| Amputation toe interphalangeal joint (28825) |
$6,885 |
$6,885 |
2.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,885 |
$6,885 |
2.0× |
| Ankle arthroscopy/surgery (29892) |
$15,155 |
$15,155 |
2.0× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$10,485 |
$10,485 |
3.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$10,475 |
$10,475 |
2.0× |
| Anterior Tibial Tubercleplasty (27418) |
$15,155 |
$15,155 |
2.0× |
| Aqueous shunt to extraocular reservoir (66180) |
$10,935 |
$10,935 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,165 |
$1,165 |
3.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,860 |
$1,860 |
5.8× |
| Arthrodesis ankle open (27870) |
$27,300 |
$27,300 |
2.0× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$36,875 |
$36,875 |
2.8× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$39,020 |
$39,020 |
1.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$15,155 |
$15,155 |
2.0× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
$27,300 |
$27,300 |
2.0× |
| Arthrodesis; subtalar (28725) |
$27,300 |
$27,300 |
2.0× |
| Arthroplasty Ankle W/Implant (27702) |
$24,855 |
$24,855 |
0.9× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$24,560 |
$24,560 |
1.3× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$27,300 |
$27,300 |
2.0× |
| Arthroplasty radial head w/implant (24366) |
$27,300 |
$27,300 |
2.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$17,280 |
$17,280 |
2.3× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$27,300 |
$27,300 |
2.0× |
| Arthroscopy ankle; ext debridem (29898) |
$6,855 |
$6,855 |
2.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$6,955 |
$6,955 |
2.0× |
| Arthroscopy of joint (29999) |
$12,515 |
$12,515 |
48.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$8,210 |
$8,210 |
2.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$6,885 |
$6,885 |
2.0× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$15,155 |
$15,155 |
2.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$6,970 |
$6,970 |
2.1× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$6,900 |
$6,900 |
2.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$6,695 |
$6,695 |
2.0× |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
$15,155 |
$15,155 |
2.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,770 |
$6,770 |
2.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,855 |
$6,855 |
2.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$6,725 |
$6,725 |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,005 |
$7,005 |
2.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$15,155 |
$15,155 |
2.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$15,155 |
$15,155 |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$10,320 |
$10,320 |
3.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$7,170 |
$7,170 |
2.1× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$10,325 |
$10,325 |
3.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$15,155 |
$15,155 |
2.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$10,135 |
$10,135 |
3.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$15,155 |
$15,155 |
2.0× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$15,155 |
$15,155 |
2.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$6,885 |
$6,885 |
2.0× |
| Autochondrocyte implant knee (27412) |
$21,100 |
$21,100 |
2.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,845 |
$1,845 |
1.9× |
| Biopsy of eyelid lining (68100) |
$4,415 |
$4,415 |
1.8× |
| Biopsy of lacrimal gland (68510) |
$2,890 |
$2,890 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$8,300 |
$8,300 |
2.0× |
| Blepharoplasty upper eyelid (15822) |
$5,455 |
$5,455 |
2.5× |
| Blood transfusion service (36430) |
$1,430 |
$1,430 |
3.1× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$15,155 |
$15,155 |
2.0× |
| Bx vulva/perineum 1 lesion (56605) |
$2,880 |
$2,880 |
3.0× |
| Carpectomy All Bones Proximal Row (25215) |
$6,885 |
$6,885 |
2.0× |
| Cataract surgery complex (66982) |
$5,270 |
$5,270 |
2.2× |
| Cerv artific diskectomy (22856) |
$39,020 |
$39,020 |
2.1× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$3,980 |
$3,980 |
1.6× |
| Circum 28 days or older (54161) |
$6,100 |
$6,100 |
2.8× |
| Claviculectomy; partial (23120) |
$9,495 |
$9,495 |
2.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$3,395 |
$3,395 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$3,395 |
$3,395 |
2.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,395 |
$3,395 |
2.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$6,880 |
$6,880 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,990 |
$3,990 |
2.4× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$15,690 |
$15,690 |
2.0× |
| Colporrhaphy suture injury vagina (57200) |
$6,745 |
$6,745 |
2.0× |
| Complex Drainage, Wound (10180) |
$6,070 |
$6,070 |
2.0× |
| Conization of cervix (57522) |
$6,745 |
$6,745 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,395 |
$1,395 |
10.1× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$23,915 |
$23,915 |
1.8× |
| Corneal transplant (65730) |
$9,260 |
$9,260 |
2.2× |
| Correction hammertoe (28285) |
$6,885 |
$6,885 |
2.0× |
| Correction of bunion (28298) |
$15,155 |
$15,155 |
2.0× |
| Correction of bunion (28292) |
$6,885 |
$6,885 |
2.0× |
| Correction of bunion (28297) |
$7,780 |
$7,780 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,860 |
$6,860 |
2.0× |
| Create eardrum opening (69436) |
$3,285 |
$3,285 |
2.0× |
| Create Tear Sac-Nasal Fistula (68720) |
$5,460 |
$5,460 |
1.3× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$10,785 |
$10,785 |
1.9× |
| Cysto w/removal of tumors small (52234) |
$7,320 |
$7,320 |
2.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,210 |
$5,210 |
2.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,320 |
$7,320 |
2.0× |
| Cysto/uretero w/lithotripsy (52356) |
$10,785 |
$10,785 |
1.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$14,200 |
$14,200 |
2.6× |
| Cystoscopy and treatment (52290) |
$6,590 |
$6,590 |
3.0× |
| Cystoscopy,insert ureteral stent (52332) |
$7,320 |
$7,320 |
2.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$4,770 |
$4,770 |
2.2× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$7,320 |
$7,320 |
2.0× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$7,320 |
$7,320 |
2.0× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$7,320 |
$7,320 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,390 |
$1,390 |
3.3× |
| Decompression; plantar digital nerve (64726) |
$4,005 |
$4,005 |
2.0× |
| Destr penis lesn,simpl,laser surg (54057) |
$3,885 |
$3,885 |
1.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$6,745 |
$6,745 |
2.0× |
| Drainage of eye (65800) |
$4,430 |
$4,430 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$3,435 |
$3,435 |
2.0× |
| Elbow arthroscopy/surgery (29838) |
$6,995 |
$6,995 |
2.1× |
| Evacuate mole of uterus (59870) |
$7,000 |
$7,000 |
2.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,355 |
$4,355 |
2.5× |
| Exc abd les sc 3 cm/> (22903) |
$6,070 |
$6,070 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,435 |
$3,435 |
2.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,980 |
$3,980 |
2.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$7,320 |
$7,320 |
2.0× |
| Exc skin abd (15830) |
$13,840 |
$13,840 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$3,505 |
$3,505 |
4.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,390 |
$1,390 |
3.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$3,715 |
$3,715 |
5.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,805 |
$3,805 |
5.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,440 |
$3,440 |
2.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$6,190 |
$6,190 |
3.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$3,765 |
$3,765 |
5.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$6,225 |
$6,225 |
2.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$6,105 |
$6,105 |
3.6× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$7,320 |
$7,320 |
2.0× |
| Exchange intraocular lens (66986) |
$5,645 |
$5,645 |
2.4× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$3,770 |
$3,770 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$4,330 |
$4,330 |
2.6× |
| Excise excess skin & tissue (15839) |
$6,070 |
$6,070 |
2.0× |
| Excision Breast Lesion (19125) |
$8,125 |
$8,125 |
2.0× |
| Excision Distal Ulna Partial/Complete (25240) |
$6,885 |
$6,885 |
2.0× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$6,070 |
$6,070 |
2.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,600 |
$2,600 |
6.2× |
| Excision of bartholin's gland or cyst (56740) |
$6,745 |
$6,745 |
2.0× |
| Excision of hydrocele; unilateral (55040) |
$7,275 |
$7,275 |
2.0× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$4,025 |
$4,025 |
3.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$3,960 |
$3,960 |
2.3× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$5,415 |
$5,415 |
3.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,070 |
$6,070 |
2.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$5,945 |
$5,945 |
2.0× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$6,100 |
$6,100 |
2.8× |
| Excision of vaginal cyst or tumor (57135) |
$6,745 |
$6,745 |
2.0× |
| Excision olecranon bursa (24105) |
$6,885 |
$6,885 |
2.0× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$6,735 |
$6,735 |
2.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$6,240 |
$6,240 |
2.1× |
| Excision Prepatellar Bursa (27340) |
$6,885 |
$6,885 |
2.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$5,550 |
$5,550 |
3.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$6,185 |
$6,185 |
2.1× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$6,070 |
$6,070 |
2.0× |
| Exploration of knee joint (27310) |
$7,850 |
$7,850 |
2.3× |
| Exploration of spinal fusion (22830) |
$6,415 |
$6,415 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$3,435 |
$3,435 |
2.0× |
| Explore/biopsy eye socket (67400) |
$5,610 |
$5,610 |
1.4× |
| Explore/treat ankle joint (27620) |
$6,910 |
$6,910 |
2.0× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$8,920 |
$8,920 |
1.6× |
| Extraction of lens (66940) |
$4,810 |
$4,810 |
2.0× |
| Eye surgery procedure (66999) |
$5,255 |
$5,255 |
2.2× |
| Fasciotomy foot and/or toe (28008) |
$6,885 |
$6,885 |
2.0× |
| Fasciotomy Iliotibial Open (27305) |
$6,885 |
$6,885 |
2.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,885 |
$6,885 |
2.0× |
| Fix ectropion,entensv lid repair (67917) |
$5,250 |
$5,250 |
2.1× |
| Fixation of knee joint (27570) |
$3,395 |
$3,395 |
2.0× |
| Follow-up surgery of eye (66250) |
$4,085 |
$4,085 |
1.7× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$4,630 |
$4,630 |
2.2× |
| Fusion of foot bones (28730) |
$27,300 |
$27,300 |
2.0× |
| Fusion of foot bones (28740) |
$15,155 |
$15,155 |
2.0× |
| Fusion of knuckle (26850) |
$15,155 |
$15,155 |
2.0× |
| Fusion of knuckle joint (26516) |
$6,885 |
$6,885 |
2.0× |
| Fusion radioulnar jnt/ulna (25830) |
$15,415 |
$15,415 |
2.0× |
| Gastrocnemius Recession (27687) |
$6,735 |
$6,735 |
2.0× |
| Glaucoma surgery (66170) |
$5,155 |
$5,155 |
2.2× |
| Hip arthro w/labral repair (29916) |
$15,155 |
$15,155 |
2.0× |
| Hysteroscopy ablation (58563) |
$11,410 |
$11,410 |
2.2× |
| Hysteroscopy biopsy (58558) |
$6,745 |
$6,745 |
2.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$6,745 |
$6,745 |
2.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$10,285 |
$10,285 |
2.0× |
| I&d abscess simple (10060) |
$2,110 |
$2,110 |
10.1× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$6,885 |
$6,885 |
2.0× |
| Immediate breast prosthesis (19340) |
$13,840 |
$13,840 |
1.6× |
| Incise finger tendon sheath (26055) |
$3,360 |
$3,360 |
2.0× |
| Incise inner eye adhesions (65875) |
$4,755 |
$4,755 |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,835 |
$2,835 |
6.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$2,920 |
$2,920 |
9.2× |
| Incision extensor tendon sheath wrist (25000) |
$4,490 |
$4,490 |
2.7× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$9,255 |
$9,255 |
1.4× |
| Incision of eye (66172) |
$5,375 |
$5,375 |
2.2× |
| Incision of heel bone (28300) |
$15,155 |
$15,155 |
2.0× |
| Incision of metatarsal (28308) |
$6,885 |
$6,885 |
2.0× |
| Incision of metatarsal (28307) |
$15,155 |
$15,155 |
2.0× |
| Incision of tibia (27705) |
$15,155 |
$15,155 |
2.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,165 |
$2,165 |
2.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,315 |
$1,315 |
1.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,345 |
$1,345 |
1.8× |
| Injection anes other peripheral nerve/branch (64450) |
$1,710 |
$1,710 |
2.3× |
| Injection,ant chamber,eye,air/liquid (66020) |
$4,345 |
$4,345 |
1.8× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$8,940 |
$8,940 |
2.1× |
| Insert picc cath (36569) |
$4,350 |
$4,350 |
2.7× |
| Insert tunneled cv cath (36561) |
$6,680 |
$6,680 |
2.0× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$19,805 |
$19,805 |
1.0× |
| Insj multi-component inflatable penile prosth (54405) |
$13,335 |
$13,335 |
0.6× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,530 |
$8,530 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$17,810 |
$17,810 |
0.5× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$9,170 |
$9,170 |
2.1× |
| Knee arthroscopy/surgery (29887) |
$15,155 |
$15,155 |
2.0× |
| Knee arthroscopy/surgery (29883) |
$7,120 |
$7,120 |
2.1× |
| Knee arthroscopy/surgery (29885) |
$15,155 |
$15,155 |
2.0× |
| Knee arthroscopy/surgery (29876) |
$7,175 |
$7,175 |
2.1× |
| Knee arthroscopy/surgery (29851) |
$11,355 |
$11,355 |
6.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$11,045 |
$11,045 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$11,085 |
$11,085 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$11,270 |
$11,270 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$12,405 |
$12,405 |
1.6× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$11,370 |
$11,370 |
1.5× |
| Lap ing hernia repair init (49650) |
$12,380 |
$12,380 |
2.0× |
| Laparo new ureter/bladder (50947) |
$22,090 |
$22,090 |
2.0× |
| Laparo-myomectomy complex (58546) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy appendectomy (44970) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy biopsy (49321) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy Remove Adnexa (58661) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy Tubal Cautery (58670) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy w/lysis of adhesions (58660) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$12,380 |
$12,380 |
2.0× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$13,905 |
$13,905 |
2.2× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$22,090 |
$22,090 |
2.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$12,380 |
$12,380 |
2.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$12,380 |
$12,380 |
2.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$22,090 |
$22,090 |
2.0× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$22,090 |
$22,090 |
2.0× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$22,090 |
$22,090 |
2.0× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,200 |
$1,200 |
2.1× |
| Laser treatment of retina (67039) |
$9,745 |
$9,745 |
2.3× |
| Laser treatment of retina (67040) |
$9,690 |
$9,690 |
2.3× |
| Laser vaporization surgery prostate, complete (52648) |
$12,010 |
$12,010 |
2.2× |
| Late closure of wound (13160) |
$5,020 |
$5,020 |
1.4× |
| Lateral retinacular release open (27425) |
$6,885 |
$6,885 |
2.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$16,400 |
$16,400 |
2.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$7,535 |
$7,535 |
2.1× |
| Lsh uterus 250 g or less (58541) |
$22,090 |
$22,090 |
2.0× |
| Manipulation finger joint under anes each joint (26340) |
$3,395 |
$3,395 |
2.0× |
| Mastectomy gynecomastia (19300) |
$8,125 |
$8,125 |
2.0× |
| Mastectomy partial (19301) |
$8,125 |
$8,125 |
2.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$13,840 |
$13,840 |
2.0× |
| Mastectomy simple complete (19303) |
$13,840 |
$13,840 |
2.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$8,305 |
$8,305 |
2.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$15,155 |
$15,155 |
2.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$15,155 |
$15,155 |
2.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$15,155 |
$15,155 |
2.0× |
| Open treatment of acute shoulder dislocation (23660) |
$15,155 |
$15,155 |
2.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$15,155 |
$15,155 |
2.0× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$15,155 |
$15,155 |
2.0× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$15,155 |
$15,155 |
2.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$15,155 |
$15,155 |
2.0× |
| Open treatment talus fracture (28445) |
$15,155 |
$15,155 |
2.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$8,445 |
$8,445 |
2.5× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$15,155 |
$15,155 |
2.0× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$27,300 |
$27,300 |
2.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$8,800 |
$8,800 |
2.6× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$15,155 |
$15,155 |
2.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$14,940 |
$14,940 |
1.1× |
| Opponensplasty Hypothenar Musc Tr (26494) |
$6,885 |
$6,885 |
2.0× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$14,200 |
$14,200 |
1.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$7,490 |
$7,490 |
2.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$6,885 |
$6,885 |
2.0× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$6,885 |
$6,885 |
2.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$6,885 |
$6,885 |
2.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$6,885 |
$6,885 |
2.0× |
| Osteochondral allograft, knee, open (27415) |
$27,300 |
$27,300 |
2.0× |
| Osteochondral knee autograft (27416) |
$15,155 |
$15,155 |
2.0× |
| Partial excision bone scapula (23182) |
$15,155 |
$15,155 |
2.0× |
| Partial excision bone talus/calcaneus (28120) |
$6,885 |
$6,885 |
2.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$6,885 |
$6,885 |
2.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$6,745 |
$6,745 |
2.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$6,885 |
$6,885 |
2.0× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$15,155 |
$15,155 |
2.0× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$6,885 |
$6,885 |
2.0× |
| Pin hand dislocation (26676) |
$6,885 |
$6,885 |
2.0× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$5,690 |
$5,690 |
2.4× |
| Probe nasolacrimal duct (68815) |
$4,225 |
$4,225 |
1.7× |
| Probe nasolacrimal duct (68811) |
$4,330 |
$4,330 |
1.8× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$1,395 |
$1,395 |
2.4× |
| Prostatectomy (turp) (52601) |
$10,720 |
$10,720 |
1.9× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$8,180 |
$8,180 |
1.2× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$8,415 |
$8,415 |
2.5× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$15,155 |
$15,155 |
2.0× |
| Reconstr disloc patella w mscl adv (27422) |
$15,155 |
$15,155 |
2.0× |
| Reconstruct Shoulder Joint (23470) |
$27,300 |
$27,300 |
2.0× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$14,730 |
$14,730 |
2.0× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$27,300 |
$27,300 |
2.0× |
| Reduction of Large Breast (19318) |
$13,840 |
$13,840 |
2.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$15,155 |
$15,155 |
2.0× |
| Release of eye fluid (67015) |
$7,800 |
$7,800 |
3.3× |
| Release palm contracture (26121) |
$6,885 |
$6,885 |
2.0× |
| Relieve inner eye pressure (65820) |
$9,220 |
$9,220 |
2.1× |
| Removal Implant Deep (20680) |
$6,070 |
$6,070 |
2.0× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$4,590 |
$4,590 |
0.6× |
| Removal of eye lesion (65400) |
$3,190 |
$3,190 |
3.1× |
| Removal of heel bone (28118) |
$6,885 |
$6,885 |
2.0× |
| Removal of implanted material, anterior segment of eye (65920) |
$5,310 |
$5,310 |
2.2× |
| Removal of intrauterine device (iud) (58301) |
$2,435 |
$2,435 |
7.7× |
| Removal of kneecap (27350) |
$15,155 |
$15,155 |
2.0× |
| Removal of lens material (66852) |
$9,235 |
$9,235 |
2.2× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$4,965 |
$4,965 |
2.0× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$6,745 |
$6,745 |
2.0× |
| Remove drug implant device (11982) |
$2,280 |
$2,280 |
4.9× |
| Remove eye implant material (67121) |
$8,710 |
$8,710 |
3.6× |
| Remove eye/attach implant (65105) |
$7,545 |
$7,545 |
1.8× |
| Remove femur lesion (27355) |
$6,885 |
$6,885 |
2.0× |
| Remove foreign body from eye (65235) |
$4,740 |
$4,740 |
2.0× |
| Remove knee cyst (27347) |
$6,885 |
$6,885 |
2.0× |
| Remove wrist tendon lesion (25111) |
$4,220 |
$4,220 |
2.5× |
| Repair achilles tendon (27650) |
$15,155 |
$15,155 |
2.0× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$6,730 |
$6,730 |
2.0× |
| Repair arm tendon/muscle (24341) |
$15,155 |
$15,155 |
2.0× |
| Repair collat ankle ligmnt,secondary (27698) |
$15,155 |
$15,155 |
2.0× |
| Repair detached retina (67105) |
$4,050 |
$4,050 |
7.1× |
| Repair elbow deb/attch open (24359) |
$6,965 |
$6,965 |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,375 |
$3,375 |
2.0× |
| Repair eyelid defect (67904) |
$4,280 |
$4,280 |
1.7× |
| Repair eyelid defect (67924) |
$4,435 |
$4,435 |
1.8× |
| Repair finger/hand tendon (26370) |
$6,885 |
$6,885 |
2.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$8,870 |
$8,870 |
2.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$7,490 |
$7,490 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,180 |
$1,180 |
2.8× |
| Repair kneecap tendon (27380) |
$15,155 |
$15,155 |
2.0× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$15,155 |
$15,155 |
2.0× |
| Repair of ankle ligament (27695) |
$15,155 |
$15,155 |
2.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$13,240 |
$13,240 |
2.0× |
| Repair of nasal septum (30520) |
$7,380 |
$7,380 |
2.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$15,510 |
$15,510 |
2.1× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$6,700 |
$6,700 |
2.8× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$15,155 |
$15,155 |
2.0× |
| Repair of thigh musc (27385) |
$15,155 |
$15,155 |
2.0× |
| Repair of tibia (27720) |
$15,155 |
$15,155 |
2.0× |
| Repair of vagina (57260) |
$10,475 |
$10,475 |
2.0× |
| Repair rectum & vagina (57250) |
$10,475 |
$10,475 |
2.0× |
| Repair retinal detach cplx (67113) |
$9,885 |
$9,885 |
1.8× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$9,220 |
$9,220 |
2.1× |
| Repair rotator cuff acute (23410) |
$15,155 |
$15,155 |
2.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$15,155 |
$15,155 |
2.0× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$15,975 |
$15,975 |
2.1× |
| Repair tympanic membrane (69610) |
$3,255 |
$3,255 |
2.0× |
| Repair wrist joints (25447) |
$7,450 |
$7,450 |
2.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$15,155 |
$15,155 |
2.0× |
| Repair/graft achilles tendon (27652) |
$15,155 |
$15,155 |
2.0× |
| Repair/graft wrist bone (25440) |
$15,155 |
$15,155 |
2.0× |
| Replace Tissue Expander (11970) |
$15,155 |
$15,155 |
2.0× |
| Repositioning io lens prosthesis req inc spx (66825) |
$5,370 |
$5,370 |
2.2× |
| Resect Inferior Turbinate (30140) |
$6,880 |
$6,880 |
2.0× |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$5,600 |
$5,600 |
1.4× |
| Revise eye muscle (67311) |
$5,020 |
$5,020 |
2.0× |
| Revise eye muscle (67314) |
$5,060 |
$5,060 |
2.0× |
| Revise median n/carpal tunnel surg (64721) |
$4,000 |
$4,000 |
2.0× |
| Revise ulnar nerve at elbow (64718) |
$4,150 |
$4,150 |
2.0× |
| Revise ulnar nerve at wrist (64719) |
$3,880 |
$3,880 |
1.9× |
| Revise/graft eyelid lining (68320) |
$4,690 |
$4,690 |
1.9× |
| Revision of foot (28116) |
$6,885 |
$6,885 |
2.0× |
| Revision of lower leg tendon (27685) |
$6,885 |
$6,885 |
2.0× |
| Revision of reconstructed breast (19380) |
$13,840 |
$13,840 |
2.0× |
| Revision of upper eyelid (15823) |
$4,105 |
$4,105 |
1.9× |
| Revision peri-implant capsule breast (19370) |
$8,125 |
$8,125 |
2.0× |
| Revj shunt extraocular reservoir w/o graft (66184) |
$5,280 |
$5,280 |
2.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$12,380 |
$12,380 |
2.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$13,240 |
$13,240 |
2.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$12,380 |
$12,380 |
2.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$7,490 |
$7,490 |
2.0× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$13,240 |
$13,240 |
2.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$12,380 |
$12,380 |
2.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$10,260 |
$10,260 |
2.8× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$6,885 |
$6,885 |
2.0× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$15,155 |
$15,155 |
2.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$9,855 |
$9,855 |
2.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,885 |
$6,885 |
2.0× |
| Shldr arthroscop,lyse adhesns (29825) |
$10,275 |
$10,275 |
3.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$10,195 |
$10,195 |
2.0× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$5,395 |
$5,395 |
1.3× |
| Suction assisted lipectomy; trunk (15877) |
$7,765 |
$7,765 |
2.1× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$7,795 |
$7,795 |
3.8× |
| Tendon graft, from a distance (20924) |
$15,155 |
$15,155 |
2.0× |
| Tenodesis long tendon biceps (23430) |
$15,155 |
$15,155 |
2.0× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$7,225 |
$7,225 |
2.1× |
| Tibial arthroscopy/surgery (29855) |
$15,155 |
$15,155 |
2.0× |
| Total hip arthroplasty (27130) |
$27,300 |
$27,300 |
2.0× |
| Total knee arthroplasty (27447) |
$27,370 |
$27,370 |
2.1× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$3,890 |
$3,890 |
1.9× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$10,880 |
$10,880 |
2.5× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$11,450 |
$11,450 |
1.5× |
| Transplant forearm tendon (25310) |
$7,595 |
$7,595 |
2.2× |
| Treat dislocation/fracture (23680) |
$14,510 |
$14,510 |
1.1× |
| Treat Finger Fracture Each (26727) |
$8,740 |
$8,740 |
2.6× |
| Treat fx distal radial (25606) |
$8,450 |
$8,450 |
2.5× |
| Treat fx rad extra-articul (25607) |
$15,155 |
$15,155 |
2.0× |
| Treat heel fracture (28415) |
$15,155 |
$15,155 |
2.0× |
| Treat humerus fracture (23630) |
$15,155 |
$15,155 |
2.0× |
| Treat Lower Leg Fracture (27827) |
$14,605 |
$14,605 |
1.1× |
| Treat radius fracture (24665) |
$15,155 |
$15,155 |
2.0× |
| Treat scapula fracture (23585) |
$15,100 |
$15,100 |
2.0× |
| Treat ulnar fracture (24685) |
$15,155 |
$15,155 |
2.0× |
| Treatment of ankle fracture (27792) |
$15,155 |
$15,155 |
2.0× |
| Treatment of fibula fracture (27784) |
$15,155 |
$15,155 |
2.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,745 |
$6,745 |
2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$6,745 |
$6,745 |
2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,570 |
$1,570 |
2.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$5,955 |
$5,955 |
28.4× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$12,380 |
$12,380 |
2.0× |
| Unlisted procedure femur or knee (27599) |
$8,400 |
$8,400 |
32.8× |
| Unlisted procedure leg/ankle (27899) |
$10,055 |
$10,055 |
39.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$18,590 |
$18,590 |
72.6× |
| Unlisted procedure shoulder (23929) |
$7,385 |
$7,385 |
28.8× |
| Unlisted procedure, male genital system (55899) |
$3,090 |
$3,090 |
11.9× |
| Vasectomy (55250) |
$6,005 |
$6,005 |
2.8× |
| Venipuncture (36415) |
$15 |
$15 |
1.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,565 |
$3,565 |
1.0× |
| Vit for macular pucker (67041) |
$10,030 |
$10,030 |
2.3× |
| Vitrectomy mechanical pars plana (67036) |
$9,790 |
$9,790 |
2.3× |
| Vitrectomy pars plana remove int memb retina (67042) |
$10,235 |
$10,235 |
2.4× |
| Wrist arthroscop,excis triang cart (29846) |
$6,715 |
$6,715 |
2.0× |
| Xfer single deep low leg tendon (27691) |
$15,155 |
$15,155 |
2.0× |