| Abd paracentesis w/imaging (49083) |
$527.80 |
$910 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$131.66 |
$227 |
0.1× |
| Amputation Finger/Thumb (26951) |
$983.68 |
$1,696 |
0.3× |
| Anoscopy diagnostic (46600) |
$80.04 |
$138 |
0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$924.52 |
$1,594 |
0.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,488.20 |
$4,290 |
0.8× |
| Application finger splint static (29130) |
$80.62 |
$139 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$80.62 |
$139 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$122.09 |
$210.50 |
0.9× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,436.89 |
$2,477.40 |
0.2× |
| Apply long leg splint (29505) |
$50.46 |
$87 |
0.3× |
| Apply short leg splint (29515) |
$80.62 |
$139 |
0.5× |
| Arterial puncture (36600) |
$136.59 |
$235.50 |
1.0× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure |
$2,174.91 |
$3,749.85 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,183.78 |
$2,041 |
3.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$134.56 |
$232 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$95.70 |
$165 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$95.99 |
$165.50 |
0.3× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$22,184.42 |
$38,249 |
0.8× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$6,002.71 |
$10,349.50 |
0.3× |
| Arthroplasty interphalangeal joint each (26535) |
$2,625.66 |
$4,527 |
0.8× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,923.84 |
$6,765.25 |
1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$788.22 |
$1,359 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,022.72 |
$10,384 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,827.20 |
$6,598.62 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,726.77 |
$11,597.88 |
1.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,584.12 |
$4,455.38 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$591.17 |
$1,019.25 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,640.26 |
$4,552.17 |
0.3× |
| Arthrotomy wrist joint with synovectomy (25105) |
$2,094.96 |
$3,612 |
0.6× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure |
$1,665.88 |
$2,872.22 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$517.36 |
$892 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$178.06 |
$307 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,055.60 |
$1,820 |
1.4× |
| Blood patch (62273) |
$693.68 |
$1,196 |
0.9× |
| Blood transfusion service (36430) |
$668.16 |
$1,152 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,118.24 |
$1,928 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$285.94 |
$493 |
0.2× |
| Cataract surg w/iol 1 stage (66983) |
$3,982.86 |
$6,867 |
1.6× |
| Cataract surgery complex (66982) |
$3,982.86 |
$6,867 |
1.6× |
| Change Cystostomy Tube Complicated (51710) |
$1,200.60 |
$2,070 |
1.6× |
| Change of cystostomy tube simple (51705) |
$237.51 |
$409.50 |
0.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$248.24 |
$428 |
0.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$69.02 |
$119 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$223.88 |
$386 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$585.22 |
$1,009 |
2.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$249.98 |
$431 |
0.9× |
| Closed Treat Vert Body Fract (22310) |
$223.88 |
$386 |
0.9× |
| Closed Treatment Coccygeal Fracture (27200) |
$162.98 |
$281 |
0.6× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,202.18 |
$5,521 |
0.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$153.70 |
$265 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$470.38 |
$811 |
1.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,229.60 |
$2,120 |
0.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$422.24 |
$728 |
1.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$174 |
$300 |
0.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$718.04 |
$1,238 |
0.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$249.98 |
$431 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$638.58 |
$1,101 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$266.80 |
$460 |
1.0× |
| Closed tx femoral fracture prox head w manip (27268) |
$470.38 |
$811 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$249.98 |
$431 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$487.20 |
$840 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$233.74 |
$403 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$287.10 |
$495 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$585.22 |
$1,009 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$249.98 |
$431 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$789.38 |
$1,361 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,039.94 |
$1,793 |
0.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$211.70 |
$365 |
0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,785.16 |
$4,802 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$160.08 |
$276 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$155.44 |
$268 |
0.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$383.38 |
$661 |
1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$334.08 |
$576 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$249.98 |
$431 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$990.64 |
$1,708 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$287.10 |
$495 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$384.54 |
$663 |
0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$417.60 |
$720 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$555.06 |
$957 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$403.10 |
$695 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$448.92 |
$774 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$249.98 |
$431 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$330.02 |
$569 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$800.40 |
$1,380 |
0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$317.26 |
$547 |
1.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,271.36 |
$2,192 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$421.08 |
$726 |
1.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$650.76 |
$1,122 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$249.98 |
$431 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$334.08 |
$576 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$249.98 |
$431 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,117.08 |
$1,926 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$369.46 |
$637 |
1.4× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$291.16 |
$502 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$136.30 |
$235 |
0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,042.84 |
$1,798 |
3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$287.10 |
$495 |
1.1× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$249.98 |
$431 |
0.9× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$263.32 |
$454 |
0.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$386.86 |
$667 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$249.98 |
$431 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$287.10 |
$495 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$178.06 |
$307 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$479.66 |
$827 |
1.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$954.10 |
$1,645 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$203.58 |
$351 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$249.98 |
$431 |
0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,412.22 |
$4,159 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$237.22 |
$409 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$287.10 |
$495 |
0.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$232 |
$400 |
0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$212.28 |
$366 |
0.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$410.64 |
$708 |
0.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$249.98 |
$431 |
0.9× |
| Colonoscopy flex w/inj submuc (45381) |
$691.16 |
$1,191.66 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$818.96 |
$1,412 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$2,154.41 |
$3,714.50 |
1.7× |
| Colposcopy vulva (56820) |
$113.10 |
$195 |
0.5× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$1,099.68 |
$1,896 |
0.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,011.39 |
$8,640.33 |
0.9× |
| Conization of cervix (57522) |
$4,486.30 |
$7,735 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$178.64 |
$308 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$160.08 |
$276 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$287.10 |
$495 |
2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,945.53 |
$5,078.50 |
1.3× |
| Cysto w/insert ureteral stent (52332) |
$2,364.66 |
$4,077 |
0.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$8,003.42 |
$13,799 |
2.1× |
| Cysto/uretero w/lithotripsy (52356) |
$10,482.92 |
$18,074 |
1.8× |
| Cystourethroscopy (52000) |
$296.96 |
$512 |
0.4× |
| Cystourethroscopy with biopsy (52204) |
$6,422.92 |
$11,074 |
2.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$334.08 |
$576 |
0.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,436.89 |
$2,477.40 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$654.82 |
$1,129 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$53.36 |
$92 |
0.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$190.82 |
$329 |
0.1× |
| Declot vascular device (36593) |
$28.42 |
$49 |
0.1× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,866.28 |
$6,666 |
2.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,671.48 |
$4,606 |
1.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$333.50 |
$575 |
1.6× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$687.88 |
$1,186 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$61.48 |
$106 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$785.70 |
$1,354.66 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$209.96 |
$362 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$241.28 |
$416 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$303.34 |
$523 |
1.4× |
| Drainage Mouth Roof Lesion (42000) |
$480.82 |
$829 |
1.9× |
| Drainage of gum lesion (41800) |
$287.10 |
$495 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$96.86 |
$167 |
0.1× |
| Drainage of hydrocele (55000) |
$123.54 |
$213 |
0.2× |
| Draw blood off venous device (36591) |
$70.76 |
$122 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$93.96 |
$162 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$205.90 |
$355 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,357.12 |
$4,064 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,145.21 |
$1,974.50 |
0.6× |
| Egd band ligation esophgeal/gastric varices (43244) |
$3,300.78 |
$5,691 |
1.6× |
| Egd control bleeding any (43255) |
$2,179.06 |
$3,757 |
1.1× |
| Egd flexible foreign body removal (43247) |
$1,523.08 |
$2,626 |
1.6× |
| Egd remove lesion snare (43251) |
$519.54 |
$895.75 |
0.3× |
| Endometrial Biopsy (58100) |
$73.66 |
$127 |
0.3× |
| Esophagoscopy Retro Balloon (43213) |
$3,343.70 |
$5,765 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$127.60 |
$220 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,766.02 |
$4,769 |
1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$301.02 |
$519 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$70.76 |
$122 |
0.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$889.72 |
$1,534 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$328.28 |
$566 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$194.88 |
$336 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$541.72 |
$934 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,184.49 |
$5,490.50 |
1.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,199.70 |
$8,965 |
1.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,643.14 |
$2,833 |
0.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,981.70 |
$6,865 |
1.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,993.22 |
$8,609 |
1.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$939.70 |
$1,620.18 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,993.22 |
$8,609 |
1.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$939.69 |
$1,620.16 |
0.5× |
| Exc/fulguration urethral caruncle (53265) |
$3,559.19 |
$6,136.53 |
1.6× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$3,680.10 |
$6,345 |
1.1× |
| Excision Lesion Floor Mouth (41116) |
$3,646.46 |
$6,287 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$5,443.30 |
$9,385 |
7.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,656.69 |
$4,580.50 |
3.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,079.72 |
$7,034 |
2.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$222.72 |
$384 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$5,214.78 |
$8,991 |
1.5× |
| Excision olecranon bursa (24105) |
$2,307.53 |
$3,978.50 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$939.69 |
$1,620.16 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,099.88 |
$1,896.34 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$259.26 |
$447 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$162.98 |
$281 |
0.1× |
| External cephalic version (59412) |
$1,528.88 |
$2,636 |
0.4× |
| Fetal non-stress test (59025) |
$350.32 |
$604 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$272.60 |
$470 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$194.88 |
$336 |
0.4× |
| Fit/Insert Intravag Support Device (57160) |
$85.55 |
$147.50 |
0.4× |
| Foreskin manipulation (54450) |
$396.72 |
$684 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$208.80 |
$360 |
0.9× |
| Guide Cathet Fluid Drainage (10030) |
$692.52 |
$1,194 |
0.9× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$5,638.18 |
$9,721 |
1.9× |
| Hysteroscopy biopsy (58558) |
$2,069.15 |
$3,567.50 |
0.6× |
Hysteroscopy w endometrial ablation (58563)
unusually low: confirm this is the full procedure |
$1,970.84 |
$3,398 |
0.4× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,970.84 |
$3,398 |
0.6× |
| I&D Abscess Peritonsillar (42700) |
$504.02 |
$869 |
2.0× |
| I&d abscess simple (10060) |
$253.46 |
$437 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$361.92 |
$624 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$253.46 |
$437 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$138.04 |
$238 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$330.02 |
$569 |
1.0× |
| Incise external hemorrhoid (46083) |
$585.22 |
$1,009 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$215.18 |
$371 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$854.92 |
$1,474 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$244.76 |
$422 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$373.52 |
$644 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$150.22 |
$259 |
0.7× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,158.26 |
$1,997 |
0.4× |
| Incision and drainage perianal abscess superficial (46050) |
$1,157.10 |
$1,995 |
1.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$377 |
$650 |
0.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$756.03 |
$1,303.50 |
0.5× |
| Incision of rectal abscess (46040) |
$742.98 |
$1,281 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$37.70 |
$65 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$125.86 |
$217 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$4,060.87 |
$7,001.50 |
4.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,315.94 |
$3,993 |
2.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$640.90 |
$1,105 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$29 |
$50 |
0.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$86.42 |
$149 |
0.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$2,544.58 |
$4,387.20 |
3.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,215.60 |
$3,820 |
2.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$40.60 |
$70 |
0.1× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$868.84 |
$1,498 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$69.60 |
$120 |
0.5× |
| Insert cervical dilator (59200) |
$181.54 |
$313 |
0.6× |
| Insert Drug Implant Device (11981) |
$125.86 |
$217 |
0.9× |
Insert heart pm atrial (33206)
likely a partial charge, not the full procedure |
$754 |
$1,300 |
0.1× |
Insert heart pm ventricular (33207)
likely a partial charge, not the full procedure |
$802.72 |
$1,384 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$1,514.96 |
$2,612 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$187.92 |
$324 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$15.08 |
$26 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$304.50 |
$525 |
1.2× |
| Knee Arthroscopy/Surgery (29879) |
$4,598.82 |
$7,929 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$4,958.71 |
$8,549.50 |
0.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,351.42 |
$14,399 |
1.1× |
| Lap paraesoph her rpr w/mesh (43282) |
$8,532.96 |
$14,712 |
0.8× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$5,778.54 |
$9,963 |
0.9× |
| Laparoscopy appendectomy (44970) |
$6,643.90 |
$11,455 |
1.0× |
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure |
$2,976.85 |
$5,132.50 |
0.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$9,749.80 |
$16,810 |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$7,711.68 |
$13,296 |
0.7× |
| Laryngoscopy diagnostic (31505) |
$93.96 |
$162 |
0.4× |
| Laryngoscopy flexible diagnostic (31575) |
$87.87 |
$151.50 |
0.4× |
| Laryngoscopy w/biopsy (31535) |
$6,580.68 |
$11,346 |
1.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$472.12 |
$814 |
0.2× |
| Lateral retinacular release open (27425) |
$6,781.94 |
$11,693 |
1.9× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$656.94 |
$1,132.66 |
0.1× |
| Ligation of hemorrhoid(s) (46221) |
$557.38 |
$961 |
0.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$11,130.20 |
$19,190 |
3.0× |
| Manipulation knee joint under general anesthesia (27570) |
$922.49 |
$1,590.50 |
0.5× |
| Nasal endoscopy dx (31231) |
$54.52 |
$94 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,875.14 |
$3,233 |
1.0× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure |
$2,957.42 |
$5,099 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$23.20 |
$40 |
0.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$55.10 |
$95 |
1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$66.99 |
$115.50 |
2.2× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,820.33 |
$3,138.50 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$852.60 |
$1,470 |
2.0× |
| Njx aa&/strd sciatic nerve (64445) |
$2,414.34 |
$4,162.66 |
3.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$423.40 |
$730 |
1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,427.96 |
$2,462 |
1.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$14,094 |
$24,300 |
1.9× |
| Occipital Nerve Block (64405) |
$332.92 |
$574 |
1.0× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630)
unusually low: confirm this is the full procedure |
$3,621.52 |
$6,244 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$436.16 |
$752 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,602.80 |
$9,660 |
1.6× |
| Pericardiocentesis W/Imaging (33016) |
$207.06 |
$357 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$22.04 |
$38 |
0.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,436.89 |
$2,477.40 |
0.4× |
| Picc line placement (36569) |
$2,814.74 |
$4,853 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$99.76 |
$172 |
0.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$205.32 |
$354 |
0.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$4,060.87 |
$7,001.50 |
0.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,849.38 |
$8,361 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$114.26 |
$197 |
0.2× |
| Removal foreign body intranasal (30300) |
$91.06 |
$157 |
0.6× |
| Removal foreign body pharynx (42809) |
$586.38 |
$1,011 |
1.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$4,764.70 |
$8,215 |
1.5× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$3,468.40 |
$5,980 |
2.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$84.68 |
$146 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55.97 |
$96.50 |
0.9× |
| Removal implant deep (20680) |
$3,680.10 |
$6,345 |
1.2× |
| Removal of embedded foreign body, eyelid (67938) |
$270.86 |
$467 |
0.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$176.32 |
$304 |
0.4× |
| Removal of iud (58301) |
$125.86 |
$217 |
0.4× |
| Removal of nail bed (11750) |
$122.38 |
$211 |
0.3× |
| Removal of tonsils (42825) |
$4,371.46 |
$7,537 |
0.7× |
| Removal of tonsils (42826) |
$3,689.38 |
$6,361 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$3,981.70 |
$6,865 |
1.3× |
| Remove Tendon Sheath Lesion (26160) |
$273.88 |
$472.20 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$83.23 |
$143.50 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$165.30 |
$285 |
1.2× |
| Repair blood vessel direct hand finger (35207) |
$667 |
$1,150 |
0.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$626.98 |
$1,081 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$586.38 |
$1,011 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$747.04 |
$1,288 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$272.60 |
$470 |
0.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$484.88 |
$836 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$600.88 |
$1,036 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,702.16 |
$2,934.75 |
2.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$6,079.56 |
$10,482 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,523.52 |
$18,144 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$834.04 |
$1,438 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$431.52 |
$744 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$176.32 |
$304 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$588.12 |
$1,014 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$649.02 |
$1,119 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$259.26 |
$447 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$345.10 |
$595 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$394.40 |
$680 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$207.64 |
$358 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$235.77 |
$406.50 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$522.58 |
$901 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$616.54 |
$1,063 |
1.4× |
| Repair of nail bed (11760) |
$166.46 |
$287 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure |
$2,596.37 |
$4,476.50 |
0.3× |
| Repair tongue laceration (41252) |
$860.72 |
$1,484 |
3.4× |
| Repair Tongue Laceration (41250) |
$303.92 |
$524 |
0.6× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$10,875 |
$18,750 |
1.4× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$985.80 |
$1,699.66 |
0.1× |
| Revise knuckle with implant (26531) |
$12,572.08 |
$21,676 |
1.6× |
| Revise ulnar nerve at elbow (64718) |
$2,523.14 |
$4,350.25 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$190.24 |
$328 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,041.68 |
$1,796 |
1.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,958.42 |
$8,549 |
1.3× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,053.86 |
$1,817 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$789.96 |
$1,362 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$73.66 |
$127 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$81.78 |
$141 |
0.4× |
| Shoulder arthroscopy (29805) |
$4,001.71 |
$6,899.50 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$99.76 |
$172 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$263.32 |
$454 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$91.06 |
$157 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$410.64 |
$708 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$85.26 |
$147 |
0.4× |
| Sigmoidoscopy w/biopsy (45331) |
$779.52 |
$1,344 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$649.02 |
$1,119 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$252.01 |
$434.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$295.22 |
$509 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$380.48 |
$656 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$520.26 |
$897 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$238.96 |
$412 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$123.54 |
$213 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$444.86 |
$767 |
2.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,011.39 |
$8,640.33 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$352.06 |
$607 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$298.12 |
$514 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$737.18 |
$1,271 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$200.68 |
$346 |
0.3× |
| Spinal Puncture Therapeutic (62272) |
$372.36 |
$642 |
0.5× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$3,621.52 |
$6,244 |
0.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,802.64 |
$3,108 |
1.0× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$2,575.49 |
$4,440.50 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$428.62 |
$739 |
0.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,786.82 |
$6,529 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,468.90 |
$7,705 |
1.3× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)
unusually low: confirm this is the full procedure |
$7,394.71 |
$12,749.50 |
0.4× |
| Total hip arthroplasty (27130) |
$9,112.82 |
$15,711.75 |
0.7× |
| Total Knee Arthroplasty (27447) |
$11,918.42 |
$20,549 |
0.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,055.02 |
$1,819 |
4.2× |
| Treat humerus fracture (23600) |
$275.50 |
$475 |
1.0× |
| Treat knee fracture (27532) |
$352.06 |
$607 |
0.1× |
| Treat Knee Fracture(S) (27538) |
$390.92 |
$674 |
1.5× |
| Treat Thumb Dislocation (26641) |
$249.98 |
$431 |
0.9× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$249.98 |
$431 |
0.1× |
| Treat Vaginal Bleeding (57180) |
$244.18 |
$421 |
1.1× |
| Treat Wrist Bone Fracture (25630) |
$166.46 |
$287 |
0.6× |
| Treatment closed elbow dislocation req anes (24605) |
$249.98 |
$431 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$249.98 |
$431 |
0.9× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,042.55 |
$1,797.50 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$165.30 |
$285 |
0.6× |
| Tube thoracostomy includes water seal (32551) |
$303.34 |
$523 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$666.42 |
$1,149 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$758.06 |
$1,307 |
1.0× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,414.35 |
$4,162.68 |
0.2× |
| Tympanostomy general anesthesia (69436) |
$1,512.06 |
$2,607 |
0.9× |
| Unlisted procedure humerus/elbow (24999) |
$159.50 |
$275 |
0.6× |
| Unlisted procedure, maternity care and delivery (59899) |
$5,775.64 |
$9,958 |
26.8× |
| Us urine capacity measure (51798) |
$48.72 |
$84 |
0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,011.40 |
$8,640.34 |
0.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$9,761.98 |
$16,831 |
1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,512.06 |
$2,607 |
0.7× |
| Venipuncture (36415) |
$19.14 |
$33 |
2.0× |
| Wedge excision skin nail fold (11765) |
$150.22 |
$259 |
0.3× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,226.17 |
$7,286.50 |
0.7× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,431.20 |
$7,640 |
0.8× |