| Abd paracentesis w/imaging (49083) |
$4,595 |
— |
4.1× |
| Ablate inf turbinate submuc (30802) |
$4,595 |
— |
2.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$4,595 |
— |
2.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$4,595 |
— |
1.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$4,595 |
— |
1.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,595 |
— |
1.0× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$4,595 |
— |
1.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,595 |
— |
1.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$4,595 |
— |
1.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$4,595 |
— |
1.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$4,595 |
— |
1.8× |
| Anal/Urinary Muscle Study (51784) |
$4,595 |
— |
28.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$4,595 |
— |
3.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$9,188 |
— |
1.5× |
| Apply Multlay Comprs Lwr Leg (29581) |
$4,595 |
— |
22.7× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$9,188 |
— |
1.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,595 |
— |
1.2× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$9,188 |
— |
1.3× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$75,573 |
— |
4.7× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$13,784 |
— |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$4,595 |
— |
12.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$4,595 |
— |
12.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$4,595 |
— |
12.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$4,595 |
— |
12.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$13,784 |
— |
1.5× |
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548)
likely a partial charge, not the full procedure |
$4,595 |
— |
0.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$13,784 |
— |
0.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$4,595 |
— |
1.1× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$4,595 |
— |
1.1× |
| Arthroscopy hip w/femoroplasty (29914) |
$13,784 |
— |
1.5× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$4,595 |
— |
1.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,595 |
— |
1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,595 |
— |
1.1× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$13,784 |
— |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$4,595 |
— |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$4,595 |
— |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,595 |
— |
1.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$13,784 |
— |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,595 |
— |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,595 |
— |
1.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$13,784 |
— |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$13,784 |
— |
1.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,595 |
— |
1.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$75,894 |
— |
4.7× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$75,894 |
— |
4.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$13,784 |
— |
1.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$4,595 |
— |
1.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,595 |
— |
1.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,595 |
— |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$4,595 |
— |
5.9× |
| Aspiration Bladder Needle (51100) |
$4,595 |
— |
14.7× |
| Aspiration bladder trocar/intracatheter (51101) |
$4,595 |
— |
4.3× |
| Av Fistula Revision Open (36832) |
$9,188 |
— |
1.3× |
| Av Fuse Uppr Arm Basilic (36819) |
$9,188 |
— |
1.3× |
| Biopsy Abdominal Mass (49180) |
$4,595 |
— |
2.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$4,595 |
— |
2.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$4,595 |
— |
4.0× |
| Biopsy/removal lymph nodes (38510) |
$4,595 |
— |
0.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$4,595 |
— |
5.3× |
| Bladder Irrigation (51700) |
$4,595 |
— |
14.7× |
| Blepharoplasty Lower Eyelid (15820) |
$4,595 |
— |
1.8× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$4,595 |
— |
1.8× |
| Blepharoplasty upper eyelid (15822) |
$4,595 |
— |
1.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$4,595 |
— |
1.8× |
| Breast augmentation with implant (19325) |
$26,035 |
— |
2.6× |
| Breast Reduction (19318) |
$26,035 |
— |
3.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,595 |
— |
2.1× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,595 |
— |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$4,595 |
— |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,595 |
— |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$4,595 |
— |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$4,595 |
— |
2.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$4,595 |
— |
2.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,595 |
— |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$4,595 |
— |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$4,595 |
— |
2.2× |
| Bx breast 1st lesion strtctc (19081) |
$4,595 |
— |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$4,595 |
— |
2.2× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$4,595 |
— |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,595 |
— |
0.9× |
| Bx/exc lymph node open superficial (38500) |
$4,595 |
— |
0.9× |
| Canthoplasty (67950) |
$4,595 |
— |
1.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,595 |
— |
1.1× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$4,595 |
— |
2.3× |
| Carpal Tunnel Surgery (64721) |
$4,595 |
— |
1.9× |
| Cataract surg w/iol 1 stage (66983) |
$4,595 |
— |
1.6× |
| Cataract surgery complex (66982) |
$4,595 |
— |
1.6× |
| Cerclage cervix pregnancy vaginal (59320) |
$23,374 |
— |
5.8× |
| Cerv artific diskectomy (22856) |
$13,784 |
— |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$4,595 |
— |
14.7× |
| Chemical Cautery Tissue (17250) |
$4,595 |
— |
18.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$4,595 |
— |
5.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$4,595 |
— |
5.2× |
| Chemodenervation of internal anal sphincter (46505) |
$4,595 |
— |
3.1× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$4,595 |
— |
1.5× |
| Circumcision 28 days or older (54161) |
$4,595 |
— |
1.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$4,595 |
— |
1.8× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$4,595 |
— |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,595 |
— |
1.1× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$9,188 |
— |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$115.91 |
— |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$7.37 |
— |
0.8× |
| Colonoscopy Flexible With Decompression (45393) |
$4,595 |
— |
3.1× |
| Colonoscopy W/Band Ligation (45398) |
$4,595 |
— |
3.1× |
| Colonoscopy w/fb removal (45379) |
$4,595 |
— |
3.1× |
| Colonoscopy W/Resection (45390) |
$4,595 |
— |
1.3× |
| Colonoscopy w/stent plcmt (45389) |
$9,188 |
— |
1.2× |
| Colonoscopy w/submucosal inj (45381) |
$3,675 |
— |
2.5× |
| Colpopexy extraperitoneal (57282) |
$13,784 |
— |
1.5× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$13,784 |
— |
1.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$4,595 |
— |
3.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$4,595 |
— |
3.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$4,595 |
— |
3.1× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$4,595 |
— |
3.1× |
| Combined anteroposterior colporrhaphy; (57260) |
$9,188 |
— |
1.5× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,595 |
— |
1.1× |
| Conization of cervix (57520) |
$4,595 |
— |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,595 |
— |
2.2× |
| Correction hammertoe (28285) |
$4,595 |
— |
1.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,595 |
— |
1.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$4,595 |
— |
1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$13,784 |
— |
0.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$13,784 |
— |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,595 |
— |
1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$9,188 |
— |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$9,188 |
— |
1.3× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$13,784 |
— |
1.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,595 |
— |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,595 |
— |
1.8× |
| Cysto w/destruction of lesions (52214) |
$4,595 |
— |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$9,188 |
— |
1.4× |
| Cysto w/insert ureteral stent (52332) |
$21,735 |
— |
4.9× |
| Cysto w/removal of lesions small (52224) |
$4,595 |
— |
1.0× |
| Cysto w/removal of tumors small (52234) |
$4,595 |
— |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,595 |
— |
1.8× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$9,188 |
— |
1.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,595 |
— |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,595 |
— |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,595 |
— |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$9,188 |
— |
1.4× |
| Cysto/uretero w/lithotripsy (52356) |
$21,735 |
— |
3.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,595 |
— |
1.8× |
| Cystourethroscopy (52000) |
$4,595 |
— |
5.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,595 |
— |
1.8× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,595 |
— |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$9,188 |
— |
1.4× |
| Cystourethroscopy with biopsy (52204) |
$4,595 |
— |
1.8× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,595 |
— |
1.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$4,595 |
— |
5.0× |
| Debride nail 6 or more (11721) |
$4,595 |
— |
62.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,595 |
— |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$4,595 |
— |
9.1× |
| Decomp forearm,1 compart,w/o debride (25020) |
$4,595 |
— |
2.3× |
| Destroy cerv/thor facet jnt (64633) |
$4,595 |
— |
1.9× |
| Destroy lumb/sac facet jnt (64635) |
$4,595 |
— |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$3,675 |
— |
3.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,595 |
— |
1.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$4,595 |
— |
2.1× |
| Drainage of hematoma/fluid (10140) |
$4,595 |
— |
2.2× |
| Draw Blood Off Venous Device (36591) |
$104.21 |
— |
0.6× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$4,595 |
— |
5.0× |
| Dstrj lesion anus simple surg excision (46922) |
$4,595 |
— |
1.3× |
| Dx Bone Marrow Bx & Aspir (38222) |
$4,595 |
— |
1.3× |
| Dx Bronchoscope/Lavage (31624) |
$4,595 |
— |
2.1× |
| Dx Bronchoscope/Wash (31622) |
$4,595 |
— |
2.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$4,595 |
— |
2.1× |
| Dx laryngoscopy w/oper scope (31526) |
$4,595 |
— |
2.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$4,595 |
— |
5.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,675 |
— |
1.5× |
| Egd us exam duodenum/jejunum (43259) |
$3,675 |
— |
1.5× |
| Endoscopic injection/implant (51715) |
$4,595 |
— |
1.0× |
| Endoscopic us exam esoph (43237) |
$3,675 |
— |
1.5× |
| Episiotomy or vaginal repair (59300) |
$4,595 |
— |
1.1× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$9,188 |
— |
1.2× |
| Ercp duct stent placement (43274) |
$9,188 |
— |
1.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,595 |
— |
1.0× |
| Ercp remove forgn body duct (43275) |
$4,595 |
— |
1.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,595 |
— |
1.0× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$4,595 |
— |
1.9× |
| Ercp,Sphincterotomy (43262) |
$4,595 |
— |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$4,595 |
— |
4.1× |
| Esophagoscopy rigid trnso dx (43191) |
$4,595 |
— |
1.9× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$4,595 |
— |
2.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,595 |
— |
2.2× |
| Exc abdl tum deep 5 cm/> (22901) |
$4,595 |
— |
1.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,595 |
— |
2.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$4,595 |
— |
5.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,595 |
— |
2.2× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,595 |
— |
1.3× |
| Exc back tum deep < 5 cm (21932) |
$4,595 |
— |
1.3× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$9,188 |
— |
1.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,595 |
— |
0.9× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$4,595 |
— |
2.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$4,595 |
— |
5.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$4,595 |
— |
5.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$4,595 |
— |
2.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$4,595 |
— |
2.2× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$4,595 |
— |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$4,595 |
— |
2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$4,595 |
— |
5.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$4,595 |
— |
2.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$4,595 |
— |
2.2× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$4,595 |
— |
3.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$4,595 |
— |
2.3× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$9,188 |
— |
1.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$4,595 |
— |
1.3× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$4,595 |
— |
1.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$4,595 |
— |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,595 |
— |
5.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$4,595 |
— |
2.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,595 |
— |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,595 |
— |
2.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,595 |
— |
1.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,595 |
— |
2.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,595 |
— |
1.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,595 |
— |
1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$4,595 |
— |
9.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$4,595 |
— |
5.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$4,595 |
— |
2.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,595 |
— |
1.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$4,595 |
— |
1.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$4,595 |
— |
1.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,595 |
— |
1.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,595 |
— |
1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,595 |
— |
2.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$4,595 |
— |
2.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,595 |
— |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,595 |
— |
2.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,595 |
— |
1.3× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$4,595 |
— |
1.0× |
| Exchange Intraocular Lens (66986) |
$4,595 |
— |
1.6× |
| Excise excessive skin arm (15836) |
$4,595 |
— |
1.3× |
| Excise mandible lesion (21040) |
$4,595 |
— |
1.1× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$4,595 |
— |
1.3× |
| Excision gum each quadrant (41820) |
$4,595 |
— |
1.1× |
| Excision inferior turbinate partial/complete (30130) |
$4,595 |
— |
1.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$4,595 |
— |
2.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$4,595 |
— |
1.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,595 |
— |
1.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,595 |
— |
2.3× |
| Excision of hydrocele; unilateral (55040) |
$4,595 |
— |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$9,188 |
— |
1.2× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$9,188 |
— |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,595 |
— |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$4,595 |
— |
3.1× |
| Excision of submandibular (submaxillary) gland (42440) |
$9,188 |
— |
1.2× |
| Excision of vaginal cyst or tumor (57135) |
$4,595 |
— |
1.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$4,595 |
— |
1.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$4,595 |
— |
1.3× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$9,188 |
— |
1.1× |
| Excision spermatocele w/wo epididymectomy (54840) |
$4,595 |
— |
1.8× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$24,888 |
— |
3.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,595 |
— |
2.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,595 |
— |
1.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,595 |
— |
2.2× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$4,595 |
— |
2.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,595 |
— |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,595 |
— |
1.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,595 |
— |
1.1× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,595 |
— |
1.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,595 |
— |
1.1× |
| Fetal non-stress test (59025) |
$5,881.65 |
— |
23.3× |
| Fna bx w/us gdn 1st les (10005) |
$4,595 |
— |
5.2× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$4,595 |
— |
4.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,595 |
— |
1.1× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$4,595 |
— |
1.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$4,595 |
— |
1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$4,595 |
— |
1.8× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$4,595 |
— |
1.8× |
| Fusion of foot bones (28740) |
$13,784 |
— |
1.5× |
| Gastrocnemius recession (27687) |
$4,595 |
— |
1.1× |
| Goniotomy (65820) |
$9,188 |
— |
1.8× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$9,188 |
— |
1.2× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$9,188 |
— |
3.6× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$9,188 |
— |
2.1× |
| Grafting of autologous soft tiss by direct exc (15769) |
$9,188 |
— |
2.1× |
| Hem vw ds vw factor & collagen IV binding elisa (0280U) |
$42.41 |
— |
2.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,595 |
— |
1.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$4,595 |
— |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,595 |
— |
1.3× |
| Hip arthro w/labral repair (29916) |
$13,784 |
— |
1.5× |
| Hysteroscopy Biopsy (58558) |
$27,369 |
— |
6.8× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$27,369 |
— |
4.4× |
| Hysteroscopy Dx Sep Proc (58555) |
$27,369 |
— |
6.8× |
| Hysteroscopy Endometrial Ablation (58563) |
$27,369 |
— |
4.4× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$27,369 |
— |
4.4× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$27,369 |
— |
6.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$27,369 |
— |
4.4× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$4,595 |
— |
1.3× |
| I&d perianal abscess superficial (46050) |
$4,595 |
— |
4.0× |
| Implant cochlear device (69930) |
$55,134 |
— |
1.3× |
| Implant neuroelectrodes (63650) |
$41,350 |
— |
5.2× |
| Implant Neuroelectrodes (64561) |
$41,350 |
— |
5.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$41,350 |
— |
1.7× |
| Implant Spine Infusion Pump (62362) |
$13,784 |
— |
0.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$9,188 |
— |
0.8× |
| Incise finger tendon sheath (26055) |
$4,595 |
— |
2.3× |
| Incision extensor tendon sheath wrist (25000) |
$4,595 |
— |
2.3× |
| Incision of eardrum (69421) |
$4,595 |
— |
1.1× |
| Induced abortion dilation and curettage (59840) |
$4,595 |
— |
1.1× |
| Induced abortion, by dilation and evacuation (59841) |
$4,595 |
— |
1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$4,595 |
— |
4.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$4,595 |
— |
4.2× |
| Inject Intravitreal Pharmcologic (67028) |
$4,595 |
— |
11.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$4,595 |
— |
12.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$4,595 |
— |
5.2× |
| Injection for identification of sentinel node (38792) |
$4,595 |
— |
9.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$4,595 |
— |
12.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$4,595 |
— |
12.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$4,595 |
— |
4.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$4,595 |
— |
5.2× |
| Insert Drug Implant Device (11981) |
$4,595 |
— |
27.7× |
| Insert multi-comp penis pros (54405) |
$18,378 |
— |
0.7× |
| Insert Temp Bladder Cath (51702) |
$4,595 |
— |
27.7× |
| Insert tunneled cv cath (36561) |
$4,595 |
— |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,595 |
— |
2.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$96,634 |
— |
9.4× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$4,595 |
— |
0.7× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$4,595 |
— |
1.6× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$26,035 |
— |
2.6× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
$41,350 |
— |
1.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$204,477 |
— |
5.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$41,350 |
— |
1.1× |
| Insrt heart pm atrial & vent (33208) |
$74,642 |
— |
5.7× |
| Insrt/Redo Neurostim 1 Array (61885) |
$41,350 |
— |
1.1× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$9,188 |
— |
1.3× |
| Iridotomy/irridectomy laser surg per session (66761) |
$4,595 |
— |
6.7× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$9,188 |
— |
1.8× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$9,188 |
— |
1.8× |
| Lam facetec & foramot lumbar (63047) |
$36,815 |
— |
4.1× |
| Laminotomy Single Lumbar (63042) |
$36,815 |
— |
4.1× |
| Lap paraesophag hern repair (43281) |
$13,784 |
— |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$27,369 |
— |
2.1× |
| Laparoscopic myomectomy (58545) |
$27,369 |
— |
3.6× |
| Laparoscopy fulguration oviducts (58670) |
$9,188 |
— |
1.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$9,188 |
— |
1.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$27,369 |
— |
2.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$27,369 |
— |
2.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$27,369 |
— |
3.6× |
| Laparoscopy, surgical, appendectomy (44970) |
$35,959 |
— |
4.8× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$13,784 |
— |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$27,369 |
— |
2.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$27,369 |
— |
2.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$30,820 |
— |
4.1× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$9,188 |
— |
0.7× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$13,784 |
— |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$9,188 |
— |
1.2× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$13,784 |
— |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$13,784 |
— |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$9,188 |
— |
1.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$9,188 |
— |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$27,369 |
— |
3.6× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$62,657 |
— |
13.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$27,369 |
— |
2.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$9,188 |
— |
1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,595 |
— |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$4,595 |
— |
1.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$4,595 |
— |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,595 |
— |
1.0× |
| Laser treatment of retina (67040) |
$9,188 |
— |
1.8× |
| Laser vaporization of prostate (52648) |
$9,188 |
— |
1.4× |
| Lateral Canthopexy (21282) |
$4,595 |
— |
1.1× |
| Ligation of a-v fistula (37607) |
$4,595 |
— |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$4,595 |
— |
2.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$4,595 |
— |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,595 |
— |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$21,735 |
— |
4.9× |
| Low Back Disk Surgery (63030) |
$36,815 |
— |
4.1× |
| Lsh w/t/o uterus above 250 g (58544) |
$27,369 |
— |
2.1× |
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure |
$9,188 |
— |
0.3× |
| Manipulation knee joint under general anesthesia (27570) |
$4,595 |
— |
2.3× |
| Marsupialization of bartholin's gland cyst (56440) |
$4,595 |
— |
1.1× |
| Mastectomy partial (19301) |
$26,035 |
— |
5.3× |
| Mastectomy simple complete (19303) |
$26,035 |
— |
3.1× |
| Mastopexy (19316) |
$26,035 |
— |
3.1× |
| Mediastinoscpy w/lmph nod bx (39402) |
$9,188 |
— |
1.2× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$4,595 |
— |
1.8× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$4,595 |
— |
1.0× |
| Muscle-skin graft trunk (15734) |
$4,595 |
— |
1.0× |
| Myringoplasty (69620) |
$4,595 |
— |
1.1× |
| Nasal Endoscopy Dx (31231) |
$4,595 |
— |
18.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,595 |
— |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$4,595 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$4,595 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$4,595 |
— |
0.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$9,188 |
— |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$9,188 |
— |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$9,188 |
— |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$9,188 |
— |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$9,188 |
— |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$9,188 |
— |
1.0× |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) |
$13,784 |
— |
1.5× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$4,595 |
— |
4.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$4,595 |
— |
4.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,595 |
— |
2.3× |
| Needle Biopsy Lymph Nodes (38505) |
$4,595 |
— |
2.2× |
| Nerve repair w/conduit each nerve (64910) |
$9,188 |
— |
0.8× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$9,188 |
— |
0.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$4,595 |
— |
1.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,595 |
— |
1.9× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
$346.97 |
— |
0.8× |
| Nipple/areola reconstruction (19350) |
$26,035 |
— |
5.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,595 |
— |
4.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$4,595 |
— |
5.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$4,595 |
— |
5.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$4,595 |
— |
5.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$22,972 |
— |
2.6× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$9,188 |
— |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,595 |
— |
0.9× |
| Open Implantation Nea Sacral Nerve (64581) |
$41,350 |
— |
5.2× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$41,350 |
— |
1.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$35,827 |
— |
4.0× |
| Open treatment metatarsal fracture each (28485) |
$13,784 |
— |
1.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$13,784 |
— |
1.5× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,784 |
— |
0.9× |
| Open tx carpal scaphoid navicular fracture (25628) |
$13,784 |
— |
1.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$35,827 |
— |
4.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$35,827 |
— |
4.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,595 |
— |
1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,595 |
— |
1.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$35,827 |
— |
4.0× |
| Open tx ulnar fx proximal end (24685) |
$13,784 |
— |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$13,784 |
— |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$13,784 |
— |
1.5× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,595 |
— |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$22,972 |
— |
5.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,595 |
— |
1.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$4,595 |
— |
1.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$13,784 |
— |
1.5× |
| Palatopharyngoplasty (42145) |
$22,972 |
— |
3.1× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$24,888 |
— |
3.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,595 |
— |
1.1× |
| Partial removal of thyroid (60220) |
$24,888 |
— |
3.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$24,888 |
— |
3.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,595 |
— |
1.1× |
| Penile Injection (54235) |
$4,595 |
— |
14.7× |
| Penis plastic surgery (54360) |
$4,595 |
— |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$21,735 |
— |
1.6× |
| Perc Rf Ablate Renal Tumor (50592) |
$21,735 |
— |
2.9× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$26,035 |
— |
5.3× |
| Perq dev breast 1st us imag (19285) |
$4,595 |
— |
5.2× |
| Perq device breast 1st imag (19281) |
$4,595 |
— |
2.2× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$21,735 |
— |
1.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,784 |
— |
1.5× |
| Phleb Veins - Extrem 20+ (37766) |
$4,595 |
— |
1.2× |
| Place Cath Vertebral Art (36226) |
$9,188 |
— |
1.3× |
| Placement of seton (46020) |
$4,595 |
— |
1.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$9,188 |
— |
1.5× |
| Prescrl Fuse W/ Instr L5/S1 (22586) |
$13,784 |
— |
0.6× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$4,595 |
— |
1.5× |
| Prostate laser enucleation (52649) |
$9,188 |
— |
1.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$4,595 |
— |
1.1× |
| Reconstruction Tongue Fold (41520) |
$4,595 |
— |
1.1× |
| Removal Anal Seton Other Marker (46030) |
$4,595 |
— |
3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$4,595 |
— |
62.4× |
| Removal Implant Deep (20680) |
$4,595 |
— |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,595 |
— |
2.2× |
| Removal intact breast implant (19328) |
$26,035 |
— |
5.3× |
| Removal of adenoids (42831) |
$4,595 |
— |
1.1× |
| Removal of adenoids (42830) |
$4,595 |
— |
1.1× |
| Removal of anal fissure (46200) |
$4,595 |
— |
1.3× |
| Removal of kidney stone (50081) |
$21,735 |
— |
1.8× |
| Removal of lens material (66852) |
$9,188 |
— |
1.8× |
| Removal of mammary implant material (19330) |
$26,035 |
— |
5.3× |
| Removal of skin wrinkles (15829) |
$4,595 |
— |
1.0× |
| Removal of sperm cord lesion (55520) |
$4,595 |
— |
1.0× |
| Removal of thyroid (60271) |
$9,188 |
— |
1.2× |
| Removal of tonsils (42825) |
$9,188 |
— |
1.2× |
| Removal of tonsils (42826) |
$4,595 |
— |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$96,634 |
— |
109.3× |
| Remove drug implant device (11982) |
$4,595 |
— |
8.2× |
| Remove Intrauterine Device (58301) |
$4,595 |
— |
12.1× |
| Remove lung catheter (32552) |
$4,595 |
— |
5.9× |
| Remove renal tube w/fluoro (50389) |
$4,595 |
— |
5.3× |
| Remove spine lamina 1/2 lmbr (63005) |
$13,784 |
— |
1.5× |
| Remove spine lamina 1/2 thrc (63003) |
$13,784 |
— |
1.5× |
| Remove Tendon Sheath Lesion (26160) |
$4,595 |
— |
2.3× |
| Remove vc lesion w/scope (31545) |
$4,595 |
— |
1.0× |
| Remove/replace penis prosth (54410) |
$18,378 |
— |
0.7× |
| Remv&replc cvd gen dual lead (33263) |
$204,477 |
— |
7.4× |
| Remv&replc cvd gen mult lead (33264) |
$204,477 |
— |
5.2× |
| Remv&replc cvd gen sing lead (33262) |
$204,477 |
— |
7.4× |
| Remv&replc pm gen dual lead (33228) |
$74,642 |
— |
5.7× |
| Remv&replc pm gen mult leads (33229) |
$74,642 |
— |
3.1× |
| Renal Biopsy Perq (50200) |
$4,595 |
— |
2.2× |
| Reopen fallopian tube (58350) |
$9,188 |
— |
1.5× |
| Repair Achilles Tendon (27650) |
$18,378 |
— |
2.0× |
| Repair brow ptosis (67900) |
$4,595 |
— |
1.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$13,784 |
— |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$4,595 |
— |
9.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$4,595 |
— |
9.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$4,595 |
— |
5.0× |
| Repair Ectropion Extensive (67917) |
$4,595 |
— |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,595 |
— |
2.3× |
| Repair Hallux Rigidus (28289) |
$4,595 |
— |
1.1× |
| Repair Hand Joint (26540) |
$4,595 |
— |
1.1× |
| Repair incomplete circumcision (54163) |
$4,595 |
— |
1.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,595 |
— |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,595 |
— |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$4,595 |
— |
9.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$4,595 |
— |
9.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$4,595 |
— |
9.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$4,595 |
— |
9.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$4,595 |
— |
9.1× |
| Repair Nasal Vestibular Stenosis (30465) |
$22,972 |
— |
3.1× |
| Repair of rectocele (45560) |
$4,595 |
— |
1.3× |
| Repair of rectum (45505) |
$4,595 |
— |
1.3× |
| Repair of Ruptured Tendon (24342) |
$13,784 |
— |
1.5× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,595 |
— |
0.6× |
| Repair retinal detach cplx (67113) |
$9,188 |
— |
1.4× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$9,188 |
— |
1.8× |
| Repair secondary achilles tendon w/wo graft (27654) |
$13,784 |
— |
1.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$13,784 |
— |
1.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$13,784 |
— |
1.5× |
| Repair/graft achilles tendon (27652) |
$13,784 |
— |
1.5× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$13,784 |
— |
1.5× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$4,595 |
— |
1.6× |
| Rerepair ing hernia reduce (49520) |
$4,595 |
— |
1.0× |
| Revise ulnar nerve at wrist (64719) |
$4,595 |
— |
1.9× |
| Revision of penis (54300) |
$22,972 |
— |
5.2× |
| Revision of reconstructed breast (19380) |
$26,035 |
— |
3.1× |
| Revision of urethra (53460) |
$4,595 |
— |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$26,035 |
— |
5.3× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$13,784 |
— |
1.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,595 |
— |
1.1× |
| Rhinoplasty primary w/major septal repair (30420) |
$22,972 |
— |
3.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$9,188 |
— |
1.2× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$4,595 |
— |
1.0× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$4,595 |
— |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$4,595 |
— |
2.2× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$4,595 |
— |
1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$4,595 |
— |
2.3× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$4,595 |
— |
1.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$9,188 |
— |
1.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,595 |
— |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$4,595 |
— |
0.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,595 |
— |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,595 |
— |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,595 |
— |
0.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$9,188 |
— |
1.2× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$4,595 |
— |
1.5× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$4,595 |
— |
1.5× |
| Rpr ing hernia init reduce (49500) |
$4,595 |
— |
0.6× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$9,188 |
— |
1.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,595 |
— |
1.1× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$4,595 |
— |
1.1× |
| Scrotoplasty Simple (55175) |
$4,595 |
— |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$4,595 |
— |
1.1× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,595 |
— |
1.1× |
| Skin Full Grft Face/Genit/Hf (15240) |
$4,595 |
— |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$4,595 |
— |
5.0× |
| Skin sub graft trnk/arm/leg (15271) |
$4,595 |
— |
5.0× |
| Skin Tissue Procedure (17999) |
$4,595 |
— |
18.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,188 |
— |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,188 |
— |
1.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,595 |
— |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$4,595 |
— |
1.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,595 |
— |
1.2× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$9,188 |
— |
1.2× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$9,188 |
— |
1.2× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$4,595 |
— |
1.5× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$4,595 |
— |
1.5× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$4,595 |
— |
0.9× |
| Strapping Unna Boot (29580) |
$4,595 |
— |
22.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,595 |
— |
1.1× |
| Suction assisted lipectomy; trunk (15877) |
$4,595 |
— |
1.0× |
| Suction Lipectomy Lwr Extrem (15879) |
$4,595 |
— |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$9,188 |
— |
1.2× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$9,188 |
— |
1.2× |
| Surg tx anal fistula subq (46270) |
$4,595 |
— |
1.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,595 |
— |
1.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$9,188 |
— |
3.8× |
| Suture infrapatellar tendon primary (27380) |
$13,784 |
— |
1.5× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$13,784 |
— |
1.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$4,595 |
— |
2.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$74,642 |
— |
3.1× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$4,595 |
— |
1.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$4,595 |
— |
1.1× |
| Tenodesis long tendon biceps (23430) |
$13,784 |
— |
1.5× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$13,784 |
— |
0.9× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$24,888 |
— |
3.4× |
| Thyroidectomy, total or complete (60240) |
$24,888 |
— |
3.3× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$24,888 |
— |
3.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$4,595 |
— |
1.8× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$26,035 |
— |
1.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,595 |
— |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$22,972 |
— |
5.6× |
| Tooth extraction (41899) |
$4,595 |
— |
15.5× |
| Total Knee Arthroplasty (27447) |
$75,894 |
— |
4.7× |
| Trabeculoplasty by laser surgery (65855) |
$4,595 |
— |
6.7× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$4,595 |
— |
1.9× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$9,188 |
— |
1.4× |
| Transur electr resection of prostate (52601) |
$9,188 |
— |
1.4× |
| Treat ectopic pregnancy (59151) |
$23,374 |
— |
3.1× |
| Treat Finger Fracture Each (26727) |
$4,595 |
— |
1.1× |
| Treat Fx Rad Extra-Articul (25607) |
$13,784 |
— |
1.5× |
| Treat Kneecap Fracture (27524) |
$13,784 |
— |
1.5× |
| Treat vagina infection (57150) |
$4,595 |
— |
62.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,595 |
— |
1.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$18,378 |
— |
4.5× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$18,378 |
— |
4.5× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$4,595 |
— |
1.1× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$4,595 |
— |
2.3× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$4,595 |
— |
2.4× |
| Tympanoplasty (69631) |
$9,188 |
— |
1.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$9,188 |
— |
1.2× |
| Tympanostomy general anesthesia (69436) |
$4,595 |
— |
2.4× |
| Unlisted laparoscopic procedure liver (47379) |
$9,188 |
— |
1.2× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$9,188 |
— |
1.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$9,188 |
— |
1.2× |
| Unlisted procedure anus (46999) |
$4,595 |
— |
4.0× |
| Unlisted procedure arthroscopy (29999) |
$4,595 |
— |
14.9× |
| Unlisted Procedure Male Genital System (55899) |
$4,595 |
— |
14.7× |
| Unlisted procedure nervous system (64999) |
$4,595 |
— |
12.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$4,595 |
— |
18.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$27,369 |
— |
4.4× |
| Vasc Embolize/Occlude Organ (37243) |
$18,378 |
— |
1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,595 |
— |
1.8× |
| Vitrectomy mechanical pars plana (67036) |
$9,188 |
— |
1.8× |
| Vitrectomy pars plana remove int memb retina (67042) |
$9,188 |
— |
1.8× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$9,188 |
— |
1.8× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$9,188 |
— |
1.8× |
| Vulvectomy simple partial (56620) |
$4,595 |
— |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$4,595 |
— |
9.1× |
| Wound Prep Trk/Arm/Leg (15002) |
$4,595 |
— |
5.0× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) |
$13,784 |
— |
2.7× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$9,188 |
— |
1.4× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$13,784 |
— |
2.7× |
| Xfer Single Deep Low Leg Tendon (27691) |
$13,784 |
— |
1.5× |