| Application cast elbow finger short arm (29075) |
$500 |
$500 |
1.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$535 |
$535 |
3.6× |
| Application cast shoulder hand long arm (29065) |
$394 |
$394 |
1.5× |
| Application finger splint static (29130) |
$236.66 |
$236.66 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$285 |
$285 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$315 |
$315 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$285 |
$285 |
2.3× |
| Application short leg splint calf foot (29515) |
$274 |
$274 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$820 |
$820 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$820 |
$820 |
2.9× |
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842)
unusually low: confirm this is the full procedure |
$3,200 |
$3,200 |
0.5× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$6,000 |
$6,000 |
0.4× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$9,678.31 |
$9,678.31 |
0.8× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,945.44 |
$3,945.44 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,600 |
$6,600 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$4,068.96 |
$4,068.96 |
1.1× |
| Bladder Irrigation Simple (51700) |
$159.78 |
$159.78 |
0.7× |
| Blood transfusion service (36430) |
$550 |
$550 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$712.07 |
$712.07 |
3.5× |
| Claviculectomy; partial (23120) |
$4,000 |
$4,000 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$962 |
$962 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,728 |
$1,728 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,750 |
$1,750 |
1.6× |
| Colonoscopy w/band ligation (45398) |
$1,750 |
$1,750 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$502.39 |
$502.39 |
4.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$457 |
$457 |
2.1× |
| Cysto w/removal of tumors small (52234) |
$3,500 |
$3,500 |
1.1× |
| Cystourethroscopy (52000) |
$1,339 |
$1,339 |
2.1× |
| Division of fallopian tube (58600) |
$8,623 |
$8,623 |
2.9× |
| Drain/inj small joint/bursa w/us (20604) |
$475.40 |
$475.40 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$1,425 |
$1,425 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,000 |
$2,000 |
1.1× |
| Egd remove lesion snare (43251) |
$874.50 |
$874.50 |
0.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$8,642 |
$8,642 |
1.9× |
| Endoscopic Plantar Fasciotomy (29893) |
$3,100 |
$3,100 |
1.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,989.85 |
$1,989.85 |
1.3× |
| Excision of hydrocele; unilateral (55040) |
$4,248.10 |
$4,248.10 |
1.3× |
| I&d abscess simple (10060) |
$940 |
$940 |
5.1× |
| Incise finger tendon sheath (26055) |
$1,528.97 |
$1,528.97 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$2,225.47 |
$2,225.47 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$778.50 |
$778.50 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$200 |
$200 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$215 |
$215 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$87 |
$87 |
0.7× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,021.83 |
$3,021.83 |
0.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$5,112.27 |
$5,112.27 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$419 |
$419 |
1.9× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$750 |
$750 |
4.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$501.82 |
$501.82 |
1.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,500 |
$3,500 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,419 |
$1,419 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$945 |
$945 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,419 |
$1,419 |
2.2× |
| Removal subq cardiac rhythm monitor (33286) |
$400.02 |
$400.02 |
0.6× |
| Remove drug implant device (11982) |
$1,440 |
$1,440 |
3.5× |
| Remove in/ex hem groups 2+ (46260) |
$2,948.96 |
$2,948.96 |
1.2× |
| Remove prostate regrowth (52630) |
$1,814.42 |
$1,814.42 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$310 |
$310 |
2.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$375 |
$375 |
3.1× |
| Remv&replc pm gen dual lead (33228) |
$18,354.95 |
$18,354.95 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$665 |
$665 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$950 |
$950 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,050 |
$1,050 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$865.25 |
$865.25 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$547.03 |
$547.03 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$750 |
$750 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$967.25 |
$967.25 |
2.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,600 |
$1,600 |
4.3× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$1,975 |
$1,975 |
0.3× |
| Repair of nail bed (11760) |
$475 |
$475 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$488.90 |
$488.90 |
2.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$488.90 |
$488.90 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$396.50 |
$396.50 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$550 |
$550 |
3.0× |
| Spinal puncture lumbar diagnostic (62270) |
$550 |
$550 |
0.8× |
| Strapping ankle (29540) |
$358 |
$358 |
2.4× |
| Strapping shoulder (29240) |
$330 |
$330 |
2.7× |
| Tenodesis long tendon biceps (23430) |
$7,000 |
$7,000 |
1.0× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$5,000 |
$5,000 |
0.4× |
| Total knee arthroplasty (27447) |
$8,164.91 |
$8,164.91 |
0.7× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$7,924.09 |
$7,924.09 |
0.7× |
| Vaginal hysterectomy (58260) |
$12,045 |
$12,045 |
2.6× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$15,203 |
$15,203 |
3.3× |
| Venipuncture (36415) |
$15 |
$15 |
1.6× |