| Abd paracentesis w/imaging (49083) |
$1,500 |
$1,500 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$484.15 |
$484.15 |
0.6× |
| Acne Surgery (10040) |
$145.49 |
$145.49 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,715.50 |
$1,715.50 |
0.6× |
| Amputation of finger/thumb (26952) |
$520 |
$520 |
0.2× |
| Amputation thigh through femur any level (27590) |
$950 |
$950 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$770 |
$770 |
0.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$4,733.50 |
$4,733.50 |
1.0× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,110 |
$1,110 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$366.50 |
$366.50 |
2.5× |
| Application cast elbow finger short arm (29075) |
$119 |
$119 |
0.5× |
| Application Cast Finger (29086) |
$53 |
$53 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$76 |
$76 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$132 |
$132 |
0.5× |
| Application finger splint static (29130) |
$75 |
$75 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$118 |
$118 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$101 |
$101 |
0.7× |
| Application of long leg cast (29345) |
$295 |
$295 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$195.35 |
$195.35 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$290.50 |
$290.50 |
2.4× |
| Application short arm splint forearm-hand static (29125) |
$78 |
$78 |
0.6× |
| Application short leg splint calf foot (29515) |
$91 |
$91 |
0.6× |
| Apply multlay comprs arm/hand (29584) |
$370 |
$370 |
2.5× |
| Apply short leg cast (29405) |
$127 |
$127 |
0.5× |
| Apply short leg cast (29425) |
$154 |
$154 |
0.6× |
| Arterial puncture (36600) |
$102.64 |
$102.64 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$102.48 |
$102.48 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$300 |
$300 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$464.50 |
$464.50 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$94 |
$94 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$161 |
$161 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$375 |
$375 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$199.65 |
$199.65 |
1.1× |
Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$850 |
$850 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$860.82 |
$860.82 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$831.82 |
$831.82 |
0.5× |
| Biopsy muscle deep (20205) |
$6,117 |
$6,117 |
2.3× |
| Biopsy Muscle Superficial (20200) |
$807.84 |
$807.84 |
0.5× |
| Biopsy of lip (40490) |
$104 |
$104 |
0.5× |
| Biopsy of uterus lining (58100) |
$2,009.70 |
$2,009.70 |
10.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$695 |
$695 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$905 |
$905 |
0.3× |
| Bladder Irrigation Simple (51700) |
$95 |
$95 |
0.4× |
| Bladder Scan (51798) |
$93.50 |
$93.50 |
1.7× |
| Blood transfusion service (36430) |
$650 |
$650 |
1.6× |
| Bone Marrow Biopsy (38221) |
$194 |
$194 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$175 |
$175 |
0.1× |
| Canthotomy Separate Procedure (67715) |
$298.70 |
$298.70 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$89 |
$89 |
0.4× |
| Chemical Cautery Tissue (17250) |
$2,649.89 |
$2,649.89 |
14.4× |
| Chest tube placement (32551) |
$185 |
$185 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$70 |
$70 |
0.6× |
| Circum 28 days or older (54161) |
$1,937.50 |
$1,937.50 |
1.0× |
| Circumcision (54150) |
$337.50 |
$337.50 |
0.2× |
| Closed Rx Radial Shaft Fx (25500) |
$255 |
$255 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,634 |
$1,634 |
7.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$670 |
$670 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$670 |
$670 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$150 |
$150 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$285 |
$285 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$289 |
$289 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$260 |
$260 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$260 |
$260 |
1.1× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$907 |
$907 |
0.3× |
| Closure of vagina (57120) |
$980 |
$980 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,100 |
$1,100 |
4.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$741.16 |
$741.16 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$787.74 |
$787.74 |
3.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$821 |
$821 |
3.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$350 |
$350 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$148 |
$148 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$350 |
$350 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$485 |
$485 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$300 |
$300 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$116 |
$116 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$222 |
$222 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$226 |
$226 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,420 |
$1,420 |
6.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$180 |
$180 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$243 |
$243 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$550 |
$550 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,668.70 |
$1,668.70 |
1.5× |
| Colonoscopy w/ablation (45388) |
$360 |
$360 |
0.3× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) likely a partial charge, not the full procedure |
$1,950 |
$1,950 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$368 |
$368 |
1.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,267.50 |
$1,267.50 |
1.2× |
| Complex Drainage, Wound (10180) |
$327 |
$327 |
0.1× |
| Conization of cervix (57520) |
$2,691 |
$2,691 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$163 |
$163 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$368.94 |
$368.94 |
3.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$355 |
$355 |
2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$57 |
$57 |
0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$375 |
$375 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$1,100 |
$1,100 |
0.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,232 |
$1,232 |
0.6× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$630 |
$630 |
0.3× |
| Cystourethroscopy (52000) |
$875.65 |
$875.65 |
1.4× |
| Debride nail 1-5 (11720) |
$60.43 |
$60.43 |
1.1× |
| Debride nail 6 or more (11721) |
$67.01 |
$67.01 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$157 |
$157 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$286.76 |
$286.76 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$301.68 |
$301.68 |
0.2× |
| Declot vascular device (36593) |
$190 |
$190 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$738 |
$738 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$1,490 |
$1,490 |
1.4× |
| Destroy lumb/sac facet jnt (64635) |
$745 |
$745 |
0.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$578 |
$578 |
1.5× |
| Destruction benign lesions 15 or more (17111) |
$106 |
$106 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$168.51 |
$168.51 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$301.98 |
$301.98 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$223 |
$223 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$256 |
$256 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$520 |
$520 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$182 |
$182 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$221 |
$221 |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$174 |
$174 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$186 |
$186 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$205 |
$205 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$155 |
$155 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$175.50 |
$175.50 |
1.0× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$145 |
$145 |
0.4× |
| Destruction of multiple growths of penis (54065) |
$350 |
$350 |
0.2× |
| Destruction of skin lesions (17106) |
$425 |
$425 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$107 |
$107 |
0.6× |
| Destruction vaginal lesions simple (57061) |
$95 |
$95 |
0.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,012 |
$1,012 |
1.2× |
| Dilate Urethra Stricture (53600) |
$58 |
$58 |
0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$945 |
$945 |
0.3× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$101 |
$101 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$225 |
$225 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$173 |
$173 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$94 |
$94 |
0.5× |
| Drainage of eyelid abscess (67700) |
$250 |
$250 |
0.9× |
| Drainage of gum lesion (41800) |
$200 |
$200 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$906 |
$906 |
0.6× |
| Drainage of hydrocele (55000) |
$206.16 |
$206.16 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$7,612.85 |
$7,612.85 |
5.0× |
| Draw blood off venous device (36591) |
$133 |
$133 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$338.49 |
$338.49 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$325.54 |
$325.54 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$72.90 |
$72.90 |
0.4× |
| Dry Needling 3+ Muscles (20561) |
$70 |
$70 |
2.6× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$435 |
$435 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,500 |
$1,500 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$800 |
$800 |
0.5× |
| Egd flexible foreign body removal (43247) |
$957 |
$957 |
1.1× |
| Egd place gastrostomy tube (43246) |
$1,145.10 |
$1,145.10 |
0.6× |
| Egd remove lesion snare (43251) |
$1,315 |
$1,315 |
0.7× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$1,582 |
$1,582 |
0.3× |
| Esophagoscopy flex biopsy (43202) |
$130 |
$130 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,037.30 |
$1,037.30 |
0.6× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,251 |
$1,251 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$67 |
$67 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$600 |
$600 |
0.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$880 |
$880 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$254 |
$254 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$293 |
$293 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$574 |
$574 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$174 |
$174 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,066 |
$1,066 |
0.7× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$435 |
$435 |
0.3× |
| Exc frenum labial/buccal (40819) |
$355 |
$355 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$420 |
$420 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$250 |
$250 |
0.1× |
| Exc rect tum transanal part (45171) |
$950 |
$950 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$200 |
$200 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$623 |
$623 |
1.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,120 |
$1,120 |
1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$954.50 |
$954.50 |
1.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$354 |
$354 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$933 |
$933 |
0.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$588 |
$588 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,452.50 |
$1,452.50 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,510 |
$1,510 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$397 |
$397 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$637 |
$637 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$493 |
$493 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,586.50 |
$1,586.50 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$230 |
$230 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$800 |
$800 |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$840 |
$840 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,887.50 |
$3,887.50 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$885.85 |
$885.85 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,550.70 |
$1,550.70 |
1.0× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$420 |
$420 |
0.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$322.50 |
$322.50 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$246 |
$246 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$286 |
$286 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$308 |
$308 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$351 |
$351 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$391 |
$391 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$253 |
$253 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$297 |
$297 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$447.35 |
$447.35 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$475 |
$475 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$235 |
$235 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$277 |
$277 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$318 |
$318 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$374 |
$374 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$423 |
$423 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$214 |
$214 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$238 |
$238 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$1,900 |
$1,900 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$224 |
$224 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$158 |
$158 |
0.1× |
| Excision of nail fold toe (11765) |
$211 |
$211 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$400 |
$400 |
0.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$505 |
$505 |
0.2× |
| Excision olecranon bursa (24105) |
$2,098.35 |
$2,098.35 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,822.50 |
$1,822.50 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,745 |
$2,745 |
1.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,300 |
$2,300 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$2,308.68 |
$2,308.68 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$305 |
$305 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$125 |
$125 |
0.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$970 |
$970 |
0.5× |
| Hemorrhoidectomy (46255) |
$1,807.50 |
$1,807.50 |
0.7× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$1,320 |
$1,320 |
0.5× |
| Hysteroscopy biopsy (58558) |
$175 |
$175 |
0.1× |
| I&d abscess simple (10060) |
$151 |
$151 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,383 |
$1,383 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$315 |
$315 |
0.5× |
| I&d submucosal abscess rectum (45005) |
$151 |
$151 |
0.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$225 |
$225 |
0.1× |
| Implant neuroelectrodes (63650) |
$6,141.56 |
$6,141.56 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$265 |
$265 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$204 |
$204 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$189 |
$189 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$250 |
$250 |
1.3× |
| Incision of rectal abscess (46040) |
$3,196.63 |
$3,196.63 |
2.9× |
| Incision thrombosed hemorrhoid external (46083) |
$270 |
$270 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$137 |
$137 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$64 |
$64 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$318 |
$318 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$102 |
$102 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$310 |
$310 |
0.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$75 |
$75 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$327 |
$327 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$156 |
$156 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$492.50 |
$492.50 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$327 |
$327 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$435 |
$435 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$118.50 |
$118.50 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$91.50 |
$91.50 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$290.98 |
$290.98 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$156 |
$156 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$275.94 |
$275.94 |
1.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$87 |
$87 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$67 |
$67 |
0.4× |
| Insert Drug Implant Device (11981) |
$200 |
$200 |
1.6× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,750 |
$1,750 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$420 |
$420 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$140 |
$140 |
1.1× |
| Insert tunneled cv cath (36561) |
$3,170.50 |
$3,170.50 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$130 |
$130 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,250 |
$2,250 |
1.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,607 |
$1,607 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$420 |
$420 |
0.1× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$984.12 |
$984.12 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$208 |
$208 |
1.0× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) likely a partial charge, not the full procedure |
$1,141 |
$1,141 |
0.1× |
| Lap ing hernia repair init (49650) |
$5,927 |
$5,927 |
1.1× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,523.50 |
$1,523.50 |
0.3× |
| Laparoscopy Remove Adnexa (58661) |
$3,349.50 |
$3,349.50 |
0.6× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) likely a partial charge, not the full procedure |
$2,825 |
$2,825 |
0.3× |
Laparoscopy Tubal Cautery (58670) unusually low: confirm this is the full procedure |
$1,870 |
$1,870 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,320 |
$1,320 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,583.50 |
$1,583.50 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,200 |
$1,200 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$404 |
$404 |
2.2× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$120 |
$120 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$263 |
$263 |
0.2× |
| Liver Biopsy (47000) |
$880 |
$880 |
0.6× |
| Mastectomy gynecomastia (19300) |
$2,394.25 |
$2,394.25 |
0.7× |
| Mastectomy partial (19301) |
$818 |
$818 |
0.2× |
| Mastectomy simple complete (19303) |
$5,152.50 |
$5,152.50 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$158 |
$158 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$30 |
$30 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$291 |
$291 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$441 |
$441 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$441 |
$441 |
0.7× |
Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,331 |
$1,331 |
0.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$710 |
$710 |
0.2× |
| Orchiectomy, partial (54522) |
$1,983.50 |
$1,983.50 |
0.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,469 |
$1,469 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$457 |
$457 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$640 |
$640 |
1.6× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$15,400 |
$15,400 |
5.1× |
| Preputial Stretching (54450) |
$106 |
$106 |
0.5× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$300 |
$300 |
0.3× |
| Proctosigmoidoscopy w/bx (45305) |
$1,148 |
$1,148 |
1.0× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,135 |
$1,135 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$387.04 |
$387.04 |
1.0× |
| Puncture Aspiration (10160) |
$163 |
$163 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$110 |
$110 |
0.2× |
| Removal fb intranasal (30300) |
$87 |
$87 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$320 |
$320 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$488.46 |
$488.46 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$140 |
$140 |
2.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$59 |
$59 |
1.1× |
| Removal Implantable Contraceptive Capsules (11976) |
$238.19 |
$238.19 |
0.4× |
| Removal of arm foreign body (24200) |
$220 |
$220 |
0.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$250 |
$250 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$1,064 |
$1,064 |
3.8× |
| Removal of nail bed (11750) |
$609.08 |
$609.08 |
1.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$111 |
$111 |
0.6× |
| Removal of testis (54520) |
$765 |
$765 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$210.22 |
$210.22 |
0.8× |
| Remove anal fist subq (46270) |
$550 |
$550 |
0.2× |
| Remove drug implant device (11982) |
$146 |
$146 |
0.4× |
| Remove elbow lesion (24120) |
$2,760.35 |
$2,760.35 |
0.9× |
| Remove Eyelid Foreign Body (67938) |
$225 |
$225 |
0.8× |
| Remove foreign body from eye (65210) |
$87 |
$87 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$945 |
$945 |
0.4× |
| Remove wrist tendon lesion (25111) |
$1,877.85 |
$1,877.85 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$101 |
$101 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$141 |
$141 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$327 |
$327 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$525 |
$525 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$404 |
$404 |
1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,500 |
$1,500 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,500 |
$1,500 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$750 |
$750 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$237.33 |
$237.33 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$380 |
$380 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$635 |
$635 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$681 |
$681 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$555.22 |
$555.22 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$205 |
$205 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$288 |
$288 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$427 |
$427 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$350 |
$350 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$145 |
$145 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$268 |
$268 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$450 |
$450 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$405 |
$405 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$450 |
$450 |
0.2× |
| Repair of nail bed (11760) |
$245 |
$245 |
0.4× |
| Repair rectum & vagina (57250) |
$1,000 |
$1,000 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,560 |
$1,560 |
0.5× |
| Revise median n/carpal tunnel surg (64721) |
$1,120 |
$1,120 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$179 |
$179 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$150 |
$150 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,266 |
$2,266 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$836.34 |
$836.34 |
1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,148 |
$3,148 |
0.6× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,021.19 |
$3,021.19 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,300 |
$5,300 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,056 |
$1,056 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$144 |
$144 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$231 |
$231 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$131 |
$131 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$154 |
$154 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$180 |
$180 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$193 |
$193 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$111.34 |
$111.34 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$171 |
$171 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$198 |
$198 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$152 |
$152 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$193 |
$193 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$175 |
$175 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$380 |
$380 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,065 |
$1,065 |
1.2× |
| Simple destruction of growth of penis using electric current (54055) |
$200 |
$200 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$361.49 |
$361.49 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$161 |
$161 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$219 |
$219 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$296 |
$296 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$387 |
$387 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$128 |
$128 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,400 |
$1,400 |
7.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$215.67 |
$215.67 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$2,125 |
$2,125 |
3.1× |
| Skin tissue rearrangement (14040) |
$978.35 |
$978.35 |
0.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,020 |
$1,020 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$151 |
$151 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$296 |
$296 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$260 |
$260 |
0.7× |
| Sphincterotomy (46080) |
$450 |
$450 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$373.14 |
$373.14 |
0.6× |
| Strapping ankle (29540) |
$363 |
$363 |
2.4× |
| Strapping hand/finger (29280) |
$38 |
$38 |
0.7× |
| Strapping shoulder (29240) |
$363 |
$363 |
3.0× |
| Strapping unna boot (29580) |
$363 |
$363 |
2.4× |
| Tangential biopsy skin single lesion (11102) |
$137 |
$137 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$995.10 |
$995.10 |
1.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$553.25 |
$553.25 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$800 |
$800 |
2.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$250 |
$250 |
1.1× |
| Treat ectopic pregnancy (59151) |
$3,327 |
$3,327 |
0.6× |
| Treat finger dislocation (26775) |
$260 |
$260 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$370 |
$370 |
1.6× |
| Treat humerus fracture (23600) |
$318 |
$318 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$260 |
$260 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$828.66 |
$828.66 |
3.7× |
| Trim skin lesion (11055) |
$90 |
$90 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$81 |
$81 |
0.4× |
| Trim skin lesions over 4 (11057) |
$166.81 |
$166.81 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$55.69 |
$55.69 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,097.70 |
$2,097.70 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$361.80 |
$361.80 |
1.0× |
| Vaginal delivery only (59409) |
$1,696 |
$1,696 |
0.6× |
| Vasectomy (55250) |
$1,500 |
$1,500 |
0.8× |
| Venipuncture (36415) |
$22.90 |
$22.90 |
2.5× |