| Abd paracentesis w/imaging (49083) |
$759.44 |
$863 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$695.64 |
$790.50 |
0.7× |
| Acne surgery (10040) |
$304.48 |
$346 |
1.5× |
| Amputation foot transmetarsal (28805) |
$1,859.44 |
$2,113 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$1,116.72 |
$1,269 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$569.36 |
$647 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$581.68 |
$661 |
0.2× |
| Anoscopy diagnostic (46600) |
$301.84 |
$343 |
2.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$279.84 |
$318 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
unusually low: confirm this is the full procedure |
$1,616.56 |
$1,837 |
0.3× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$924.88 |
$1,051 |
0.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$330 |
$375 |
2.0× |
| Appl Multlay Comprs Arm/Hand (29584) |
$207.68 |
$236 |
1.2× |
| Application cast elbow finger short arm (29075) |
$188.32 |
$214 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$228.80 |
$260 |
0.8× |
| Application finger splint static (29130) |
$160.16 |
$182 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$273.24 |
$310.50 |
1.6× |
| Application of long leg cast (29345) |
$341.44 |
$388 |
1.2× |
| Application of rigid total contact leg cast (29445) |
$440 |
$500 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$168.08 |
$191 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$226.60 |
$257.50 |
1.7× |
| Apply Hand/Wrist Cast (29085) |
$267.52 |
$304 |
1.6× |
| Apply long leg splint (29505) |
$268.84 |
$305.50 |
1.6× |
| Apply short leg cast (29405) |
$205.92 |
$234 |
0.7× |
| Apply short leg splint (29515) |
$220 |
$250 |
1.3× |
| Arterial puncture (36600) |
$176 |
$200 |
1.3× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$1,929.84 |
$2,193 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$240.68 |
$273.50 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$556.16 |
$632 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$289.52 |
$329 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$546.04 |
$620.50 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$185.68 |
$211 |
0.6× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$983.84 |
$1,118 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,529.44 |
$1,738 |
0.2× |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892)
likely a partial charge, not the full procedure |
$1,710.72 |
$1,944 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,493.36 |
$1,697 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,225.84 |
$1,393 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,351.68 |
$1,536 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$894.08 |
$1,016 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$649.88 |
$738.50 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$196.68 |
$223.50 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$602.80 |
$685 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$226.16 |
$257 |
1.1× |
| Biopsy bone open superficial (20240) |
$366.96 |
$417 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,489.52 |
$2,829 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$966.24 |
$1,098 |
0.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$394.24 |
$448 |
0.4× |
| Biopsy muscle deep (20205) |
$599.28 |
$681 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$426.36 |
$484.50 |
0.3× |
| Biopsy Muscle Superficial (20200) |
$430.32 |
$489 |
0.3× |
| Biopsy Nail Unit Separate Procedure (11755) |
$240.24 |
$273 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$594 |
$675 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$638 |
$725 |
0.9× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$462 |
$525 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$271.04 |
$308 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$251.68 |
$286 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$589.60 |
$670 |
0.8× |
| Bladder Irrigation Simple (51700) |
$337.92 |
$384 |
1.3× |
| Blood patch (62273) |
$330 |
$375 |
0.5× |
| Blood transfusion service (36430) |
$894.96 |
$1,017 |
2.0× |
| Bone marrow aspiration only (38220) |
$1,468.72 |
$1,669 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,468.72 |
$1,669 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,930.72 |
$2,194 |
1.1× |
| Bx anorectal wall anal approach (45100) |
$807.84 |
$918 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$1,447.60 |
$1,645 |
0.8× |
| Bx/exc lymph node needle superficial (38505) |
$846.12 |
$961.50 |
0.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$946 |
$1,075 |
0.3× |
| Ceramides (0119U) |
$149.60 |
$170 |
1.8× |
| Change of cystostomy tube simple (51705) |
$363.44 |
$413 |
1.4× |
| Chemical cautery tissue (17250) |
$223.52 |
$254 |
1.1× |
| Chemodenerv Eccrine Glands (64650) |
$230.56 |
$262 |
0.7× |
| Circumcision (54150) |
$454.08 |
$516 |
0.2× |
| Circumcision Neonate (54160) |
$579.04 |
$658 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$541.20 |
$615 |
2.1× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,964.16 |
$2,232 |
1.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$941.60 |
$1,070 |
3.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$530.64 |
$603 |
2.1× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$807.84 |
$918 |
0.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$630.08 |
$716 |
2.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,214.40 |
$1,380 |
4.8× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,320 |
$1,500 |
0.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,029.28 |
$2,306 |
1.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$777.92 |
$884 |
3.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,201.20 |
$1,365 |
0.7× |
| Closed Treatment Sesamoid Fracture (28530) |
$322.96 |
$367 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$880.88 |
$1,001 |
3.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$931.92 |
$1,059 |
3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,167.76 |
$1,327 |
0.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,711.60 |
$1,945 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,279.52 |
$1,454 |
5.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$562.32 |
$639 |
2.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,334.96 |
$1,517 |
5.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$994.40 |
$1,130 |
3.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$708.40 |
$805 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,469.60 |
$1,670 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,265.44 |
$1,438 |
0.8× |
| Closed tx septal&nose fx (21337) |
$1,075.36 |
$1,222 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$447.04 |
$508 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$711.04 |
$808 |
2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$638 |
$725 |
2.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,291.84 |
$1,468 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$887.92 |
$1,009 |
3.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,331.44 |
$1,513 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$992.64 |
$1,128 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$651.20 |
$740 |
2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$935.44 |
$1,063 |
3.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,127.28 |
$1,281 |
4.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$789.36 |
$897 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$852.72 |
$969 |
3.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$533.28 |
$606 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$810.04 |
$920.50 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,392.16 |
$1,582 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$473.44 |
$538 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$343.20 |
$390 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$391.60 |
$445 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$331.76 |
$377 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,848 |
$2,100 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$881.76 |
$1,002 |
3.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$356.40 |
$405 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,053.36 |
$1,197 |
3.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$634.04 |
$720.50 |
2.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$888.80 |
$1,010 |
3.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,210 |
$1,375 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$880.88 |
$1,001 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$806.96 |
$917 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$907.28 |
$1,031 |
3.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$403.04 |
$458 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$912.56 |
$1,037 |
3.6× |
| Cltx post ankle fx w/mnpj (27768) |
$1,224.08 |
$1,391 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,572.56 |
$1,787 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,136.96 |
$1,292 |
4.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$825.44 |
$938 |
3.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,246.08 |
$1,416 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$311.08 |
$353.50 |
1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,701.04 |
$1,933 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,642.96 |
$1,867 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,410.64 |
$1,603 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$129.36 |
$147 |
0.9× |
| Colonoscopy flex w/inj submuc (45381) |
$1,495.56 |
$1,699.50 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,679.48 |
$1,908.50 |
1.4× |
| Colonoscopy stoma w/biopsy (44389) |
$3,235.76 |
$3,677 |
2.6× |
| Colonoscopy thru stoma (44388) |
$2,515.04 |
$2,858 |
2.6× |
| Colonoscopy w/ablation (45388) |
$1,663.20 |
$1,890 |
1.3× |
| Colonoscopy w/fb removal (45379) |
$2,420 |
$2,750 |
2.0× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,914.88 |
$2,176 |
1.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$351.12 |
$399 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$286 |
$325 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$264 |
$300 |
0.8× |
| Conization of cervix (57520) |
$785.84 |
$893 |
0.2× |
| Conization of cervix (57522) |
$659.12 |
$749 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$623.92 |
$709 |
4.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$369.16 |
$419.50 |
2.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,408.24 |
$3,873 |
2.0× |
| Correction hammertoe (28285) |
$1,047.20 |
$1,190 |
0.3× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,349.92 |
$1,534 |
0.2× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,008.16 |
$2,282 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,724.80 |
$1,960 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$895.84 |
$1,018 |
6.5× |
| Curettage postpartum (59160) |
$708.40 |
$805 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,956.24 |
$2,223 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$147.84 |
$168 |
0.4× |
| Debride nail 1-5 (11720) |
$64.24 |
$73 |
1.1× |
| Debride nail 6 or more (11721) |
$86.24 |
$98 |
1.4× |
| Debride tissue/muscle (11043) |
$453.20 |
$515 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$252.56 |
$287 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$606.32 |
$689 |
0.4× |
| Declot vascular device (36593) |
$468.16 |
$532 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$3,036.88 |
$3,451 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$3,272.72 |
$3,719 |
1.6× |
| Destruction Benign Lesions 15/> (17111) |
$260.48 |
$296 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$223.52 |
$254 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,723.92 |
$1,959 |
1.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$437.36 |
$497 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$145.20 |
$165 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$1,103.52 |
$1,254 |
1.1× |
| Dilate urethra stricture (53600) |
$233.20 |
$265 |
0.9× |
| Dilation and curettage (58120) |
$616 |
$700 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$518.32 |
$589 |
0.7× |
| Drain/inj small joint/bursa w/us (20604) |
$161.04 |
$183 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$478.72 |
$544 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$877.36 |
$997 |
4.2× |
| Drainage Mouth Roof Lesion (42000) |
$414.48 |
$471 |
1.7× |
| Drainage of gum lesion (41800) |
$746.24 |
$848 |
5.4× |
| Drainage of hematoma/fluid (10140) |
$315.04 |
$358 |
0.2× |
| Draw blood off venous device (36591) |
$134.64 |
$153 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$451.44 |
$513 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$308 |
$350 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$224.40 |
$255 |
1.1× |
| Dstrj lesion anus simple surg excision (46922) |
$621.28 |
$706 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$679.36 |
$772 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,914.56 |
$3,312 |
1.5× |
| Egd control bleeding any (43255) |
$1,948.76 |
$2,214.50 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,801.36 |
$2,047 |
1.9× |
| Egd place gastrostomy tube (43246) |
$519.20 |
$590 |
0.3× |
| Egd remove lesion snare (43251) |
$976.80 |
$1,110 |
0.5× |
| Endocervical Curettage (57505) |
$401.28 |
$456 |
0.4× |
| Endometrial Biopsy (58100) |
$264 |
$300 |
1.3× |
| Endoscopic plantar fasciotomy (29893) |
$1,296.24 |
$1,473 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$476.96 |
$542 |
0.1× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,785.52 |
$2,029 |
0.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,217.92 |
$1,384 |
1.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,913.56 |
$2,174.50 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$132.44 |
$150.50 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$251.68 |
$286 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$250.80 |
$285 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$420.64 |
$478 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$483.12 |
$549 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$337.92 |
$384 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$285.12 |
$324 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$476.08 |
$541 |
0.3× |
| Exc Frenum Labial/Buccal (40819) |
$717.20 |
$815 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$906.40 |
$1,030 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$315.04 |
$358 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$308 |
$350 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$399.52 |
$454 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$601.92 |
$684 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$843.04 |
$958 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$713.68 |
$811 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$660 |
$750 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,327.04 |
$1,508 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$830.72 |
$944 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,011.68 |
$2,286 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$440.88 |
$501 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$902.88 |
$1,026 |
0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,194.16 |
$1,357 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$820.16 |
$932 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$795.52 |
$904 |
0.5× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,858.56 |
$2,112 |
0.6× |
| Excise/repair mouth lesion (40812) |
$723.36 |
$822 |
0.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$1,075.36 |
$1,222 |
0.4× |
| Excision interdigital morton neuroma single each (28080) |
$1,037.52 |
$1,179 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$674.96 |
$767 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$516.56 |
$587 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$598.40 |
$680 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$641.52 |
$729 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$732.16 |
$832 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$817.52 |
$929 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$532.40 |
$605 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$621.28 |
$706 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$703.12 |
$799 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,021.68 |
$1,161 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$518.32 |
$589 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$602.80 |
$685 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$662.64 |
$753 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$777.04 |
$883 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$462 |
$525 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$352.88 |
$401 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$390.72 |
$444 |
0.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$714.56 |
$812 |
0.7× |
| Excision of lesion of tongue without closure (41110) |
$594.88 |
$676 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$362.56 |
$412 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$701.36 |
$797 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$651.64 |
$740.50 |
0.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$549.12 |
$624 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$497.20 |
$565 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,538.24 |
$1,748 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,255.76 |
$1,427 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,125.52 |
$1,279 |
0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,176.56 |
$1,337 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,253.12 |
$1,424 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$927.52 |
$1,054 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,101.76 |
$1,252 |
0.6× |
| External cephalic version (59412) |
$864.16 |
$982 |
0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$960.08 |
$1,091 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$834.24 |
$948 |
0.2× |
| Fetal contraction stress test (59020) |
$470.80 |
$535 |
2.3× |
| Fetal non-stress test (59025) |
$319.44 |
$363 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$414.04 |
$470.50 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$258.72 |
$294 |
0.6× |
| Fit/Insert Intravag Support Device (57160) |
$194.48 |
$221 |
0.9× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,637.68 |
$1,861 |
0.2× |
Fusion of hand joint (26843)
likely a partial charge, not the full procedure |
$1,739.76 |
$1,977 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$99.44 |
$113 |
0.4× |
| Gastrocnemius recession (27687) |
$1,217.04 |
$1,383 |
0.4× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$1,761.76 |
$2,002 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,342 |
$1,525 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$793.76 |
$902 |
0.2× |
| Hemorrhoidectomy (46255) |
$1,026.96 |
$1,167 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,283.04 |
$1,458 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$1,415.92 |
$1,609 |
0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,109.68 |
$1,261 |
0.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,011.12 |
$1,149 |
0.4× |
| Hysteroscopy biopsy (58558) |
$3,370.40 |
$3,830 |
1.0× |
| Hysteroscopy w endometrial ablation (58563) |
$4,217.84 |
$4,793 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$496.32 |
$564 |
2.0× |
| I&d abscess simple (10060) |
$283.36 |
$322 |
1.4× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$803.44 |
$913 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,664.96 |
$1,892 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$566.72 |
$644 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$567.16 |
$644.50 |
0.8× |
| I&D Upper Arm/Elbow Bursa (23931) |
$780.56 |
$887 |
0.5× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$479.60 |
$545 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$343.20 |
$390 |
1.1× |
| Image Cath Fluid Peri/Retro (49406) |
$3,031.60 |
$3,445 |
1.8× |
| Incise external hemorrhoid (46083) |
$293.92 |
$334 |
1.1× |
| Incise finger tendon sheath (26055) |
$2,233.44 |
$2,538 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$485.76 |
$552 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,371.04 |
$1,558 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$677.60 |
$770 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$519.20 |
$590 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$425.04 |
$483 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$479.60 |
$545 |
2.3× |
| Incision and drainage perianal abscess superficial (46050) |
$468.16 |
$532 |
0.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$517.44 |
$588 |
0.2× |
| Incision bone cortex foot (28005) |
$1,517.12 |
$1,724 |
0.4× |
| Incision of eardrum (69420) |
$498.96 |
$567 |
2.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,448.92 |
$1,646.50 |
0.9× |
| Incision of rectal abscess (46040) |
$1,142.24 |
$1,298 |
0.9× |
Incision of tibia (27705)
likely a partial charge, not the full procedure |
$1,982.64 |
$2,253 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$430.32 |
$489 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$182.16 |
$207 |
0.9× |
| Inj neurolytic subarachnoid (62280) |
$305.36 |
$347 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,171.72 |
$1,331.50 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$113.52 |
$129 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$218.24 |
$248 |
0.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,950.08 |
$2,216 |
2.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$519.20 |
$590 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$113.52 |
$129 |
0.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$510.40 |
$580 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$279.84 |
$318 |
0.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$280.72 |
$319 |
0.4× |
| Injection for identification of sentinel node (38792) |
$1,700.16 |
$1,932 |
4.1× |
| Injection into skin lesions (11900) |
$150.48 |
$171 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$748 |
$850 |
2.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$322.96 |
$367 |
1.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$183.92 |
$209 |
0.9× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$403.04 |
$458 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$402.60 |
$457.50 |
3.0× |
| Insert cervical dilator (59200) |
$1,109.68 |
$1,261 |
3.5× |
| Insert Drug Implant Device (11981) |
$264.88 |
$301 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$653.40 |
$742.50 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$476.96 |
$542 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$206.80 |
$235 |
1.5× |
| Insert tun ip cath perc (49418) |
$3,851.32 |
$4,376.50 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,397.12 |
$2,724 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159.28 |
$181 |
1.2× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$3,562.24 |
$4,048 |
1.5× |
| Insj picc rs&i 5 yr+ (36573) |
$1,582.68 |
$1,798.50 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,492.16 |
$2,832 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,640.32 |
$1,864 |
0.5× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$909.04 |
$1,033 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$589.60 |
$670 |
2.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,155.44 |
$1,313 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
unusually low: confirm this is the full procedure |
$2,046 |
$2,325 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,598.08 |
$1,816 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$980.32 |
$1,114 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,717.76 |
$1,952 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,429.68 |
$2,761 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$1,906.08 |
$2,166 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,506.56 |
$1,712 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$980.32 |
$1,114 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$876.48 |
$996 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$991.76 |
$1,127 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$215.60 |
$245 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$412.72 |
$469 |
2.0× |
| Late closure of wound (13160) |
$2,107.60 |
$2,395 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$558.80 |
$635 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$795.52 |
$904 |
0.5× |
| Liver Biopsy (47000) |
$2,015.20 |
$2,290 |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$512.16 |
$582 |
0.2× |
| Metatarsectomy (28140) |
$1,125.52 |
$1,279 |
0.3× |
| Myelography Lumbar Injection (62305) |
$2,779.92 |
$3,159 |
3.4× |
| Myelography Lumbar Injection (62304) |
$2,134.88 |
$2,426 |
2.6× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,408 |
$1,600 |
1.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,242.24 |
$2,548 |
2.8× |
| N Block Inj, Plantar Digit (64455) |
$182.16 |
$207 |
0.6× |
| Nasal endoscopy dx (31231) |
$498.08 |
$566 |
2.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$258.72 |
$294 |
0.6× |
| Needle biopsy of pancreas (48102) |
$1,509.20 |
$1,715 |
0.9× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$655.60 |
$745 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$650.32 |
$739 |
1.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,198.80 |
$3,635 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,252.24 |
$1,423 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$824.56 |
$937 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$2,310.88 |
$2,626 |
3.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$711.92 |
$809 |
1.0× |
| Occipital Nerve Block (64405) |
$207.24 |
$235.50 |
0.7× |
| Occlude fallopian tube(s) (58615) |
$363 |
$412.50 |
0.1× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,502.16 |
$1,707 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge, not the full procedure |
$2,207.92 |
$2,509 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,723.04 |
$1,958 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,878.80 |
$2,135 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,719.52 |
$1,954 |
0.2× |
| Ostectomy calcaneus (28118) |
$1,175.68 |
$1,336 |
0.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,144 |
$1,300 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,187.12 |
$1,349 |
0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,111.44 |
$1,263 |
0.3× |
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure |
$1,737.12 |
$1,974 |
0.2× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)
unusually low: confirm this is the full procedure |
$2,406.80 |
$2,735 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,320 |
$1,500 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,172.16 |
$1,332 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,198.56 |
$1,362 |
0.7× |
| Partical Excision Bone Phalanx Toe (28124) |
$924.88 |
$1,051 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$278.96 |
$317 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$301.84 |
$343 |
1.2× |
| Picc line placement (36569) |
$245.52 |
$279 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$454.96 |
$517 |
1.0× |
| Prq skel fixj metar fx w/manj (28476) |
$1,052.48 |
$1,196 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$304.92 |
$346.50 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$496.76 |
$564.50 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$360.36 |
$409.50 |
0.9× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,031.36 |
$1,172 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,289.20 |
$1,465 |
0.2× |
| Removal Foreign Body Foot Complicated (28193) |
$1,013.76 |
$1,152 |
0.6× |
| Removal foreign body foot deep (28192) |
$892.32 |
$1,014 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$514.80 |
$585 |
0.7× |
| Removal foreign body intranasal (30300) |
$540.32 |
$614 |
3.9× |
| Removal foreign body pharynx (42809) |
$533.28 |
$606 |
1.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$543.84 |
$618 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$59.40 |
$67.50 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$114.40 |
$130 |
1.9× |
| Removal implant deep (20680) |
$1,543.52 |
$1,754 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$378.40 |
$430 |
0.5× |
| Removal of adenoids (42835) |
$532.40 |
$605 |
0.2× |
| Removal of adenoids (42830) |
$571.12 |
$649 |
0.2× |
| Removal of anal fissure (46200) |
$937.20 |
$1,065 |
0.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$143.44 |
$163 |
0.3× |
| Removal of heel spur (28119) |
$1,019.92 |
$1,159 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$408.32 |
$464 |
0.6× |
| Removal of iud (58301) |
$217.36 |
$247 |
0.7× |
| Removal of nail bed (11750) |
$312.40 |
$355 |
0.7× |
| Removal of sesamoid bone (28315) |
$933.68 |
$1,061 |
0.3× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$718.96 |
$817 |
0.1× |
| Removal of tonsils (42826) |
$683.76 |
$777 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,952.72 |
$2,219 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$257.40 |
$292.50 |
1.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$172.48 |
$196 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$170.72 |
$194 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$138.16 |
$157 |
0.5× |
| Remove anal fist subq (46270) |
$1,075.36 |
$1,222 |
0.4× |
| Remove drug implant device (11982) |
$289.52 |
$329 |
0.6× |
| Remove ext hem groups 2+ (46250) |
$943.36 |
$1,072 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$1,544.40 |
$1,755 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,239.92 |
$1,409 |
0.4× |
| Remove/Insert Drug Implant (11983) |
$372.24 |
$423 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$250.80 |
$285 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$205.92 |
$234 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$122.32 |
$139 |
0.9× |
| Renal Biopsy Percutaneous (50200) |
$1,654.40 |
$1,880 |
1.0× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,761.76 |
$2,002 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$833.36 |
$947 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,172.16 |
$1,332 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,014.64 |
$1,153 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$913.44 |
$1,038 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$908.16 |
$1,032 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$796.40 |
$905 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$811.36 |
$922 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,650.88 |
$1,876 |
1.0× |
| Repair hand tendon (26410) |
$1,588.40 |
$1,805 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,563.76 |
$1,777 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$794.64 |
$903 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$670.56 |
$762 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$741.84 |
$843 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$931.92 |
$1,059 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$739.20 |
$840 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$817.52 |
$929 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$450.56 |
$512 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$795.52 |
$904 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$981.20 |
$1,115 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$997.92 |
$1,134 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$556.16 |
$632 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$718.52 |
$816.50 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,112.32 |
$1,264 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$858 |
$975 |
2.0× |
| Repair Lower Leg Tendons (27675) |
$1,328.80 |
$1,510 |
0.4× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,032.80 |
$2,310 |
0.3× |
| Repair of leg tendon each (27658) |
$958.32 |
$1,089 |
0.3× |
| Repair of nail bed (11760) |
$536.80 |
$610 |
0.7× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,905.20 |
$2,165 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,682.56 |
$1,912 |
0.5× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,916.64 |
$2,178 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$950.40 |
$1,080 |
0.3× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,303.28 |
$1,481 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$1,702.80 |
$1,935 |
0.2× |
| Repeat control of nosebleed (30906) |
$732.16 |
$832 |
3.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$217.36 |
$247 |
1.6× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$203.28 |
$231 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$660.88 |
$751 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$493.68 |
$561 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$354.64 |
$403 |
0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,736.24 |
$1,973 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,535.60 |
$1,745 |
0.5× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$4,686 |
$5,325 |
2.8× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$1,961.52 |
$2,229 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$901.12 |
$1,024 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,680.80 |
$1,910 |
0.3× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,503.04 |
$1,708 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,107.92 |
$1,259 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,507.44 |
$1,713 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,253.12 |
$1,424 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,339.36 |
$1,522 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,590.60 |
$1,807.50 |
1.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$257.84 |
$293 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$269.28 |
$306 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$296.56 |
$337 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$315.04 |
$358 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$356.40 |
$405 |
1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$356.40 |
$405 |
1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$403.92 |
$459 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$314.16 |
$357 |
1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$395.12 |
$449 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$356.40 |
$405 |
1.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,736.24 |
$1,973 |
1.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$957.88 |
$1,088.50 |
1.0× |
| Sigmoidoscopy w/biopsy (45331) |
$1,184.48 |
$1,346 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$532.40 |
$605 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$309.76 |
$352 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$363 |
$412.50 |
1.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$532.40 |
$605 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$396 |
$450 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$552.20 |
$627.50 |
2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$333.08 |
$378.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$670.56 |
$762 |
3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$405.24 |
$460.50 |
2.0× |
| Skin pinch graft (15050) |
$1,505.68 |
$1,711 |
2.0× |
| Skin tissue rearrangement (14040) |
$1,651.76 |
$1,877 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,825.12 |
$2,074 |
0.5× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,961.52 |
$2,229 |
0.4× |
| Slitting of prepuce (54001) |
$373.12 |
$424 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$366.52 |
$416.50 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520.52 |
$591.50 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$554.40 |
$630 |
1.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$569.36 |
$647 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$500.72 |
$569 |
0.7× |
| Strapping knee (29530) |
$265.76 |
$302 |
1.9× |
| Strapping unna boot (29580) |
$194.48 |
$221 |
1.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$247.28 |
$281 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$190.08 |
$216 |
0.5× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,136.08 |
$1,291 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$558.80 |
$635 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$749.76 |
$852 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$521.40 |
$592.50 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$810.48 |
$921 |
0.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,023.44 |
$1,163 |
0.6× |
| Treat clavicle dislocation (23540) |
$654.72 |
$744 |
2.6× |
| Treat clavicle fracture (23505) |
$958.32 |
$1,089 |
0.6× |
| Treat humerus fracture (24500) |
$969.76 |
$1,102 |
3.8× |
| Treat humerus fracture (23600) |
$890.56 |
$1,012 |
3.5× |
| Treat Knee Fracture(S) (27538) |
$1,277.76 |
$1,452 |
5.0× |
Treat Lower Leg Fracture (27828)
likely a partial charge, not the full procedure |
$3,511.20 |
$3,990 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$685.52 |
$779 |
2.7× |
| Treat Thumb Dislocation (26641) |
$1,115.84 |
$1,268 |
4.4× |
| Treat Vaginal Bleeding (57180) |
$510.40 |
$580 |
2.4× |
| Treat wrist bone fracture (25622) |
$824.56 |
$937 |
3.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,294.48 |
$1,471 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,004.08 |
$1,141 |
3.9× |
| Treatment of foot infection (28003) |
$742.72 |
$844 |
0.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,139.60 |
$1,295 |
0.3× |
| Trim skin lesion (11055) |
$140.80 |
$160 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$161.92 |
$184 |
0.8× |
| Trim skin lesions over 4 (11057) |
$176 |
$200 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$27.28 |
$31 |
0.4× |
| Tube thoracostomy includes water seal (32551) |
$916.96 |
$1,042 |
0.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,282.16 |
$1,457 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$485.32 |
$551.50 |
1.2× |
| Tympanostomy general anesthesia (69436) |
$424.16 |
$482 |
0.3× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$644.16 |
$732 |
0.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,459.04 |
$1,658 |
0.2× |
| Unlisted procedure foot or toes (28899) |
$950.40 |
$1,080 |
3.7× |
| Unlisted procedure nervous system (64999) |
$2,227.50 |
$2,531.25 |
7.0× |
| Unlisted procedure, maternity care and delivery (59899) |
$350.24 |
$398 |
1.7× |
| Us urine capacity measure (51798) |
$30.80 |
$35 |
0.5× |
| Vaginal delivery only (59409) |
$2,097.04 |
$2,383 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,207.92 |
$2,509 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,130.04 |
$2,420.50 |
1.0× |
| Venipuncture (36415) |
$40.48 |
$46 |
4.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$252.56 |
$287 |
0.1× |
| Wedge excision skin nail fold (11765) |
$425.92 |
$484 |
1.0× |
| Windowing of cast (29730) |
$148.72 |
$169 |
0.9× |