| Abd paracentesis w/imaging (49083) |
$693.60 |
$816 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$637.92 |
$750.50 |
0.7× |
| Acne surgery (10040) |
$193.80 |
$228 |
0.9× |
| Amputation thigh through femur any level (27590) |
$2,579.75 |
$3,035 |
0.8× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
unusually low: confirm this is the full procedure |
$1,560.60 |
$1,836 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$276.25 |
$325 |
1.6× |
| Appl Multlay Comprs Arm/Hand (29584) |
$178.50 |
$210 |
1.1× |
| Application cast elbow finger short arm (29075) |
$260.10 |
$306 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$282.20 |
$332 |
1.0× |
| Application Cast Shoulder Spica (29055) |
$1,365.95 |
$1,607 |
4.7× |
| Application finger splint static (29130) |
$130.05 |
$153 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$238.85 |
$281 |
1.4× |
| Application of long leg cast (29345) |
$412.25 |
$485 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$178.50 |
$210 |
1.3× |
| Apply Hand/Wrist Cast (29085) |
$242.25 |
$285 |
1.4× |
| Apply long leg splint (29505) |
$238.85 |
$281 |
1.4× |
| Apply short leg cast (29405) |
$282.20 |
$332 |
1.0× |
| Apply short leg cast (29425) |
$285.60 |
$336 |
1.0× |
| Apply short leg splint (29515) |
$225.25 |
$265 |
1.3× |
| Arterial puncture (36600) |
$78.62 |
$92.50 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$191.25 |
$225 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$204 |
$240 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$419.05 |
$493 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$170 |
$200 |
0.5× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
unusually low: confirm this is the full procedure |
$4,373.25 |
$5,145 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,655 |
$4,300 |
1.1× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$4,250 |
$5,000 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$910.35 |
$1,071 |
1.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$170.85 |
$201 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$736.95 |
$867 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$236.30 |
$278 |
1.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$419.05 |
$493 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$524.88 |
$617.50 |
0.3× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$346.80 |
$408 |
0.1× |
| Biopsy of floor of mouth (41108) |
$303.45 |
$357 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$598.40 |
$704 |
0.1× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$3,141.60 |
$3,696 |
0.9× |
| Biopsy Vaginal Mucosa Simple (57100) |
$321.30 |
$378 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$195.50 |
$230 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,498.12 |
$1,762.50 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$2,141.58 |
$2,519.50 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$346.80 |
$408 |
0.5× |
| Bladder Irrigation Simple (51700) |
$192.95 |
$227 |
0.7× |
| Blepharoplasty lower eyelid (15820) |
$520.20 |
$612 |
0.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$520.20 |
$612 |
0.2× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$520.20 |
$612 |
0.2× |
| Blepharoplasty, Upper Eyelid (15822) |
$520.20 |
$612 |
0.2× |
| Blood transfusion service (36430) |
$816 |
$960 |
1.8× |
| Bone marrow aspiration only (38220) |
$368.90 |
$434 |
0.2× |
| Bone Marrow Biopsy (38221) |
$855.10 |
$1,006 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$1,490.90 |
$1,754 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$559.30 |
$658 |
0.3× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$425 |
$500 |
1.4× |
| Cervical lymphadenectomy (complete) (38720) |
$3,598.05 |
$4,233 |
0.5× |
| Change Cystostomy Tube Complicated (51710) |
$476 |
$560 |
0.7× |
| Change of cystostomy tube simple (51705) |
$181.90 |
$214 |
0.7× |
| Chemical cautery tissue (17250) |
$127.50 |
$150 |
0.6× |
| Chemodenerv musc migraine (64615) |
$259.25 |
$305 |
0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$270.30 |
$318 |
0.9× |
| Circum 28 days or older (54161) |
$715.70 |
$842 |
0.3× |
| Circumcision (54150) |
$566.95 |
$667 |
0.3× |
| Circumcision Neonate (54160) |
$464.10 |
$546 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$555.90 |
$654 |
2.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$953.70 |
$1,122 |
3.7× |
| Closed Rx Radial Shaft Fx (25500) |
$480.25 |
$565 |
1.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$676.60 |
$796 |
2.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$719.10 |
$846 |
2.8× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,280.95 |
$1,507 |
0.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$485.35 |
$571 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$805.80 |
$948 |
3.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,300.50 |
$1,530 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$993.65 |
$1,169 |
3.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,821.55 |
$2,143 |
7.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$702.95 |
$827 |
2.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$335.75 |
$395 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$650.25 |
$765 |
2.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$725.90 |
$854 |
2.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$872.95 |
$1,027 |
0.5× |
| Closed tx septal&nose fx (21337) |
$730.58 |
$859.50 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$199.75 |
$235 |
0.8× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$318.75 |
$375 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$360.40 |
$424 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,121.15 |
$1,319 |
0.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,040.40 |
$1,224 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$563.55 |
$663 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$693.60 |
$816 |
2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,297.95 |
$1,527 |
5.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$987.70 |
$1,162 |
3.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,105.85 |
$1,301 |
4.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$266.90 |
$314 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$953.70 |
$1,122 |
3.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,430.55 |
$1,683 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,368.50 |
$1,610 |
5.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$206.55 |
$243 |
0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$492.15 |
$579 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$376.55 |
$443 |
1.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$935 |
$1,100 |
3.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$714 |
$840 |
2.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,438.62 |
$1,692.50 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$784.55 |
$923 |
3.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$563.55 |
$663 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$520.20 |
$612 |
2.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,179.38 |
$1,387.50 |
0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$475.15 |
$559 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,443.30 |
$1,698 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$299.20 |
$352 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,773.95 |
$2,087 |
1.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$144.50 |
$170 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$738.65 |
$869 |
0.6× |
| Colonoscopy w/ablation (45388) |
$765 |
$900 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$516.80 |
$608 |
1.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$346.80 |
$408 |
1.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$303.45 |
$357 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,142.40 |
$1,344 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$393.55 |
$463 |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$437.75 |
$515 |
1.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$511.70 |
$602 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$498.95 |
$587 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$160.65 |
$189 |
1.2× |
| Cover eye w/membrane (65778) |
$260.10 |
$306 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$497.25 |
$585 |
3.6× |
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
likely a partial charge, not the full procedure |
$340 |
$400 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$1,257.15 |
$1,479 |
0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$455.60 |
$536 |
0.2× |
| Cystourethroscopy (52000) |
$1,186.60 |
$1,396 |
1.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$650.25 |
$765 |
0.3× |
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865)
unusually low: confirm this is the full procedure |
$3,293.75 |
$3,875 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$153 |
$180 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,395.70 |
$1,642 |
1.9× |
| Debride nail 1-5 (11720) |
$56.10 |
$66 |
0.9× |
| Debride nail 6 or more (11721) |
$73.95 |
$87 |
1.2× |
| Debride tissue/muscle (11043) |
$902.70 |
$1,062 |
1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$182.75 |
$215 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$464.10 |
$546 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$563.55 |
$663 |
0.3× |
| Declot vascular device (36593) |
$152.15 |
$179 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$173.40 |
$204 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$255 |
$300 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$377.40 |
$444 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$306.85 |
$361 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$368.05 |
$433 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$355.30 |
$418 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$562.70 |
$662 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$254.15 |
$299 |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$295.80 |
$348 |
1.4× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$315.35 |
$371 |
1.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$354.45 |
$417 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$380.80 |
$448 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$278.80 |
$328 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$259.25 |
$305 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$259.25 |
$305 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$281.35 |
$331 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$319.60 |
$376 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$389.30 |
$458 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$175.10 |
$206 |
0.8× |
| Destruction Premalignant Lesion 15/> (17004) |
$420.75 |
$495 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$200.60 |
$236 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$361.25 |
$425 |
0.4× |
| Dilation and curettage (58120) |
$1,107.55 |
$1,303 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$390.15 |
$459 |
0.4× |
| Dilation Nasolacrimal Duct (68801) |
$260.10 |
$306 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$303.45 |
$357 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$338.30 |
$398 |
0.5× |
| Drainage of hematoma/fluid (10140) |
$537.20 |
$632 |
0.3× |
| Drainage of hydrocele (55000) |
$173.40 |
$204 |
0.2× |
| Draw blood off venous device (36591) |
$106.25 |
$125 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$263.50 |
$310 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$232.48 |
$273.50 |
1.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$391.85 |
$461 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$1,046.78 |
$1,231.50 |
0.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$650.25 |
$765 |
0.4× |
| Egd dilate stricture (43245) |
$731 |
$860 |
0.4× |
| Egd flexible foreign body removal (43247) |
$846.60 |
$996 |
0.9× |
| Endocervical Curettage (57505) |
$320.45 |
$377 |
0.3× |
| Endometrial Biopsy (58100) |
$380.80 |
$448 |
1.8× |
| Endoscopy Upper Small Intestine (44360) |
$815.15 |
$959 |
0.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$831.30 |
$978 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$121.55 |
$143 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$581.40 |
$684 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$227.38 |
$267.50 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$263.50 |
$310 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$415.65 |
$489 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$515.10 |
$606 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$351.48 |
$413.50 |
0.5× |
| Exc back les sc < 3 cm (21930) |
$1,742.50 |
$2,050 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$293.25 |
$345 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$399.50 |
$470 |
0.2× |
| Exc Frenum Labial/Buccal (40819) |
$498.52 |
$586.50 |
0.3× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$289.85 |
$341 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$1,322.60 |
$1,556 |
0.4× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,704.70 |
$3,182 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$376.55 |
$443 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$306 |
$360 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$540.18 |
$635.50 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$625.60 |
$736 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$582.25 |
$685 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,113.08 |
$1,309.50 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$952.42 |
$1,120.50 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$798.15 |
$939 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$947.75 |
$1,115 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$806.65 |
$949 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$408.85 |
$481 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,462.42 |
$1,720.50 |
0.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$2,319.65 |
$2,729 |
0.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,080.80 |
$2,448 |
1.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,224.90 |
$3,794 |
1.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$207.40 |
$244 |
0.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$650.25 |
$765 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$215.90 |
$254 |
0.1× |
| Excise Inferior Turbinate (30130) |
$1,127.10 |
$1,326 |
0.3× |
| Excision Chalazion Single (67800) |
$279.22 |
$328.50 |
0.9× |
| Excision Lingual Frenum Frenectomy (41115) |
$359.55 |
$423 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$408 |
$480 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$446.25 |
$525 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$650.25 |
$765 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$587.35 |
$691 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$572.05 |
$673 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$335.75 |
$395 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$463.25 |
$545 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$535.50 |
$630 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$584.38 |
$687.50 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$544 |
$640 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$376.55 |
$443 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$301.75 |
$355 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$425 |
$500 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$819.82 |
$964.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,087.15 |
$1,279 |
0.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$349.35 |
$411 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$468.35 |
$551 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$314.50 |
$370 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,083.75 |
$1,275 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$487.90 |
$574 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$359.55 |
$423 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$827.05 |
$973 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$1,584.40 |
$1,864 |
0.7× |
Excision of submandibular (submaxillary) gland Facility (42440)
unusually low: confirm this is the full procedure |
$2,223.60 |
$2,616 |
0.4× |
| Excision of tonsil tags (42860) |
$572.05 |
$673 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$780.30 |
$918 |
0.2× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$1,695.75 |
$1,995 |
0.5× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,638.80 |
$1,928 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,224.02 |
$2,616.50 |
1.3× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$1,430.55 |
$1,683 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,466.25 |
$1,725 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,514.30 |
$2,958 |
0.7× |
| Fetal non-stress test (59025) |
$381.65 |
$449 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$225.25 |
$265 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$204 |
$240 |
0.5× |
| Fit/Insert Intravag Support Device (57160) |
$214.20 |
$252 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$426.70 |
$502 |
1.7× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$570.35 |
$671 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$67.15 |
$79 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,908.25 |
$2,245 |
0.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,734 |
$2,040 |
0.6× |
| Hemorrhoidopexy by stapling (46947) |
$1,019.15 |
$1,199 |
0.4× |
| I&d abscess simple (10060) |
$280.50 |
$330 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,213.80 |
$1,428 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$816.85 |
$961 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$409.70 |
$482 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$874.65 |
$1,029 |
0.5× |
| Incise external hemorrhoid (46083) |
$251.60 |
$296 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$576.30 |
$678 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$455.60 |
$536 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$344.25 |
$405 |
0.8× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,661.75 |
$1,955 |
0.6× |
| Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Facility (21502) |
$1,300.50 |
$1,530 |
0.4× |
| Incision of eardrum (69421) |
$476.85 |
$561 |
0.1× |
| Incision of eardrum (69420) |
$331.50 |
$390 |
1.4× |
| Incision of labial frenum (frenotomy) (40806) |
$161.50 |
$190 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$193.80 |
$228 |
0.1× |
| Incision of rectal abscess (46045) |
$956.25 |
$1,125 |
0.3× |
| Incision of rectal abscess (46040) |
$685.10 |
$806 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$312.80 |
$368 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$177.65 |
$209 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$195.08 |
$229.50 |
0.6× |
| Inj therapeutic carpal tunnel (20526) |
$260.10 |
$306 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$640.90 |
$754 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,167.50 |
$2,550 |
2.4× |
| Inject Intravitreal Pharmcologic (67028) |
$697.85 |
$821 |
2.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$736.95 |
$867 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$563.55 |
$663 |
0.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$189.55 |
$223 |
0.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,032.75 |
$1,215 |
1.4× |
| Injection into skin lesions (11900) |
$136 |
$160 |
0.7× |
| Injection peyronie disease (54200) |
$433.50 |
$510 |
1.7× |
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205)
unusually low: confirm this is the full procedure |
$2,167.50 |
$2,550 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$137.70 |
$162 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$145.35 |
$171 |
0.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$263.50 |
$310 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$243.52 |
$286.50 |
1.8× |
| Insert cath pleura w/ image (32557) |
$1,101.18 |
$1,295.50 |
0.7× |
| Insert Drug Implant Device (11981) |
$170.64 |
$200.75 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$476.85 |
$561 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,427.60 |
$2,856 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$104.55 |
$123 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,869.60 |
$3,376 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$130.05 |
$153 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,300.50 |
$1,530 |
0.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$329.80 |
$388 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$448.38 |
$527.50 |
1.8× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$1,907.40 |
$2,244 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$279.65 |
$329 |
0.0× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,560.60 |
$1,836 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$318.75 |
$375 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,593.75 |
$1,875 |
0.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,667.75 |
$4,315 |
0.6× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,729.75 |
$2,035 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$266.05 |
$313 |
0.0× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
unusually low: confirm this is the full procedure |
$2,514.30 |
$2,958 |
0.4× |
| Laryngoscopy diagnostic (31505) |
$178.50 |
$210 |
0.9× |
| Laryngoscopy flexible diagnostic (31575) |
$308.12 |
$362.50 |
1.5× |
| Laryngoscopy w/bx op scope (31536) |
$1,127.10 |
$1,326 |
0.3× |
| Laryngoscopy,Indirect With Biopsy (31510) |
$277.10 |
$326 |
0.1× |
| Laser surgery of eye (65855) |
$1,365.95 |
$1,607 |
2.4× |
| Late closure of wound (13160) |
$2,167.50 |
$2,550 |
0.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$1,170.45 |
$1,377 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$953.70 |
$1,122 |
0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$433.50 |
$510 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$3,378.75 |
$3,975 |
0.5× |
| Mastectomy partial (19301) |
$1,691.50 |
$1,990 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$165.75 |
$195 |
0.5× |
| Nasal endoscopy dx (31231) |
$314.50 |
$370 |
1.5× |
Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243)
likely a partial charge, not the full procedure |
$700.40 |
$824 |
0.1× |
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242)
likely a partial charge, not the full procedure |
$676.60 |
$796 |
0.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,071 |
$1,260 |
0.5× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$365.50 |
$430 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$578 |
$680 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$240.55 |
$283 |
0.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$390.15 |
$459 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,682.58 |
$1,979.50 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,032.75 |
$1,215 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,876.80 |
$2,208 |
2.6× |
| Occipital Nerve Block (64405) |
$376.55 |
$443 |
1.2× |
Omntc epiploectomy rescj omentum spx (49255)
likely a partial charge, not the full procedure |
$1,734 |
$2,040 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,778.20 |
$2,092 |
0.4× |
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure |
$2,601 |
$3,060 |
0.4× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
likely a partial charge, not the full procedure |
$475.15 |
$559 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,015.75 |
$1,195 |
3.9× |
| Picc line placement (36569) |
$1,387.20 |
$1,632 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$524.45 |
$617 |
1.1× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$346.80 |
$408 |
1.1× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,300.50 |
$1,530 |
0.3× |
| Proctopexy Perineal Approach (45541) |
$375.70 |
$442 |
0.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$123.25 |
$145 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$216.32 |
$254.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$216.75 |
$255 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$423.30 |
$498 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$682.55 |
$803 |
0.9× |
| Removal foreign body intranasal (30300) |
$373.15 |
$439 |
2.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$459.85 |
$541 |
0.3× |
| Removal foreign body pharynx (42809) |
$245.65 |
$289 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$45.05 |
$53 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$118.15 |
$139 |
1.9× |
| Removal implant deep (20680) |
$1,473.90 |
$1,734 |
0.5× |
| Removal of adenoids (42835) |
$827.90 |
$974 |
0.2× |
| Removal of adenoids (42831) |
$910.35 |
$1,071 |
0.3× |
| Removal of adenoids (42830) |
$910.35 |
$1,071 |
0.3× |
| Removal of adenoids (42836) |
$827.90 |
$974 |
0.2× |
| Removal of anal fissure (46200) |
$970.70 |
$1,142 |
0.3× |
| Removal of arm foreign body (24200) |
$599.25 |
$705 |
0.4× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$573.75 |
$675 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$214.20 |
$252 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$687.65 |
$809 |
1.1× |
| Removal of iud (58301) |
$299.20 |
$352 |
1.0× |
| Removal of nail bed (11750) |
$429.25 |
$505 |
1.0× |
| Removal Of Tendon Lesion (27630) |
$1,117.75 |
$1,315 |
0.3× |
| Removal of tonsils (42826) |
$936.70 |
$1,102 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$188.70 |
$222 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$260.10 |
$306 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$151.30 |
$178 |
0.5× |
| Remove anal fist subq (46270) |
$1,355.75 |
$1,595 |
0.5× |
| Remove drug implant device (11982) |
$197.07 |
$231.84 |
0.4× |
| Remove vagina gland lesion (56740) |
$1,534.68 |
$1,805.50 |
0.5× |
| Remove/Insert Drug Implant (11983) |
$254.71 |
$299.65 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$246.50 |
$290 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$214.20 |
$252 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$771.80 |
$908 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$693.60 |
$816 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,292 |
$1,520 |
3.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$497.25 |
$585 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$704.65 |
$829 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$716.55 |
$843 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$569.50 |
$670 |
0.7× |
| Repair Ectropion Extensive (67917) |
$1,820.70 |
$2,142 |
0.7× |
| Repair ectropion suture (67914) |
$1,257.15 |
$1,479 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$903.55 |
$1,063 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$540.60 |
$636 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$902.70 |
$1,062 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$986 |
$1,160 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$945.62 |
$1,112.50 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$517.65 |
$609 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$824.92 |
$970.50 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$796.45 |
$937 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$892.50 |
$1,050 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$368.90 |
$434 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$467.50 |
$550 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,073.55 |
$1,263 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$935.85 |
$1,101 |
2.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,513 |
$1,780 |
0.2× |
| Repair of nail bed (11760) |
$528.70 |
$622 |
0.7× |
| Repair of nasal septum (30520) |
$2,319.65 |
$2,729 |
0.7× |
| Repair of rectocele (45560) |
$1,170.45 |
$1,377 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,473.90 |
$1,734 |
0.4× |
| Repair Tongue Laceration (41250) |
$433.50 |
$510 |
0.9× |
| Repair tympanic membrane (69610) |
$348.50 |
$410 |
0.2× |
| Repeat control of nosebleed (30906) |
$649.40 |
$764 |
2.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$449.65 |
$529 |
0.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$888.25 |
$1,045 |
0.9× |
| Reposition gastric feeding tube thru duodenum (43761) |
$300.90 |
$354 |
1.2× |
| Resect shoulder tumor < 5 cm (23077) |
$646.85 |
$761 |
0.2× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$4,250 |
$5,000 |
0.7× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400)
unusually low: confirm this is the full procedure |
$2,953.75 |
$3,475 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$251.60 |
$296 |
1.8× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$147.48 |
$173.50 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,258 |
$1,480 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$452.20 |
$532 |
0.7× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,461.15 |
$1,719 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$646.85 |
$761 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,245.25 |
$1,465 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,113.50 |
$1,310 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$807.50 |
$950 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,113.50 |
$1,310 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$918 |
$1,080 |
0.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$199.75 |
$235 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$152.15 |
$179 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$231.20 |
$272 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$432.65 |
$509 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$266.05 |
$313 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$276.25 |
$325 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$308.55 |
$363 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$282.20 |
$332 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$323 |
$380 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$242.25 |
$285 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$336.60 |
$396 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$227.80 |
$268 |
1.1× |
| Simple Cystometrogram (51725) |
$758.20 |
$892 |
2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$474.30 |
$558 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$267.75 |
$315 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$289 |
$340 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$546.55 |
$643 |
2.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$476.85 |
$561 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$282.20 |
$332 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$446.25 |
$525 |
2.2× |
| Skin splt grft trnk/arm/leg (15100) |
$3,159.02 |
$3,716.50 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$227.38 |
$267.50 |
0.3× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$528.70 |
$622 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$396.10 |
$466 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$527.85 |
$621 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$741.20 |
$872 |
1.8× |
| Snip incision lacrimal punctum (68440) |
$455.60 |
$536 |
1.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$667.25 |
$785 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$456.45 |
$537 |
0.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,300.50 |
$1,530 |
0.4× |
| Strapping ankle (29540) |
$101.15 |
$119 |
0.6× |
| Strapping elbow or wrist (29260) |
$98.60 |
$116 |
1.6× |
| Strapping hand/finger (29280) |
$98.60 |
$116 |
1.6× |
| Strapping knee (29530) |
$95.20 |
$112 |
0.7× |
| Strapping shoulder (29240) |
$119.85 |
$141 |
0.9× |
| Strapping toes (29550) |
$60.35 |
$71 |
1.0× |
| Strapping unna boot (29580) |
$140.25 |
$165 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$259.25 |
$305 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$637.92 |
$750.50 |
1.0× |
| Thyroid biopsy (60100) |
$563.98 |
$663.50 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,040.40 |
$1,224 |
0.3× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,009 |
$3,540 |
0.2× |
| Treat clavicle fracture (23505) |
$611.15 |
$719 |
0.4× |
| Treat humerus fracture (24500) |
$546.55 |
$643 |
2.1× |
| Treat pleurodesis w/agent (32560) |
$564.40 |
$664 |
0.9× |
| Treat Thumb Dislocation (26641) |
$1,021.70 |
$1,202 |
4.0× |
| Treat Wrist Bone Fracture (25630) |
$499.80 |
$588 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$930.75 |
$1,095 |
3.7× |
| Trim skin lesion (11055) |
$157.25 |
$185 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$82.45 |
$97 |
0.4× |
| Trim skin lesions over 4 (11057) |
$102 |
$120 |
0.5× |
| Tubal ligation (58600) |
$1,300.50 |
$1,530 |
0.4× |
| Tube thoracostomy includes water seal (32551) |
$930.32 |
$1,094.50 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,102.45 |
$1,297 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$520.20 |
$612 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$330.65 |
$389 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$848.30 |
$998 |
0.5× |
| Tympanostomy (69433) |
$520.20 |
$612 |
0.9× |
| Tympanostomy general anesthesia (69436) |
$693.60 |
$816 |
0.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$236.30 |
$278 |
0.1× |
| Us urine capacity measure (51798) |
$76.50 |
$90 |
1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$603.50 |
$710 |
0.3× |
| Venipuncture (36415) |
$42.92 |
$50.50 |
4.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$348.50 |
$410 |
0.1× |
| Wedge excision skin nail fold (11765) |
$352.75 |
$415 |
0.8× |