| Ablate inf turbinate submuc (30802) |
$2,037 |
$4,074 |
1.4× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$2,037 |
$4,074 |
1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,515 |
$5,030 |
1.3× |
| Amputation Finger/Thumb (26951) |
$4,461.50 |
$8,923 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$4,461.50 |
$8,923 |
1.5× |
| Amputation toe interphalangeal joint (28825) |
$4,461.50 |
$8,923 |
1.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,461.50 |
$8,923 |
1.5× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$4,461.50 |
$8,923 |
1.5× |
| Ankle scope,part synovectomy (29895) |
$4,461.50 |
$8,923 |
1.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$6,787.50 |
$13,575 |
1.5× |
| Anterior Tibial Tubercleplasty (27418) |
$9,822.50 |
$19,645 |
1.5× |
| Aqueous shunt to extraocular reservoir (66180) |
$7,094.50 |
$14,189 |
1.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,328 |
$8,656 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$406 |
$812 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$406 |
$812 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$406 |
$812 |
1.4× |
| Arthrodesis ankle open (27870) |
$17,692 |
$35,384 |
1.5× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$17,692 |
$35,384 |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$9,822.50 |
$19,645 |
1.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$9,822.50 |
$19,645 |
1.5× |
| Arthrodesis; subtalar (28725) |
$17,692 |
$35,384 |
1.5× |
| Arthroplasty Ankle W/Implant (27702) |
$25,286.50 |
$50,573 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$25,286.50 |
$50,573 |
1.6× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$17,692 |
$35,384 |
1.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$17,692 |
$35,384 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy of joint (29999) |
$330 |
$660 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$4,245 |
$8,490 |
1.4× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,822.50 |
$19,645 |
1.5× |
| Autochondrocyte implant knee (27412) |
$9,822.50 |
$19,645 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$273 |
$546 |
1.5× |
| Biopsy bone open superficial (20240) |
$3,935.50 |
$7,871 |
1.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,197.50 |
$2,395 |
1.4× |
| Biopsy/removal lymph nodes (38525) |
$5,265.50 |
$10,531 |
1.5× |
| Biopsy/removal lymph nodes (38510) |
$5,265.50 |
$10,531 |
1.5× |
| Bx vulva/perineum 1 lesion (56605) |
$1,197.50 |
$2,395 |
1.4× |
| Cataract surgery complex (66982) |
$3,136 |
$6,272 |
1.5× |
| Chromotubation of oviduct, including materials (58350) |
$6,787.50 |
$13,575 |
1.5× |
| Circum 28 days or older (54161) |
$2,816.50 |
$5,633 |
1.5× |
| Circumcision (54150) |
$2,816.50 |
$5,633 |
1.5× |
| Claviculectomy; partial (23120) |
$4,461.50 |
$8,923 |
1.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,200.50 |
$4,401 |
1.5× |
| Closed treatment nasal fracture w/stabilization (21320) |
$4,459 |
$8,918 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,200.50 |
$4,401 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$330 |
$660 |
1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,200.50 |
$4,401 |
1.5× |
| Colonoscopy w/resection (45390) |
$3,771 |
$7,542 |
1.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$10,168 |
$20,336 |
1.5× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,621 |
$3,242 |
1.5× |
| Conization of cervix (57522) |
$4,100 |
$8,200 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$177 |
$354 |
1.4× |
| Correction hammertoe (28285) |
$4,461.50 |
$8,923 |
1.5× |
| Correction of bunion (28298) |
$9,822.50 |
$19,645 |
1.5× |
| Correction of bunion (28292) |
$4,461.50 |
$8,923 |
1.5× |
| Correction of bunion (28299) |
$9,822.50 |
$19,645 |
1.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,461.50 |
$8,923 |
1.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$4,461.50 |
$8,923 |
1.5× |
| Create eardrum opening (69436) |
$2,037 |
$4,074 |
1.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,742.50 |
$9,485 |
1.5× |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
$6,990 |
$13,980 |
1.4× |
| Cysto/uretero w/lithotripsy (52356) |
$6,990 |
$13,980 |
1.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$6,990 |
$13,980 |
1.4× |
| Cystoscopy w/biopsy (52204) |
$2,671 |
$5,342 |
1.4× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,816.50 |
$5,633 |
1.5× |
| Cystoscopy,insert ureteral stent (52332) |
$4,742.50 |
$9,485 |
1.5× |
| Cystourethroscopy (52000) |
$918 |
$1,836 |
1.4× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,816.50 |
$5,633 |
1.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,816.50 |
$5,633 |
1.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,742.50 |
$9,485 |
1.5× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$4,742.50 |
$9,485 |
1.5× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$4,461.50 |
$8,923 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$549.50 |
$1,099 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$841.50 |
$1,683 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,228 |
$4,456 |
1.5× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$2,515 |
$5,030 |
1.3× |
| Destroy internal hemorrhoids (46930) |
$1,621 |
$3,242 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$273 |
$546 |
1.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,253.50 |
$2,507 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,372 |
$8,744 |
1.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,371 |
$4,742 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$3,771 |
$7,542 |
1.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,608.50 |
$5,217 |
1.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,608.50 |
$5,217 |
1.5× |
| Egd guide wire insertion (43248) |
$1,289 |
$2,578 |
1.5× |
| Egd remove lesion snare (43251) |
$2,608.50 |
$5,217 |
1.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$6,787.50 |
$13,575 |
1.5× |
| Endoscopic Injection/Implant (51715) |
$4,742.50 |
$9,485 |
1.5× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,461.50 |
$8,923 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,228 |
$4,456 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,126 |
$4,252 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,228 |
$4,456 |
1.5× |
| Exc back les sc < 3 cm (21930) |
$2,228 |
$4,456 |
1.5× |
| Exc back tum deep < 5 cm (21932) |
$3,935.50 |
$7,871 |
1.5× |
| Exc face les sbq 2 cm/> (21012) |
$2,228 |
$4,456 |
1.5× |
| Exc forearm les sc < 3 cm (25075) |
$2,228 |
$4,456 |
1.5× |
| Exc hand les sc < 1.5 cm (26115) |
$2,228 |
$4,456 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,200.50 |
$4,401 |
1.5× |
| Exc neck tum deep < 5 cm (21556) |
$3,935.50 |
$7,871 |
1.5× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$8,134 |
$16,268 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$967.50 |
$1,935 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$549.50 |
$1,099 |
1.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$967.50 |
$1,935 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$967.50 |
$1,935 |
1.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,935.50 |
$7,871 |
1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,935.50 |
$7,871 |
1.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,935.50 |
$7,871 |
1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,228 |
$4,456 |
1.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,935.50 |
$7,871 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,621 |
$3,242 |
1.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,935.50 |
$7,871 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,935.50 |
$7,871 |
1.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,935.50 |
$7,871 |
1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,228 |
$4,456 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,935.50 |
$7,871 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,228 |
$4,456 |
1.5× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$4,742.50 |
$9,485 |
1.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,461.50 |
$8,923 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,200.50 |
$4,401 |
1.5× |
| Excision Distal Ulna Partial/Complete (25240) |
$4,461.50 |
$8,923 |
1.5× |
| Excision lesion mouth roof (42104) |
$4,222.50 |
$8,445 |
1.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,771 |
$7,542 |
1.5× |
| Excision of bartholin's gland or cyst (56740) |
$4,372 |
$8,744 |
1.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$967.50 |
$1,935 |
1.5× |
| Excision of facial bone(s) (21026) |
$8,134 |
$16,268 |
1.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$2,108 |
$4,216 |
1.4× |
| Excision of hydrocele; unilateral (55040) |
$4,852.50 |
$9,705 |
1.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,228 |
$4,456 |
1.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,228 |
$4,456 |
1.5× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,200.50 |
$4,401 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,935.50 |
$7,871 |
1.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,935 |
$7,870 |
1.5× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,816.50 |
$5,633 |
1.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$8,134 |
$16,268 |
1.5× |
| Excision of tongue lesion (41112) |
$4,459 |
$8,918 |
1.5× |
| Excision of vaginal cyst or tumor (57135) |
$4,372 |
$8,744 |
1.5× |
| Excision of vaginal septum (57130) |
$4,372 |
$8,744 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$4,461.50 |
$8,923 |
1.5× |
| Excision Prepatellar Bursa (27340) |
$4,245 |
$8,490 |
1.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,228 |
$4,456 |
1.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,200.50 |
$4,401 |
1.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,935.50 |
$7,871 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,726.50 |
$7,453 |
1.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,222.50 |
$8,445 |
1.4× |
| Exploration of knee joint (27310) |
$4,461.50 |
$8,923 |
1.5× |
| Explore parathyroid glands (60500) |
$8,134 |
$16,268 |
1.5× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$7,094.50 |
$14,189 |
1.4× |
| Fasciotomy Iliotibial Open (27305) |
$4,461.50 |
$8,923 |
1.5× |
| Fasciotomy palmar open partial (26045) |
$4,461.50 |
$8,923 |
1.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,461.50 |
$8,923 |
1.5× |
| Fixation of knee joint (27570) |
$2,200.50 |
$4,401 |
1.5× |
| Fixation of shoulder (23700) |
$2,200.50 |
$4,401 |
1.5× |
| Forehead flap w/vasc pedicle (15731) |
$5,034 |
$10,068 |
1.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,459 |
$8,918 |
1.5× |
| Fusion Finger Joint (26860) |
$4,461.50 |
$8,923 |
1.5× |
| Fusion of foot bones (28715) |
$17,692 |
$35,384 |
1.5× |
| Fusion of foot bones (28730) |
$17,692 |
$35,384 |
1.5× |
| Fusion of foot bones (28740) |
$9,822.50 |
$19,645 |
1.5× |
| Glaucoma surgery (66170) |
$3,136 |
$6,272 |
1.5× |
| Glossectomy; less than one-half tongue (41120) |
$8,134 |
$16,268 |
1.5× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$5,034 |
$10,068 |
1.5× |
| Hemorrhoidectomy (46255) |
$3,771 |
$7,542 |
1.5× |
| Hip arthro w/labral repair (29916) |
$9,822.50 |
$19,645 |
1.5× |
| Hysteroscopy ablation (58563) |
$6,787.50 |
$13,575 |
1.5× |
| Hysteroscopy biopsy (58558) |
$4,372 |
$8,744 |
1.5× |
| Hysteroscopy dx sep proc (58555) |
$4,372 |
$8,744 |
1.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,372 |
$8,744 |
1.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$6,787.50 |
$13,575 |
1.5× |
| I&d abscess simple (10060) |
$273 |
$546 |
1.5× |
| Impl oi implt skull perq attachment esp (69714) |
$17,692 |
$35,384 |
1.5× |
| Implant neuroelectrodes (63650) |
$9,024 |
$18,048 |
1.5× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$24,303.50 |
$48,607 |
1.5× |
| Incise finger tendon sheath (26055) |
$2,200.50 |
$4,401 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$549.50 |
$1,099 |
1.5× |
| Incision extensor tendon sheath wrist (25000) |
$2,200.50 |
$4,401 |
1.5× |
| Incision labial frenum frenotomy (40806) |
$700 |
$1,400 |
1.4× |
| Incision of eye (66172) |
$3,136 |
$6,272 |
1.5× |
| Incision of heel bone (28300) |
$9,822.50 |
$19,645 |
1.5× |
| Incision of metatarsal (28308) |
$4,461.50 |
$8,923 |
1.5× |
| Incision of urethra (53020) |
$2,816.50 |
$5,633 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,224 |
$2,448 |
1.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$952 |
$1,904 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$952 |
$1,904 |
1.5× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$5,531.50 |
$11,063 |
1.5× |
| Insert tunneled cv cath (36561) |
$4,328 |
$8,656 |
1.5× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$29,486 |
$58,972 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,379.50 |
$22,759 |
1.5× |
| Insrt/redo spine n generator (63685) |
$41,901 |
$83,802 |
1.5× |
| Knee arthroscopy/surgery (29883) |
$4,461.50 |
$8,923 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$9,822.50 |
$19,645 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,822.50 |
$19,645 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$9,822.50 |
$19,645 |
1.5× |
| Lap insert tunnel ip cath (49324) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$14,315.50 |
$28,631 |
1.5× |
| Laparoscopy biopsy (49321) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy Remove Adnexa (58661) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$14,315.50 |
$28,631 |
1.5× |
| Laparoscopy Tubal Cautery (58670) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,022 |
$16,044 |
1.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,022 |
$16,044 |
1.4× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$8,022 |
$16,044 |
1.4× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$14,315.50 |
$28,631 |
1.5× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$8,022 |
$16,044 |
1.4× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$5,069.50 |
$10,139 |
1.5× |
| Laryngoscopy w/bx op scope (31536) |
$5,069.50 |
$10,139 |
1.5× |
| Larynscop w/tumr exc + scope (31541) |
$5,069.50 |
$10,139 |
1.5× |
| Late closure of wound (13160) |
$2,515 |
$5,030 |
0.8× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$9,822.50 |
$19,645 |
1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,742.50 |
$9,485 |
1.5× |
| Lithotripsy (50590) |
$4,742.50 |
$9,485 |
1.5× |
| Liver Biopsy (47000) |
$2,228 |
$4,456 |
1.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,816.50 |
$5,633 |
1.5× |
| Manipulation finger joint under anes each joint (26340) |
$2,200.50 |
$4,401 |
1.5× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$5,069.50 |
$10,139 |
1.5× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,371 |
$4,742 |
1.4× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$8,976 |
$17,952 |
1.4× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$8,134 |
$16,268 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,371 |
$4,742 |
1.4× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$9,518.50 |
$19,037 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$952 |
$1,904 |
1.5× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$41,901 |
$83,802 |
1.5× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment metatarsal fracture each (28485) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment of depressed zygomatic arch fracture (eg, gilles approach) (21356) |
$8,134 |
$16,268 |
1.5× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$17,692 |
$35,384 |
1.5× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$9,822.50 |
$19,645 |
1.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) likely a partial charge, not the full procedure |
$1,943.50 |
$3,887 |
0.3× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment of ulnar styloid fracture (25652) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment talus fracture (28445) |
$9,382 |
$18,764 |
1.4× |
| Open tx carpal scaphoid navicular fracture (25628) |
$9,822.50 |
$19,645 |
1.5× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$9,822.50 |
$19,645 |
1.5× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$17,692 |
$35,384 |
1.5× |
| Open tx interphalangeal joint dislocation (26785) |
$4,461.50 |
$8,923 |
1.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,461.50 |
$8,923 |
1.5× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$9,822.50 |
$19,645 |
1.5× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$9,822.50 |
$19,645 |
1.5× |
| Opn tx orbit fx periorbital (21386) |
$8,134 |
$16,268 |
1.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$4,461.50 |
$8,923 |
1.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,461.50 |
$8,923 |
1.5× |
| Osteochondral allograft, knee, open (27415) |
$17,692 |
$35,384 |
1.5× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$9,822.50 |
$19,645 |
1.5× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$9,382 |
$18,764 |
1.4× |
| Ovarian cystectomy (58925) |
$6,787.50 |
$13,575 |
1.5× |
| Partial excision bone metacarpal (26230) |
$4,245 |
$8,490 |
1.4× |
| Partial excision bone talus/calcaneus (28120) |
$4,461.50 |
$8,923 |
1.5× |
| Partial Excision Bone Tibia (27640) |
$4,461.50 |
$8,923 |
1.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,200.50 |
$4,401 |
1.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,461.50 |
$8,923 |
1.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,372 |
$8,744 |
1.5× |
| Partial removal of thyroid (60220) |
$8,022 |
$16,044 |
1.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,461.50 |
$8,923 |
1.5× |
| Penis plastic surgery (54360) |
$4,742.50 |
$9,485 |
1.5× |
| Perc sk fix metatarsal fx w manip (28476) |
$4,461.50 |
$8,923 |
1.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$4,461.50 |
$8,923 |
1.5× |
| Prostatectomy (turp) (52601) |
$6,990 |
$13,980 |
1.4× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$9,024 |
$18,048 |
1.5× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$9,822.50 |
$19,645 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$549.50 |
$1,099 |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,461.50 |
$8,923 |
1.5× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$9,822.50 |
$19,645 |
1.5× |
| Realignment extensor tendon hand each tendon (26437) |
$4,461.50 |
$8,923 |
1.5× |
| Rebuild eardrum structures (69633) |
$7,680 |
$15,360 |
1.4× |
| Rebuild outer ear canal (69310) |
$8,134 |
$16,268 |
1.5× |
| Reconstr disloc patella w mscl adv (27422) |
$9,822.50 |
$19,645 |
1.5× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$17,692 |
$35,384 |
1.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$9,822.50 |
$19,645 |
1.5× |
| Release palm contracture (26121) |
$4,461.50 |
$8,923 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81.50 |
$163 |
1.5× |
| Removal Implant Deep (20680) |
$3,935.50 |
$7,871 |
1.5× |
| Removal of adenoids (42831) |
$4,459 |
$8,918 |
1.5× |
| Removal of adenoids (42830) |
$4,459 |
$8,918 |
1.5× |
| Removal of growth of chest wall and rib (21601) |
$3,935.50 |
$7,871 |
1.5× |
| Removal of heel bone (28118) |
$4,461.50 |
$8,923 |
1.5× |
| Removal of implanted material, anterior segment of eye (65920) |
$3,136 |
$6,272 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$418.50 |
$837 |
1.5× |
| Removal of nail bed (11750) |
$549.50 |
$1,099 |
1.5× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,685 |
$5,370 |
1.5× |
| Removal of tonsils (42825) |
$8,134 |
$16,268 |
1.5× |
| Removal of tonsils (42826) |
$4,459 |
$8,918 |
1.5× |
| Removal of wrist bone (25210) |
$4,461.50 |
$8,923 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,515 |
$5,030 |
1.3× |
| Remove anal fist subq (46270) |
$3,771 |
$7,542 |
1.5× |
| Remove bladder stone (52318) |
$4,742.50 |
$9,485 |
1.5× |
| Remove drug implant device (11982) |
$548.50 |
$1,097 |
1.3× |
| Remove elbow lesion (24120) |
$4,461.50 |
$8,923 |
1.5× |
| Remove femur lesion/bursa (27062) |
$4,461.50 |
$8,923 |
1.5× |
| Remove in/ex hem groups 2+ (46260) |
$3,771 |
$7,542 |
1.5× |
| Remove Pilonidal Cyst Exten (11771) |
$3,935.50 |
$7,871 |
1.5× |
| Remove thyroid duct lesion (60280) |
$8,022 |
$16,044 |
1.4× |
| Remove wrist tendon lesion (25111) |
$2,200.50 |
$4,401 |
1.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,228 |
$4,456 |
1.5× |
| Repair achilles tendon (27650) |
$9,822.50 |
$19,645 |
1.5× |
| Repair arm tendon/muscle (24341) |
$9,822.50 |
$19,645 |
1.5× |
| Repair collat ankle ligmnt,secondary (27698) |
$9,822.50 |
$19,645 |
1.5× |
| Repair elbow deb/attch open (24359) |
$4,461.50 |
$8,923 |
1.5× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$4,461.50 |
$8,923 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,200.50 |
$4,401 |
1.5× |
| Repair finger/hand tendon (26350) |
$4,461.50 |
$8,923 |
1.5× |
| Repair forearm tendon/muscle (25270) |
$4,461.50 |
$8,923 |
1.5× |
| Repair hallux rigidus (28289) |
$4,461.50 |
$8,923 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$549.50 |
$1,099 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$549.50 |
$1,099 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$523 |
$1,046 |
1.4× |
| Repair nasal vestibular stenosis (30465) |
$8,134 |
$16,268 |
1.5× |
| Repair of ankle ligament (27695) |
$9,822.50 |
$19,645 |
1.5× |
| Repair of eardrum structures (69631) |
$8,134 |
$16,268 |
1.5× |
| Repair Of Foot Tendon (28208) |
$4,245 |
$8,490 |
1.4× |
| Repair of hydrocele (55060) |
$4,742.50 |
$9,485 |
1.5× |
| Repair of leg tendon each (27664) |
$9,822.50 |
$19,645 |
1.5× |
| Repair of leg tendon each (27658) |
$4,461.50 |
$8,923 |
1.5× |
| Repair of nasal septum (30520) |
$4,459 |
$8,918 |
1.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$9,822.50 |
$19,645 |
1.5× |
| Repair of thigh musc (27385) |
$9,822.50 |
$19,645 |
1.5× |
| Repair of vagina (57260) |
$6,787.50 |
$13,575 |
1.5× |
| Repair rectum & vagina (57250) |
$6,787.50 |
$13,575 |
1.5× |
| Repair rotator cuff acute (23410) |
$9,822.50 |
$19,645 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,822.50 |
$19,645 |
1.5× |
| Repair Tongue Laceration (41250) |
$548.50 |
$1,097 |
1.3× |
| Repair tympanic membrane (69610) |
$2,037 |
$4,074 |
1.4× |
| Repair wrist joints (25447) |
$4,461.50 |
$8,923 |
1.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$4,461.50 |
$8,923 |
1.5× |
| Repair/graft achilles tendon (27652) |
$9,822.50 |
$19,645 |
1.5× |
| Rerepair ing hernia reduce (49520) |
$4,852.50 |
$9,705 |
1.5× |
| Revis reconst shoulder joint (23473) |
$17,692 |
$35,384 |
1.5× |
| Revise arm/leg nerve (64708) |
$2,685 |
$5,370 |
1.5× |
| Revise median n/carpal tunnel surg (64721) |
$2,685 |
$5,370 |
1.5× |
| Revise middle ear & mastoid (69641) |
$8,134 |
$16,268 |
1.5× |
| Revise ulnar nerve at elbow (64718) |
$2,685 |
$5,370 |
1.5× |
| Revision of iris (66761) |
$754.50 |
$1,509 |
1.5× |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
$14,947 |
$29,894 |
1.3× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$18,373 |
$36,746 |
1.6× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$4,728.50 |
$9,457 |
1.5× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$4,728.50 |
$9,457 |
1.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,728.50 |
$9,457 |
1.5× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$8,134 |
$16,268 |
1.5× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$8,579.50 |
$17,159 |
1.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$8,022 |
$16,044 |
1.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,852.50 |
$9,705 |
1.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,852.50 |
$9,705 |
1.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,461.50 |
$8,923 |
1.5× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$9,822.50 |
$19,645 |
1.5× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$9,822.50 |
$19,645 |
1.5× |
| Septal/Other Intranasal Dermatoplasty (30620) |
$8,134 |
$16,268 |
1.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,253.50 |
$2,507 |
1.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,253.50 |
$2,507 |
1.5× |
| Sinus endo w/balloon dil (31296) |
$9,518.50 |
$19,037 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,391.50 |
$4,783 |
3.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,787.50 |
$13,575 |
1.5× |
| Sphincterotomy (46080) |
$3,771 |
$7,542 |
1.5× |
| Suprahyoid lymphadenectomy (38700) |
$8,967 |
$17,934 |
1.5× |
| Suspension of testis (54640) |
$4,852.50 |
$9,705 |
1.5× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$9,822.50 |
$19,645 |
1.5× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$8,805.50 |
$17,611 |
2.8× |
| Tenodesis long tendon biceps (23430) |
$9,822.50 |
$19,645 |
1.5× |
| Tenotomy elbow lateral/medial debride open (24358) |
$4,461.50 |
$8,923 |
1.5× |
| Thyroidectomy, total or complete (60240) |
$8,022 |
$16,044 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,459 |
$8,918 |
1.5× |
| Total hip arthroplasty (27130) |
$17,692 |
$35,384 |
1.5× |
| Total knee arthroplasty (27447) |
$17,692 |
$35,384 |
1.5× |
| Treat elbow fracture (24635) |
$9,382 |
$18,764 |
1.4× |
| Treat Finger Fracture Each (26727) |
$4,461.50 |
$8,923 |
1.5× |
| Treat fx distal radial (25606) |
$4,461.50 |
$8,923 |
1.5× |
| Treat fx rad extra-articul (25607) |
$9,822.50 |
$19,645 |
1.5× |
| Treat hand dislocation (26685) |
$4,245 |
$8,490 |
1.4× |
| Treat lower leg fracture (27828) |
$17,260 |
$34,520 |
1.5× |
| Treat Lower Leg Fracture (27827) |
$17,692 |
$35,384 |
1.5× |
| Treat toe fracture (28525) |
$4,461.50 |
$8,923 |
1.5× |
| Treat ulnar fracture (24685) |
$9,822.50 |
$19,645 |
1.5× |
| Treatment of ankle fracture (27822) |
$9,822.50 |
$19,645 |
1.5× |
| Treatment of ankle fracture (27792) |
$9,822.50 |
$19,645 |
1.5× |
| Treatment of fibula fracture (27784) |
$9,822.50 |
$19,645 |
1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,372 |
$8,744 |
1.5× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$4,372 |
$8,744 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$841.50 |
$1,683 |
1.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$276.50 |
$553 |
1.5× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$8,022 |
$16,044 |
1.4× |
| Unlisted procedure femur or knee (27599) |
$330 |
$660 |
1.5× |
| Unlisted procedure leg/ankle (27899) |
$330 |
$660 |
1.5× |
| Unlisted Procedure Nervous System (64999) |
$406 |
$812 |
1.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$330 |
$660 |
1.5× |
| Unlisted procedure, forearm or wrist (25999) |
$330 |
$660 |
1.5× |
| Vasectomy (55250) |
$2,816.50 |
$5,633 |
1.5× |
| Venipuncture (36415) |
$12.50 |
$25 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,459 |
$8,918 |
1.5× |
| Vulvectomy simple partial (56620) |
$4,100 |
$8,200 |
1.4× |
| Wrist arthroscop,excis triang cart (29846) |
$4,461.50 |
$8,923 |
1.5× |
| Xfer single deep low leg tendon (27691) |
$9,822.50 |
$19,645 |
1.5× |