| Abd paracentesis (49082) |
$2,749 |
$2,749 |
2.9× |
| Abd paracentesis w/imaging (49083) |
$2,787 |
$2,787 |
2.9× |
| Acne surgery (10040) |
$602 |
$602 |
2.8× |
| Adding walker to previously applied cast (29440) |
$460 |
$460 |
2.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$14,305.80 |
$14,305.80 |
6.6× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$6,696.39 |
$6,696.39 |
3.1× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$6,704 |
$6,704 |
3.1× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$9,422 |
$9,422 |
2.7× |
| Amputation of finger/thumb (26952) |
$9,474 |
$9,474 |
2.7× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$1,825 |
$1,825 |
5.6× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$2,657 |
$2,657 |
0.9× |
| Anoscopy and biopsy (46606) |
$3,579 |
$3,579 |
2.8× |
| Anoscopy diagnostic (46600) |
$376 |
$376 |
2.7× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$22,082.67 |
$22,082.67 |
28.3× |
| Application Finger Splint Dynamic (29131) |
$190 |
$190 |
3.1× |
| Application finger splint static (29130) |
$190 |
$190 |
1.4× |
| Application of long leg cast (thigh to toes); (29345) |
$791 |
$791 |
2.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$460 |
$460 |
2.7× |
| Application of short arm splint (forearm to hand); static (29125) |
$376 |
$376 |
2.7× |
| Application of short leg cast (below knee to toes); (29405) |
$791 |
$791 |
2.7× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$791 |
$791 |
2.7× |
| Application of short leg splint (calf to foot) (29515) |
$460 |
$460 |
2.7× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$791 |
$791 |
2.7× |
| Application, cast; shoulder to hand (long arm) (29065) |
$791 |
$791 |
2.7× |
| Apply hand/wrist cast (29085) |
$460 |
$460 |
2.7× |
| Apply long arm splint (29105) |
$460 |
$460 |
2.7× |
| Apply splint short arm dynamic (29126) |
$376 |
$376 |
2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,685 |
$1,685 |
5.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,512.48 |
$1,512.48 |
4.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,951 |
$1,951 |
6.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$546 |
$546 |
1.7× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$65,123.81 |
$65,123.81 |
3.5× |
| Arthroplasty, glenohumeral joint; hemiarthroplasty (23470) |
$57,164.83 |
$57,164.83 |
4.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$14,163.96 |
$14,163.96 |
4.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$17,220.74 |
$17,220.74 |
5.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$19,303.32 |
$19,303.32 |
5.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$19,627.81 |
$19,627.81 |
2.6× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$64,481.93 |
$64,481.93 |
4.8× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$9,816 |
$9,816 |
2.8× |
| Aspirate pleura w/o imaging (32554) |
$2,171 |
$2,171 |
3.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$6,099 |
$6,099 |
2.8× |
| Aspiration bladder needle (51100) |
$810 |
$810 |
3.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$602 |
$602 |
2.8× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$3,472 |
$3,472 |
2.8× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$2,847 |
$2,847 |
2.9× |
| Biopsy of uterus lining (58100) |
$550 |
$550 |
2.6× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$8,222 |
$8,222 |
2.7× |
| Bladder irrigation (51700) |
$810 |
$810 |
3.1× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$931 |
$931 |
2.8× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal (20962) |
$35,667.56 |
$35,667.56 |
4.7× |
| Bone graft, any donor area; major or large Age Under 21 (20902) |
$35,667.56 |
$35,667.56 |
4.7× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900) |
$35,667.56 |
$35,667.56 |
4.7× |
| Care of miscarriage (59820) |
$8,598 |
$8,598 |
2.5× |
| Cast short arm (29075) |
$791 |
$791 |
2.7× |
| Casting/strapping procedure (29799) |
$460 |
$460 |
2.7× |
| Change Cystostomy Tube Simple (51705) |
$916 |
$916 |
3.5× |
| Change g-tube to g-j perc (49446) |
$5,543 |
$5,543 |
2.7× |
| Chemodenervation Internal Anal Sphincter (46505) |
$3,458 |
$3,458 |
2.7× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$942 |
$942 |
2.9× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$942 |
$942 |
2.9× |
| Chest tube placement (32551) |
$3,366 |
$3,366 |
2.0× |
| Circumcision, Newborn (54150) |
$6,099 |
$6,099 |
2.8× |
| Closed rx humer epicondylr fx,manip (24565) |
$4,666 |
$4,666 |
2.8× |
| Closed rx radial shaft fx w/dislocation (25520) |
$4,666 |
$4,666 |
2.8× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$743 |
$743 |
2.9× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$743 |
$743 |
2.9× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$743 |
$743 |
2.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$743 |
$743 |
2.9× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$743 |
$743 |
2.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$743 |
$743 |
2.9× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$743 |
$743 |
2.9× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$743 |
$743 |
2.9× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$743 |
$743 |
2.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$743 |
$743 |
2.9× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$743 |
$743 |
2.9× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$743 |
$743 |
2.9× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$743 |
$743 |
2.9× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$743 |
$743 |
2.9× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$743 |
$743 |
2.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$743 |
$743 |
2.9× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$743 |
$743 |
2.9× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$743 |
$743 |
2.9× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$743 |
$743 |
2.9× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$743 |
$743 |
2.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$4,666 |
$4,666 |
1.4× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$743 |
$743 |
2.9× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$743 |
$743 |
2.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$743 |
$743 |
2.9× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$743 |
$743 |
2.9× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$743 |
$743 |
2.9× |
| Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21 (27831) |
$9,422 |
$9,422 |
2.7× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$743 |
$743 |
2.9× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$743 |
$743 |
2.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$743 |
$743 |
2.9× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$743 |
$743 |
2.9× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$743 |
$743 |
2.9× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$743 |
$743 |
2.9× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$735 |
$735 |
2.8× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$9,422 |
$9,422 |
2.7× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$4,666 |
$4,666 |
2.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$743 |
$743 |
2.9× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$743 |
$743 |
2.9× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$743 |
$743 |
2.9× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$743 |
$743 |
2.9× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$743 |
$743 |
2.9× |
| Closed treatment of ulnar styloid fracture (25650) |
$743 |
$743 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$743 |
$743 |
2.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$4,666 |
$4,666 |
2.8× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$743 |
$743 |
2.9× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$743 |
$743 |
2.9× |
| Closed tx mandibular fracture w/manipulation (21451) |
$4,645 |
$4,645 |
2.8× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$1,521 |
$1,521 |
2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$743 |
$743 |
2.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$743 |
$743 |
2.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$743 |
$743 |
2.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,666 |
$4,666 |
2.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$4,666 |
$4,666 |
2.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$743 |
$743 |
2.9× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$743 |
$743 |
2.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$743 |
$743 |
2.9× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$743 |
$743 |
2.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$743 |
$743 |
2.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$729 |
$729 |
2.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,669 |
$1,669 |
2.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$743 |
$743 |
2.9× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,295 |
$2,295 |
1.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$9,017 |
$9,017 |
2.6× |
| Clsd tx pelvic ring fx (27197) |
$743 |
$743 |
2.9× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$743 |
$743 |
2.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,666 |
$4,666 |
2.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$4,666 |
$4,666 |
2.8× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$743 |
$743 |
2.9× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$743 |
$743 |
2.9× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$743 |
$743 |
2.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$743 |
$743 |
2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,666 |
$4,666 |
2.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$743 |
$743 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$743 |
$743 |
2.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$743 |
$743 |
2.9× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$743 |
$743 |
2.9× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$4,666 |
$4,666 |
2.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$743 |
$743 |
2.9× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$743 |
$743 |
2.9× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$743 |
$743 |
2.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$4,666 |
$4,666 |
2.8× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$743 |
$743 |
2.9× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$791 |
$791 |
2.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$743 |
$743 |
2.9× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$743 |
$743 |
2.9× |
| Cltx metar fx w/manj (28475) |
$743 |
$743 |
2.9× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$4,666 |
$4,666 |
2.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$743 |
$743 |
2.9× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$4,666 |
$4,666 |
2.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$4,666 |
$4,666 |
2.8× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$743 |
$743 |
2.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$743 |
$743 |
2.9× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$4,666 |
$4,666 |
2.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$743 |
$743 |
2.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$4,666 |
$4,666 |
2.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$743 |
$743 |
2.9× |
| Collect blood from catheter venous nos (36592) |
$376 |
$376 |
2.7× |
| Collect blood from implant venous access device (36591) |
$376 |
$376 |
2.7× |
| Colonoscopy flexible with decompression (45393) |
$3,472 |
$3,472 |
2.8× |
| Colonoscopy thru stoma spx (44388) |
$2,657 |
$2,657 |
2.7× |
| Colonoscopy w/ablation (45388) |
$3,472 |
$3,472 |
2.8× |
| Colonoscopy w/control bleed (45382) |
$3,472 |
$3,472 |
2.8× |
| Colonoscopy w/fb removal (45379) |
$3,472 |
$3,472 |
2.8× |
| Colonoscopy w/resection (45390) |
$8,172 |
$8,172 |
2.8× |
| Colonoscopy with ablation (44401) |
$3,472 |
$3,472 |
2.8× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$3,646 |
$3,646 |
2.9× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$9,028.56 |
$9,028.56 |
7.2× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$3,472 |
$3,472 |
2.8× |
| Complete replacement picc rs&i (36584) |
$4,736 |
$4,736 |
2.9× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$376 |
$376 |
2.7× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$376 |
$376 |
2.7× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$3,472 |
$3,472 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$376 |
$376 |
2.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$701 |
$701 |
2.8× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$5,543 |
$5,543 |
1.9× |
| Curettage postpartum (59160) |
$8,598 |
$8,598 |
2.5× |
| Cystoscopy and treatment (52310) |
$5,996 |
$5,996 |
2.7× |
| Cystoscopy removal of clots (52001) |
$10,294 |
$10,294 |
2.8× |
| Cystoscopy w/biopsy(s) (52204) |
$5,996 |
$5,996 |
2.7× |
| Cystourethroscopy (52000) |
$1,927 |
$1,927 |
2.6× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$5,996 |
$5,996 |
2.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$10,294 |
$10,294 |
2.8× |
| Deb skin bone at fx site (11012) |
$35,667.56 |
$35,667.56 |
11.6× |
| Debride skin at fx site (11010) |
$2,142 |
$2,142 |
2.9× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$1,711 |
$1,711 |
4.0× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$193 |
$193 |
3.1× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$193 |
$193 |
3.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,188 |
$1,188 |
2.8× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$35,667.56 |
$35,667.56 |
20.5× |
| Declot vascular device (36593) |
$1,067 |
$1,067 |
3.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$7,314.66 |
$7,314.66 |
3.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$1,158 |
$1,158 |
2.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$5,735 |
$5,735 |
2.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,051 |
$2,051 |
2.8× |
| Diagnostic sigmoidoscopy (45330) |
$2,733 |
$2,733 |
2.8× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$6,671.50 |
$6,671.50 |
7.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$810 |
$810 |
3.1× |
| Drainage external auditory canal, abscess (69020) |
$2,100 |
$2,100 |
2.8× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$2,100 |
$2,100 |
2.8× |
| Drainage finger abscess simple (26010) |
$602 |
$602 |
2.8× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$2,100 |
$2,100 |
2.8× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$4,843 |
$4,843 |
2.8× |
| Drainage of scrotal wall abscess (55100) |
$4,773 |
$4,773 |
2.7× |
| Drainage of scrotum (54700) |
$6,099 |
$6,099 |
2.8× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$6,381 |
$6,381 |
3.1× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$9,495.58 |
$9,495.58 |
4.6× |
| Ed proc insert intraosseous IV (36680) |
$1,252 |
$1,252 |
2.7× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$477 |
$477 |
3.5× |
| Ed proc remve fb nasal- hospital (30300) |
$376 |
$376 |
2.7× |
| Ed prof arthrocentesis sm - hospital (20551) |
$901 |
$901 |
2.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$376 |
$376 |
2.7× |
| Ed prof burn - large - hospital (16030) |
$1,101 |
$1,101 |
2.6× |
| Ed prof burn medium - hospital (16025) |
$602 |
$602 |
2.8× |
| Ed prof burn small - hospital (16020) |
$602 |
$602 |
2.8× |
| Ed prof catheterization/straight (51701) |
$411 |
$411 |
2.9× |
| Ed prof closed tx post hip arthroplasty (27265) |
$743 |
$743 |
2.9× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$4,666 |
$4,666 |
2.8× |
| Ed prof drain dental abscess-hospital (41800) |
$376 |
$376 |
2.7× |
| Ed prof insert foley cath simple (51702) |
$388 |
$388 |
2.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$9,585 |
$9,585 |
2.9× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,101 |
$1,101 |
2.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$1,101 |
$1,101 |
2.6× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$743 |
$743 |
2.9× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$1,252 |
$1,252 |
2.7× |
| Egd injection varices (43243) |
$5,438 |
$5,438 |
2.7× |
| Egd percutaneous placement gastrostomy tube (43246) |
$5,438 |
$5,438 |
2.7× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$5,438 |
$5,438 |
2.7× |
| Egd transoral control bleeding any method (43255) |
$5,438 |
$5,438 |
2.7× |
| Egd tube/cath insertion (43241) |
$5,438 |
$5,438 |
2.7× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$10,294 |
$10,294 |
2.8× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$2,875 |
$2,875 |
3.9× |
| Escharotomy 1st incision (16035) |
$1,101 |
$1,101 |
2.6× |
| Esoph egd dilation <30 mm (43249) |
$10,177.63 |
$10,177.63 |
5.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,710 |
$2,710 |
2.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$8,716 |
$8,716 |
4.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$5,438 |
$5,438 |
2.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$2,710 |
$2,710 |
1.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$2,710 |
$2,710 |
2.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,710 |
$2,710 |
2.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$5,438 |
$5,438 |
2.7× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$5,438 |
$5,438 |
2.7× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$5,543 |
$5,543 |
2.7× |
| Evac subungual hematoma (11740) |
$376 |
$376 |
2.7× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$5,996 |
$5,996 |
2.7× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$4,222 |
$4,222 |
5.7× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$4,621 |
$4,621 |
2.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$8,618 |
$8,618 |
2.8× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$4,566 |
$4,566 |
2.7× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$4,474 |
$4,474 |
1.5× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$22,082.67 |
$22,082.67 |
12.7× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$4,566 |
$4,566 |
2.7× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$8,222 |
$8,222 |
2.7× |
| Excision or fulguration; urethral caruncle Age Under 21 (53265) |
$6,099 |
$6,099 |
2.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$4,727 |
$4,727 |
2.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$18,766 |
$18,766 |
10.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$4,198 |
$4,198 |
2.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$9,811.31 |
$9,811.31 |
5.6× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$4,773 |
$4,773 |
2.7× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$4,270 |
$4,270 |
1.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$28,004.50 |
$28,004.50 |
37.5× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$35,667.56 |
$35,667.56 |
16.4× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Age Under 21 (15933) |
$35,667.56 |
$35,667.56 |
11.6× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Age Under 21 (15935) |
$35,667.56 |
$35,667.56 |
9.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$7,532.50 |
$7,532.50 |
2.5× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$15,042.20 |
$15,042.20 |
4.9× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$7,747.46 |
$7,747.46 |
2.5× |
| Exploration penetrating wound spx extremity (20103) |
$2,100 |
$2,100 |
1.2× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$1,101 |
$1,101 |
2.6× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe (20969) |
$35,667.56 |
$35,667.56 |
4.7× |
| Gastric lavage (43753) |
$887 |
$887 |
3.9× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$2,772 |
$2,772 |
2.8× |
| I&d abscess simple/single (10060) |
$619 |
$619 |
2.9× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$7,983 |
$7,983 |
2.6× |
| I&d hematoma/seroma/fluid (10140) |
$4,726 |
$4,726 |
2.7× |
| I&d pilonidal cyst simple (10080) |
$2,100 |
$2,100 |
2.8× |
| Incise external hemorrhoid (46083) |
$810 |
$810 |
3.1× |
| Incise finger tendon sheath (26055) |
$8,832.25 |
$8,832.25 |
5.2× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$1,101 |
$1,101 |
2.6× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$2,100 |
$2,100 |
2.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$932 |
$932 |
2.9× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$7,983 |
$7,983 |
2.6× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$4,726 |
$4,726 |
2.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$4,726 |
$4,726 |
2.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$4,485.50 |
$4,485.50 |
10.5× |
| Incision extensor tendon sheath wrist (25000) |
$13,081 |
$13,081 |
7.7× |
| Incision of rectal abscess (46040) |
$3,458 |
$3,458 |
2.7× |
| Incision of windpipe (31603) |
$4,645 |
$4,645 |
2.8× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,067 |
$1,067 |
3.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$602 |
$602 |
2.8× |
| Inj epidural blood or clot patch (62273) |
$2,152 |
$2,152 |
2.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$12,782.16 |
$12,782.16 |
13.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$8,550 |
$8,550 |
9.2× |
| Inj tx nerve (64640) |
$6,107 |
$6,107 |
6.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,152 |
$2,152 |
2.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,875 |
$2,875 |
3.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$5,287.33 |
$5,287.33 |
7.1× |
| Injection aa&/strd greater occipital nerve (64405) |
$2,250 |
$2,250 |
6.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$4,476 |
$4,476 |
4.8× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$3,151 |
$3,151 |
4.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$4,101 |
$4,101 |
5.5× |
| Injection aa&/strd pudendal nerve (64430) |
$9,110 |
$9,110 |
9.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$3,151 |
$3,151 |
4.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$2,875 |
$2,875 |
3.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$5,681 |
$5,681 |
17.5× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$3,730 |
$3,730 |
4.0× |
| Injection anes superior hypogastric plexus (64517) |
$3,146 |
$3,146 |
3.4× |
| Injection therapeutic carpal tunnel (20526) |
$1,282 |
$1,282 |
4.0× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$718 |
$718 |
2.2× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$861 |
$861 |
2.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$1,282 |
$1,282 |
4.0× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$3,146 |
$3,146 |
3.4× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$2,571 |
$2,571 |
7.9× |
| Insert gastrostomy tube percutaneous (49440) |
$5,438 |
$5,438 |
2.7× |
| Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) |
$16,358 |
$16,358 |
2.8× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$11,573.42 |
$11,573.42 |
3.5× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$5,615 |
$5,615 |
3.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$4,824 |
$4,824 |
2.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$18,963 |
$18,963 |
5.7× |
| Intubation endotracheal (31500) |
$701 |
$701 |
2.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$684 |
$684 |
2.6× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655) |
$35,667.56 |
$35,667.56 |
1.7× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$35,667.56 |
$35,667.56 |
4.7× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$8,598 |
$8,598 |
2.5× |
| Lumbar puncture (62270) |
$1,383 |
$1,383 |
1.9× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$4,856.01 |
$4,856.01 |
2.9× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$4,874 |
$4,874 |
2.9× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$190 |
$190 |
3.1× |
| Meatotomy cutting meatus spx except infant (53020) |
$6,099 |
$6,099 |
2.8× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$10,484.70 |
$10,484.70 |
2.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$6,435 |
$6,435 |
3.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$79 |
$79 |
2.6× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$9,525.92 |
$9,525.92 |
4.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,146 |
$3,146 |
3.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,920.58 |
$2,920.58 |
3.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,152 |
$2,152 |
2.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,722.60 |
$2,722.60 |
3.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$21,695 |
$21,695 |
2.8× |
| Open tx distal phalangeal fracture each (26765) |
$9,422 |
$9,422 |
2.7× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,787 |
$1,787 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,887 |
$1,887 |
7.2× |
| Pr closed treatment sesamoid fracture (28530) |
$743 |
$743 |
2.9× |
| Preputial stretching (54450) |
$684 |
$684 |
2.6× |
| Punch biopsy skin single lesion (11104) |
$70 |
$70 |
0.2× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$1,101 |
$1,101 |
2.6× |
| Push transfusion, blood, 2 years or younger (36440) |
$24,229.54 |
$24,229.54 |
52.1× |
| Removal foreign body foot complicated (28193) |
$4,726 |
$4,726 |
2.7× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$2,240 |
$2,240 |
3.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$190 |
$190 |
3.1× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$139 |
$139 |
2.2× |
| Removal implant superficial (20670) |
$4,645 |
$4,645 |
2.7× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$2,657 |
$2,657 |
2.7× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$4,614 |
$4,614 |
2.6× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$4,614 |
$4,614 |
2.6× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$7,983 |
$7,983 |
2.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$376 |
$376 |
2.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$1,252 |
$1,252 |
2.7× |
| Removal of foreign body, foot; deep (28192) |
$4,726 |
$4,726 |
2.7× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$3,472 |
$3,472 |
2.8× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$3,472 |
$3,472 |
2.8× |
| Removal of nail bed (11750) |
$1,101 |
$1,101 |
2.6× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$5,586 |
$5,586 |
2.6× |
| Removal/revision of cast (29700) |
$791 |
$791 |
2.7× |
| Remove eyelid foreign body (67938) |
$931 |
$931 |
2.8× |
| Remove foreign body from eye (65210) |
$1,252 |
$1,252 |
2.7× |
| Remove pharynx foreign body (42809) |
$1,252 |
$1,252 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,101 |
$1,101 |
2.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,711 |
$1,711 |
4.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,711 |
$1,711 |
4.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,711 |
$1,711 |
2.2× |
| Repair finger tendon (26418) |
$4,666 |
$4,666 |
2.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$1,101 |
$1,101 |
2.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$1,101 |
$1,101 |
2.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,101 |
$1,101 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,101 |
$1,101 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,711 |
$1,711 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,101 |
$1,101 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,064 |
$1,064 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,711 |
$1,711 |
2.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$1,101 |
$1,101 |
2.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$1,101 |
$1,101 |
2.6× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,711 |
$1,711 |
2.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$1,101 |
$1,101 |
2.6× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,101 |
$1,101 |
2.6× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,101 |
$1,101 |
2.6× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$5,586 |
$5,586 |
2.6× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,558 |
$1,558 |
2.7× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$11,273 |
$11,273 |
1.7× |
| Repair of nail bed (11760) |
$1,711 |
$1,711 |
2.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,711 |
$1,711 |
2.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,711 |
$1,711 |
2.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$1,711 |
$1,711 |
4.0× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,711 |
$1,711 |
2.2× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$5,586 |
$5,586 |
2.6× |
| Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) |
$21,053 |
$21,053 |
2.8× |
| Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Age Under 21 (27409) |
$21,053 |
$21,053 |
2.8× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407) |
$21,053 |
$21,053 |
2.8× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$730 |
$730 |
2.8× |
| Revise ulnar nerve at wrist (64719) |
$1,144 |
$1,144 |
0.6× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
unusually low — confirm this is the full procedure |
$4,305 |
$4,305 |
0.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$376 |
$376 |
2.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$376 |
$376 |
2.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$7,983 |
$7,983 |
2.6× |
| Rmvl of access device (36589) |
$7,196 |
$7,196 |
10.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$16,589 |
$16,589 |
2.6× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$12,952.29 |
$12,952.29 |
1.9× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$16,589 |
$16,589 |
2.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$14,421.90 |
$14,421.90 |
3.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,101 |
$1,101 |
1.4× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$4,234 |
$4,234 |
1.1× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$5,586 |
$5,586 |
1.5× |
| Sigmoidoscopy & polypectomy (45333) |
$976 |
$976 |
1.0× |
| Sigmoidoscopy flx control bleeding (45334) |
$3,472 |
$3,472 |
2.8× |
| Sigmoidoscopy w/fb removal (45332) |
$3,472 |
$3,472 |
2.8× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$3,447 |
$3,447 |
2.7× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$861 |
$861 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$602 |
$602 |
2.8× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$602 |
$602 |
2.8× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$602 |
$602 |
2.8× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$602 |
$602 |
2.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$602 |
$602 |
2.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$602 |
$602 |
2.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$602 |
$602 |
2.8× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,101 |
$1,101 |
2.6× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,101 |
$1,101 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$602 |
$602 |
2.8× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$602 |
$602 |
2.8× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$1,101 |
$1,101 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,101 |
$1,101 |
2.6× |
| Strapping ankle (29540) |
$460 |
$460 |
2.7× |
| Strapping elbow or wrist (29260) |
$115 |
$115 |
1.8× |
| Strapping hand/finger (29280) |
$115 |
$115 |
1.8× |
| Strapping of chest (29200) |
$460 |
$460 |
2.7× |
| Strapping of knee (29530) |
$376 |
$376 |
2.7× |
| Strapping of shoulder (29240) |
$376 |
$376 |
2.7× |
| Strapping of toes (29550) |
$190 |
$190 |
3.1× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$23,385.25 |
$23,385.25 |
30.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$7,888.46 |
$7,888.46 |
2.7× |
| Suture of infrapatellar tendon; primary Age Under 21 (27380) |
$21,053 |
$21,053 |
2.8× |
| Tangential biopsy skin single lesion (11102) |
$57 |
$57 |
0.1× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$13,612.06 |
$13,612.06 |
3.9× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,553 |
$1,553 |
2.1× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$2,171 |
$2,171 |
3.3× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$9,056 |
$9,056 |
2.6× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$9,056 |
$9,056 |
2.6× |
| Total knee arthroplasty (27447) |
$48,368.57 |
$48,368.57 |
3.6× |
| Transfusion, blood or blood components (36430) |
$1,224 |
$1,224 |
2.6× |
| Transplant hand tendon (26480) |
$9,816 |
$9,816 |
2.8× |
| Treat big toe fracture (28495) |
$743 |
$743 |
2.9× |
| Treat finger dislocation (26775) |
$791 |
$791 |
2.7× |
| Treat foot dislocation (28545) |
$9,422 |
$9,422 |
2.7× |
| Treat fx distal radial (25606) |
$9,422 |
$9,422 |
2.7× |
| Treat humerus fracture (24577) |
$4,666 |
$4,666 |
2.8× |
| Treat knee fracture (27532) |
$9,422 |
$9,422 |
2.7× |
| Treat lower leg fracture (27825) |
$4,666 |
$4,666 |
2.8× |
| Treat tail bone fracture (27200) |
$743 |
$743 |
2.9× |
| Treat thumb fracture (26645) |
$4,666 |
$4,666 |
2.8× |
| Treat toe dislocation (28630) |
$743 |
$743 |
2.9× |
| Treat ulnar fracture (24675) |
$4,666 |
$4,666 |
2.8× |
| Treat wrist bone fracture (25635) |
$4,666 |
$4,666 |
2.8× |
| Treat wrist bone fracture (25624) |
$4,666 |
$4,666 |
2.8× |
| Treat wrist dislocation (25690) |
$4,666 |
$4,666 |
2.8× |
| Treat wrist dislocation (25675) |
$743 |
$743 |
2.9× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$4,666 |
$4,666 |
2.8× |
| Treatment of bladder lesion (51720) |
$388 |
$388 |
0.5× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$743 |
$743 |
2.9× |
| Treatment of heel fracture (28405) |
$743 |
$743 |
2.9× |
| Treatment of miscarriage (59812) |
$8,598 |
$8,598 |
2.5× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$743 |
$743 |
2.9× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$4,666 |
$4,666 |
2.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$743 |
$743 |
2.9× |
| Tx superficial wound dehiscence simple closure (12020) |
$1,711 |
$1,711 |
2.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,101 |
$1,101 |
2.6× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$4,666 |
$4,666 |
2.8× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$493 |
$493 |
0.3× |
| Vasectomy (55250) |
$6,099 |
$6,099 |
2.8× |
| Venipuncture (36415) |
$33 |
$33 |
3.5× |
| Wedge excision skin nail fold (11765) |
$1,101 |
$1,101 |
2.6× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$15,589 |
$15,589 |
2.8× |