| Abd paracentesis w/imaging (49083) |
$1,371.55 |
$1,523.94 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,148.22 |
$1,275.80 |
1.2× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$8,409.60 |
$9,344 |
0.5× |
| Acne Surgery (10040) |
$275.40 |
$306 |
1.3× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$2,059.20 |
$2,288 |
0.6× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,732.50 |
$1,925 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,691 |
$2,990 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,421.90 |
$2,691 |
1.1× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,872.90 |
$2,081 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,246.40 |
$2,496 |
1.0× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,133 |
$2,370 |
1.0× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) likely a partial charge, not the full procedure |
$1,509.30 |
$1,677 |
0.2× |
| Amputation Finger/Thumb (26951) |
$2,457 |
$2,730 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$1,404 |
$1,560 |
0.4× |
| Amputation of finger/thumb (26952) |
$2,346.30 |
$2,607 |
0.7× |
| Amputation of penis; partial (54120) |
$1,413 |
$1,570 |
0.4× |
| Amputation thigh through femur any level (27590) |
$2,459.70 |
$2,733 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$1,186.20 |
$1,318 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,238.40 |
$1,376 |
0.4× |
| Amputation, foot; transmetatarsal (28805) |
$2,315.70 |
$2,573 |
0.7× |
Amputation, leg, through tibia and fibula; (27880) unusually low: confirm this is the full procedure |
$2,809.80 |
$3,122 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,066.40 |
$2,296 |
0.6× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) |
$2,598.30 |
$2,887 |
0.8× |
| Analyze infusn pump+reprogram (62368) |
$121.50 |
$135 |
0.4× |
Ankle arthroscopy/surgery (29892) likely a partial charge, not the full procedure |
$2,131.20 |
$2,368 |
0.3× |
| Ankle arthroscopy/surgery (29894) |
$1,671.30 |
$1,857 |
0.5× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$2,232 |
$2,480 |
0.7× |
| Ankle scope,part synovectomy (29895) |
$1,538.10 |
$1,709 |
0.5× |
| Anoscopy Ablation Lesion (46615) |
$464.40 |
$516 |
0.2× |
| Anoscopy control bleeding (46614) |
$442.80 |
$492 |
0.4× |
| Anoscopy diagnostic (46600) |
$311.40 |
$346 |
2.3× |
| Anoscopy w/rmvl lesion cautery (46610) |
$737.10 |
$819 |
0.3× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,668.60 |
$1,854 |
1.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$739.80 |
$822 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$236.70 |
$263 |
0.1× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,408.50 |
$1,565 |
0.2× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$712.80 |
$792 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$414.70 |
$460.78 |
2.5× |
| Application cast elbow finger short arm (29075) |
$344.70 |
$383 |
1.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$376.20 |
$418 |
2.2× |
| Application cast shoulder hand long arm (29065) |
$380.70 |
$423 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$210.60 |
$234 |
3.4× |
| Application finger splint static (29130) |
$163.80 |
$182 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$413.06 |
$458.96 |
2.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$544.50 |
$605 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$417.07 |
$463.41 |
2.5× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) likely a partial charge, not the full procedure |
$3,666.60 |
$4,074 |
0.3× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) likely a partial charge, not the full procedure |
$1,899.90 |
$2,111 |
0.3× |
| Application of long leg cast (29345) |
$523.80 |
$582 |
1.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$474.30 |
$527 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$303.30 |
$337 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$361.20 |
$401.34 |
2.6× |
| Application short leg splint calf foot (29515) |
$363.89 |
$404.32 |
2.2× |
| Apply of clubfoot cast (29450) |
$522.90 |
$581 |
3.1× |
| Apply patella tendon bearing cast (29435) |
$490.50 |
$545 |
1.7× |
| Apply short leg cast (29405) |
$311.40 |
$346 |
1.1× |
| Apply short leg cast (29425) |
$288 |
$320 |
1.0× |
| Apply/remove halo cranial (20661) |
$1,891.80 |
$2,102 |
1.1× |
| Arterial puncture (36600) |
$67.50 |
$75 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$435.48 |
$483.86 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$228.60 |
$254 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$635.55 |
$706.16 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$252.90 |
$281 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$136.80 |
$152 |
0.4× |
Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) likely a partial charge, not the full procedure |
$4,442.40 |
$4,936 |
0.2× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$3,250.80 |
$3,612 |
0.2× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) unusually low: confirm this is the full procedure |
$5,356.80 |
$5,952 |
0.4× |
Arthrodesis great toe interphalangeal joint (28755) unusually low: confirm this is the full procedure |
$3,266.10 |
$3,629 |
0.4× |
Arthrodesis posterior craniocervical (22590) unusually low: confirm this is the full procedure |
$5,177.70 |
$5,753 |
0.4× |
Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$2,623.50 |
$2,915 |
0.1× |
Arthrodesis tibiofibular joint proximal or distal (27871) likely a partial charge, not the full procedure |
$2,259 |
$2,510 |
0.2× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) likely a partial charge, not the full procedure |
$3,548.70 |
$3,943 |
0.3× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$4,824.90 |
$5,361 |
0.2× |
Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid… (22548) unusually low: confirm this is the full procedure |
$6,374.70 |
$7,083 |
0.5× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) likely a partial charge, not the full procedure |
$5,694.30 |
$6,327 |
0.2× |
Arthrodesis, great toe; metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$3,692.70 |
$4,103 |
0.5× |
Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22533) likely a partial charge, not the full procedure |
$5,262.30 |
$5,847 |
0.3× |
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) likely a partial charge, not the full procedure |
$4,322.70 |
$4,803 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) likely a partial charge, not the full procedure |
$4,418.10 |
$4,909 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) likely a partial charge, not the full procedure |
$4,968 |
$5,520 |
0.3× |
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) likely a partial charge, not the full procedure |
$4,216.50 |
$4,685 |
0.2× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) likely a partial charge, not the full procedure |
$4,293 |
$4,770 |
0.2× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595) unusually low: confirm this is the full procedure |
$4,979.70 |
$5,533 |
0.4× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) unusually low: confirm this is the full procedure |
$6,561 |
$7,290 |
0.4× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) likely a partial charge, not the full procedure |
$2,779.20 |
$3,088 |
0.2× |
Arthrodesis; subtalar (28725) likely a partial charge, not the full procedure |
$2,565.90 |
$2,851 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,520.70 |
$5,023 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) likely a partial charge, not the full procedure |
$3,632.40 |
$4,036 |
0.3× |
Arthroplasty radial head w/implant (24366) likely a partial charge, not the full procedure |
$2,215.80 |
$2,462 |
0.2× |
Arthroplasty, patella; with prosthesis (27438) likely a partial charge, not the full procedure |
$2,718.90 |
$3,021 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) unusually low: confirm this is the full procedure |
$3,100.50 |
$3,445 |
0.4× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) likely a partial charge, not the full procedure |
$3,932.10 |
$4,369 |
0.3× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$2,065.50 |
$2,295 |
1.2× |
| Arthroscopy ankle; ext debridem (29898) |
$1,851.30 |
$2,057 |
0.5× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$2,645.10 |
$2,939 |
0.8× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,043.90 |
$2,271 |
0.6× |
| Arthroscopy of joint (29999) |
$2,124.90 |
$2,361 |
8.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,638.90 |
$1,821 |
0.5× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) likely a partial charge, not the full procedure |
$2,151 |
$2,390 |
0.3× |
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) unusually low: confirm this is the full procedure |
$3,189.60 |
$3,544 |
0.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,116.80 |
$2,352 |
0.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,942.20 |
$2,158 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,045.70 |
$2,273 |
0.6× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,713.60 |
$1,904 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,764.90 |
$1,961 |
0.5× |
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) unusually low: confirm this is the full procedure |
$3,402.90 |
$3,781 |
0.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,653.30 |
$1,837 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,819.80 |
$2,022 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,860.30 |
$2,067 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,240.10 |
$2,489 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,939.40 |
$3,266 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$3,385.80 |
$3,762 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,949.40 |
$2,166 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,800 |
$2,000 |
0.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,229.30 |
$2,477 |
0.7× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$3,313.80 |
$3,682 |
0.4× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$1,945.80 |
$2,162 |
0.6× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) likely a partial charge, not the full procedure |
$1,755.90 |
$1,951 |
0.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,921.50 |
$2,135 |
0.6× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$3,400.20 |
$3,778 |
0.5× |
Arthrotomy hip w/drainage (27030) unusually low: confirm this is the full procedure |
$2,987.10 |
$3,319 |
0.4× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$1,625.40 |
$1,806 |
0.5× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,610.10 |
$1,789 |
0.5× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$2,345.40 |
$2,606 |
0.7× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$1,602 |
$1,780 |
0.5× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$1,932.30 |
$2,147 |
0.6× |
Arthrs hip debridement/shaving articular crtlg (29862) unusually low: confirm this is the full procedure |
$2,650.50 |
$2,945 |
0.4× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$1,831.50 |
$2,035 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$164.70 |
$183 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$585 |
$650 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$377.74 |
$419.71 |
1.8× |
Axillary lymphadenectomy; complete (38745) unusually low: confirm this is the full procedure |
$1,957.50 |
$2,175 |
0.3× |
| Biopsy Bone Open Deep (20245) |
$766.80 |
$852 |
0.3× |
| Biopsy bone open superficial (20240) |
$330.30 |
$367 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,124.10 |
$1,249 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,555.56 |
$1,728.40 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$829.80 |
$922 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$364.50 |
$405 |
0.4× |
| Biopsy external ear (69100) |
$225.90 |
$251 |
0.9× |
| Biopsy finger joint lining (26110) |
$1,116 |
$1,240 |
0.7× |
| Biopsy muscle deep (20205) |
$802.80 |
$892 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$967.95 |
$1,075.50 |
0.6× |
| Biopsy Muscle Superficial (20200) |
$576 |
$640 |
0.3× |
| Biopsy Nerve (64795) |
$428.40 |
$476 |
0.2× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$2,403 |
$2,670 |
0.8× |
| Biopsy of lip (40490) |
$293.40 |
$326 |
1.2× |
| Biopsy of ovary(s) (58900) |
$929.70 |
$1,033 |
0.3× |
| Biopsy of palate, uvula (42100) |
$362.70 |
$403 |
0.2× |
| Biopsy of penis (54100) |
$494.10 |
$549 |
0.3× |
| Biopsy of uterus lining (58100) |
$235.80 |
$262 |
1.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$873.90 |
$971 |
0.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$2,368.85 |
$2,632.06 |
1.4× |
| Biopsy pleura percutaneous needle (32400) |
$405 |
$450 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$1,040.22 |
$1,155.80 |
1.4× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$2,157.30 |
$2,397 |
0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$924.30 |
$1,027 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$1,117.22 |
$1,241.36 |
0.7× |
| Biopsy soft tissue shoulder superficial (23065) |
$819 |
$910 |
0.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,397.70 |
$1,553 |
0.5× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$977.40 |
$1,086 |
0.6× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$930.60 |
$1,034 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$252 |
$280 |
0.3× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$929.70 |
$1,033 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$1,005.30 |
$1,117 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,314.90 |
$1,461 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$951.84 |
$1,057.60 |
1.3× |
| Bladder Irrigation Simple (51700) |
$189.90 |
$211 |
0.7× |
| Bladder Scan (51798) |
$188.88 |
$209.86 |
3.1× |
| Blepharoplasty lower eyelid (15820) |
$1,439.10 |
$1,599 |
0.7× |
| Blepharoplasty upper eyelid (15822) |
$1,145.70 |
$1,273 |
0.5× |
| Blood patch (62273) |
$420.30 |
$467 |
0.6× |
| Blood transfusion service (36430) |
$845.65 |
$939.61 |
1.8× |
| Bone marrow aspiration only (38220) |
$409.50 |
$455 |
0.2× |
| Bone Marrow Biopsy (38221) |
$992.58 |
$1,102.86 |
0.6× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$124.20 |
$138 |
0.2× |
Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$1,397.70 |
$1,553 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$738 |
$820 |
0.4× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$177.30 |
$197 |
0.1× |
| Brnchsc removal bronchial valve initial (31648) |
$447.30 |
$497 |
0.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$574.20 |
$638 |
0.1× |
| Bronch ebus samplng 1/2 node (31652) |
$3,285 |
$3,650 |
0.8× |
| Bronch ebus samplng 3/> node (31653) |
$3,391.20 |
$3,768 |
0.9× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$685.80 |
$762 |
0.4× |
| Bronchoscopy Balloon Occlusion (31634) |
$3,889.80 |
$4,322 |
0.5× |
Bronchoscopy bronch stents (31636) likely a partial charge, not the full procedure |
$491.40 |
$546 |
0.1× |
| Bronchoscopy dilate/fx repr (31630) |
$441 |
$490 |
0.1× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,208.70 |
$1,343 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$934.20 |
$1,038 |
0.5× |
Bronchoscopy w/markers (31626) likely a partial charge, not the full procedure |
$2,105.10 |
$2,339 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$788.40 |
$876 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$750.60 |
$834 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$319.50 |
$355 |
0.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$994.50 |
$1,105 |
0.3× |
| Bronchoscopy w/tumor excise (31640) |
$560.70 |
$623 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$698.40 |
$776 |
0.4× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$398.70 |
$443 |
0.2× |
Buttock fasciotomy (27027) unusually low: confirm this is the full procedure |
$2,813.40 |
$3,126 |
0.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,307.90 |
$1,453.22 |
0.8× |
| Bx anorectal wall anal approach (45100) |
$720 |
$800 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$4,118.58 |
$4,576.20 |
2.4× |
| Bx breast 1st lesion us imag (19083) |
$2,210.29 |
$2,455.88 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$389.70 |
$433 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,248.76 |
$1,387.51 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,189.80 |
$1,322 |
0.4× |
| Carpectomy All Bones Proximal Row (25215) |
$2,023.20 |
$2,248 |
0.6× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$455.40 |
$506 |
1.4× |
| Cautery Cervix Electro/Thermal (57510) |
$391.50 |
$435 |
0.1× |
Cerv artific diskectomy (22856) likely a partial charge, not the full procedure |
$5,112.90 |
$5,681 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$244.80 |
$272 |
0.9× |
| Chemical Cautery Tissue (17250) |
$342.66 |
$380.73 |
1.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$453.60 |
$504 |
0.6× |
| Chemodenerv 1 extremity 1-4 (64642) |
$387 |
$430 |
0.5× |
| Chemodenerv Musc Migraine (64615) |
$361.80 |
$402 |
1.1× |
| Chemodenerv trunk musc 1-5 (64646) |
$400.50 |
$445 |
0.5× |
| Chemodenervation internal anal sphincter (46505) |
$822.60 |
$914 |
0.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$337.50 |
$375 |
1.1× |
| Chest tube placement (32551) |
$342.90 |
$381 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$219.46 |
$243.84 |
1.6× |
| Circum 28 days or older (54161) |
$440.10 |
$489 |
0.2× |
| Circumcision (54150) |
$871.76 |
$968.62 |
0.4× |
| Circumcision Neonate (54160) |
$552.60 |
$614 |
0.8× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$270 |
$300 |
0.8× |
| Claviculectomy; partial (23120) |
$1,971.90 |
$2,191 |
0.6× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,480.50 |
$1,645 |
0.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$3,177 |
$3,530 |
12.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,089 |
$1,210 |
4.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,105.10 |
$2,339 |
1.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,523.70 |
$1,693 |
5.9× |
| Closed Rx Med Malleolus Fx (27760) |
$1,325.70 |
$1,473 |
5.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,057.40 |
$2,286 |
1.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,034.90 |
$2,261 |
1.2× |
| Closed rx prox/neck femur fx,manip (27232) |
$2,409.30 |
$2,677 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,004.28 |
$2,226.98 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$1,147.50 |
$1,275 |
4.5× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,743.30 |
$1,937 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,387.80 |
$1,542 |
5.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,227.60 |
$1,364 |
4.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,490.30 |
$2,767 |
1.5× |
| Closed Rx Trimalleolar Fx (27816) |
$1,342.80 |
$1,492 |
5.2× |
| Closed Treat Vert Body Fract (22310) |
$1,189.80 |
$1,322 |
4.6× |
| Closed treat wrist dislocation (25660) |
$1,556.10 |
$1,729 |
6.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$2,024.10 |
$2,249 |
7.9× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$1,440 |
$1,600 |
5.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$1,372.50 |
$1,525 |
5.4× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$1,737 |
$1,930 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$938.70 |
$1,043 |
3.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,921.50 |
$2,135 |
7.5× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,542.60 |
$1,714 |
0.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$441 |
$490 |
1.7× |
| Closed Treatment Sternum Fracture (21820) |
$429.30 |
$477 |
1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,330.20 |
$1,478 |
5.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,577.70 |
$1,753 |
6.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,965.60 |
$2,184 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,345.50 |
$1,495 |
5.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$959.40 |
$1,066 |
3.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,008.80 |
$2,232 |
7.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,113.20 |
$2,348 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,487.48 |
$1,652.75 |
5.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,449.90 |
$1,611 |
2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$840.60 |
$934 |
3.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,980.90 |
$2,201 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,629.90 |
$1,811 |
6.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,299.60 |
$1,444 |
5.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,863 |
$2,070 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,062 |
$1,180 |
4.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,061.90 |
$2,291 |
1.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$935.10 |
$1,039 |
3.7× |
| Closed tx septal&nose fx (21337) |
$1,028.70 |
$1,143 |
0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,565.10 |
$1,739 |
6.1× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$1,482.30 |
$1,647 |
0.4× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$1,017 |
$1,130 |
4.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$414.90 |
$461 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,809.90 |
$2,011 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$1,183.50 |
$1,315 |
4.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,062 |
$1,180 |
4.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$593.10 |
$659 |
2.4× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$756.90 |
$841 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$969.30 |
$1,077 |
3.8× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,430.10 |
$1,589 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$906.30 |
$1,007 |
3.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$574.20 |
$638 |
1.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$432.90 |
$481 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,462.50 |
$1,625 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,122.50 |
$1,247.22 |
4.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$948.60 |
$1,054 |
0.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,572.30 |
$1,747 |
6.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$923.40 |
$1,026 |
3.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,644.30 |
$1,827 |
6.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,502.10 |
$1,669 |
5.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,746 |
$1,940 |
6.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,233.90 |
$1,371 |
4.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,336.50 |
$1,485 |
5.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$774 |
$860 |
3.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,044.86 |
$1,160.96 |
4.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,143.10 |
$2,381.23 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$2,033.10 |
$2,259 |
7.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,872.90 |
$2,081 |
7.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,601.90 |
$2,891 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$697.50 |
$775 |
2.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$562.50 |
$625 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$621.90 |
$691 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$465.30 |
$517 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,113.20 |
$2,348 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,252.80 |
$1,392 |
4.9× |
| Cltx greater trochanteric fx w/o manj (27246) |
$1,494 |
$1,660 |
5.8× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,568.70 |
$1,743 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$593.10 |
$659 |
2.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,595.70 |
$1,773 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$525.60 |
$584 |
2.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,114.90 |
$3,461 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,265.40 |
$1,406 |
4.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,345.56 |
$1,495.06 |
5.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,204.20 |
$1,338 |
4.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,158.19 |
$1,286.88 |
4.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$607.50 |
$675 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,387.80 |
$1,542 |
5.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$827.10 |
$919 |
3.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,129.18 |
$2,365.75 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,149.70 |
$1,277.45 |
4.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,721.70 |
$1,913 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,242.90 |
$1,381 |
4.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,870.20 |
$2,078 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$462.98 |
$514.42 |
1.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,927.86 |
$2,142.07 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,412.90 |
$2,681 |
1.4× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,605.50 |
$2,895 |
1.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,923.30 |
$2,137 |
7.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,125.80 |
$2,362 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,042.10 |
$2,269 |
1.2× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,485.70 |
$3,873 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,300.50 |
$1,445 |
1.0× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$566.10 |
$629 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$1,106.10 |
$1,229 |
0.9× |
| Colonoscopy thru stoma (44388) |
$853.20 |
$948 |
0.9× |
| Colonoscopy w/ablation (45388) |
$6,609.60 |
$7,344 |
5.3× |
| Colonoscopy w/band ligation (45398) |
$2,179.80 |
$2,422 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$1,162.80 |
$1,292 |
0.9× |
| Colonoscopy w/resection (45390) |
$748.80 |
$832 |
0.3× |
| Colporrhaphy suture injury vagina (57200) |
$727.20 |
$808 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$397.80 |
$442 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$300.60 |
$334 |
1.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$329.40 |
$366 |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$385.20 |
$428 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$360 |
$400 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$434.70 |
$483 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,770.30 |
$1,967 |
1.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,188 |
$1,320 |
1.0× |
| Complex Drainage, Wound (10180) |
$688.50 |
$765 |
0.2× |
| Complex Uroflowmetry (51741) |
$36.90 |
$41 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$1,740.40 |
$1,933.78 |
7.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$639.90 |
$711 |
4.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$454.75 |
$505.28 |
3.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) unusually low: confirm this is the full procedure |
$5,209.20 |
$5,788 |
0.4× |
| Convert nephrostomy catheter (50434) |
$2,096.10 |
$2,329 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,858.16 |
$3,175.74 |
1.7× |
| Correction hammertoe (28285) |
$1,332 |
$1,480 |
0.4× |
| Correction of bunion (28292) |
$1,710 |
$1,900 |
0.5× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$2,497.50 |
$2,775 |
0.2× |
| Correction of inverted nipples (19355) |
$1,949.40 |
$2,166 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,149.20 |
$2,388 |
0.6× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,571.30 |
$2,857 |
0.8× |
| Create eardrum opening (69436) |
$349.20 |
$388 |
0.2× |
| Cryotherapy of skin (17340) |
$129.60 |
$144 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$861.68 |
$957.42 |
6.2× |
| Curette/treat cornea (65435) |
$205.20 |
$228 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$679.50 |
$755 |
0.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,839.60 |
$2,044 |
0.5× |
Cysto w fulgertn lg bladder tumor(s) (52240) likely a partial charge, not the full procedure |
$878.40 |
$976 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$1,761.30 |
$1,957 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$551.70 |
$613 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$722.70 |
$803 |
0.3× |
| Cysto w/ureter stricture tx (52341) |
$635.40 |
$706 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$794.70 |
$883 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$828 |
$920 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$935.10 |
$1,039 |
0.2× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$933.30 |
$1,037 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$878.40 |
$976 |
0.2× |
Cystolithotomy w rem stone wo vn res (51050) likely a partial charge, not the full procedure |
$1,055.70 |
$1,173 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) likely a partial charge, not the full procedure |
$1,641.60 |
$1,824 |
0.2× |
| Cystoscopy and treatment (52290) |
$548.10 |
$609 |
0.3× |
| Cystoscopy and treatment (52330) |
$1,430.10 |
$1,589 |
0.4× |
| Cystoscopy and treatment (52301) |
$649.80 |
$722 |
0.2× |
| Cystoscopy implant stent (52282) |
$753.30 |
$837 |
0.2× |
Cystoscopy stone removal (52325) likely a partial charge, not the full procedure |
$718.20 |
$798 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$859.50 |
$955 |
0.4× |
| Cystoscopy w/complex removal stone & stent (52315) |
$1,108.80 |
$1,232 |
0.5× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$750.60 |
$834 |
0.3× |
| Cystoscopy,insert ureteral stent (52332) |
$1,035 |
$1,150 |
0.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$661.50 |
$735 |
0.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$1,096.20 |
$1,218 |
0.5× |
| Cystourethroscopy (52000) |
$522 |
$580 |
0.7× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$879.30 |
$977 |
0.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$469.80 |
$522 |
0.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,017 |
$1,130 |
0.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$552.60 |
$614 |
0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$592.20 |
$658 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$1,257.30 |
$1,397 |
0.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$677.70 |
$753 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$646.20 |
$718 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$144.90 |
$161 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,640.70 |
$1,823 |
0.5× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$1,305.90 |
$1,451 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,125 |
$1,250 |
1.5× |
| Debride nail 1-5 (11720) |
$155.05 |
$172.28 |
2.5× |
| Debride nail 6 or more (11721) |
$170.73 |
$189.70 |
2.8× |
| Debride skin musc at fx site (11011) |
$1,286.10 |
$1,429 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$950.90 |
$1,056.56 |
2.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,219.64 |
$1,355.15 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,998.28 |
$2,220.30 |
1.2× |
| Declot vascular device (36593) |
$587.78 |
$653.09 |
1.7× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,539.80 |
$2,822 |
1.5× |
| Decompress forearm 1 space (25023) |
$4,425.30 |
$4,917 |
1.3× |
| Decompress forearm 2 spaces (25025) |
$3,901.50 |
$4,335 |
2.3× |
| Decompression of leg (27894) |
$2,613.60 |
$2,904 |
0.8× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$880.20 |
$978 |
0.4× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$1,136.70 |
$1,263 |
0.5× |
| Design custom breast implant (19396) |
$700.20 |
$778 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$4,125.22 |
$4,583.58 |
2.0× |
| Destroy lumb/sac facet jnt (64635) |
$3,265.66 |
$3,628.51 |
1.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$395.10 |
$439 |
0.9× |
| Destruction anal lesion(s) (46924) |
$1,499.40 |
$1,666 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$316.80 |
$352 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$270 |
$300 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$547.20 |
$608 |
0.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$649.80 |
$722 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$656.10 |
$729 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$446.40 |
$496 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$427.50 |
$475 |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$488.70 |
$543 |
2.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$578.70 |
$643 |
1.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$351 |
$390 |
1.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$422.10 |
$469 |
2.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$336.60 |
$374 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$358.20 |
$398 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$394.20 |
$438 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$447.30 |
$497 |
2.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$497.70 |
$553 |
1.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$237.60 |
$264 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$999.90 |
$1,111 |
0.5× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$350.10 |
$389 |
1.7× |
| Destruction of multiple growths of penis (54065) |
$542.70 |
$603 |
0.3× |
| Destruction of skin lesions (17106) |
$830.70 |
$923 |
2.0× |
| Destruction premalignant lesion 1st (17000) |
$162 |
$180 |
0.8× |
| Destruction vaginal lesions simple (57061) |
$392.40 |
$436 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,545.37 |
$2,828.19 |
3.5× |
| Diagnostic sigmoidoscopy (45330) |
$520.20 |
$578 |
0.5× |
| Dil urethra,female,subsequent (53661) |
$188.10 |
$209 |
1.4× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$144.90 |
$161 |
0.0× |
| Dilate urethra stricture (53620) |
$420.30 |
$467 |
0.6× |
| Dilate urethra stricture (53621) |
$404.10 |
$449 |
1.6× |
| Dilate Urethra Stricture (53600) |
$221.40 |
$246 |
0.9× |
| Dilation & curettage cervical stump (57558) |
$360 |
$400 |
0.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$191.70 |
$213 |
1.4× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$216.90 |
$241 |
1.6× |
| Dilation of vagina (57400) |
$291.60 |
$324 |
0.1× |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
$4,314.60 |
$4,794 |
0.6× |
| Drain hand tendon sheath (26020) |
$1,863 |
$2,070 |
0.5× |
| Drain lower leg bursa (27604) |
$1,681.20 |
$1,868 |
0.5× |
| Drain penis lesion (54015) |
$688.50 |
$765 |
0.4× |
| Drain shoulder lesion (23030) |
$1,665.90 |
$1,851 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$211.50 |
$235 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$631.80 |
$702 |
2.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$462.60 |
$514 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,827 |
$2,030 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$1,325.70 |
$1,473 |
6.4× |
| Drainage of eyelid abscess (67700) |
$683.10 |
$759 |
2.1× |
| Drainage of gum lesion (41800) |
$717.64 |
$797.38 |
5.2× |
| Drainage of hematoma/fluid (10140) |
$421.20 |
$468 |
0.2× |
| Drainage of hydrocele (55000) |
$306 |
$340 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$597.60 |
$664 |
0.3× |
| Draw blood off venous device (36591) |
$247.49 |
$274.99 |
1.8× |
| Dressing change under anesthesia (15852) |
$101.70 |
$113 |
0.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$743.40 |
$826 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$510.30 |
$567 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$398.70 |
$443 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$350.90 |
$389.88 |
1.7× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$611.10 |
$679 |
0.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$617.40 |
$686 |
3.0× |
| Dstrj lesion anus simple surg excision (46922) |
$827.10 |
$919 |
0.3× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$716.40 |
$796 |
0.3× |
| Dstrj lesion penis simple surg excision (54060) |
$486.90 |
$541 |
0.2× |
| Dx bone marrow bx & aspir (38222) |
$1,574.26 |
$1,749.18 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,855.70 |
$3,173 |
1.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,583.10 |
$1,759 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,032.30 |
$1,147 |
1.1× |
| Egd place gastrostomy tube (43246) |
$445.50 |
$495 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$1,204.20 |
$1,338 |
0.6× |
| Egd remove lesion snare (43251) |
$1,323 |
$1,470 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,670.40 |
$1,856 |
0.8× |
Elbow arthroscopy/surgery (29836) likely a partial charge, not the full procedure |
$1,917.90 |
$2,131 |
0.3× |
| Elbow arthroscopy/surgery (29838) |
$1,948.50 |
$2,165 |
0.6× |
| Elbow arthroscopy/surgery (29837) |
$1,764 |
$1,960 |
0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$267.30 |
$297 |
0.8× |
| Endoscopic Injection/Implant (51715) |
$836.10 |
$929 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$3,023.10 |
$3,359 |
0.8× |
| Epidural lysis on single day (62264) |
$1,088.10 |
$1,209 |
1.2× |
| Esoph scope w/submucous inj (43201) |
$674.10 |
$749 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,080.90 |
$1,201 |
1.1× |
| Esophagoscopy flex biopsy (43202) |
$951.30 |
$1,057 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,053 |
$1,170 |
0.5× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,586.70 |
$1,763 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$177.75 |
$197.50 |
1.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,792.80 |
$1,992 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,373.40 |
$1,526 |
0.8× |
| Exc abd les sc 3 cm/> (22903) |
$1,004.40 |
$1,116 |
0.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,352.70 |
$1,503 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,997.10 |
$2,219 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$505.80 |
$562 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$587.70 |
$653 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$1,287.90 |
$1,431 |
0.8× |
| Exc back tum deep < 5 cm (21932) |
$1,471.50 |
$1,635 |
0.5× |
| Exc excessive skin &subq tissue forearm/hand (15837) |
$2,243.70 |
$2,493 |
0.7× |
| Exc face les sbq 2 cm/> (21012) |
$768.60 |
$854 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$344.70 |
$383 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$557.10 |
$619 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,403.10 |
$1,559 |
0.8× |
| Exc forearm les sc < 3 cm (25075) |
$1,940.40 |
$2,156 |
1.1× |
| Exc frenum labial/buccal (40819) |
$687.60 |
$764 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$2,072.70 |
$2,303 |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$884.70 |
$983 |
0.2× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$3,525.30 |
$3,917 |
1.6× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$2,030.40 |
$2,256 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,026.90 |
$1,141 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$1,167.30 |
$1,297 |
0.4× |
| Exc rect tum transanal part (45171) |
$1,458 |
$1,620 |
0.5× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$1,968.30 |
$2,187 |
0.9× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,405.80 |
$1,562 |
0.8× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,276.10 |
$2,529 |
0.8× |
Exc skin abd (15830) unusually low: confirm this is the full procedure |
$2,541.60 |
$2,824 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$387 |
$430 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$375.30 |
$417 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$414.90 |
$461 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$482.40 |
$536 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$696.60 |
$774 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$555.30 |
$617 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$961.20 |
$1,068 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$817.20 |
$908 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$799.20 |
$888 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$765 |
$850 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,240.20 |
$1,378 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,007.10 |
$1,119 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,111.50 |
$1,235 |
0.6× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$1,403.10 |
$1,559 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,408.50 |
$1,565 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,466 |
$2,740 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$559.80 |
$622 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$309.60 |
$344 |
0.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,731.60 |
$1,924 |
1.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,638.90 |
$1,821 |
0.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,354.50 |
$1,505 |
0.8× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,716.30 |
$1,907 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,813.50 |
$2,015 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,227.60 |
$1,364 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,822.50 |
$2,025 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,603.80 |
$1,782 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,008 |
$1,120 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,105.20 |
$1,228 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,864.80 |
$2,072 |
0.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,042.10 |
$2,269 |
0.7× |
Exc urethral diverticulum spx female (53230) likely a partial charge, not the full procedure |
$1,352.70 |
$1,503 |
0.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$792 |
$880 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,310.40 |
$1,456 |
0.4× |
| Exchange nephrostomy cath (50435) |
$1,364.40 |
$1,516 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,322 |
$2,580 |
1.4× |
| Excise cutaneous neurofibroma (64788) |
$928.80 |
$1,032 |
0.5× |
| Excise excess skin & tissue (15839) |
$2,294.10 |
$2,549 |
0.8× |
| Excise excess skin fat pad (15838) |
$1,432.80 |
$1,592 |
0.5× |
| Excise excess skin tissue,thigh (15832) |
$2,007 |
$2,230 |
0.7× |
| Excise excessive skin arm (15836) |
$1,738.80 |
$1,932 |
0.6× |
| Excise excessive skin buttck (15835) |
$2,029.50 |
$2,255 |
0.7× |
| Excise excessive skin hip (15834) |
$1,935.90 |
$2,151 |
0.6× |
| Excise excessive skin leg (15833) |
$1,902.60 |
$2,114 |
0.6× |
| Excise lesion testis (54512) |
$1,204.20 |
$1,338 |
0.3× |
Excise parotid gland/lesion (42420) unusually low: confirm this is the full procedure |
$2,594.70 |
$2,883 |
0.4× |
| Excise/repair mouth lesion (40812) |
$681.30 |
$757 |
0.4× |
| Excision Breast Lesion (19125) |
$1,497.60 |
$1,664 |
0.4× |
| Excision hand/finger tendon (26415) |
$2,915.10 |
$3,239 |
0.9× |
| Excision hidradenitis axillary complex repair (11451) |
$1,368.90 |
$1,521 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$1,075.50 |
$1,195 |
0.4× |
| Excision hydrocele bilateral (55041) |
$1,141.20 |
$1,268 |
0.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$610.16 |
$677.96 |
0.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$479.70 |
$533 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$550.80 |
$612 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$584.10 |
$649 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$670.50 |
$745 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$752.40 |
$836 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$490.50 |
$545 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$574.20 |
$638 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$648 |
$720 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$948.60 |
$1,054 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$480.60 |
$534 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$554.40 |
$616 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$606.60 |
$674 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$716.40 |
$796 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$820.80 |
$912 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$821.70 |
$913 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$420.30 |
$467 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$470.70 |
$523 |
0.6× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,321.20 |
$1,468 |
0.8× |
| Excision of hydrocele; unilateral (55040) |
$763.20 |
$848 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$676.80 |
$752 |
0.7× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$926.10 |
$1,029 |
0.3× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$2,009.70 |
$2,233 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$435.60 |
$484 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$303.30 |
$337 |
0.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,141.20 |
$1,268 |
0.7× |
| Excision of local lesion of epididymis (54830) |
$842.40 |
$936 |
0.2× |
| Excision of nail fold toe (11765) |
$397.80 |
$442 |
0.9× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$1,048.50 |
$1,165 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$931.50 |
$1,035 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$663.30 |
$737 |
0.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,102.50 |
$1,225 |
0.4× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$724.50 |
$805 |
0.3× |
Excision of submandibular (submaxillary) gland (42440) likely a partial charge, not the full procedure |
$900.90 |
$1,001 |
0.1× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,511.10 |
$1,679 |
0.9× |
| Excision of Umbilicus (49250) |
$1,331.10 |
$1,479 |
0.4× |
| Excision olecranon bursa (24105) |
$1,254.60 |
$1,394 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$1,502.10 |
$1,669 |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,916.10 |
$2,129 |
0.6× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) unusually low: confirm this is the full procedure |
$2,448.90 |
$2,721 |
0.3× |
| Excision or fulguration; urethral caruncle (53265) |
$558.90 |
$621 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,014.20 |
$2,238 |
0.7× |
| Excision Prepatellar Bursa (27340) |
$1,291.50 |
$1,435 |
0.4× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,631.70 |
$1,813 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,062 |
$1,180 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,891.80 |
$2,102 |
1.1× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,182.60 |
$1,314 |
0.7× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,144.80 |
$1,272 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$949.50 |
$1,055 |
0.6× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,768.50 |
$1,965 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,366.20 |
$1,518 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,560.60 |
$1,734 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,944.90 |
$2,161 |
1.1× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,258.10 |
$2,509 |
0.7× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,511.10 |
$1,679 |
0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,578.60 |
$1,754 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,421.10 |
$1,579 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,224 |
$1,360 |
0.7× |
| Explor ankle jt+tenosynovectomy (27626) |
$1,997.10 |
$2,219 |
0.6× |
| Exploration of knee joint (27310) |
$2,396.70 |
$2,663 |
0.7× |
Exploration of spinal fusion (22830) unusually low: confirm this is the full procedure |
$2,683.80 |
$2,982 |
0.4× |
| Exploration penetrating wound spx chest (20101) |
$1,494.90 |
$1,661 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,415.70 |
$1,573 |
0.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,305 |
$1,450 |
2.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,156.50 |
$1,285 |
0.3× |
Explore parathyroid glands (60500) unusually low: confirm this is the full procedure |
$2,094.30 |
$2,327 |
0.3× |
| Explore/treat ankle joint (27620) |
$1,532.70 |
$1,703 |
0.5× |
| Explore/treat ankle joint (27610) |
$2,135.70 |
$2,373 |
0.6× |
| Explore/treat elbow joint (24101) |
$1,685.70 |
$1,873 |
0.5× |
| Explore/treat hand joint (26070) |
$1,100.70 |
$1,223 |
0.7× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,360.80 |
$1,512 |
0.8× |
| External Cephalic Version (59412) |
$2,844.88 |
$3,160.98 |
0.8× |
| Fascia lata graft; by stripper (20920) |
$867.60 |
$964 |
0.4× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$3,057.30 |
$3,397 |
0.9× |
| Fasciotomy Iliotibial Open (27305) |
$1,619.10 |
$1,799 |
0.5× |
| Fasciotomy palmar open partial (26045) |
$1,584.90 |
$1,761 |
0.5× |
| Fasciotomy palmar percutaneous (26040) |
$1,084.50 |
$1,205 |
0.6× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,735.10 |
$3,039 |
0.8× |
| Fetal non-stress test (59025) |
$543.72 |
$604.13 |
2.6× |
| Fill contour defct <1cc (11950) |
$211.50 |
$235 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$699.22 |
$776.91 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$556.14 |
$617.93 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$244.80 |
$272 |
0.6× |
| Fixation of knee joint (27570) |
$523.80 |
$582 |
0.3× |
| Fixation of shoulder (23700) |
$646.20 |
$718 |
0.4× |
| Flap; neurovascular pedicle (15750) |
$1,998.90 |
$2,221 |
0.5× |
| Frenulotomy of penis (54164) |
$450 |
$500 |
0.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,268.90 |
$2,521 |
1.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,430.90 |
$2,701 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,890 |
$2,100 |
0.9× |
| Fusion Finger Joint (26860) |
$2,135.70 |
$2,373 |
0.6× |
| Fusion of finger tendons (26474) |
$2,295.90 |
$2,551 |
1.4× |
Fusion of foot bones (28730) likely a partial charge, not the full procedure |
$2,396.70 |
$2,663 |
0.2× |
Fusion of foot bones (28740) unusually low: confirm this is the full procedure |
$3,008.70 |
$3,343 |
0.4× |
Fusion of knuckle (26850) unusually low: confirm this is the full procedure |
$2,484 |
$2,760 |
0.3× |
| Fusion of knuckle joint (26516) |
$2,520.90 |
$2,801 |
0.7× |
Fusion of wrist joint (25800) unusually low: confirm this is the full procedure |
$2,354.40 |
$2,616 |
0.3× |
| Gastrocnemius Recession (27687) |
$1,533.60 |
$1,704 |
0.5× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,950.20 |
$3,278 |
0.7× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,576.80 |
$1,752 |
0.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$1,587.60 |
$1,764 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$1,502.10 |
$1,669 |
2.0× |
Hemiarthroplasty Hip Partial (27125) likely a partial charge, not the full procedure |
$3,593.70 |
$3,993 |
0.3× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$990 |
$1,100 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,393.20 |
$1,548 |
0.5× |
| Hemorrhoidectomy external complete (46250) |
$1,284.30 |
$1,427 |
0.4× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$895.50 |
$995 |
0.3× |
Hip arthro acetabuloplasty (29915) unusually low: confirm this is the full procedure |
$3,247.20 |
$3,608 |
0.4× |
Hip arthro w/fb removal (29861) unusually low: confirm this is the full procedure |
$2,301.30 |
$2,557 |
0.3× |
Hip arthro w/labral repair (29916) unusually low: confirm this is the full procedure |
$3,240.90 |
$3,601 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$479.70 |
$533 |
2.0× |
| I&d abscess simple (10060) |
$407.82 |
$453.14 |
2.0× |
| I&d below fascia foot 1 bursal space (28002) |
$988.20 |
$1,098 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,518.20 |
$2,798 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,236.60 |
$1,374 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$483.30 |
$537 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,418.30 |
$2,687 |
0.7× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,304 |
$2,560 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,989 |
$2,210 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$633.60 |
$704 |
0.9× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$1,171.80 |
$1,302 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$875.70 |
$973 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,143 |
$1,270 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,337.40 |
$1,486 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$8,672.40 |
$9,636 |
5.1× |
| Image Cath Fluid Peri/Retro (49406) |
$5,093.80 |
$5,659.78 |
3.0× |
Immediate breast prosthesis (19340) likely a partial charge, not the full procedure |
$2,160 |
$2,400 |
0.3× |
| Implant neuroelectrodes (63650) |
$5,781.60 |
$6,424 |
0.9× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) likely a partial charge, not the full procedure |
$897.30 |
$997 |
0.1× |
Impltj revj/rpsg ithcl/edrl cath w/lam (62351) likely a partial charge, not the full procedure |
$2,086.20 |
$2,318 |
0.3× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) likely a partial charge, not the full procedure |
$874.80 |
$972 |
0.0× |
Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) likely a partial charge, not the full procedure |
$732.60 |
$814 |
0.0× |
| Incis 1 vertebral seg lumbar (22214) |
$4,894.20 |
$5,438 |
0.6× |
| Incise finger tendon sheath (26055) |
$2,223 |
$2,470 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$730.56 |
$811.73 |
1.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,918.80 |
$2,132 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$911.70 |
$1,013 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$664.20 |
$738 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$381.60 |
$424 |
0.9× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$1,979.10 |
$2,199 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$616.28 |
$684.76 |
2.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$677.46 |
$752.74 |
2.1× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) likely a partial charge, not the full procedure |
$2,190.60 |
$2,434 |
0.3× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) likely a partial charge, not the full procedure |
$2,137.50 |
$2,375 |
0.3× |
| Incision bone cortex hand/finger (26034) |
$1,842.30 |
$2,047 |
1.1× |
| Incision drainage of lacrimal sac (68420) |
$807.30 |
$897 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,196.10 |
$1,329 |
0.7× |
Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) likely a partial charge, not the full procedure |
$1,505.70 |
$1,673 |
0.0× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581) likely a partial charge, not the full procedure |
$1,473.30 |
$1,637 |
0.2× |
| Incision of lingual frenum (41010) |
$510.30 |
$567 |
0.3× |
| Incision of rectal abscess (46045) |
$1,061.10 |
$1,179 |
0.4× |
| Incision of rectal abscess (46040) |
$1,500.30 |
$1,667 |
1.2× |
| Incision of urethra (53020) |
$216.90 |
$241 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$541.80 |
$602 |
2.1× |
| Incision&drainage bursa foot (28001) |
$621 |
$690 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$366.30 |
$407 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$216.90 |
$241 |
1.0× |
| Inj dupuytren cord w/enzyme (20527) |
$330.30 |
$367 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,646.96 |
$2,941.07 |
2.9× |
| Inj subq fill material 1.1-5.0 (11951) |
$280.80 |
$312 |
0.4× |
| Inj subq fill material >10cc (11954) |
$414.90 |
$461 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$216 |
$240 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$378.90 |
$421 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$328.50 |
$365 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,484.76 |
$2,760.84 |
2.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$122.40 |
$136 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$452.70 |
$503 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$573.30 |
$637 |
0.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$304.20 |
$338 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$890.51 |
$989.46 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$868.73 |
$965.26 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$588.60 |
$654 |
0.6× |
| Inject Sinus Tract Theraputic (20500) |
$312.30 |
$347 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$216 |
$240 |
0.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$175.50 |
$195 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,058.07 |
$1,175.64 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$420.30 |
$467 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$219.60 |
$244 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$542.88 |
$603.20 |
1.7× |
| Injection anes other peripheral nerve/branch (64450) |
$653.86 |
$726.52 |
0.9× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$495 |
$550 |
0.5× |
| Injection for identification of sentinel node (38792) |
$199.80 |
$222 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$306.30 |
$340.32 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$145.80 |
$162 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$309.60 |
$344 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$442.42 |
$491.58 |
1.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$354.60 |
$394 |
1.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$138.60 |
$154 |
0.7× |
| Ins vag brachytx device (57156) |
$1,382.77 |
$1,536.41 |
4.4× |
| Insert and remove bone pin (20650) |
$881.10 |
$979 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$374.40 |
$416 |
2.8× |
Insert brain-fluid device (61215) likely a partial charge, not the full procedure |
$1,270.80 |
$1,412 |
0.1× |
| Insert Drug Implant Device (11981) |
$306.90 |
$341 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$575.10 |
$639 |
0.2× |
| Insert picc cath (36569) |
$1,821.32 |
$2,023.68 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$228.65 |
$254.06 |
1.7× |
| Insert Tissue Expander(S) (11960) |
$2,271.60 |
$2,524 |
0.6× |
| Insert tun ip cath perc (49418) |
$5,261.36 |
$5,845.96 |
1.4× |
| Insert tunneled cv cath (36561) |
$3,563.36 |
$3,959.30 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$407.52 |
$452.80 |
2.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,895.40 |
$2,106 |
0.5× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) likely a partial charge, not the full procedure |
$3,430.80 |
$3,812 |
0.2× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$490.50 |
$545 |
0.1× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) likely a partial charge, not the full procedure |
$1,033.20 |
$1,148 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$887.40 |
$986 |
0.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,282.09 |
$13,646.77 |
1.4× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155) likely a partial charge, not the full procedure |
$978.30 |
$1,087 |
0.2× |
Insj inflatable urethral/bladder neck sphincter (53445) likely a partial charge, not the full procedure |
$1,683.90 |
$1,871 |
0.1× |
Insj multi-component inflatable penile prosth (54405) likely a partial charge, not the full procedure |
$1,809.90 |
$2,011 |
0.1× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,210.30 |
$3,567 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,903.50 |
$2,115 |
0.6× |
Insj/rplcmt breast implant sep day mastectomy (19342) likely a partial charge, not the full procedure |
$2,007.90 |
$2,231 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$352.80 |
$392 |
0.0× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$777.60 |
$864 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$611.41 |
$679.34 |
2.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$604.80 |
$672 |
2.3× |
| Island pedicle flap graft (15740) |
$2,523.60 |
$2,804 |
1.2× |
Knee arthroscopy/surgery (29887) unusually low: confirm this is the full procedure |
$2,470.50 |
$2,745 |
0.3× |
| Knee arthroscopy/surgery (29883) |
$2,734.20 |
$3,038 |
0.8× |
| Knee arthroscopy/surgery (29876) |
$2,142 |
$2,380 |
0.6× |
| Knee arthroscopy/surgery (29851) |
$2,991.60 |
$3,324 |
1.8× |
| Knee arthroscopy/surgery (29886) |
$2,104.20 |
$2,338 |
0.6× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$4,774.50 |
$5,305 |
0.6× |
| Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) |
$3,951.90 |
$4,391 |
0.5× |
| Lam W/O Ffd > 2 Vrt Seg Thrc (63016) |
$4,846.50 |
$5,385 |
0.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265) |
$5,322.60 |
$5,914 |
0.7× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$4,409.10 |
$4,899 |
0.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268) |
$4,786.20 |
$5,318 |
0.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) |
$5,471.10 |
$6,079 |
0.7× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) likely a partial charge, not the full procedure |
$1,915.20 |
$2,128 |
0.1× |
| Laminectomy w/o ffd 1/2 vert seg thoracic (63003) |
$3,968.10 |
$4,409 |
0.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$3,960.90 |
$4,401 |
0.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$4,130.10 |
$4,589 |
0.5× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) unusually low: confirm this is the full procedure |
$3,456 |
$3,840 |
0.5× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$3,847.50 |
$4,275 |
0.5× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) unusually low: confirm this is the full procedure |
$3,585.60 |
$3,984 |
0.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$4,163.40 |
$4,626 |
0.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$3,967.20 |
$4,408 |
0.5× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) unusually low: confirm this is the full procedure |
$3,584.70 |
$3,983 |
0.5× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) unusually low: confirm this is the full procedure |
$3,033 |
$3,370 |
0.4× |
| Laminotomy single cervical (63040) |
$4,332.60 |
$4,814 |
0.6× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$4,122.90 |
$4,581 |
0.5× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$989.10 |
$1,099 |
0.2× |
Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$848.70 |
$943 |
0.1× |
Lap jejunostomy (44186) likely a partial charge, not the full procedure |
$1,455.30 |
$1,617 |
0.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) likely a partial charge, not the full procedure |
$2,455.20 |
$2,728 |
0.2× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,345.50 |
$1,495 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$771.30 |
$857 |
0.1× |
Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$1,318.50 |
$1,465 |
0.2× |
Laparoscopy orchiopexy (54692) likely a partial charge, not the full procedure |
$1,697.40 |
$1,886 |
0.3× |
Laparoscopy Remove Adnexa (58661) likely a partial charge, not the full procedure |
$1,415.70 |
$1,573 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) likely a partial charge, not the full procedure |
$739.80 |
$822 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) unusually low: confirm this is the full procedure |
$2,007.90 |
$2,231 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,342.70 |
$2,603 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) likely a partial charge, not the full procedure |
$3,297.60 |
$3,664 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,588.50 |
$1,765 |
0.3× |
Laparoscopy, surgical; partial nephrectomy (50543) unusually low: confirm this is the full procedure |
$3,331.80 |
$3,702 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,281.60 |
$1,424 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$830.70 |
$923 |
0.1× |
Laps W/Revision Intraperitoneal Catheter (49325) likely a partial charge, not the full procedure |
$900.90 |
$1,001 |
0.1× |
| Laryngoscopy Direct Aspiration (31515) |
$553.50 |
$615 |
1.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$307.80 |
$342 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$414 |
$460 |
0.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$605.70 |
$673 |
0.3× |
| Late closure of wound (13160) |
$1,769.40 |
$1,966 |
0.5× |
| Lateral retinacular release open (27425) |
$1,545.30 |
$1,717 |
0.5× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) unusually low: confirm this is the full procedure |
$2,313.90 |
$2,571 |
0.3× |
Ligation of abdomen artery (37617) unusually low: confirm this is the full procedure |
$2,872.80 |
$3,192 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$785.70 |
$873 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$752.40 |
$836 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,102.40 |
$2,336 |
0.6× |
| Lithotripsy (50590) |
$1,842.30 |
$2,047 |
0.5× |
| Liver Biopsy (47000) |
$1,377.30 |
$1,530.33 |
0.8× |
| Lyse Chest Fibrin Init Day (32561) |
$246.60 |
$274 |
0.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$639.90 |
$711 |
0.3× |
| Manipulation finger joint under anes each joint (26340) |
$1,288.80 |
$1,432 |
0.8× |
| Manipulation, elbow, under anesthesia (24300) |
$1,569.60 |
$1,744 |
0.9× |
| Manipulation, wrist, under anesthesia (25259) |
$1,533.60 |
$1,704 |
0.9× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,622.60 |
$2,914 |
0.4× |
| Mastectomy gynecomastia (19300) |
$1,517.40 |
$1,686 |
0.4× |
| Mastectomy partial (19301) |
$1,473.30 |
$1,637 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$2,019.60 |
$2,244 |
0.3× |
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,131.20 |
$2,368 |
0.3× |
Mastopexy (19316) likely a partial charge, not the full procedure |
$1,732.50 |
$1,925 |
0.3× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$2,835.90 |
$3,151 |
0.8× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$2,303.10 |
$2,559 |
0.6× |
| Muscle-skin graft arm (15736) |
$2,657.70 |
$2,953 |
1.2× |
| Muscle-skin graft trunk (15734) |
$3,263.40 |
$3,626 |
0.9× |
Muscle/tendon transfer upper arm/elbow single (24301) likely a partial charge, not the full procedure |
$2,205 |
$2,450 |
0.3× |
| Myelography Lumbar Injection (62304) |
$3,466.75 |
$3,851.94 |
4.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$91.80 |
$102 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,699.20 |
$1,888 |
1.0× |
| Neuroplasty digital 1/both same digit (64702) |
$1,169.10 |
$1,299 |
0.6× |
| Nipple exploration (19110) |
$1,266.30 |
$1,407 |
0.3× |
| Nipple/areola reconstruction (19350) |
$2,138.40 |
$2,376 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$230.40 |
$256 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,053.26 |
$1,170.28 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,440.40 |
$1,600.45 |
2.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$376.20 |
$418 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,007.45 |
$1,119.39 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$375.30 |
$417 |
0.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$290.70 |
$323 |
0.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$491.40 |
$546 |
1.2× |
Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,762.20 |
$1,958 |
0.3× |
Open bone biopsy (20251) likely a partial charge, not the full procedure |
$975.60 |
$1,084 |
0.1× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) unusually low: confirm this is the full procedure |
$2,571.30 |
$2,857 |
0.3× |
Open rx distal radius fx, intra-articular, 2 frag (25608) unusually low: confirm this is the full procedure |
$2,692.80 |
$2,992 |
0.4× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) unusually low: confirm this is the full procedure |
$5,354.10 |
$5,949 |
0.4× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) unusually low: confirm this is the full procedure |
$5,931.90 |
$6,591 |
0.4× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) unusually low: confirm this is the full procedure |
$4,909.50 |
$5,455 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,494.80 |
$2,772 |
0.3× |
Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$2,717.10 |
$3,019 |
0.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$2,090.70 |
$2,323 |
0.6× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$2,027.70 |
$2,253 |
0.3× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,924.20 |
$2,138 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) likely a partial charge, not the full procedure |
$1,889.10 |
$2,099 |
0.3× |
Open treatment of acute shoulder dislocation (23660) likely a partial charge, not the full procedure |
$1,926.90 |
$2,141 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$2,365.20 |
$2,628 |
0.3× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) likely a partial charge, not the full procedure |
$3,033.90 |
$3,371 |
0.2× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$3,783.60 |
$4,204 |
0.5× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) unusually low: confirm this is the full procedure |
$3,063.60 |
$3,404 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$2,907 |
$3,230 |
0.2× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) likely a partial charge, not the full procedure |
$2,861.10 |
$3,179 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) unusually low: confirm this is the full procedure |
$2,650.50 |
$2,945 |
0.4× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) unusually low: confirm this is the full procedure |
$3,695.40 |
$4,106 |
0.5× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) unusually low: confirm this is the full procedure |
$2,452.50 |
$2,725 |
0.3× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$3,785.40 |
$4,206 |
0.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) unusually low: confirm this is the full procedure |
$2,827.80 |
$3,142 |
0.4× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) likely a partial charge, not the full procedure |
$2,897.10 |
$3,219 |
0.2× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) unusually low: confirm this is the full procedure |
$3,223.80 |
$3,582 |
0.4× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) likely a partial charge, not the full procedure |
$2,077.20 |
$2,308 |
0.3× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$2,063.70 |
$2,293 |
0.3× |
Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$2,211.30 |
$2,457 |
0.3× |
Open treatment talus fracture (28445) unusually low: confirm this is the full procedure |
$3,420.90 |
$3,801 |
0.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,409.30 |
$2,677 |
0.7× |
Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$2,340 |
$2,600 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,704.60 |
$1,894 |
0.5× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) unusually low: confirm this is the full procedure |
$3,380.40 |
$3,756 |
0.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,376 |
$2,640 |
0.7× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$2,421.90 |
$2,691 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$1,836.90 |
$2,041 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,917.90 |
$2,131 |
0.6× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) unusually low: confirm this is the full procedure |
$2,358 |
$2,620 |
0.3× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) unusually low: confirm this is the full procedure |
$2,789.10 |
$3,099 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,975.50 |
$2,195 |
0.6× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) likely a partial charge, not the full procedure |
$2,866.50 |
$3,185 |
0.2× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) likely a partial charge, not the full procedure |
$2,235.60 |
$2,484 |
0.3× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666) likely a partial charge, not the full procedure |
$2,388.60 |
$2,654 |
0.2× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$4,245.30 |
$4,717 |
0.6× |
Optx hum fx w/ntrcndylr xtn (24546) likely a partial charge, not the full procedure |
$3,316.50 |
$3,685 |
0.2× |
Optx hum fx wo ntrcndylr xtn (24545) likely a partial charge, not the full procedure |
$2,719.80 |
$3,022 |
0.2× |
Optx post ankle fx (27769) unusually low: confirm this is the full procedure |
$2,356.20 |
$2,618 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,136.70 |
$1,263 |
0.3× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$2,686.50 |
$2,985 |
0.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,135.80 |
$1,262 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,482.30 |
$1,647 |
0.4× |
Osteochondral allograft, knee, open (27415) unusually low: confirm this is the full procedure |
$4,365 |
$4,850 |
0.3× |
Osteochondral knee autograft (27416) unusually low: confirm this is the full procedure |
$3,132 |
$3,480 |
0.4× |
Osteotomy Clavicle W Bone Graft (23485) likely a partial charge, not the full procedure |
$3,032.10 |
$3,369 |
0.2× |
Ovarian cystectomy (58925) unusually low: confirm this is the full procedure |
$1,652.40 |
$1,836 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,982.60 |
$3,314 |
0.9× |
Partial excision bone clavicle (23180) unusually low: confirm this is the full procedure |
$2,280.60 |
$2,534 |
0.3× |
| Partial Excision Bone Olecranon Process (24147) |
$2,084.40 |
$2,316 |
0.6× |
| Partial excision bone talus/calcaneus (28120) |
$1,660.50 |
$1,845 |
0.5× |
| Partial Excision Bone Tibia (27640) |
$2,690.10 |
$2,989 |
0.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,477.80 |
$1,642 |
0.9× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,456.20 |
$1,618 |
0.4× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,527.30 |
$1,697 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,529.10 |
$1,699 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,156.50 |
$1,285 |
0.3× |
| Pelvic exam under anesthesia (57410) |
$233.10 |
$259 |
0.1× |
| Penis plastic surgery (54360) |
$1,612.80 |
$1,792 |
0.4× |
Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) likely a partial charge, not the full procedure |
$1,944.90 |
$2,161 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) unusually low: confirm this is the full procedure |
$2,908.80 |
$3,232 |
0.4× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,625.40 |
$1,806 |
0.5× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,656.90 |
$1,841 |
0.5× |
| Peri-implant capsulectomy breast complete (19371) |
$1,705.50 |
$1,895 |
0.4× |
| Perq dev breast 1st strtctc (19283) |
$1,796.29 |
$1,995.88 |
2.4× |
| Perq dev breast 1st us imag (19285) |
$2,267.76 |
$2,519.73 |
3.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,570.50 |
$1,745 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,032.20 |
$2,258 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$763.27 |
$848.08 |
2.9× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$20,561.40 |
$22,846 |
2.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$17,634.10 |
$19,593.44 |
2.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$6,290.10 |
$6,989 |
1.9× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$6,251.40 |
$6,946 |
1.8× |
| Pin finger fracture each (26756) |
$1,454.40 |
$1,616 |
0.4× |
| Pin hand dislocation (26676) |
$1,716.30 |
$1,907 |
0.5× |
| Pin radioulnar dislocation (25671) |
$1,824.30 |
$2,027 |
0.5× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,147.50 |
$1,275 |
0.8× |
Placement needle pelvic organ radioelement appl (55920) likely a partial charge, not the full procedure |
$1,017.90 |
$1,131 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$136.80 |
$152 |
0.3× |
| Placement of seton (46020) |
$603.90 |
$671 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,852.20 |
$2,058 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$369 |
$410 |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,732.50 |
$3,036.12 |
1.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,293.20 |
$2,548 |
0.6× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$1,888.20 |
$2,098 |
0.6× |
| Preputial Stretching (54450) |
$174.60 |
$194 |
0.7× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$557.10 |
$619 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$477.90 |
$531 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$359.10 |
$399 |
0.4× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) unusually low: confirm this is the full procedure |
$3,195 |
$3,550 |
0.4× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) unusually low: confirm this is the full procedure |
$3,592.80 |
$3,992 |
0.5× |
Prostatectomy (turp) (52601) likely a partial charge, not the full procedure |
$1,631.70 |
$1,813 |
0.3× |
| Prostatic microwave thermotx (53850) |
$3,465 |
$3,850 |
0.9× |
| Prosthesis removal humeral and glenoid component (23335) |
$3,994.20 |
$4,438 |
0.5× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) likely a partial charge, not the full procedure |
$1,795.50 |
$1,995 |
0.3× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$1,935.90 |
$2,151 |
0.6× |
Prq skel fixj humrl cndylr fx medial/lat w/manj (24582) unusually low: confirm this is the full procedure |
$2,727.90 |
$3,031 |
0.4× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$593.10 |
$659 |
0.2× |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
$1,363.50 |
$1,515 |
0.4× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) unusually low: confirm this is the full procedure |
$2,619.90 |
$2,911 |
0.3× |
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) likely a partial charge, not the full procedure |
$1,349.10 |
$1,499 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$458.09 |
$508.99 |
1.1× |
| Puncture Aspiration (10160) |
$458.25 |
$509.16 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$238.50 |
$265 |
0.3× |
| Pvb thoracic single inj site (64461) |
$366.30 |
$407 |
0.5× |
Quadricepsplasty (eg, Bennett or Thompson type) (27430) unusually low: confirm this is the full procedure |
$2,430.90 |
$2,701 |
0.3× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,460.60 |
$2,734 |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,999.80 |
$2,222 |
0.6× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$1,663.20 |
$1,848 |
0.2× |
Rebuild outer ear canal (69310) unusually low: confirm this is the full procedure |
$2,499.30 |
$2,777 |
0.4× |
Reconstr disloc patella w mscl adv (27422) unusually low: confirm this is the full procedure |
$2,430.90 |
$2,701 |
0.3× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$3,780.90 |
$4,201 |
0.3× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$2,807.10 |
$3,119 |
0.8× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) unusually low: confirm this is the full procedure |
$2,450.70 |
$2,723 |
0.3× |
Reconstruction of nose (30400) unusually low: confirm this is the full procedure |
$2,867.40 |
$3,186 |
0.5× |
| Reconstruction of urethra (54322) |
$1,747.80 |
$1,942 |
0.5× |
Reconstruction, knee (27429) unusually low: confirm this is the full procedure |
$4,070.70 |
$4,523 |
0.3× |
| Reduce testis torsion (54600) |
$1,013.40 |
$1,126 |
0.3× |
Reduction of Large Breast (19318) unusually low: confirm this is the full procedure |
$2,387.70 |
$2,653 |
0.3× |
| Reduction of rectal prolapse (45900) |
$492.30 |
$547 |
0.5× |
| Reinforce radius and ulna (25492) |
$2,930.40 |
$3,256 |
0.9× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) unusually low: confirm this is the full procedure |
$2,496.60 |
$2,774 |
0.3× |
Reinsertion Spinal Fixation Device (22849) unusually low: confirm this is the full procedure |
$4,131.90 |
$4,591 |
0.3× |
Release hip flexion contracture (27036) unusually low: confirm this is the full procedure |
$3,275.10 |
$3,639 |
0.4× |
| Release palm contracture (26121) |
$1,967.40 |
$2,186 |
0.6× |
| Removal Anal Seton Other Marker (46030) |
$684.90 |
$761 |
0.6× |
| Removal fb intranasal (30300) |
$452.18 |
$502.42 |
3.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,242.80 |
$2,492 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$1,248.30 |
$1,387 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,112.40 |
$1,236 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$581.40 |
$646 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$555.30 |
$617 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$41.40 |
$46 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$117 |
$130 |
1.9× |
| Removal Implant Deep (20680) |
$2,224.80 |
$2,472 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,312.20 |
$1,458 |
0.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$351.90 |
$391 |
0.5× |
| Removal Intact Mammary Implant (19328) |
$1,222.20 |
$1,358 |
0.3× |
| Removal of anal fissure (46200) |
$1,278 |
$1,420 |
0.4× |
| Removal of ankle implant (27704) |
$1,863 |
$2,070 |
0.5× |
Removal of anterior instrumentation (eg, dwyer device) (22855) unusually low: confirm this is the full procedure |
$3,135.60 |
$3,484 |
0.4× |
| Removal of arm foreign body (24200) |
$855 |
$950 |
0.5× |
| Removal of calcium deposits (23000) |
$2,023.20 |
$2,248 |
0.7× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,625.40 |
$1,806 |
1.0× |
| Removal of finger lesion (26210) |
$1,502.10 |
$1,669 |
0.9× |
| Removal of heel bone (28118) |
$1,525.50 |
$1,695 |
0.4× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) unusually low: confirm this is the full procedure |
$4,979.70 |
$5,533 |
0.4× |
| Removal of humerus lesion (23150) |
$2,200.50 |
$2,445 |
0.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$460.80 |
$512 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$268.20 |
$298 |
0.8× |
Removal of kidney stone (50081) likely a partial charge, not the full procedure |
$2,858.40 |
$3,176 |
0.3× |
| Removal of knee cartilage (27332) |
$2,139.30 |
$2,377 |
0.6× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) likely a partial charge, not the full procedure |
$3,816.90 |
$4,241 |
0.3× |
| Removal of nail bed (11750) |
$385.20 |
$428 |
0.9× |
| Removal of palm tendon each (26170) |
$1,373.40 |
$1,526 |
0.8× |
Removal of posterior instrumentation (eg, harrington rod) (22850) unusually low: confirm this is the full procedure |
$2,427.30 |
$2,697 |
0.3× |
Removal of posterior segmental instrumentation (22852) unusually low: confirm this is the full procedure |
$2,346.30 |
$2,607 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$225 |
$250 |
1.1× |
| Removal of sperm cord lesion (55520) |
$1,051.20 |
$1,168 |
0.3× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,782.90 |
$1,981 |
0.9× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$1,940.40 |
$2,156 |
0.5× |
| Removal of testis (54520) |
$738.90 |
$821 |
0.2× |
Removal of thyroid lesion (60200) likely a partial charge, not the full procedure |
$1,469.70 |
$1,633 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,586.70 |
$1,763 |
0.5× |
Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$499.50 |
$555 |
0.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$207.90 |
$231 |
0.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$477.90 |
$531 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$245.70 |
$273 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$243.90 |
$271 |
0.8× |
| Remove anal fist subq (46270) |
$1,435.50 |
$1,595 |
0.5× |
| Remove bladder stone (52318) |
$1,062 |
$1,180 |
0.3× |
| Remove by ligat int hem grp (46945) |
$840.60 |
$934 |
0.3× |
| Remove by ligat int hem grps (46946) |
$925.20 |
$1,028 |
0.3× |
| Remove cranial cavity fluid (61000) |
$248.40 |
$276 |
0.3× |
| Remove drug implant device (11982) |
$340.20 |
$378 |
0.7× |
| Remove elbow lesion (24120) |
$1,771.20 |
$1,968 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$615.60 |
$684 |
1.9× |
| Remove femur lesion (27355) |
$2,011.50 |
$2,235 |
0.6× |
| Remove femur lesion/bursa (27062) |
$1,512 |
$1,680 |
0.4× |
| Remove finger bone (26185) |
$1,911.60 |
$2,124 |
1.1× |
| Remove foreign body from eye (65235) |
$1,576.80 |
$1,752 |
0.7× |
| Remove foreign body from eye (65210) |
$125.10 |
$139 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$1,139.40 |
$1,266 |
0.4× |
| Remove knee cyst (27347) |
$1,773 |
$1,970 |
0.5× |
| Remove muti-comp penis pros (54406) |
$1,634.40 |
$1,816 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,645.20 |
$1,828 |
0.5× |
Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$912.60 |
$1,014 |
0.2× |
| Remove renal tube w/fluoro (50389) |
$1,362.70 |
$1,514.10 |
1.9× |
| Remove sacrum pressure sore (15937) |
$2,240.10 |
$2,489 |
1.0× |
| Remove sacrum pressure sore (15935) |
$2,491.20 |
$2,768 |
0.7× |
| Remove skin nerve lesion (64774) |
$976.50 |
$1,085 |
0.5× |
| Remove spinal canal catheter (62355) |
$660.60 |
$734 |
0.3× |
| Remove spine infusion device (62365) |
$693.90 |
$771 |
0.2× |
| Remove tissue expander (11971) |
$1,230.30 |
$1,367 |
0.4× |
Remove uro sphincter (53446) likely a partial charge, not the full procedure |
$1,435.50 |
$1,595 |
0.3× |
| Remove wrist tendon lesion (25111) |
$1,126.80 |
$1,252 |
0.7× |
Remove/replace ur sphincter (53447) likely a partial charge, not the full procedure |
$1,807.20 |
$2,008 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$247.21 |
$274.68 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$102.60 |
$114 |
0.7× |
| Renal biopsy (50200) |
$3,169.77 |
$3,521.96 |
1.8× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$2,201.40 |
$2,446 |
0.3× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$2,690.10 |
$2,989 |
0.8× |
Repair arm tendon/muscle (24341) unusually low: confirm this is the full procedure |
$2,475.90 |
$2,751 |
0.3× |
Repair blood vessel direct neck (35201) unusually low: confirm this is the full procedure |
$2,015.10 |
$2,239 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,690.20 |
$1,878 |
0.5× |
| Repair brow defect (67900) |
$1,331.10 |
$1,479 |
0.5× |
Repair collat ankle ligmnt,secondary (27698) likely a partial charge, not the full procedure |
$2,105.10 |
$2,339 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,017.90 |
$1,131 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,190.70 |
$1,323 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$932.40 |
$1,036 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,124.10 |
$1,249 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$851.40 |
$946 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,015.20 |
$1,128 |
2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$819 |
$910 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$946.80 |
$1,052 |
1.2× |
| Repair elbow deb/attch open (24359) |
$2,152.80 |
$2,392 |
0.6× |
| Repair elbow perc (24357) |
$1,373.40 |
$1,526 |
0.4× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$2,526.30 |
$2,807 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,210.40 |
$2,456 |
1.3× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$2,443.50 |
$2,715 |
0.7× |
| Repair finger tendon (26432) |
$1,911.60 |
$2,124 |
1.1× |
| Repair finger tendon (26433) |
$1,998.90 |
$2,221 |
0.6× |
| Repair finger/hand tendon (26350) |
$2,596.50 |
$2,885 |
0.8× |
| Repair finger/hand tendon (26373) |
$3,039.30 |
$3,377 |
0.9× |
| Repair finger/hand tendon (26370) |
$2,672.10 |
$2,969 |
0.8× |
| Repair forearm tendon/muscle (25270) |
$1,647 |
$1,830 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$2,097 |
$2,330 |
0.6× |
| Repair hand tendon (26410) |
$2,107.80 |
$2,342 |
1.3× |
| Repair incomplete circumcision (54163) |
$502.20 |
$558 |
0.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,415.70 |
$1,573 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,321.20 |
$1,468 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,305.90 |
$1,451 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$838.66 |
$931.85 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$921.12 |
$1,023.47 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$873.90 |
$971 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$943.20 |
$1,048 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,086.30 |
$1,207 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$815.42 |
$906.03 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$884.96 |
$983.30 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$936.90 |
$1,041 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,172.87 |
$1,303.19 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$863.70 |
$959.66 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,013.85 |
$1,126.50 |
2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,143.90 |
$1,271 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$810 |
$900 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,278 |
$1,420 |
0.6× |
Repair kneecap tendon (27380) likely a partial charge, not the full procedure |
$2,087.10 |
$2,319 |
0.3× |
Repair medial collateral ligament, elbow w/local tissue (24345) unusually low: confirm this is the full procedure |
$2,354.40 |
$2,616 |
0.3× |
Repair nonunion hand (26546) unusually low: confirm this is the full procedure |
$3,485.70 |
$3,873 |
0.5× |
Repair of ankle ligament (27695) likely a partial charge, not the full procedure |
$1,641.60 |
$1,824 |
0.2× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$2,034.90 |
$2,261 |
0.3× |
| Repair of eye wound (65286) |
$1,707.30 |
$1,897 |
0.7× |
Repair of fibula nonunion and/or malunion with internal fixation (27726) unusually low: confirm this is the full procedure |
$3,240 |
$3,600 |
0.4× |
| Repair Of Foot Tendon (28208) |
$1,206 |
$1,340 |
0.4× |
| Repair of hydrocele (55060) |
$858.60 |
$954 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$2,125.80 |
$2,362 |
0.3× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$1,215.90 |
$1,351 |
0.2× |
| Repair of leg tendon each (27658) |
$1,263.60 |
$1,404 |
0.4× |
| Repair of nail bed (11760) |
$452.70 |
$503 |
0.6× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) unusually low: confirm this is the full procedure |
$2,572.20 |
$2,858 |
0.3× |
| Repair of rectum (45505) |
$1,420.20 |
$1,578 |
0.5× |
| Repair of sperm duct (55400) |
$1,114.20 |
$1,238 |
0.3× |
Repair of thigh musc (27385) likely a partial charge, not the full procedure |
$2,060.10 |
$2,289 |
0.3× |
| Repair of traumatic corporeal tear(s) (54437) |
$1,506.60 |
$1,674 |
0.4× |
Repair secondary achilles tendon w/wo graft (27654) unusually low: confirm this is the full procedure |
$2,387.70 |
$2,653 |
0.3× |
| Repair Tongue Laceration (41250) |
$807.30 |
$897 |
1.7× |
| Repair umbilical lesion (49600) |
$1,631.70 |
$1,813 |
0.4× |
| Repair wrist joints (25447) |
$2,602.80 |
$2,892 |
0.8× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$1,659.60 |
$1,844 |
0.5× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$4,008.60 |
$4,454 |
0.5× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470) unusually low: confirm this is the full procedure |
$3,765.60 |
$4,184 |
0.5× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$2,222.10 |
$2,469 |
0.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,224 |
$1,360 |
0.4× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$2,195.10 |
$2,439 |
0.3× |
| Replace duod/jej tube perc (49451) |
$1,265.88 |
$1,406.54 |
1.3× |
| Replace g/c tube perc (49450) |
$1,433.70 |
$1,593 |
1.5× |
Replace Tissue Expander (11970) likely a partial charge, not the full procedure |
$1,322.10 |
$1,469 |
0.2× |
Replace/revise brain shunt (62230) likely a partial charge, not the full procedure |
$1,895.40 |
$2,106 |
0.2× |
| Replacement or irrigation of tube in brain (62225) |
$1,304.10 |
$1,449 |
0.4× |
| Reposition gastrostomy tube (43761) |
$297 |
$330 |
1.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,364.30 |
$2,627 |
0.7× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$242.10 |
$269 |
0.8× |
| Rerepair fem hernia blocked (49557) |
$1,608.30 |
$1,787 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$1,412.10 |
$1,569 |
0.4× |
Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$5,006.70 |
$5,563 |
0.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$5,390.10 |
$5,989 |
0.4× |
| Revise arm/leg nerve (64708) |
$1,122.30 |
$1,247 |
0.6× |
| Revise finger joint (26535) |
$1,472.40 |
$1,636 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$1,151.10 |
$1,279 |
0.6× |
Revise spermatic cord veins (55535) likely a partial charge, not the full procedure |
$964.80 |
$1,072 |
0.1× |
| Revise ulnar nerve at elbow (64718) |
$1,368.90 |
$1,521 |
0.7× |
| Revise ulnar nerve at wrist (64719) |
$924.30 |
$1,027 |
0.5× |
| Revise wrist/forearm tendon (25280) |
$1,861.20 |
$2,068 |
0.5× |
Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) likely a partial charge, not the full procedure |
$2,020.50 |
$2,245 |
0.2× |
| Revision of eyelid (67961) |
$1,447.20 |
$1,608 |
0.6× |
Revision of humerus (24400) unusually low: confirm this is the full procedure |
$2,693.70 |
$2,993 |
0.4× |
| Revision of lower eyelid (15821) |
$1,546.20 |
$1,718 |
0.7× |
| Revision of lower leg tendon (27685) |
$2,419.20 |
$2,688 |
0.7× |
Revision of reconstructed breast (19380) likely a partial charge, not the full procedure |
$1,642.50 |
$1,825 |
0.2× |
Revision of testis (54660) likely a partial charge, not the full procedure |
$810.90 |
$901 |
0.1× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) unusually low: confirm this is the full procedure |
$4,563 |
$5,070 |
0.3× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) unusually low: confirm this is the full procedure |
$5,865.30 |
$6,517 |
0.4× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) unusually low: confirm this is the full procedure |
$4,734.90 |
$5,261 |
0.4× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) likely a partial charge, not the full procedure |
$5,453.10 |
$6,059 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; one component (27486) unusually low: confirm this is the full procedure |
$4,421.70 |
$4,913 |
0.3× |
| Revision of upper eyelid (15823) |
$1,546.20 |
$1,718 |
0.7× |
| Revision of urethra (53450) |
$919.80 |
$1,022 |
0.3× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$799.20 |
$888 |
0.2× |
| Revision peri-implant capsule breast (19370) |
$1,491.30 |
$1,657 |
0.4× |
Revision spinal neurostim electrode perc array, incl fluoro (63663) unusually low: confirm this is the full procedure |
$2,303.10 |
$2,559 |
0.3× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$839.70 |
$933 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$608.40 |
$676 |
0.2× |
Rhinectomy Partial (30150) likely a partial charge, not the full procedure |
$1,728 |
$1,920 |
0.3× |
Rmvl & rplcmt inflatable penile prosth same sess (54410) likely a partial charge, not the full procedure |
$1,925.10 |
$2,139 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$504.90 |
$561 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$313.88 |
$348.76 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$165.60 |
$184 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$965.70 |
$1,073 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,193.40 |
$1,326 |
0.4× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$1,409.40 |
$1,566 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$539.10 |
$599 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$400.50 |
$445 |
0.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$501.30 |
$557 |
1.1× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,580.20 |
$3,978 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,153.70 |
$2,393 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,831.50 |
$2,035 |
0.6× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,574.10 |
$1,749 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593) likely a partial charge, not the full procedure |
$1,211.40 |
$1,346 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) likely a partial charge, not the full procedure |
$1,008 |
$1,120 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,084.50 |
$1,205 |
0.3× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) likely a partial charge, not the full procedure |
$1,350 |
$1,500 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,387.70 |
$2,653 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$849.60 |
$944 |
0.5× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,583.10 |
$1,759 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,321.20 |
$1,468 |
1.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$828 |
$920 |
3.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,374.30 |
$1,527 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,371.60 |
$1,524 |
2.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,484.10 |
$1,649 |
0.9× |
Rpr non/malunion metarsal w/wo bone graft (28322) likely a partial charge, not the full procedure |
$1,960.20 |
$2,178 |
0.3× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) likely a partial charge, not the full procedure |
$1,815.30 |
$2,017 |
0.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$358.20 |
$398 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,640.60 |
$2,934 |
0.8× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$283.50 |
$315 |
0.2× |
| Scrotal exploration (55110) |
$877.50 |
$975 |
0.2× |
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) likely a partial charge, not the full procedure |
$2,117.70 |
$2,353 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$792.90 |
$881 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$810.90 |
$901 |
0.7× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$445.50 |
$495 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$270.90 |
$301 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$430.20 |
$478 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$246.60 |
$274 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$287.10 |
$319 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$323.10 |
$359 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$342.90 |
$381 |
0.8× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$234.90 |
$261 |
0.6× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,932.30 |
$2,147 |
0.6× |
| Shoulder arthroscopy (29805) |
$1,566 |
$1,740 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$322.20 |
$358 |
1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$366.30 |
$407 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$283.50 |
$315 |
1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$358.20 |
$398 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$321.30 |
$357 |
1.5× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,318.50 |
$1,465 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$780.30 |
$867 |
0.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$890.10 |
$989 |
0.9× |
| Sigmoidoscopy w/fb removal (45332) |
$756.90 |
$841 |
0.6× |
| Simple destruction of growth of penis using electric current (54055) |
$338.40 |
$376 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$635.40 |
$706 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$449.66 |
$499.62 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$471.40 |
$523.77 |
2.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$357.30 |
$397 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$410.40 |
$456 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$502.20 |
$558 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$412.15 |
$457.94 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$608.40 |
$676 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$487.05 |
$541.16 |
2.3× |
| Skin pinch graft (15050) |
$1,456.20 |
$1,618 |
1.9× |
| Skin splt grft trnk/arm/leg (15100) |
$2,202.30 |
$2,447 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$2,036.02 |
$2,262.25 |
2.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,462.40 |
$1,624.89 |
1.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$771.30 |
$857 |
0.4× |
| Skin tissue rearrangement (14040) |
$1,858.50 |
$2,065 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,099.70 |
$2,333 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$2,460.06 |
$2,733.40 |
1.1× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$1,592.10 |
$1,769 |
0.3× |
| Slitting of prepuce (54001) |
$494.10 |
$549 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$448.57 |
$498.41 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$622.04 |
$691.16 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$571.50 |
$635 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$788.11 |
$875.68 |
1.1× |
| Spinal Puncture Therapeutic (62272) |
$511.20 |
$568 |
0.7× |
| Strapping ankle (29540) |
$101.70 |
$113 |
0.6× |
| Strapping elbow/wrist (29260) |
$104.40 |
$116 |
1.7× |
| Strapping hand/finger (29280) |
$108 |
$120 |
1.8× |
| Strapping Hip (29520) |
$126 |
$140 |
0.9× |
| Strapping knee (29530) |
$105.30 |
$117 |
0.8× |
| Strapping shoulder (29240) |
$105.30 |
$117 |
0.8× |
| Strapping thorax (29200) |
$114.30 |
$127 |
0.7× |
| Strapping toes (29550) |
$69.30 |
$77 |
1.1× |
| Strapping unna boot (29580) |
$641.74 |
$713.05 |
3.8× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services (11952) |
$375.30 |
$417 |
0.5× |
| Suction assisted lipectomy upper extremity (15878) |
$495.90 |
$551 |
0.2× |
| Suction assisted lipectomy; trunk (15877) |
$495.90 |
$551 |
0.1× |
| Suspension of testis (54640) |
$1,063.80 |
$1,182 |
0.3× |
| Suspension of testis (54620) |
$669.60 |
$744 |
0.2× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) unusually low: confirm this is the full procedure |
$2,816.10 |
$3,129 |
0.4× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$1,533.60 |
$1,704 |
0.8× |
| Suture of 1 nerve ulnar motor (64836) |
$1,784.70 |
$1,983 |
0.5× |
| Suture of 1 nerve; median motor thenar (64835) |
$1,784.70 |
$1,983 |
0.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,296.90 |
$1,441 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$233.10 |
$259 |
0.6× |
| Tendon excision palm/finger (26145) |
$1,706.40 |
$1,896 |
1.0× |
Tenodesis long tendon biceps (23430) unusually low: confirm this is the full procedure |
$2,428.20 |
$2,698 |
0.3× |
| Tenodesis proximal interphalangeal joint each (26471) |
$2,267.10 |
$2,519 |
0.7× |
| Tenodesis Wrist Extensors Fingers (25301) |
$2,095.20 |
$2,328 |
0.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,262.60 |
$2,514 |
1.4× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$1,439.10 |
$1,599 |
0.4× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,300.50 |
$1,445 |
0.8× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,748.70 |
$1,943 |
0.5× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$999.90 |
$1,111 |
0.6× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$2,009.70 |
$2,233 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,606.74 |
$2,896.37 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,135.36 |
$2,372.63 |
3.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$630.90 |
$701 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$2,077.20 |
$2,308 |
6.1× |
Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$1,980.90 |
$2,201 |
0.3× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) unusually low: confirm this is the full procedure |
$2,848.50 |
$3,165 |
0.5× |
Tibial arthroscopy/surgery (29855) unusually low: confirm this is the full procedure |
$2,541.60 |
$2,824 |
0.3× |
Tibial arthroscopy/surgery (29856) likely a partial charge, not the full procedure |
$3,186 |
$3,540 |
0.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,602 |
$1,780 |
0.7× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,051.10 |
$2,279 |
1.0× |
Tissue expander placement breast reconstruction (19357) likely a partial charge, not the full procedure |
$3,266.10 |
$3,629 |
0.2× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$4,026.60 |
$4,474 |
0.3× |
Total knee arthroplasty (27447) unusually low: confirm this is the full procedure |
$4,021.20 |
$4,468 |
0.3× |
Total thyroid lobectomy unilateral (60225) unusually low: confirm this is the full procedure |
$2,010.60 |
$2,234 |
0.3× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) likely a partial charge, not the full procedure |
$2,151 |
$2,390 |
0.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$418.50 |
$465 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$702 |
$780 |
0.4× |
| Tracheostomy planned (31600) |
$668.70 |
$743 |
0.2× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,231.20 |
$1,368 |
0.6× |
| Transfer Any Pedicle Flap Any Location (15650) |
$1,413.90 |
$1,571 |
0.7× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$5,136.30 |
$5,707 |
0.7× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$4,690.80 |
$5,212 |
0.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$8,991.90 |
$9,991 |
1.6× |
| Transplant forearm tendon (25310) |
$2,340.90 |
$2,601 |
0.7× |
| Transplant hand tendon (26480) |
$2,381.40 |
$2,646 |
0.7× |
| Transplant/graft hand tendon (26483) |
$2,934 |
$3,260 |
0.9× |
| Transurethral incision of prostate (52450) |
$1,062 |
$1,180 |
0.3× |
| Transurethral resection of bladder neck (52500) |
$1,091.70 |
$1,213 |
0.3× |
Treat ankle dislocation (27848) unusually low: confirm this is the full procedure |
$2,578.50 |
$2,865 |
0.3× |
Treat clavicle dislocation (23552) likely a partial charge, not the full procedure |
$2,138.40 |
$2,376 |
0.3× |
Treat elbow dislocation (24615) unusually low: confirm this is the full procedure |
$2,315.70 |
$2,573 |
0.3× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$3,440.70 |
$3,823 |
0.3× |
Treat elbow fracture (24635) likely a partial charge, not the full procedure |
$2,233.80 |
$2,482 |
0.3× |
Treat elbow fracture (24587) likely a partial charge, not the full procedure |
$3,467.70 |
$3,853 |
0.3× |
| Treat finger dislocation (26775) |
$1,544.40 |
$1,716 |
5.3× |
| Treat Finger Fracture Each (26727) |
$1,601.10 |
$1,779 |
0.5× |
Treat fracture of radius (25526) unusually low: confirm this is the full procedure |
$3,111.30 |
$3,457 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$1,167.30 |
$1,297 |
4.6× |
Treat fracture radius/ulna (25575) unusually low: confirm this is the full procedure |
$2,945.70 |
$3,273 |
0.4× |
| Treat fx distal radial (25606) |
$2,237.40 |
$2,486 |
0.7× |
Treat fx rad extra-articul (25607) unusually low: confirm this is the full procedure |
$2,434.50 |
$2,705 |
0.3× |
| Treat hand dislocation (26685) |
$1,884.60 |
$2,094 |
0.6× |
Treat heel fracture (28415) unusually low: confirm this is the full procedure |
$3,686.40 |
$4,096 |
0.5× |
Treat humerus fracture (23630) unusually low: confirm this is the full procedure |
$2,559.60 |
$2,844 |
0.3× |
| Treat humerus fracture (24500) |
$1,457.10 |
$1,619 |
5.7× |
| Treat humerus fracture (24577) |
$2,162.70 |
$2,403 |
1.3× |
| Treat humerus fracture (24566) |
$2,405.70 |
$2,673 |
1.4× |
| Treat humerus fracture (23600) |
$1,337.40 |
$1,486 |
5.2× |
| Treat knee fracture (27532) |
$2,373.30 |
$2,637 |
0.7× |
Treat kneecap dislocation (27566) unusually low: confirm this is the full procedure |
$2,870.10 |
$3,189 |
0.4× |
| Treat knuckle dislocation (26715) |
$1,908.90 |
$2,121 |
0.6× |
Treat lower leg fracture (27826) unusually low: confirm this is the full procedure |
$2,844 |
$3,160 |
0.4× |
Treat lower leg fracture (27828) unusually low: confirm this is the full procedure |
$4,285.80 |
$4,762 |
0.3× |
Treat Lower Leg Fracture (27827) likely a partial charge, not the full procedure |
$3,672.90 |
$4,081 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$981 |
$1,090 |
3.8× |
| Treat pleurodesis w/agent (32560) |
$666.90 |
$741 |
1.0× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$2,173.50 |
$2,415 |
0.3× |
| Treat skull fracture (62000) |
$2,333.70 |
$2,593 |
0.7× |
Treat spine fracture (22325) unusually low: confirm this is the full procedure |
$4,838.40 |
$5,376 |
0.4× |
Treat thorax spine fracture (22327) unusually low: confirm this is the full procedure |
$5,027.40 |
$5,586 |
0.4× |
| Treat thumb fracture (26650) |
$1,649.70 |
$1,833 |
0.5× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,692.90 |
$1,881 |
1.0× |
Treat ulnar fracture (24685) likely a partial charge, not the full procedure |
$2,170.80 |
$2,412 |
0.3× |
| Treat wrist bone fracture (25635) |
$1,824.30 |
$2,027 |
1.1× |
| Treat wrist bone fracture (25622) |
$1,233.90 |
$1,371 |
4.8× |
| Treat Wrist Bone Fracture (25630) |
$1,213.20 |
$1,348 |
4.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,671.30 |
$1,857 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,662.30 |
$1,847 |
6.5× |
Treatment of ankle fracture (27822) unusually low: confirm this is the full procedure |
$2,890.80 |
$3,212 |
0.4× |
Treatment of ankle fracture (27792) likely a partial charge, not the full procedure |
$2,128.50 |
$2,365 |
0.3× |
Treatment of fibula fracture (27784) unusually low: confirm this is the full procedure |
$2,349.90 |
$2,611 |
0.3× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$3,882.60 |
$4,314 |
0.5× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$3,889.80 |
$4,322 |
0.5× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$2,975.40 |
$3,306 |
0.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$821.70 |
$913 |
3.2× |
Treatment of thigh fracture (27513) likely a partial charge, not the full procedure |
$3,834.90 |
$4,261 |
0.3× |
Treatment of tibia fracture (27759) likely a partial charge, not the full procedure |
$3,187.80 |
$3,542 |
0.2× |
Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$1,966.50 |
$2,185 |
0.3× |
| Trim skin lesion (11055) |
$235.46 |
$261.62 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$267.82 |
$297.58 |
1.3× |
| Trim skin lesions over 4 (11057) |
$216.90 |
$241 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$35.10 |
$39 |
0.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$733.50 |
$815 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,152 |
$1,280 |
0.4× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$2,771.10 |
$3,079 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$832.50 |
$925 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$762.30 |
$847 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$445.50 |
$495 |
1.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$497.70 |
$553 |
0.8× |
| Ureter endoscopy (50970) |
$831.60 |
$924 |
0.2× |
| Vaginal delivery only (59409) |
$1,648.80 |
$1,832 |
0.5× |
| Vasectomy (55250) |
$839.70 |
$933 |
0.4× |
| Venipuncture (36415) |
$27.14 |
$30.15 |
2.9× |
| Wound Prep F/N/Hf/G (15004) |
$977.40 |
$1,086 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$869.40 |
$966 |
1.1× |
Xfer single deep low leg tendon (27691) unusually low: confirm this is the full procedure |
$2,469.60 |
$2,744 |
0.3× |