| Abd paracentesis w/imaging (49083) |
$750 |
$1,725 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,219.53 |
$2,658.30 |
1.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,782.50 |
$5,045 |
0.9× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$456.25 |
$1,825 |
0.2× |
| Anoscopy diagnostic (46600) |
$963.10 |
$3,852.40 |
7.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$375 |
$1,500 |
0.1× |
| Application cast elbow finger short arm (29075) |
— |
$100 |
— |
| Application Cast Finger (29086) |
$40 |
$200 |
0.3× |
| Application cast shoulder hand long arm (29065) |
— |
$100 |
— |
| Application Finger Splint Dynamic (29131) |
$105 |
$525 |
1.9× |
| Application finger splint static (29130) |
— |
$150 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$100 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$125 |
— |
| Application of long leg cast (29345) |
— |
$175 |
— |
| Application Short Arm Splint Dynamic (29126) |
$105 |
$525 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
— |
$150 |
— |
| Application short leg splint calf foot (29515) |
— |
$150 |
— |
| Apply short leg cast (29405) |
— |
$175 |
— |
| Arterial puncture (36600) |
$30 |
$150 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$156 |
$525 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$475 |
$1,250 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$315 |
$950 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306.25 |
$1,007.50 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$262.50 |
$475 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$800 |
$3,200 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$175 |
— |
| Biopsy of nail unit (11755) |
$362.50 |
$1,450 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$2,550 |
$8,500 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$437.50 |
$1,750 |
0.7× |
| Bladder Irrigation Simple (51700) |
$135 |
$675 |
0.6× |
| Bladder Scan (51798) |
$30 |
$150 |
0.6× |
| Blood patch (62273) |
$262.50 |
$1,050 |
0.4× |
| Blood transfusion service (36430) |
$237.50 |
$1,050 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,050 |
$2,300 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$200 |
$712.50 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$287.50 |
$1,150 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$140 |
$700 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$875 |
$2,925 |
1.3× |
| Chemodenerv Musc Migraine (64615) |
$245 |
$650 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$160 |
$600 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$140 |
$500 |
0.2× |
| Chest tube placement (32551) |
— |
$600 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$65 |
$325 |
0.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$925 |
$3,700 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$925 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$225 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,050 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$500 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
$300 |
$1,200 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$350 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$950 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$680 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$475 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$600 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,100 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$225 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$300 |
$1,200 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$500 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$650 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$180.75 |
— |
| Colonoscopy flex w/rem forcep (45384) |
$800 |
$2,025 |
0.7× |
| Colonoscopy w/ablation (45388) |
$800 |
$2,025 |
0.7× |
| Colonoscopy w/fb removal (45379) |
$800 |
$2,025 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$774.81 |
$3,099.25 |
0.7× |
| Complex Drainage, Wound (10180) |
$2,412 |
$4,248 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$125 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$150 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$90 |
$450 |
0.4× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$895 |
$3,580 |
0.5× |
| Cystourethroscopy (52000) |
$606.25 |
$2,425 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$115 |
$150 |
0.3× |
| Declot vascular device (36593) |
$133 |
$665 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$1,338.75 |
$3,825 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,370.62 |
$2,687.50 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$100 |
$375 |
0.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$40 |
$200 |
0.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,121.25 |
$3,967.50 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$130 |
$650 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$474.47 |
$1,136.44 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$450 |
$1,800 |
0.5× |
| Dilation Esophagus Guide Wire (43453) |
$375 |
$1,500 |
0.2× |
| Drain hand tendon sheath (26020) |
$506.25 |
$2,025 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$375 |
$1,500 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$180 |
$900 |
1.0× |
| Drainage mouth roof lesion (42000) |
— |
$250 |
— |
| Drainage of gum lesion (41800) |
— |
$375 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$300 |
— |
| Drainage of hydrocele (55000) |
$180 |
$900 |
0.3× |
| Drainage of palm bursas (26030) |
$712.50 |
$2,850 |
0.2× |
| Drainage of palmar bursa; single, bursa (26025) |
$506.25 |
$2,025 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$625 |
$2,500 |
0.4× |
| Draw blood off venous device (36591) |
$57 |
$285 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$160 |
$550 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$160 |
$800 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$150 |
$700 |
0.8× |
| Dry Needling 3+ Muscles (20561) |
$9 |
$45 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$606.25 |
$2,425 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$875 |
$1,975 |
0.5× |
| Egd flexible foreign body removal (43247) |
$706.25 |
$1,662.50 |
0.8× |
| Egd guide wire insertion (43248) |
$637.89 |
$2,551.57 |
0.8× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,014.09 |
$4,056.36 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,146.25 |
$2,542.50 |
0.6× |
| Egd remove lesion snare (43251) |
$910.84 |
$2,071.68 |
0.5× |
| Egd us exam duodenum/jejunum (43259) |
$625.76 |
$2,503.03 |
0.4× |
| Egd Varices Ligation (43244) |
$800.35 |
$3,201.38 |
0.5× |
| Endoscopic us exam esoph (43237) |
$735.48 |
$2,941.93 |
0.4× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,517.02 |
$8,390.06 |
0.7× |
| Esoph endoscopy dilation (43226) |
$550 |
$1,275 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$625 |
$1,400 |
0.7× |
| Esophagosc dilate balloon 30 (43214) |
$543.75 |
$2,175 |
0.3× |
| Esophagoscopy Retro Balloon (43213) |
$543.75 |
$2,175 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$625 |
$2,500 |
0.4× |
| Evacuation of subungual hematoma (11740) |
— |
$75 |
— |
| Exc abd les sc 3 cm/> (22903) |
$1,530 |
$5,100 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$700 |
$2,800 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$875 |
$1,950 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$962.50 |
$2,200 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$806.25 |
$3,225 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$425 |
$962.50 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$756.25 |
$3,025 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,860 |
$3,450 |
1.3× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,700 |
$9,000 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$625 |
$1,425 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$200 |
$625 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$500 |
$1,125 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$550 |
$1,325 |
0.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,037.50 |
$4,150 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$825 |
$1,862.50 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,860 |
$6,200 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,006.25 |
$2,362.50 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,118.75 |
$2,537.50 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$625 |
$2,500 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,037.50 |
$4,150 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,950 |
$3,562.50 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,075 |
$4,300 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,860 |
$6,200 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$867 |
$1,959 |
0.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$450 |
$1,062.50 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,010 |
$6,700 |
0.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,125 |
$2,600 |
0.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$425 |
$1,025 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$425 |
$1,700 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$200 |
$725 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$425 |
$1,075 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$425 |
$1,100 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$275 |
$1,100 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$387.50 |
$1,550 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$450 |
$1,800 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$750 |
$3,000 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$968.75 |
$2,087.50 |
0.6× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$425 |
$1,025 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$425 |
$1,037.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$968.75 |
$2,157.50 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$975 |
$3,900 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$425 |
$1,700 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$675 |
$2,700 |
1.0× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,800 |
$6,000 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$875 |
$1,912.50 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$950 |
$2,000 |
0.6× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,860 |
$3,475 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$795 |
$3,180 |
0.7× |
| Excision of Umbilicus (49250) |
$1,037.50 |
$4,150 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,686.50 |
$5,220 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,125 |
$4,500 |
0.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$750 |
$3,000 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$887.50 |
$3,550 |
0.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,980 |
$6,600 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$140 |
$700 |
0.1× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$550 |
$2,200 |
0.2× |
| Explore/treat hand joint (26070) |
$550 |
$2,200 |
0.4× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$550 |
$2,200 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$350 |
$1,769 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$200 |
$725 |
0.5× |
| Fixation of knee joint (27570) |
$718.75 |
$2,875 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$190 |
— |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$875 |
$2,850 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$165 |
$487.50 |
0.8× |
| I&d abscess simple (10060) |
$341.25 |
$807.50 |
1.8× |
| I&d perianal abscess superficial (46050) |
$512.50 |
$1,175 |
0.6× |
| Incise finger tendon sheath (26055) |
$837.50 |
$3,350 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$400 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
$606.25 |
$1,337.50 |
1.6× |
| Incision bone cortex hand/finger (26034) |
$375 |
$1,500 |
0.3× |
| Incision of rectal abscess (46040) |
$1,250 |
$5,000 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
— |
$360 |
— |
| Initial tx 1st degree burn local tx (16000) |
$160 |
$800 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,158.12 |
$2,912.50 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$107.60 |
$486.50 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$892 |
$2,957.50 |
1.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$100 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
$140 |
$550 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$450 |
$1,150 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$170 |
$637.50 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$492.50 |
$1,547.50 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$70 |
$225 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,381.25 |
$3,625 |
2.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$892 |
$2,957.50 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$700 |
$2,125 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$160 |
$462.50 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$468.75 |
$1,850 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$150 |
$570 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$402.50 |
$1,342.50 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$201.25 |
$722.50 |
0.7× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$656.25 |
$2,062.50 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$245 |
$550 |
0.9× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$531.25 |
$2,125 |
1.9× |
| Insert Drug Implant Device (11981) |
$160 |
$475 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,800 |
$3,250 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$725 |
$2,900 |
0.2× |
| Insert picc cath (36569) |
$575 |
$1,700 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$60 |
$300 |
0.5× |
| Insert tunneled cv cath (36561) |
$2,310 |
$4,262.50 |
0.8× |
Insert Tunneled Cv Cath With Pump (36563)
likely a partial charge, not the full procedure |
$712.50 |
$2,850 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$60 |
$300 |
0.5× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$2,670 |
$4,700 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$725 |
$2,900 |
0.5× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$1,100 |
$4,400 |
0.4× |
Insj tun vad req 2 cath 2 sits w/subq port (36566)
likely a partial charge, not the full procedure |
$875 |
$3,500 |
0.2× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$731.25 |
$2,925 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$140 |
$500 |
0.6× |
| Lap ing hernia repair init (49650) |
$6,543.32 |
$8,900.20 |
1.2× |
| Laparoscopy appendectomy (44970) |
$5,820.09 |
$8,889.41 |
1.0× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,760 |
$5,075 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,200.50 |
$4,060 |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,780 |
$6,500 |
0.7× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$3,931.62 |
$7,865 |
0.4× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$7,131.25 |
$11,687.50 |
0.7× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$6,488.12 |
$10,257.50 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,670 |
$8,800 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,952.50 |
$7,642.50 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,630.55 |
$5,916.50 |
0.7× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
unusually low: confirm this is the full procedure |
$2,527.50 |
$4,650 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$875 |
$2,100 |
1.0× |
| Liver Biopsy (47000) |
$882.10 |
$3,528.39 |
0.6× |
| Mastectomy partial (19301) |
$4,278.75 |
$12,225 |
1.2× |
| Muscle-skin graft trunk (15734) |
$2,550 |
$8,500 |
0.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,460 |
$4,705 |
1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$7 |
$35 |
0.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$806.25 |
$2,687.50 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$909.38 |
$2,425 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$656.25 |
$2,062.50 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$316.25 |
$1,265 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$547 |
$1,719 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,175 |
$3,700 |
1.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$450 |
$1,800 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
— |
$125 |
— |
| Placement of seton (46020) |
$300 |
$1,200 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$275 |
$1,100 |
0.7× |
| Puncture Aspiration (10160) |
$500 |
$1,125 |
1.3× |
| Removal fb intranasal (30300) |
$500 |
$1,150 |
4.1× |
| Removal foreign body foot subcutaneous (28190) |
$1,075 |
$2,250 |
1.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$325 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$1,375 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$100 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$125 |
— |
| Removal of arm foreign body (24200) |
$400 |
$962.50 |
0.3× |
| Removal of nail bed (11750) |
— |
$250 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$110 |
$375 |
0.6× |
| Removal of sperm cord lesion (55520) |
$2,625 |
$8,750 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$120 |
$350 |
0.5× |
| Remove anal fist subq (46270) |
$1,243.75 |
$2,987.50 |
0.5× |
| Remove drug implant device (11982) |
$160 |
$475 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
— |
$250 |
— |
| Remove in/ex hem groups 2+ (46260) |
$1,828.50 |
$3,622.50 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$1,980 |
$6,600 |
0.7× |
| Remove skin nerve lesion (64774) |
$875 |
$3,500 |
0.5× |
| Remove wrist tendon lesion (25111) |
$1,250 |
$2,862.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
— |
$100 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$100 |
— |
Repair arm tendon/muscle (24341)
unusually low: confirm this is the full procedure |
$2,880 |
$9,600 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$475 |
$1,900 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$625 |
$2,500 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$275 |
$1,100 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$375 |
$1,500 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$145 |
$725 |
0.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$525 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
$150 |
$750 |
0.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$362.50 |
$1,450 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,925 |
$9,750 |
0.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,700 |
$5,275 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$500 |
$2,000 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$250 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$375 |
$975 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$625 |
$2,500 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$500 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$400 |
$1,600 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$675 |
$2,700 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$418.75 |
$1,675 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$525 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$375 |
$975 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$450 |
$1,150 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$625 |
$2,500 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,000 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$425 |
$1,250 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$625 |
$1,450 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,250 |
$5,000 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$750 |
$1,900 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,800 |
$6,000 |
0.9× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,460 |
$8,200 |
0.4× |
| Rerepair fem hernia blocked (49557) |
$3,000 |
$10,000 |
0.9× |
| Revise median n/carpal tunnel surg (64721) |
$875 |
$3,500 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$1,579.80 |
$5,266 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$291.25 |
$632.50 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,530 |
$5,100 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$687.50 |
$2,750 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$525 |
$2,100 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$2,910 |
$5,850 |
0.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$5,862.50 |
$16,750 |
1.0× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure |
$2,550 |
$5,000 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,850 |
$5,500 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$575 |
$2,300 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$625 |
$1,457.50 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$100 |
$500 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$160 |
$800 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$190 |
$950 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$40 |
$200 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$95 |
$475 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$751.24 |
$1,709.98 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$425 |
$1,700 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$140 |
$475 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$250 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$575 |
$2,300 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$250 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$300 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$475 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$170 |
$550 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$500 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$250 |
— |
| Skin sub graft face/nk/hf/g (15275) |
$1,125 |
$2,362.50 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$831.25 |
$1,762.50 |
1.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$625 |
$1,475 |
0.3× |
| Skn sub grft f/n/hf/g child (15277) |
$165 |
$662.50 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$250 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$450 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$575 |
$2,300 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$262.50 |
$1,050 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$200 |
$1,000 |
0.3× |
| Strapping elbow/wrist (29260) |
$120 |
$600 |
2.2× |
| Strapping hand/finger (29280) |
$120 |
$600 |
2.2× |
| Strapping shoulder (29240) |
— |
$100 |
— |
| Strapping unna boot (29580) |
$105 |
$525 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$450 |
$1,042.50 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$400 |
$1,600 |
0.7× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$875 |
$3,500 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$525 |
— |
| Trim skin lesions 2 to 4 (11056) |
$95 |
$475 |
0.5× |
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure |
$568.75 |
$1,325 |
0.1× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$1,890 |
$3,437.50 |
0.3× |
| Unlisted procedure foot or toes (28899) |
$108 |
$487.50 |
0.5× |
| Unlisted Procedure Nervous System (64999) |
$806.25 |
$2,325 |
2.9× |
| Vasectomy (55250) |
$875 |
$2,000 |
0.5× |
| Venipuncture (36415) |
$6 |
$30 |
0.6× |