| Ablate inf turbinate submuc (30802) |
$2,037 |
$4,074 |
1.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (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× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (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× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$6,787.50 |
$13,575 |
1.5× |
| Anterior Tibial Tubercleplasty (27418) |
$9,822.50 |
$19,645 |
1.5× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$7,094.50 |
$14,189 |
1.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,328 |
$8,656 |
1.5× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$17,692 |
$35,384 |
1.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$17,692 |
$35,384 |
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 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× |
| Arthrodesis triple (28715) |
$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 interposition intercarpal or carpometacarpal joints (25447) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy hip w/femoroplasty (29914) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,245 |
$8,490 |
1.4× |
| Arthroscopy knee synovectomy limited spx (29875) |
$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 shoulder distal claviculectomy (29824) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,461.50 |
$8,923 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$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; 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; with rotator cuff repair (29827) |
$9,822.50 |
$19,645 |
1.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,461.50 |
$8,923 |
1.5× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$17,692 |
$35,384 |
1.5× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$17,692 |
$35,384 |
1.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$9,822.50 |
$19,645 |
1.5× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$17,692 |
$35,384 |
1.5× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$4,461.50 |
$8,923 |
1.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$4,461.50 |
$8,923 |
1.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,461.50 |
$8,923 |
1.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,461.50 |
$8,923 |
1.5× |
| Autologous Chondrocyte Implantation 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 of liver, needle; percutaneous (47000) |
$2,228 |
$4,456 |
1.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,197.50 |
$2,395 |
1.4× |
| Biopsy/removal lymph nodes (38510) |
$5,265.50 |
$10,531 |
1.5× |
| Bx Cervix (57500) |
$1,197.50 |
$2,395 |
1.4× |
| Bx/exc lymph node open deep axillary node (38525) |
$5,265.50 |
$10,531 |
1.5× |
| Carpal Tunnel Surgery (64721) |
$2,685 |
$5,370 |
1.5× |
| Cataract surgery complex (66982) |
$3,136 |
$6,272 |
1.5× |
| Circumcision 28 days or older (54161) |
$2,816.50 |
$5,633 |
1.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,816.50 |
$5,633 |
1.5× |
| Claviculectomy partial (23120) |
$4,461.50 |
$8,923 |
1.5× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$4,461.50 |
$8,923 |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,459 |
$8,918 |
1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,200.50 |
$4,401 |
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× |
| Collection of venous blood by venipuncture (36415) |
$12.50 |
$25 |
1.3× |
| Colonoscopy W/Resection (45390) |
$3,771 |
$7,542 |
1.5× |
| Colonoscopy w/submucosal inj (45381) |
$1,621 |
$3,242 |
1.5× |
| Colpopexy extraperitoneal (57282) |
$10,168 |
$20,336 |
1.5× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,787.50 |
$13,575 |
1.5× |
| Conization cervix w/wo d&c rpr eltrd exc (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× |
| 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× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$9,822.50 |
$19,645 |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,461.50 |
$8,923 |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$9,822.50 |
$19,645 |
1.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,816.50 |
$5,633 |
1.5× |
| Cysto w/insert ureteral stent (52332) |
$4,742.50 |
$9,485 |
1.5× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$6,990 |
$13,980 |
1.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,742.50 |
$9,485 |
1.5× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,742.50 |
$9,485 |
1.5× |
| Cysto/uretero w/lithotripsy (52356) |
$6,990 |
$13,980 |
1.4× |
| Cystouretero w/excise tumor (52355) |
$6,990 |
$13,980 |
1.4× |
| Cystourethroscopy (52000) |
$918 |
$1,836 |
1.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,816.50 |
$5,633 |
1.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,742.50 |
$9,485 |
1.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,816.50 |
$5,633 |
1.5× |
| Cystourethroscopy with biopsy (52204) |
$2,671 |
$5,342 |
1.4× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$4,461.50 |
$8,923 |
1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$841.50 |
$1,683 |
1.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,228 |
$4,456 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$549.50 |
$1,099 |
1.5× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,515 |
$5,030 |
1.3× |
| Destruct B9 Lesion 1-14 (17110) |
$273 |
$546 |
1.5× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,621 |
$3,242 |
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 (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 ablation, thermal, without hysteroscopic guidance (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 abdl tum deep 5 cm/> (22901) |
$3,935.50 |
$7,871 |
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 Back Les Sc < 3 Cm (21930) |
$2,228 |
$4,456 |
1.5× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,935.50 |
$7,871 |
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 Face-Mm B9+Marg 0.6-1 Cm (11441) |
$967.50 |
$1,935 |
1.5× |
| Exc ganglion wrist recurrent (25112) |
$2,108 |
$4,216 |
1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,228 |
$4,456 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$967.50 |
$1,935 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$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 Foot (28090) |
$2,200.50 |
$4,401 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,200.50 |
$4,401 |
1.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$4,459 |
$8,918 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$967.50 |
$1,935 |
1.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,228 |
$4,456 |
1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,935.50 |
$7,871 |
1.5× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$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 Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$549.50 |
$1,099 |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$967.50 |
$1,935 |
1.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,935.50 |
$7,871 |
1.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$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 Forearm &/Wrist Subq <3Cm (25075) |
$2,228 |
$4,456 |
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 <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× |
| Excise intraspinal lesion (63267) |
$9,822.50 |
$19,645 |
1.5× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$3,935.50 |
$7,871 |
1.5× |
| Excision Distal Ulna Partial/Complete (25240) |
$4,461.50 |
$8,923 |
1.5× |
| Excision Facial Bone (21026) |
$8,134 |
$16,268 |
1.5× |
| Excision lesion mouth roof (42104) |
$4,222.50 |
$8,445 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,935.50 |
$7,871 |
1.5× |
| 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 ganglion, wrist (dorsal or volar); primary (25111) |
$2,200.50 |
$4,401 |
1.5× |
| Excision of hydrocele; unilateral (55040) |
$4,852.50 |
$9,705 |
1.5× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$8,134 |
$16,268 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,935.50 |
$7,871 |
1.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$8,134 |
$16,268 |
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 Pilonidal Cyst/Sinus Extensive (11771) |
$3,935.50 |
$7,871 |
1.5× |
| Excision prepatellar bursa (27340) |
$4,245 |
$8,490 |
1.4× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,816.50 |
$5,633 |
1.5× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$8,022 |
$16,044 |
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 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× |
| Excision; trochanteric bursa or calcification (27062) |
$4,461.50 |
$8,923 |
1.5× |
| Exploration of knee joint (27310) |
$4,461.50 |
$8,923 |
1.5× |
| Fasciectomy Palm Only (26121) |
$4,461.50 |
$8,923 |
1.5× |
| 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× |
| Forehead flap w/vasc pedicle (15731) |
$5,034 |
$10,068 |
1.5× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,459 |
$8,918 |
1.5× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$3,136 |
$6,272 |
1.5× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$3,136 |
$6,272 |
1.5× |
| Fusion Finger Joint (26860) |
$4,461.50 |
$8,923 |
1.5× |
| Fusion of foot bones (28740) |
$9,822.50 |
$19,645 |
1.5× |
| Grafting of autologous soft tiss by direct exc (15769) |
$5,034 |
$10,068 |
1.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,771 |
$7,542 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,771 |
$7,542 |
1.5× |
| Hip arthro w/labral repair (29916) |
$9,822.50 |
$19,645 |
1.5× |
| Hysteroscopy Biopsy (58558) |
$4,372 |
$8,744 |
1.5× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,372 |
$8,744 |
1.5× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,787.50 |
$13,575 |
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× |
| Implant neuroelectrodes (63650) |
$9,024 |
$18,048 |
1.5× |
| Implant Neuroelectrodes (64561) |
$9,024 |
$18,048 |
1.5× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$29,486 |
$58,972 |
1.7× |
| Implant Spine Infusion Pump (62362) |
$24,303.50 |
$48,607 |
1.5× |
| Implant temple bone w/stimul (69714) |
$17,692 |
$35,384 |
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 of labial frenum (frenotomy) (40806) |
$700 |
$1,400 |
1.4× |
| Incision of urethra (53020) |
$2,816.50 |
$5,633 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$952 |
$1,904 |
1.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,224 |
$2,448 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$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 subq cardiac rhythm monitor w/prgrmg (33285) |
$11,379.50 |
$22,759 |
1.5× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$41,901 |
$83,802 |
1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$549.50 |
$1,099 |
1.5× |
| Iridotomy/irridectomy laser surg per session (66761) |
$754.50 |
$1,509 |
1.5× |
| Knee Arthroscopy/Surgery (29874) |
$4,461.50 |
$8,923 |
1.5× |
| Lam facetec & foramot lumbar (63047) |
$9,822.50 |
$19,645 |
1.5× |
| Lap insert tunnel ip cath (49324) |
$8,022 |
$16,044 |
1.4× |
| Laparo-vag hyst incl t/o (58552) |
$14,315.50 |
$28,631 |
1.5× |
| Laparoscopy aspiration (49322) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy fulguration oviducts (58670) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$14,315.50 |
$28,631 |
1.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,022 |
$16,044 |
1.4× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$8,022 |
$16,044 |
1.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$8,022 |
$16,044 |
1.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,022 |
$16,044 |
1.4× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$14,315.50 |
$28,631 |
1.5× |
| Laryngoscopy and dilation (31528) |
$5,069.50 |
$10,139 |
1.5× |
| Laryngoscopy w/biopsy microscope/telescope (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 Knee Extra-Articular (27427) |
$9,822.50 |
$19,645 |
1.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$4,742.50 |
$9,485 |
1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,742.50 |
$9,485 |
1.5× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,742.50 |
$9,485 |
1.5× |
| Low Back Disk Surgery (63030) |
$9,822.50 |
$19,645 |
1.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,816.50 |
$5,633 |
1.5× |
| Manipulation knee joint under general anesthesia (27570) |
$2,200.50 |
$4,401 |
1.5× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$2,200.50 |
$4,401 |
1.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,200.50 |
$4,401 |
1.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$5,069.50 |
$10,139 |
1.5× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$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 Polypect/Dbrdmt Spx (31237) |
$2,371 |
$4,742 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,371 |
$4,742 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$8,976 |
$17,952 |
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× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$9,518.50 |
$19,037 |
1.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$9,518.50 |
$19,037 |
1.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,685 |
$5,370 |
1.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,685 |
$5,370 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$952 |
$1,904 |
1.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$9,518.50 |
$19,037 |
1.5× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$9,518.50 |
$19,037 |
1.5× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$41,901 |
$83,802 |
1.5× |
| Open Repair of Rotator Cuff Acute (23410) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$17,260 |
$34,520 |
1.5× |
| Open treatment fracture distal tibia only (27827) |
$17,692 |
$35,384 |
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, Gillies approach) Facility (21356) |
$8,134 |
$16,268 |
1.5× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$8,134 |
$16,268 |
1.5× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$9,822.50 |
$19,645 |
1.5× |
| Open treatment of ulnar styloid fracture (25652) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$9,822.50 |
$19,645 |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$9,822.50 |
$19,645 |
1.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$9,822.50 |
$19,645 |
1.5× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$4,245 |
$8,490 |
1.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$9,822.50 |
$19,645 |
1.5× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$9,822.50 |
$19,645 |
1.5× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$4,461.50 |
$8,923 |
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 Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure |
$1,943.50 |
$3,887 |
0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$9,822.50 |
$19,645 |
1.5× |
| Open tx ulnar fx proximal end (24685) |
$9,822.50 |
$19,645 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$9,822.50 |
$19,645 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$9,822.50 |
$19,645 |
1.5× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$17,692 |
$35,384 |
1.5× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$4,852.50 |
$9,705 |
1.5× |
| Ostectomy calcaneus (28118) |
$4,461.50 |
$8,923 |
1.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (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× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$4,461.50 |
$8,923 |
1.5× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$9,822.50 |
$19,645 |
1.5× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$9,382 |
$18,764 |
1.4× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$6,787.50 |
$13,575 |
1.5× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$8,134 |
$16,268 |
1.5× |
| Part remv talus or calcaneus (28120) |
$4,461.50 |
$8,923 |
1.5× |
| Partial excision bone metacarpal (26230) |
$4,245 |
$8,490 |
1.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,200.50 |
$4,401 |
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× |
| Partial removal of tibia (27640) |
$4,461.50 |
$8,923 |
1.5× |
| Partial removal of tongue (41120) |
$8,134 |
$16,268 |
1.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,461.50 |
$8,923 |
1.5× |
| Penis plastic surgery (54360) |
$4,742.50 |
$9,485 |
1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,461.50 |
$8,923 |
1.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$6,787.50 |
$13,575 |
1.5× |
| Prq skel fixj metar fx w/manj (28476) |
$4,461.50 |
$8,923 |
1.5× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$9,822.50 |
$19,645 |
1.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$4,461.50 |
$8,923 |
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× |
| Reconstruct elbow med ligmnt (24346) |
$17,692 |
$35,384 |
1.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$9,822.50 |
$19,645 |
1.5× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$8,134 |
$16,268 |
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 implanted material, anterior segment of eye (65920) |
$3,136 |
$6,272 |
1.5× |
| Removal of nail bed (11750) |
$549.50 |
$1,099 |
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× |
| Removal sweat gland lesion (11450) |
$3,935 |
$7,870 |
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 Intrauterine Device (58301) |
$418.50 |
$837 |
1.5× |
| Remove Lower Leg Bone Lesion (27635) |
$4,461.50 |
$8,923 |
1.5× |
| Remove Tendon Sheath Lesion (26160) |
$2,200.50 |
$4,401 |
1.5× |
| Reopen fallopian tube (58350) |
$6,787.50 |
$13,575 |
1.5× |
| Repair Achilles Tendon (27650) |
$9,822.50 |
$19,645 |
1.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$9,822.50 |
$19,645 |
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 Flexor Tendon Leg Primary W/O Graft Each (27658) |
$4,461.50 |
$8,923 |
1.5× |
| Repair Foot Dislocation (28615) |
$9,822.50 |
$19,645 |
1.5× |
| Repair Hallux Rigidus (28289) |
$4,461.50 |
$8,923 |
1.5× |
| Repair Hand Joint (26540) |
$4,461.50 |
$8,923 |
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 hydrocele (55060) |
$4,742.50 |
$9,485 |
1.5× |
| Repair of metatarsals (28322) |
$9,822.50 |
$19,645 |
1.5× |
| Repair of Ruptured Tendon (24342) |
$9,822.50 |
$19,645 |
1.5× |
| Repair Rotator Cuff Chronic (23412) |
$9,822.50 |
$19,645 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,822.50 |
$19,645 |
1.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,245 |
$8,490 |
1.4× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$9,822.50 |
$19,645 |
1.5× |
| Repair tongue laceration (41250) |
$548.50 |
$1,097 |
1.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$9,822.50 |
$19,645 |
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× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$4,728.50 |
$9,457 |
1.5× |
| Revis reconst shoulder joint (23473) |
$17,692 |
$35,384 |
1.5× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$14,947 |
$29,894 |
1.3× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$18,373 |
$36,746 |
1.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,728.50 |
$9,457 |
1.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,728.50 |
$9,457 |
1.5× |
| Rhinoplasty primary w/major septal repair (30420) |
$8,134 |
$16,268 |
1.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,228 |
$4,456 |
1.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,685 |
$5,370 |
1.5× |
| 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 aa hrn 1st < 3 ncr/strn (49592) |
$8,022 |
$16,044 |
1.4× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$9,822.50 |
$19,645 |
1.5× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$9,822.50 |
$19,645 |
1.5× |
| Rpr ing hernia init reduce (49500) |
$8,579.50 |
$17,159 |
1.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,461.50 |
$8,923 |
1.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$4,461.50 |
$8,923 |
1.5× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$8,134 |
$16,268 |
1.5× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$4,459 |
$8,918 |
1.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,253.50 |
$2,507 |
1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,253.50 |
$2,507 |
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 anal division sphincter spx (46080) |
$3,771 |
$7,542 |
1.5× |
| Suprahyoid lymphadenectomy (38700) |
$8,967 |
$17,934 |
1.5× |
| Surg tx anal fistula subq (46270) |
$3,771 |
$7,542 |
1.5× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$8,805.50 |
$17,611 |
2.8× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$9,822.50 |
$19,645 |
1.5× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$9,822.50 |
$19,645 |
1.5× |
| Tenodesis long tendon biceps (23430) |
$9,822.50 |
$19,645 |
1.5× |
| Thyroidectomy, total or complete (60240) |
$8,022 |
$16,044 |
1.4× |
| Tnot elbow lateral/medial debride open (24358) |
$4,461.50 |
$8,923 |
1.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,461.50 |
$8,923 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,459 |
$8,918 |
1.5× |
| Total Knee Arthroplasty (27447) |
$17,692 |
$35,384 |
1.5× |
| Transur electr resection of prostate (52601) |
$6,990 |
$13,980 |
1.4× |
| Treat ankle fracture (28445) |
$9,382 |
$18,764 |
1.4× |
| Treat Elbow Fracture (24635) |
$9,382 |
$18,764 |
1.4× |
| Treat Finger Fracture Each (26727) |
$4,461.50 |
$8,923 |
1.5× |
| Treat Fx Rad Extra-Articul (25607) |
$9,822.50 |
$19,645 |
1.5× |
| Treat Kneecap Fracture (27524) |
$9,822.50 |
$19,645 |
1.5× |
| Treatment of ankle fracture (27823) |
$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× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,037 |
$4,074 |
1.4× |
| Tympanoplasty (69631) |
$8,134 |
$16,268 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$8,134 |
$16,268 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$7,680 |
$15,360 |
1.4× |
| Tympanostomy general anesthesia (69436) |
$2,037 |
$4,074 |
1.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$276.50 |
$553 |
1.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$8,022 |
$16,044 |
1.4× |
| Unlisted procedure arthroscopy (29999) |
$330 |
$660 |
1.5× |
| Unlisted procedure femur or knee (27599) |
$330 |
$660 |
1.5× |
| Unlisted procedure forearm or wrist (25999) |
$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× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,816.50 |
$5,633 |
1.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,459 |
$8,918 |
1.5× |
| Vulvectomy simple partial (56620) |
$4,100 |
$8,200 |
1.4× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$7,094.50 |
$14,189 |
1.4× |
| Xfer Single Deep Low Leg Tendon (27691) |
$9,822.50 |
$19,645 |
1.5× |