,115.41 |
$16,424.70 |
1.2× |
| Fix ectropion,entensv lid repair (67917) |
$2,990.32 |
$20,712 |
1.3× |
| Fixation of knee joint (27570) |
$2,022.48 |
$4,873.23 |
1.3× |
| Fixation of shoulder (23700) |
$2,022.48 |
$8,354.10 |
1.3× |
| Fluid pressure muscle (20950) |
$525.60 |
$1,051.20 |
0.7× |
| Follow-up surgery of eye (66250) |
$2,990.32 |
$8,174.80 |
1.3× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,170.07 |
$12,270.48 |
1.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,595.12 |
$4,717.24 |
1.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,595.12 |
$5,177.58 |
1.2× |
| Fuse hand bones with graft (25825) |
$9,126.61 |
$25,938.59 |
1.2× |
| Fusion Finger Joint (26860) |
$4,115.41 |
$12,815.85 |
1.2× |
| Fusion of foot bones (28715) |
$16,148.04 |
$36,944.28 |
1.3× |
| Fusion of foot bones (28730) |
$16,148.04 |
$36,944.28 |
1.3× |
| Fusion of foot bones (28735) |
$16,148.04 |
$73,888.56 |
1.3× |
| Fusion of foot bones (28740) |
$9,126.61 |
$25,938.59 |
1.2× |
| Fusion of knuckle with graft (26852) |
$9,126.61 |
$25,938.59 |
1.2× |
| Fusion of thumb (26841) |
$9,126.61 |
$25,938.59 |
1.2× |
| Fusion of toes (28280) |
$4,115.41 |
$12,815.85 |
1.2× |
| Fusion/graft of finger joint (26862) |
$4,115.41 |
$25,038 |
1.2× |
| Fusion/graft of wrist joint (25805) |
$9,126.61 |
$25,938.59 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$100.80 |
$201.60 |
0.5× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only (43887) |
$2,595.12 |
$3,376.60 |
1.2× |
| Gastrocnemius Recession (27687) |
$4,115.41 |
$19,812.80 |
1.2× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$7,827.60 |
$15,655.20 |
2.0× |
| Graft ear crtlg autogenous nose/ear (21235) |
$7,445.75 |
$12,715.13 |
1.3× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$2,595.12 |
$5,212.59 |
1.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,457.17 |
$21,132.90 |
1.2× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$500 |
$14,088.60 |
0.1× |
| Gstr rstcv px trnsorl esg (43889) |
$13,369.83 |
$37,776 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$9,126.61 |
$28,192.28 |
1.2× |
| Hand tendon pulley reconstruction (26500) |
$9,126.61 |
$18,969.30 |
1.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$4,115.41 |
$12,815.85 |
1.2× |
| Hemorrhoidectomy (46255) |
$3,491.13 |
$7,411.80 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$3,491.13 |
$16,144.80 |
1.3× |
| Hip arthro acetabuloplasty (29915) |
$9,126.61 |
$54,434.97 |
1.2× |
| Hip arthro w/fb removal (29861) |
$9,126.61 |
$40,897.98 |
1.2× |
| Hip arthro w/labral repair (29916) |
$9,126.61 |
$64,435 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$297.90 |
$858.60 |
1.3× |
| I&d abscess simple (10060) |
$252.35 |
$1,985.40 |
1.3× |
| I&d below fascia foot 1 bursal space (28002) |
$2,022.48 |
$8,535.06 |
1.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,653.45 |
$12,166.40 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,653.45 |
$8,122.05 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,629.21 |
$15,651 |
1.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$4,115.41 |
$16,982.40 |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$4,115.41 |
$11,023.72 |
1.2× |
| I&d perianal abscess superficial (46050) |
$1,169.67 |
$3,099.60 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$890.66 |
$1,250 |
1.2× |
| I&d submucosal abscess rectum (45005) |
$1,505.09 |
$3,099.60 |
1.3× |
| I&d thyroglossal duct cyst infected (60000) |
$835.20 |
$1,670.40 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,077.32 |
$4,909.65 |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,653.45 |
$13,575 |
1.2× |
| Immediate breast prosthesis (19340) |
$10,280.20 |
$19,555.95 |
1.3× |
| Impl oi implt skull perq attachment esp (69714) |
$16,148.04 |
$98,518.08 |
1.3× |
| Implant cochlear device (69930) |
$41,471.18 |
$191,708.40 |
1.3× |
| Implant neuroelectrodes (63650) |
$8,015.73 |
$26,065.12 |
1.3× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$16,148.04 |
$37,619.46 |
1.3× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$11,037.96 |
$41,062.28 |
1.2× |
| Impltj revj/rpsg ithcl/edrl cath w/lam (62351) |
$9,126.61 |
$28,192.28 |
1.2× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$22,669.77 |
$85,159.50 |
1.2× |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
$22,669.77 |
$104,431.86 |
1.2× |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
$14,014.89 |
$77,873.70 |
1.3× |
| Incise finger tendon sheath (26055) |
$2,022.48 |
$8,354.10 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$511.30 |
$2,508.60 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,653.45 |
$6,079.72 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$890.66 |
$3,247.80 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,077.32 |
$5,058.90 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$511.30 |
$1,666.20 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$254.28 |
$931.20 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$383.28 |
$931.20 |
1.3× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$9,126.61 |
$12,000 |
1.2× |
| Incision bone cortex foot (28005) |
$4,115.41 |
$12,815.85 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$2,022.48 |
$8,354.10 |
1.3× |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
$55,400.12 |
$73,611.30 |
1.3× |
| Incision of eardrum (69421) |
$4,170.07 |
$5,450.22 |
1.3× |
| Incision of heel bone (28300) |
$9,126.61 |
$25,938.59 |
1.2× |
| Incision of metatarsal (28308) |
$4,115.41 |
$12,815.85 |
1.2× |
| Incision of metatarsal (28307) |
$9,126.61 |
$25,938.59 |
1.2× |
| Incision of rectal abscess (46040) |
$1,505.09 |
$5,820 |
1.3× |
| Incision of thigh tendons (27392) |
$4,115.41 |
$18,847 |
1.2× |
| Incision of tibia (27705) |
$9,126.61 |
$38,145 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$314.25 |
$978.60 |
1.3× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$8,351.77 |
$12,960.81 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$252.35 |
$1,159.20 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,112.46 |
$6,426 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$386.07 |
$1,686.90 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,112.46 |
$2,625 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$887.83 |
$6,120 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,112.46 |
$2,550 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$386.07 |
$2,625 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,112.46 |
$2,550 |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,112.46 |
$2,550 |
1.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$887.83 |
$2,855.66 |
1.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,112.46 |
$2,550 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$887.83 |
$3,172.95 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,112.46 |
$2,550 |
1.2× |
| Inject Nerv Blck,Pudendal (64430) |
$486 |
$972 |
0.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,112.46 |
$6,579.68 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$386.07 |
$2,128.20 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$887.83 |
$2,550 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$887.83 |
$3,808 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$887.83 |
$2,855.66 |
1.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$887.83 |
$3,172.95 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$386.07 |
$2,550 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$887.83 |
$2,538.36 |
1.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,112.46 |
$3,366 |
1.2× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$1,112.46 |
$3,366 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$386.07 |
$3,961.50 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$386.07 |
$2,350.20 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$386.07 |
$1,650 |
1.2× |
| Injection treatment of nerve (64600) |
$1,112.46 |
$2,550 |
1.2× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,112.46 |
$4,112.30 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$386.07 |
$2,550 |
1.2× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$887.83 |
$2,625 |
1.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$386.07 |
$2,550 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$252.35 |
$2,550 |
1.3× |
| Inner ear surgery proc unlisted (69949) |
$297.90 |
$2,550 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$161.84 |
$1,138.20 |
1.3× |
| Insert Drug Implant Device (11981) |
$167.34 |
$2,550 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$2,682.15 |
$5,364.30 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,456.55 |
$4,913.10 |
0.8× |
| Insert picc cath (36569) |
$1,979.92 |
$8,451 |
1.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,404.35 |
$4,808.70 |
1.5× |
| Insert picvad cath (36570) |
$5,175 |
$10,350 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$167.34 |
$432.60 |
1.3× |
| Insert tunneled cv cath (36561) |
$3,855.45 |
$7,710.90 |
1.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,312.75 |
$6,625.50 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$167.34 |
$436.80 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,503.30 |
$12,014.40 |
1.3× |
| Insertion of cannula (36810) |
$6,730.20 |
$13,460.40 |
2.1× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$22,053.42 |
$99,080.16 |
1.2× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$24,400.78 |
$250,114.08 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,300.15 |
$6,600.30 |
1.0× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$16,148.04 |
$55,416.42 |
1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$6,357.60 |
$12,715.20 |
2.0× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$9,025.80 |
$18,051.60 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,171.75 |
$6,343.50 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$10,280.20 |
$26,760.12 |
1.3× |
| Insrt/redo spine n generator (63685) |
$38,811.73 |
$310,656.05 |
1.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$678.35 |
$4,666.80 |
1.3× |
| Intraoral i&d tongue/floor sublngl dp sprmlhyd (41006) |
$1,951.53 |
$11,186.40 |
1.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,170.07 |
$9,910.80 |
1.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$7,158.65 |
$20,976 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$297.90 |
$1,788.60 |
1.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$314.25 |
$1,389.60 |
1.3× |
| Irrigation maxillary sinus (31000) |
$297.90 |
$6,213.60 |
1.3× |
| Knee arthroscopy/surgery (29887) |
$9,126.61 |
$25,938.59 |
1.2× |
| Knee arthroscopy/surgery (29883) |
$4,115.41 |
$21,600 |
1.2× |
| Knee arthroscopy/surgery (29885) |
$9,126.61 |
$25,938.59 |
1.2× |
| Knee arthroscopy/surgery (29876) |
$4,115.41 |
$25,473.60 |
1.2× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$9,126.61 |
$38,145 |
1.2× |
| Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) |
$9,126.61 |
$38,145 |
1.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$9,126.61 |
$25,938.59 |
1.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) |
$9,126.61 |
$38,145 |
1.2× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$24,400.78 |
$62,528.52 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,126.61 |
$25,938.59 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$9,126.61 |
$25,938.59 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$9,126.61 |
$38,145 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$9,126.61 |
$39,687.78 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$9,126.61 |
$25,938.59 |
1.2× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$9,126.61 |
$25,938.59 |
1.2× |
| Lap ing hernia repair init (49650) |
$7,603.85 |
$30,362.64 |
1.3× |
| Laparoscopy biopsy (49321) |
$7,603.85 |
$20,695 |
1.3× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$7,603.85 |
$22,771.98 |
1.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$7,603.85 |
$79,281.84 |
1.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$13,369.83 |
$17,506 |
1.2× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
$13,369.83 |
$17,506 |
1.2× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$13,369.83 |
$22,269.15 |
1.2× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$13,369.83 |
$22,269.15 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,603.85 |
$31,006.14 |
1.3× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$4,849.28 |
$13,863.56 |
1.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,689.38 |
$9,294.06 |
1.2× |
| Laryngoscopy Direct Aspiration (31515) |
$491.94 |
$8,220 |
1.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$251.06 |
$1,929.90 |
1.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$491.94 |
$2,944.20 |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$251.06 |
$734.40 |
1.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$251.06 |
$2,006.40 |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$4,689.38 |
$13,941.09 |
1.2× |
| Laryngoscopy w/bx op scope (31536) |
$4,689.38 |
$7,745.05 |
1.2× |
| Laryngoscopy w/fb & op scope (31531) |
$4,689.38 |
$20,752.80 |
1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,238.69 |
$6,609 |
1.2× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$2,238.69 |
$8,029 |
1.2× |
| Laryngoscopy with biopsy (31576) |
$2,238.69 |
$4,851.42 |
1.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,238.69 |
$8,237.69 |
1.2× |
| Larynscop w/tumr exc + scope (31541) |
$4,689.38 |
$9,294.06 |
1.2× |
| Late closure of wound (13160) |
$4,457.17 |
$6,480 |
1.2× |
| Lengthening of thigh tendons (27395) |
$4,115.41 |
$18,847 |
1.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$9,126.61 |
$25,938.59 |
1.2× |
| Ligate/strip long leg vein (37722) |
$3,971.37 |
$15,750 |
1.3× |
| Ligation of abdomen artery (37617) |
$7,810.80 |
$15,621.60 |
1.4× |
| Ligation Of Inf Vena Cava (37619) |
$9,489.60 |
$18,979.20 |
1.7× |
| Ligation or biopsy temporal artery (37609) |
$2,077.32 |
$5,950 |
1.2× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$728.40 |
$1,456.80 |
0.2× |
| Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) |
$3,971.37 |
$11,915.88 |
1.3× |
| Manipulation Ankle Under General Anesthesia (27860) |
$4,115.41 |
$12,815.85 |
1.2× |
| Manipulation, elbow, under anesthesia (24300) |
$2,022.48 |
$4,873.23 |
1.3× |
| Manipulation, wrist, under anesthesia (25259) |
$2,022.48 |
$3,828.96 |
1.3× |
| Mastectomy gynecomastia (19300) |
$3,000 |
$12,745.43 |
0.8× |
| Mastectomy partial (19301) |
$4,924.70 |
$13,655.82 |
1.2× |
| Mastoidectomy (69502) |
$7,445.75 |
$16,739.13 |
1.3× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$1,675 |
$23,772.60 |
0.3× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$4,170.07 |
$9,202.86 |
1.3× |
| Middle ear surgery proc unlisted (69799) |
$297.90 |
$2,625 |
1.3× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$4,457.17 |
$10,254.78 |
1.2× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$4,457.17 |
$10,566.45 |
1.2× |
| Muscle transfer shoulder/arm (23395) |
$9,126.61 |
$25,938.59 |
1.2× |
| Muscle-skin graft arm (15736) |
$2,595.12 |
$10,292.16 |
1.2× |
| Muscle-skin graft trunk (15734) |
$4,457.17 |
$10,566.45 |
1.2× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$9,126.61 |
$38,145 |
1.2× |
| Myelography Lumbar Injection (62305) |
$985.99 |
$3,366 |
1.3× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$8,876.62 |
$23,291.04 |
1.2× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$8,876.62 |
$14,453 |
1.2× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$8,876.62 |
$16,059 |
1.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$4,689.38 |
$18,588.12 |
1.2× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$8,876.62 |
$14,556.90 |
1.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,238.69 |
$8,978.34 |
1.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$8,876.62 |
$14,453 |
1.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$8,876.62 |
$46,582.08 |
1.2× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,238.69 |
$6,733.76 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,238.69 |
$12,847 |
1.2× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$8,876.62 |
$14,556.90 |
1.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$8,876.62 |
$23,291.04 |
1.2× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$8,876.62 |
$11,418.16 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$561.87 |
$1,521 |
1.2× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$7,445.75 |
$16,739.13 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,022.48 |
$11,138.80 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$57 |
$114 |
2.0× |
| Nerve repair w/allograft (64910) |
$11,037.96 |
$17,100.87 |
1.2× |
| Neuroplasty digital 1/both same digit (64702) |
$2,456.07 |
$8,771.95 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$2,456.07 |
$7,086 |
1.2× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,456.07 |
$10,526.34 |
1.2× |
| Nipple/areola reconstruction (19350) |
$4,924.70 |
$10,895.37 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,112.46 |
$2,550 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$314.25 |
$1,173 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,112.46 |
$6,426 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$887.83 |
$2,550 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$887.83 |
$2,550 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,112.46 |
$4,934.76 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$887.83 |
$2,550 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,112.46 |
$2,625 |
1.2× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,595.12 |
$8,746.30 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,595.12 |
$8,746.30 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$511.30 |
$2,550 |
1.3× |
| Ocular reconst transplant (65780) |
$4,944.77 |
$9,916.35 |
1.2× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$8,142.54 |
$14,325.35 |
1.2× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$38,811.73 |
$295,863 |
1.2× |
| Open Osteochondral Autograft Talus (28446) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open rx carpal bone fx,each bone (25645) |
$4,115.41 |
$22,566.55 |
1.2× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open Treatment Humeral Condylar Fracture (24579) |
$16,148.04 |
$78,288.48 |
1.3× |
| Open Treatment Lunate Dislocation (25695) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$9,126.61 |
$37,589.70 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$9,126.61 |
$72,580 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$7,366.80 |
$14,733.60 |
1.0× |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
$4,115.41 |
$6,750 |
1.2× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$16,148.04 |
$73,888.56 |
1.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum (21335) |
$4,170.07 |
$12,313.76 |
1.3× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$9,126.61 |
$12,000 |
1.2× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$9,126.61 |
$37,589.70 |
1.2× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$16,148.04 |
$50,159.28 |
1.3× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$9,126.61 |
$40,897.98 |
1.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open treatment of ulnar styloid fracture (25652) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open treatment talus fracture (28445) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,115.41 |
$12,815.85 |
1.2× |
| Open tx carpal scaphoid navicular fracture (25628) |
$9,126.61 |
$35,891.70 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,115.41 |
$11,672.62 |
1.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$9,126.61 |
$37,589.70 |
1.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$4,115.41 |
$12,815.85 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$4,115.41 |
$12,815.85 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,115.41 |
$12,815.85 |
1.2× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$4,115.41 |
$16,231.20 |
1.2× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$9,126.61 |
$37,589.70 |
1.2× |
| Open tx orbital floor blowout fx transantral (21385) |
$3,963.60 |
$7,927.20 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,115.41 |
$12,815.85 |
1.2× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$16,148.04 |
$36,447.60 |
1.3× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$16,148.04 |
$75,235.74 |
1.3× |
| Open tx septal fx w/wo stabj (21336) |
$4,115.41 |
$12,815.85 |
1.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$9,126.61 |
$25,938.59 |
1.2× |
| Open/Perq Place Stent Same (37238) |
$14,519.88 |
$30,320 |
1.3× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,519.88 |
$30,320 |
1.3× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$16,148.04 |
$36,447.60 |
1.3× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$16,148.04 |
$53,599 |
1.3× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$4,115.41 |
$17,353.68 |
1.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$4,115.41 |
$12,815.85 |
1.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$4,115.41 |
$16,228.62 |
1.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$4,115.41 |
$16,228.62 |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,115.41 |
$12,815.85 |
1.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,115.41 |
$12,815.85 |
1.2× |
| Osteochondral allograft, knee, open (27415) |
$16,148.04 |
$78,288.48 |
1.3× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$9,126.61 |
$39,687.78 |
1.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$9,126.61 |
$25,938.59 |
1.2× |
| Osteotomy Clavicle W Bone Graft (23485) |
$16,148.04 |
$73,888.56 |
1.3× |
| Osteotomy Fibula (27707) |
$4,115.41 |
$18,847 |
1.2× |
| Osteotomy Radius Distal Third (25350) |
$9,126.61 |
$25,938.59 |
1.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
$9,126.61 |
$23,400 |
1.2× |
| Osteotomy, iliac, acetabular or innominate bone; (27146) |
$9,126.61 |
$12,000 |
1.2× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$9,126.61 |
$25,938.59 |
1.2× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$7,445.75 |
$12,715.13 |
1.3× |
| Parotid duct diversion (42509) |
$4,950 |
$9,900 |
0.8× |
| Partial Excision Bone Fibula (27641) |
$4,115.41 |
$18,847 |
1.2× |
| Partial Excision Bone Olecranon Process (24147) |
$4,115.41 |
$18,847 |
1.2× |
| Partial excision bone talus/calcaneus (28120) |
$4,115.41 |
$14,152 |
1.2× |
| Partial Excision Bone Tibia (27640) |
$4,115.41 |
$12,815.85 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,022.48 |
$6,265.58 |
1.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,115.41 |
$12,815.85 |
1.2× |
| Partial excision of lip (40520) |
$4,170.07 |
$14,225.15 |
1.3× |
| Partial excision of vertebral body for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110) |
$9,126.61 |
$12,000 |
1.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,022.48 |
$4,593.99 |
1.3× |
| Partial Removal Foot Fascia (28060) |
$4,115.41 |
$12,815.85 |
1.2× |
| Partial removal of thyroid (60220) |
$7,603.85 |
$30,362.64 |
1.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,115.41 |
$12,815.85 |
1.2× |
| Perc sk fix metatarsal fx w manip (28476) |
$4,115.41 |
$18,847 |
1.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$4,115.41 |
$14,206.72 |
1.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$4,115.41 |
$12,815.85 |
1.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,115.41 |
$12,815.85 |
1.2× |
| Peri-implant capsulectomy breast complete (19371) |
$900 |
$9,473.22 |
0.2× |
| Peritoneal Lavage (49084) |
$1,140.77 |
$2,977.20 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$314.25 |
$1,540.80 |
1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,519.88 |
$40,373 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,126.61 |
$25,938.59 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,126.61 |
$25,938.59 |
1.2× |
| Phleb Veins - Extrem 20+ (37766) |
$3,971.37 |
$11,915.88 |
1.3× |
| Pin finger fracture each (26756) |
$4,115.41 |
$12,815.85 |
1.2× |
| Pin hand dislocation (26676) |
$4,115.41 |
$12,815.85 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$320.55 |
$641.10 |
0.7× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$2,413.53 |
$15,664.80 |
1.2× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500) |
$7,445.75 |
$40,688.40 |
1.3× |
| PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) |
$4,115.41 |
$14,352 |
1.2× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$4,115.41 |
$12,815.85 |
1.2× |
| Prepare face/oral prosthesis (21085) |
$297.90 |
$6,763.20 |
1.3× |
| Preputial Stretching (54450) |
$314.25 |
$511.20 |
1.3× |
| Prosthesis removal humeral and glenoid component (23335) |
$9,126.61 |
$12,000 |
1.2× |
| Prq impltj neurostimulator eltrd cranial nerve (64553) |
$14,014.89 |
$47,810.36 |
1.3× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$8,015.73 |
$52,130.24 |
1.3× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$4,115.41 |
$12,815.85 |
1.2× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$9,126.61 |
$21,002.40 |
1.2× |
| Puncture Aspiration (10160) |
$511.30 |
$782.40 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$890.66 |
$1,132.20 |
1.2× |
| Pvb thoracic single inj site (64461) |
$887.83 |
$2,550 |
1.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$9,126.61 |
$38,382.30 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,022.48 |
$6,961.75 |
1.3× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,115.41 |
$13,479 |
1.2× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$3,653.45 |
$13,913.34 |
1.2× |
| Radial styloidectomy (25230) |
$4,115.41 |
$14,640 |
1.2× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$9,126.61 |
$25,938.59 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
$3,653.45 |
$18,960.08 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
$3,653.45 |
$8,295.04 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$3,653.45 |
$7,110.03 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,456.07 |
$7,894.76 |
1.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$9,126.61 |
$25,938.59 |
1.2× |
| Realignment extensor tendon hand each tendon (26437) |
$4,115.41 |
$17,353.68 |
1.2× |
| Rebuild eardrum structures (69637) |
$7,445.75 |
$16,739.13 |
1.3× |
| Rebuild eardrum structures (69633) |
$7,445.75 |
$12,715.13 |
1.3× |
| Rebuild eardrum structures (69632) |
$7,445.75 |
$16,739.13 |
1.3× |
| Rebuild eardrum structures (69636) |
$7,445.75 |
$21,491 |
1.3× |
| Rebuild outer ear canal (69310) |
$7,445.75 |
$16,739.13 |
1.3× |
| Reconstr disloc patella w mscl adv (27422) |
$9,126.61 |
$25,938.59 |
1.2× |
| Reconstruc toe deform,soft tissue (28313) |
$4,115.41 |
$16,228.62 |
1.2× |
| Reconstruct finger joint (26545) |
$4,115.41 |
$12,736.80 |
1.2× |
| Reconstruct Shoulder Joint (23470) |
$16,148.04 |
$125,398.20 |
1.3× |
| Reconstruct ulna/radioulnar (25337) |
$9,126.61 |
$25,938.59 |
1.2× |
| Reconstruct wrist joint (25445) |
$9,126.61 |
$25,938.59 |
1.2× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$4,115.41 |
$17,353.68 |
1.2× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$16,148.04 |
$36,944.28 |
1.3× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$9,126.61 |
$26,458.52 |
1.2× |
| Reconstruction of nail bed with graft (11762) |
$2,595.12 |
$7,719.12 |
1.2× |
Reduction of Large Breast (19318)
likely a partial charge, not the full procedure |
$1,675 |
$22,135.76 |
0.3× |
| Reduction of rectal prolapse (45900) |
$1,183.20 |
$2,366.40 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$9,126.61 |
$25,938.59 |
1.2× |
| Release elbow joint (24006) |
$4,115.41 |
$12,815.85 |
1.2× |
| Release forearm/hand exten tendon (26449) |
$4,115.41 |
$12,815.85 |
1.2× |
| Release i-p jt contracture (26525) |
$2,022.48 |
$6,265.58 |
1.3× |
| Release palm contracture (26121) |
$4,115.41 |
$12,815.85 |
1.2× |
| Release wrist/forearm tendon (25295) |
$4,115.41 |
$15,120 |
1.2× |
| Relieve inner eye pressure (65820) |
$5,198.87 |
$11,753.22 |
1.2× |
| Removal fb intranasal (30300) |
$167.34 |
$658.80 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,653.45 |
$15,499.50 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$2,077.32 |
$4,665.75 |
1.2× |
| Removal foreign body foot deep (28192) |
$2,077.32 |
$4,522.05 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$890.66 |
$2,107.80 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,077.32 |
$3,000 |
1.2× |
| Removal foreign body pharynx (42809) |
$561.87 |
$950 |
1.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,188 |
$2,376 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$74.20 |
$411 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$74.20 |
$1,480.50 |
1.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,071.54 |
$6,291.60 |
1.3× |
| Removal Implant Deep (20680) |
$3,653.45 |
$11,850.05 |
1.2× |
| Removal Implant From Finger/Hand (26320) |
$2,077.32 |
$12,539.82 |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,077.32 |
$3,840 |
1.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$890.66 |
$3,750 |
1.2× |
| Removal Intact Mammary Implant (19328) |
$500 |
$9,777.99 |
0.1× |
| Removal of adenoids (42831) |
$4,170.07 |
$9,577.37 |
1.3× |
| Removal of adenoids (42830) |
$4,170.07 |
$9,577.37 |
1.3× |
| Removal of ankle implant (27704) |
$4,115.41 |
$12,815.85 |
1.2× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$9,126.61 |
$12,000 |
1.2× |
| Removal of arm foreign body (24200) |
$2,077.32 |
$2,590.20 |
1.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$2,022.48 |
$8,354.10 |
1.3× |
| Removal of finger lesion (26210) |
$2,022.48 |
$4,873.23 |
1.3× |
| Removal of foot joint lining (28070) |
$9,126.61 |
$38,145 |
1.2× |
| Removal of growth of chest wall and rib (21601) |
$3,653.45 |
$10,829.40 |
1.2× |
| Removal of heel bone (28118) |
$4,115.41 |
$12,815.85 |
1.2× |
| Removal of heel spur (28119) |
$4,115.41 |
$12,815.85 |
1.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$934.80 |
$1,869.60 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$383.28 |
$665.40 |
1.3× |
| Removal of leg veins/lesion (37735) |
$3,971.37 |
$14,618.15 |
1.3× |
| Removal of lens material (66840) |
$2,902.70 |
$11,600 |
1.3× |
| Removal of nail bed (11750) |
$511.30 |
$2,054.40 |
1.3× |
| Removal of nose polyp(s) (30115) |
$4,170.07 |
$8,381.94 |
1.3× |
| Removal of palm tendon each (26170) |
$2,022.48 |
$4,593.99 |
1.3× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$9,126.61 |
$35,100 |
1.2× |
| Removal of posterior segmental instrumentation (22852) |
$9,126.61 |
$30,822 |
1.2× |
| Removal of salivary stone (42330) |
$4,170.07 |
$16,353.60 |
1.3× |
| Removal of salivary stone (42335) |
$4,170.07 |
$14,225.15 |
1.3× |
| Removal of sesamoid bone (28315) |
$4,115.41 |
$12,815.85 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$252.35 |
$1,623 |
1.3× |
| Removal of skin wrinkles (15829) |
$4,457.17 |
$10,254.78 |
1.2× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,456.07 |
$15,789.51 |
1.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$4,397.28 |
$9,725.70 |
1.3× |
| Removal of thyroid (60271) |
$7,445.75 |
$31,165.62 |
1.3× |
| Removal of tonsils (42826) |
$4,170.07 |
$21,891.12 |
1.3× |
| Removal of wrist bone (25210) |
$4,115.41 |
$12,960 |
1.2× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$2,990.32 |
$5,005.88 |
1.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$351.79 |
$1,384.80 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$351.79 |
$1,267.20 |
1.3× |
| Remove & graft wrist lesion (25135) |
$9,126.61 |
$25,938.59 |
1.2× |
| Remove anal fist subq (46270) |
$3,491.13 |
$7,485.12 |
1.3× |
| Remove drug implant device (11982) |
$561.87 |
$3,750 |
1.2× |
| Remove ear lesion (69552) |
$7,445.75 |
$16,739.13 |
1.3× |
| Remove Eyelid Foreign Body (67938) |
$399.22 |
$1,094.40 |
1.2× |
| Remove eyelid lining lesion (68115) |
$2,990.32 |
$5,506.46 |
1.3× |
| Remove femur lesion/bursa (27062) |
$4,115.41 |
$12,815.85 |
1.2× |
| Remove foreign body from eye (65210) |
$561.87 |
$1,000 |
1.2× |
| Remove knee cyst (27347) |
$4,115.41 |
$12,815.85 |
1.2× |
| Remove knee joint lining (27335) |
$9,126.61 |
$25,938.59 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$2,479.20 |
$4,958.40 |
0.8× |
| Remove shoulder foreign body (23330) |
$885.60 |
$1,771.20 |
0.5× |
| Remove spinal canal catheter (62355) |
$2,456.07 |
$6,140.37 |
1.2× |
| Remove spine infusion device (62365) |
$4,296.71 |
$17,100.87 |
1.2× |
| Remove thyroid duct lesion (60280) |
$7,603.85 |
$21,175 |
1.3× |
| Remove tissue expander (11971) |
$3,653.45 |
$8,122.05 |
1.2× |
| Remove vc lesion w/scope (31545) |
$4,689.38 |
$6,661 |
1.2× |
| Remove wrist joint implant (25449) |
$9,126.61 |
$38,145 |
1.2× |
| Remove wrist tendon lesion (25111) |
$2,022.48 |
$6,961.75 |
1.3× |
| Remove/graft bone lesion (26205) |
$9,126.61 |
$25,938.59 |
1.2× |
| Remove/graft forearm lesion (25125) |
$2,022.48 |
$6,125.32 |
1.3× |
| Remove/graft leg bone lesion (27637) |
$9,126.61 |
$25,938.59 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,077.32 |
$8,997.30 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$167.34 |
$598.20 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$167.34 |
$1,030.20 |
1.3× |
| Remv for.body deep penile tiss (54115) |
$2,461.20 |
$4,922.40 |
0.8× |
| Repair achilles tendon (27650) |
$9,126.61 |
$39,687.78 |
1.2× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$4,115.41 |
$12,736.80 |
1.2× |
| Repair arm tendon/muscle (24341) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair arm/leg nerve (64857) |
$4,296.71 |
$45,602.32 |
1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,971.37 |
$17,169.96 |
1.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,971.37 |
$34,339.92 |
1.3× |
| Repair brow defect (67900) |
$2,990.32 |
$12,014.10 |
1.3× |
| Repair collat ankle ligmnt,secondary (27698) |
$9,126.61 |
$37,589.70 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$929.58 |
$2,685.60 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$929.58 |
$1,479.60 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$511.30 |
$1,454.40 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$511.30 |
$2,685.60 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$511.30 |
$2,559.20 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$511.30 |
$2,685.60 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$929.58 |
$2,599.80 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$929.58 |
$3,487.82 |
1.3× |
| Repair eardrum structures (69635) |
$7,445.75 |
$16,739.13 |
1.3× |
| Repair elbow deb/attch open (24359) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair elbow perc (24357) |
$4,115.41 |
$17,353.68 |
1.2× |
| Repair exten tendon,dist,open,grft (26434) |
$4,115.41 |
$12,736.80 |
1.2× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$4,115.41 |
$17,353.68 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,022.48 |
$5,330.29 |
1.3× |
| Repair eyelid defect (67908) |
$2,990.32 |
$12,014.10 |
1.3× |
| Repair eyelid defect (67904) |
$2,990.32 |
$12,014.10 |
1.3× |
| Repair finger tendon (26432) |
$2,022.48 |
$11,584.80 |
1.3× |
| Repair finger tendon (26433) |
$4,115.41 |
$13,196.32 |
1.2× |
| Repair finger/hand tendon (26350) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair finger/hand tendon (26370) |
$4,115.41 |
$16,982.40 |
1.2× |
| Repair forearm tendon sheath (25275) |
$4,115.41 |
$17,353.68 |
1.2× |
| Repair forearm tendon/muscle (25270) |
$4,115.41 |
$16,424.70 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair hallux rigidus (28289) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair hand joint with graft (26542) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair hand tendon (26410) |
$2,022.48 |
$8,881.99 |
1.3× |
| Repair humerus with graft (24435) |
$16,148.04 |
$53,599 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,503.30 |
$19,100.46 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$511.30 |
$1,749.30 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$929.58 |
$1,200 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$929.58 |
$1,200 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$929.58 |
$1,200 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$511.30 |
$948.60 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,595.12 |
$4,702.20 |
1.2× |
| Repair iris & ciliary body (66682) |
$2,902.70 |
$5,717.69 |
1.3× |
| Repair kneecap tendon (27380) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair Laceration Palate </2 Cm (42180) |
$678.35 |
$4,464 |
1.3× |
| Repair lower leg tendons (27676) |
$9,126.61 |
$38,145 |
1.2× |
| Repair middle ear structures (69666) |
$4,170.07 |
$5,450.22 |
1.3× |
| Repair nasal septal perforations (30630) |
$4,170.07 |
$9,202.86 |
1.3× |
| Repair nasal vestibular stenosis (30465) |
$7,445.75 |
$17,929.40 |
1.3× |
| Repair nonunion hand (26546) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair of ankle ligament (27695) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair of eardrum structures (69631) |
$7,445.75 |
$12,715.13 |
1.3× |
| Repair of foot bones (28320) |
$16,148.04 |
$37,619.46 |
1.3× |
| Repair Of Foot Tendon (28208) |
$4,115.41 |
$15,317.92 |
1.2× |
| Repair of knee cartilage (27403) |
$9,126.61 |
$69,050.92 |
1.2× |
| Repair of leg tendon each (27665) |
$9,126.61 |
$39,687.78 |
1.2× |
| Repair of leg tendon each (27658) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair of nail bed (11760) |
$929.58 |
$3,220.85 |
1.3× |
| Repair of nasal septum (30520) |
$4,170.07 |
$19,154.73 |
1.3× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$7,445.75 |
$20,777.08 |
1.3× |
| Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular))(includes obtaining graft and necessary… (25431) |
$9,126.61 |
$40,897.98 |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$9,126.61 |
$25,588.20 |
1.2× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$9,126.61 |
$31,324.75 |
1.2× |
| Repair of thigh musc (27385) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair rotator cuff acute (23410) |
$9,126.61 |
$31,324.75 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair shoulder capsule (23465) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair Tongue Laceration (41250) |
$561.87 |
$900 |
1.2× |
| Repair tympanic membrane (69610) |
$1,951.53 |
$6,087.56 |
1.3× |
| Repair webbed toe(s) (28345) |
$2,022.48 |
$5,738.08 |
1.3× |
| Repair wrist joints (25447) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$4,115.41 |
$12,815.85 |
1.2× |
| Repair/graft achilles tendon (27652) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair/graft flex foot tendon (28202) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair/graft hand tendon (26358) |
$9,126.61 |
$39,687.78 |
1.2× |
| Repair/graft wrist bone (25440) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair/revise wrist joint (25320) |
$9,126.61 |
$25,938.59 |
1.2× |
| Repair/transpose nerve (64856) |
$11,037.96 |
$46,642.30 |
1.2× |
| Replace duod/jej tube perc (49451) |
$1,140.77 |
$2,115 |
1.2× |
| Replace elbow joint (24363) |
$22,053.42 |
$53,268.84 |
1.2× |
| Replace g/c tube perc (49450) |
$1,140.77 |
$1,976.40 |
1.2× |
| Replace Tissue Expander (11970) |
$9,126.61 |
$25,938.59 |
1.2× |
| Reposition gastrostomy tube (43761) |
$314.25 |
$2,177.40 |
1.3× |
| Repositioning io lens prosthesis req inc spx (66825) |
$2,902.70 |
$5,717.69 |
1.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,115.41 |
$12,736.80 |
1.2× |
| Rerepair ing hernia reduce (49520) |
$4,503.30 |
$14,167.72 |
1.3× |
| Resect arm/elbow tum < 5 cm (24077) |
$3,653.45 |
$18,930.45 |
1.2× |
| Resect Inferior Turbinate (30140) |
$4,170.07 |
$6,840.98 |
1.3× |
| Resection or transplantation of long tendon of biceps (23440) |
$9,126.61 |
$38,145 |
1.2× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$4,115.41 |
$12,815.85 |
1.2× |
| Revise aqueous shunt eye (66185) |
$2,902.70 |
$8,483.44 |
1.3× |
| Revise arm/leg nerve (64708) |
$2,456.07 |
$14,035.12 |
1.2× |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$4,944.77 |
$9,089.99 |
1.2× |
| Revise finger joint (26535) |
$4,115.41 |
$12,815.85 |
1.2× |
| Revise knuckle joint (26530) |
$9,126.61 |
$39,687.78 |
1.2× |
| Revise knuckle with implant (26531) |
$9,126.61 |
$38,382.30 |
1.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,456.07 |
$10,526.34 |
1.2× |
| Revise middle ear & mastoid (69642) |
$7,445.75 |
$16,739.13 |
1.3× |
| Revise middle ear & mastoid (69646) |
$7,445.75 |
$15,258.15 |
1.3× |
| Revise middle ear & mastoid (69644) |
$7,445.75 |
$15,258.15 |
1.3× |
| Revise middle ear & mastoid (69643) |
$7,445.75 |
$28,534 |
1.3× |
| Revise middle ear & mastoid (69645) |
$7,445.75 |
$16,739.13 |
1.3× |
| Revise middle ear bone (69661) |
$7,445.75 |
$16,739.13 |
1.3× |
| Revise middle ear bone (69660) |
$7,445.75 |
$13,986.64 |
1.3× |
| Revise radius & ulna (25365) |
$16,148.04 |
$36,447.60 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$2,456.07 |
$10,526.34 |
1.2× |
| Revise ulnar nerve at wrist (64719) |
$2,456.07 |
$6,140.37 |
1.2× |
| Revise/implant finger joint (26536) |
$9,126.61 |
$31,985.25 |
1.2× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$14,014.89 |
$40,116.62 |
1.3× |
| Revision of big toe (28310) |
$9,126.61 |
$25,938.59 |
1.2× |
| Revision of eyelid (67961) |
$2,990.32 |
$13,562.40 |
1.3× |
| Revision of foot (28116) |
$4,115.41 |
$16,982.40 |
1.2× |
| Revision of humerus (24400) |
$9,126.61 |
$38,145 |
1.2× |
| Revision of lower eyelid (15821) |
$2,595.12 |
$3,916.80 |
1.2× |
| Revision of lower leg tendon (27685) |
$4,115.41 |
$12,815.85 |
1.2× |
| Revision of nose (30450) |
$7,445.75 |
$22,318.84 |
1.3× |
| Revision of penis (54435) |
$2,416.80 |
$4,833.60 |
0.7× |
| Revision of penis (54420) |
$4,090.80 |
$8,181.60 |
1.2× |
| Revision of reconstructed breast (19380) |
$8,351.77 |
$33,203.64 |
1.2× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$22,053.42 |
$38,878.86 |
1.2× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$16,148.04 |
$45,690 |
1.3× |
| Revision of upper eyelid (15823) |
$2,595.12 |
$8,518 |
1.2× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$4,397.28 |
$25,090.91 |
1.3× |
| Revision peri-implant capsule breast (19370) |
$4,924.70 |
$19,370 |
1.2× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$8,015.73 |
$52,130.24 |
1.3× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$4,397.28 |
$20,074.38 |
1.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,397.28 |
$20,074.38 |
1.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$23,056.89 |
$48,263 |
1.3× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$23,056.89 |
$48,263 |
1.3× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$23,056.89 |
$48,776 |
1.3× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$7,445.75 |
$16,739.13 |
1.3× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$7,445.75 |
$16,739.13 |
1.3× |
| Rib cartilage graft (21230) |
$7,445.75 |
$12,715.13 |
1.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,951.53 |
$5,487.08 |
1.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$678.35 |
$3,366 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,140.77 |
$2,200 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$561.87 |
$1,030.20 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$167.34 |
$1,030.20 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,505.09 |
$3,099.60 |
1.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,653.45 |
$13,900 |
1.2× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$4,924.70 |
$12,900 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,894.50 |
$3,789 |
3.0× |
| Rmvl vitreous ant appr partial removal (67005) |
$2,902.70 |
$8,483.44 |
1.3× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$2,902.70 |
$5,717.69 |
1.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$561.87 |
$3,750 |
1.2× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$4,170.07 |
$14,225.15 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,935.95 |
$5,871.90 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,603.85 |
$21,175 |
1.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$8,142.54 |
$14,167.72 |
1.2× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$7,603.85 |
$10,845.44 |
1.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,503.30 |
$17,709.65 |
1.3× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$8,142.54 |
$9,889.02 |
1.2× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$7,603.85 |
$16,492.77 |
1.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,115.41 |
$22,256 |
1.2× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$9,126.61 |
$37,589.70 |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$929.58 |
$1,350 |
1.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$297.90 |
$2,587.20 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$297.90 |
$4,666.80 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$678.35 |
$4,666.80 |
1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$678.35 |
$4,666.80 |
1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,951.53 |
$5,526.16 |
1.3× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$9,126.61 |
$38,145 |
1.2× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$7,445.75 |
$16,739.13 |
1.3× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$9,126.61 |
$25,938.59 |
1.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,115.41 |
$12,815.85 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,115.41 |
$12,736.80 |
1.2× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$23,056.89 |
$48,776 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$226.80 |
$453.60 |
1.1× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,115.41 |
$22,643.20 |
1.2× |
| Shoulder arthroscopy (29805) |
$4,115.41 |
$36,575.10 |
1.2× |
| Simple drainage of abscess of saliva gland (42300) |
$1,951.53 |
$7,106.40 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$511.30 |
$948.60 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$252.35 |
$948.60 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$252.35 |
$948.60 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$511.30 |
$948.60 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$252.35 |
$948.60 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$252.35 |
$948.60 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$252.35 |
$2,148 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$252.35 |
$948.60 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$252.35 |
$948.60 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$252.35 |
$948.60 |
1.3× |
| Skin pinch graft (15050) |
$1,676.40 |
$3,352.80 |
2.3× |
| Skin splt grft trnk/arm/leg (15100) |
$2,595.12 |
$6,692 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$929.58 |
$6,003.76 |
1.3× |
| Skin sub graft trnk/arm/leg (15271) |
$929.58 |
$10,292.16 |
1.3× |
| Skin Tissue Procedure (17999) |
$252.35 |
$2,625 |
1.3× |
| Skin tissue rearrangement (14040) |
$2,595.12 |
$5,524 |
1.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,457.17 |
$12,523 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$252.35 |
$948.60 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$511.30 |
$948.60 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$511.30 |
$948.60 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$887.83 |
$2,550 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$887.83 |
$3,172.95 |
1.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,971.37 |
$14,618.15 |
1.3× |
| Strapping ankle (29540) |
$105.60 |
$211.20 |
0.6× |
| Strapping elbow/wrist (29260) |
$112.80 |
$225.60 |
1.9× |
| Strapping knee (29530) |
$108 |
$216 |
0.8× |
| Strapping shoulder (29240) |
$167.34 |
$468 |
1.3× |
| Strapping toes (29550) |
$68.40 |
$136.80 |
1.2× |
| Suction assisted lipectomy head & neck (15876) |
$4,457.17 |
$8,162.25 |
1.2× |
| Suction assisted lipectomy lower extremity (15879) |
$4,457.17 |
$6,195.15 |
1.2× |
| Suction assisted lipectomy upper extremity (15878) |
$2,595.12 |
$12,243 |
1.2× |
| Suction assisted lipectomy; trunk (15877) |
$250 |
$12,243.40 |
0.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$7,445.75 |
$10,583.05 |
1.3× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$4,296.71 |
$17,471.85 |
1.2× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,456.07 |
$10,560.56 |
1.2× |
| Suture Eyelid Wound,Full Thick (67935) |
$2,990.32 |
$10,548 |
1.3× |
| Suture of 1 nerve ulnar motor (64836) |
$4,296.71 |
$23,295.80 |
1.2× |
| Suture of 1 nerve; median motor thenar (64835) |
$4,296.71 |
$17,471.85 |
1.2× |
| Sympathectomy digital artery (64820) |
$2,456.07 |
$9,198.15 |
1.2× |
| Sympathectomy; ulnar artery (64822) |
$4,115.41 |
$12,815.85 |
1.2× |
| Synovectomy carpometacarpal joint (26130) |
$4,115.41 |
$14,580 |
1.2× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$4,115.41 |
$12,815.85 |
1.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,022.48 |
$6,776.95 |
1.3× |
| Talectomy (astragalectomy) (28130) |
$9,126.61 |
$38,145 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$283.20 |
$566.40 |
0.7× |
| Tendon excision palm/finger (26145) |
$2,022.48 |
$8,354.10 |
1.3× |
| Tenodesis long tendon biceps (23430) |
$9,126.61 |
$50,119.60 |
1.2× |
| Tenodesis Wrist Extensors Fingers (25301) |
$4,115.41 |
$22,566.55 |
1.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$4,115.41 |
$25,038 |
1.2× |
| Tenolysis flexor foot single tendon (28220) |
$2,022.48 |
$8,535.06 |
1.3× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$4,115.41 |
$12,815.85 |
1.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,022.48 |
$6,265.58 |
1.3× |
| Tenolysis Triceps (24332) |
$4,115.41 |
$12,815.85 |
1.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$4,115.41 |
$12,815.85 |
1.2× |
| Tenotomy Adductor Hip Open (27001) |
$4,115.41 |
$18,847 |
1.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$4,115.41 |
$35,000 |
1.2× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,022.48 |
$8,201 |
1.3× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$4,115.41 |
$17,353.68 |
1.2× |
| Tenotomy shoulder area single tendon (23405) |
$9,126.61 |
$25,938.59 |
1.2× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$2,022.48 |
$4,593.99 |
1.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,022.48 |
$4,873.23 |
1.3× |
| Therapeutic pneumothorax (32960) |
$537.60 |
$1,075.20 |
0.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$16,148.04 |
$50,159.28 |
1.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$789 |
$2,224.80 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$789 |
$2,224.80 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$1,531.20 |
$3,062.40 |
4.6× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$7,445.75 |
$50,000 |
1.3× |
| Thyroidectomy, total or complete (60240) |
$7,603.85 |
$40,483.52 |
1.3× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$7,445.75 |
$15,258.15 |
1.3× |
| Tibial arthroscopy/surgery (29855) |
$4,548 |
$9,096 |
0.6× |
Tibial arthroscopy/surgery (29856)
unusually low: confirm this is the full procedure |
$5,776.80 |
$11,553.60 |
0.4× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,595.12 |
$4,419 |
1.2× |
| Tissue expander placement breast reconstruction (19357) |
$17,333.20 |
$50,370.03 |
1.3× |
| Tongue and mouth surg unlisted (41599) |
$1,584 |
$3,168 |
6.6× |
| Tongue to lip surgery (41510) |
$2,366.40 |
$4,732.80 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,170.07 |
$21,891.12 |
1.3× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$22,053.42 |
$57,310 |
1.2× |
| Total hip arthroplasty (27130) |
$16,148.04 |
$78,288.48 |
1.3× |
| Total knee arthroplasty (27447) |
$16,148.04 |
$37,619.46 |
1.3× |
| Trach Tube Change (31502) |
$297.90 |
$1,572 |
1.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$297.90 |
$5,923.20 |
1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,951.53 |
$7,375.20 |
1.3× |
| Tracheostomy planned (31600) |
$2,300.40 |
$4,600.80 |
0.7× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$2,456.07 |
$8,987.60 |
1.2× |
| Transection/avulsion greater occipital nerve (64744) |
$2,456.07 |
$8,987.60 |
1.2× |
| Transfusion intrauterine fetal (36460) |
$2,018.40 |
$4,036.80 |
4.5× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$5,198.87 |
$15,982.32 |
1.2× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$9,126.61 |
$25,938.59 |
1.2× |
| Transplant forearm tendon (25310) |
$4,115.41 |
$13,479 |
1.2× |
| Transplant hand tendon (26480) |
$4,115.41 |
$12,815.85 |
1.2× |
| Treat ankle dislocation (27846) |
$4,245.60 |
$8,491.20 |
0.6× |
| Treat clavicle dislocation (23552) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treat elbow dislocation (24615) |
$9,126.61 |
$38,382.30 |
1.2× |
| Treat elbow fracture (24586) |
$16,148.04 |
$78,288.48 |
1.3× |
| Treat elbow fracture (24635) |
$3,888 |
$7,776 |
0.5× |
| Treat finger dislocation (26775) |
$351.79 |
$4,280.40 |
1.3× |
| Treat Finger Fracture Each (26727) |
$4,115.41 |
$12,815.85 |
1.2× |
| Treat Fracture Radius & Ulna (25560) |
$310.25 |
$1,876.80 |
1.3× |
| Treat fracture radius/ulna (25575) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treat fx rad extra-articul (25607) |
$9,126.61 |
$39,687.78 |
1.2× |
| Treat heel fracture (28415) |
$9,126.61 |
$35,891.70 |
1.2× |
| Treat humerus fracture (23630) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treat humerus fracture (24500) |
$310.25 |
$2,301.60 |
1.3× |
| Treat humerus fracture (23600) |
$310.25 |
$849.60 |
1.3× |
| Treat knee fracture (27532) |
$4,115.41 |
$11,931.80 |
1.2× |
| Treat lower leg fracture (27826) |
$9,126.61 |
$39,687.78 |
1.2× |
| Treat lower leg fracture (27828) |
$16,148.04 |
$75,238.92 |
1.3× |
| Treat Lower Leg Fracture (27827) |
$16,148.04 |
$75,235.74 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$310.25 |
$1,605.60 |
1.3× |
| Treat radius fracture (24665) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treat scapula fracture (23585) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treat sesamoid bone fracture (28531) |
$9,126.61 |
$39,687.78 |
1.2× |
| Treat thorax spine fracture (22327) |
$8,690.40 |
$17,380.80 |
0.7× |
| Treat thumb fracture (26650) |
$4,115.41 |
$17,541.60 |
1.2× |
| Treat thumb fracture (26665) |
$4,115.41 |
$20,751.52 |
1.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,022.48 |
$3,000 |
1.3× |
| Treat toe fracture (28525) |
$4,115.41 |
$18,266.40 |
1.2× |
| Treat ulnar fracture (24685) |
$9,126.61 |
$38,382.30 |
1.2× |
| Treat Vaginal Bleeding (57180) |
$254.28 |
$931.20 |
1.2× |
| Treat wrist bone fracture (25635) |
$2,022.48 |
$3,000 |
1.3× |
| Treat wrist bone fracture (25622) |
$310.25 |
$2,186.40 |
1.3× |
| Treat Wrist Bone Fracture (25630) |
$310.25 |
$2,006.40 |
1.3× |
| Treatment closed elbow dislocation req anes (24605) |
$2,022.48 |
$4,280.40 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$310.25 |
$849.60 |
1.3× |
| Treatment of ankle fracture (27822) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treatment of ankle fracture (27792) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treatment of fibula fracture (27784) |
$9,126.61 |
$25,938.59 |
1.2× |
| Treatment of nose fracture (21330) |
$7,445.75 |
$22,318.84 |
1.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$310.25 |
$2,273.40 |
1.3× |
| Treatment of thigh fracture (27513) |
$16,148.04 |
$22,092 |
1.3× |
| Treatment of tibia fracture (27759) |
$16,148.04 |
$37,619.46 |
1.3× |
| Treatment of tibia fracture (27756) |
$9,126.61 |
$27,290.40 |
1.2× |
| Trim skin lesion (11055) |
$252.35 |
$1,082.40 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$158.40 |
$316.80 |
0.8× |
| Trim skin lesions over 4 (11057) |
$252.35 |
$3,750 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$74.20 |
$456 |
1.3× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,158.65 |
$17,132 |
1.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$7,158.65 |
$20,976 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$929.58 |
$1,855.80 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$511.30 |
$1,161.60 |
1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,022.48 |
$5,474.40 |
1.3× |
| Unlisted laparoscopic procedure liver (47379) |
$7,603.85 |
$11,221.70 |
1.3× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,603.85 |
$10,327.10 |
1.3× |
| Unlisted laparoscopy procedure, stomach (43659) |
$7,603.85 |
$20,241.76 |
1.3× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$7,603.85 |
$15,181.32 |
1.3× |
| Unlisted procedure femur or knee (27599) |
$310.25 |
$3,750 |
1.3× |
| Unlisted procedure foot or toes (28899) |
$310.25 |
$2,550 |
1.3× |
| Unlisted procedure leg/ankle (27899) |
$310.25 |
$2,625 |
1.3× |
| Unlisted Procedure Nervous System (64999) |
$386.07 |
$2,550 |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$310.25 |
$2,550 |
1.3× |
| Unlisted procedure shoulder (23929) |
$310.25 |
$2,550 |
1.3× |
| Unlisted Procedure Small Intestine (44799) |
$1,140.77 |
$3,302.04 |
1.2× |
| Unlisted procedure spine (22899) |
$310.25 |
$3,750 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$789 |
$3,636 |
1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,140.77 |
$4,425.75 |
1.2× |
| Unlisted procedure, forearm or wrist (25999) |
$310.25 |
$2,550 |
1.3× |
| Unlisted procedure, stomach (43999) |
$1,140.77 |
$5,500 |
1.2× |
| Vaginal delivery only (59409) |
$4,056 |
$8,112 |
1.2× |
| Venipuncture (36415) |
$35.40 |
$70.80 |
3.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,170.07 |
$9,577.37 |
1.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$929.58 |
$17,213 |
1.3× |
| Wrist arthroscop,excis triang cart (29846) |
$4,115.41 |
$12,815.85 |
1.2× |
| Wrist arthroscop,part synovect (29844) |
$4,115.41 |
$12,815.85 |
1.2× |
| Wrist arthroscopy (29840) |
$4,115.41 |
$12,815.85 |
1.2× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$6,692.95 |
$17,002 |
1.3× |
| Xfer single deep low leg tendon (27691) |
$9,126.61 |
$25,938.59 |
1.2× |