| Abd paracentesis w/imaging (49083) |
$1,443.33 |
$1,603.70 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,525.52 |
$2,806.13 |
2.8× |
| Abortion (59841) |
$5,922.48 |
$6,580.53 |
1.8× |
| Acne Surgery (10040) |
$121.26 |
$134.73 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$5,006.97 |
$5,563.29 |
2.4× |
| Amniocentesis diagnostic (59000) |
$848.73 |
$943.03 |
0.9× |
| Amputation Foot Midtarsal (28800) |
$6,737.33 |
$7,485.92 |
2.0× |
| Amputation metatarsal with toe single (28810) |
$8,444.48 |
$9,382.75 |
2.6× |
| Amputation toe interphalangeal joint (28825) |
$4,309.48 |
$4,788.31 |
1.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,309.48 |
$4,788.31 |
1.3× |
| Amputation, foot; transmetatarsal (28805) |
$8,444.48 |
$9,382.75 |
2.6× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$7,392.28 |
$8,213.64 |
2.7× |
| Anoscopy (46611) |
$2,266.51 |
$2,518.34 |
2.4× |
| Anoscopy Ablation Lesion (46615) |
$7,392.28 |
$8,213.64 |
2.7× |
| Anoscopy control bleeding (46614) |
$2,633.78 |
$2,926.42 |
2.2× |
| Anoscopy diagnostic (46600) |
$166.56 |
$185.06 |
1.2× |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
$335.33 |
$372.58 |
0.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,989.28 |
$3,321.42 |
2.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,360.88 |
$2,623.20 |
2.5× |
| Anoscopy w/rmvl lesion cautery (46610) |
$7,392.28 |
$8,213.64 |
2.7× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$2,257.83 |
$2,508.70 |
1.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,170.15 |
$2,411.27 |
1.8× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$7,185.16 |
$7,983.51 |
2.6× |
| Appendectomy (44950) |
$9,293.40 |
$10,326 |
1.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$412.89 |
$458.76 |
2.5× |
| Application cast elbow finger short arm (29075) |
$343.31 |
$381.45 |
1.2× |
| Application Cast Finger (29086) |
$184.06 |
$204.52 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$186.76 |
$207.50 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$347.60 |
$386.22 |
1.2× |
| Application finger splint static (29130) |
$48.70 |
$54.11 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$102.17 |
$113.52 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$376.25 |
$418.05 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$88.80 |
$98.66 |
0.5× |
| Application of long leg cast (29345) |
$372.90 |
$414.34 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$78.30 |
$86.99 |
0.6× |
| Application short leg splint calf foot (29515) |
$84.03 |
$93.36 |
0.5× |
| Application, cast; figure-of-eight (29049) |
$262.75 |
$291.94 |
0.9× |
| Apply multlay comprs arm/hand (29584) |
$307.53 |
$341.70 |
1.9× |
| Apply short leg cast (29405) |
$344.74 |
$383.04 |
1.2× |
| Apply short leg cast (29425) |
$349.52 |
$388.34 |
1.2× |
| Arterial puncture (36600) |
$50.59 |
$56.21 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$172.95 |
$192.16 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$636.54 |
$707.26 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$577.19 |
$641.32 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$636.54 |
$707.26 |
2.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$17,897.61 |
$19,886.23 |
2.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$17,897.61 |
$19,886.23 |
2.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$10,170.80 |
$11,300.88 |
3.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$8,444.48 |
$9,382.75 |
2.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$10,170.80 |
$11,300.88 |
3.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$94.70 |
$105.22 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$218.35 |
$242.61 |
1.1× |
| Biopsy Bone Open Deep (20245) |
$5,650.45 |
$6,278.27 |
1.9× |
| Biopsy bone open superficial (20240) |
$5,650.45 |
$6,278.27 |
1.9× |
| Biopsy bone trocar/needle deep (20225) |
$2,921 |
$3,245.55 |
1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,123.18 |
$3,470.19 |
1.9× |
| Biopsy Breast Open Incisional (19101) |
$8,708.21 |
$9,675.78 |
2.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$257.82 |
$286.46 |
0.3× |
| Biopsy muscle deep (20205) |
$7,617.29 |
$8,463.65 |
2.6× |
| Biopsy muscle percutaneous needle (20206) |
$1,881.25 |
$2,090.27 |
1.1× |
| Biopsy Muscle Superficial (20200) |
$4,424.31 |
$4,915.89 |
2.7× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$4,948.14 |
$5,497.93 |
1.7× |
| Biopsy of epididymis (54800) |
$1,168.22 |
$1,298.02 |
0.7× |
| Biopsy of mouth lesion (40808) |
$527.59 |
$586.21 |
1.0× |
| Biopsy of tongue (41100) |
$1,367.39 |
$1,519.32 |
2.5× |
| Biopsy of uterus lining (58100) |
$263.70 |
$292.99 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$8,368.28 |
$9,298.08 |
2.1× |
| Biopsy Oropharynx (42800) |
$7,395.59 |
$8,217.32 |
4.7× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$2,481.41 |
$2,757.12 |
1.5× |
| Biopsy Salivary Gland,Needle (42400) |
$240.30 |
$267 |
0.3× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$4,799.16 |
$5,332.40 |
1.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,458.10 |
$2,731.22 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$4,151.38 |
$4,612.64 |
2.5× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,032.73 |
$3,369.70 |
1.8× |
| Biopsy Testis Needle Separate Procedure (54500) |
$4,002.42 |
$4,447.13 |
1.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$127.23 |
$141.36 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$8,708.21 |
$9,675.78 |
2.2× |
| Biopsy/removal lymph nodes (38510) |
$9,863.19 |
$10,959.10 |
2.5× |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
$8,188.38 |
$9,098.19 |
2.5× |
| Bladder Irrigation Simple (51700) |
$502.08 |
$557.86 |
2.0× |
| Bladder Scan (51798) |
$180.24 |
$200.26 |
3.0× |
| Blood patch (62273) |
$926.45 |
$1,029.38 |
1.3× |
| Blood transfusion service (36430) |
$635.31 |
$705.89 |
1.4× |
| Bone Marrow Biopsy (38221) |
$794.13 |
$882.36 |
0.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,481.41 |
$2,757.12 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$2,597.97 |
$2,886.63 |
1.6× |
| Bx vulva/perineum 1 lesion (56605) |
$189.64 |
$210.72 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,944.16 |
$2,160.17 |
1.2× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$7,800.71 |
$8,667.45 |
2.0× |
| Cataract surgery complex (66982) |
$6,132.78 |
$6,814.19 |
2.6× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$1,006.03 |
$1,117.81 |
3.3× |
| Cautery Cervix Electro/Thermal (57510) |
$3,825.50 |
$4,250.55 |
1.2× |
| Cautery cervix laser ablation (57513) |
$3,825.50 |
$4,250.55 |
1.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$7,618.01 |
$8,464.45 |
2.3× |
| Change Cystostomy Tube Complicated (51710) |
$1,586.43 |
$1,762.70 |
2.3× |
| Chemical Cautery Tissue (17250) |
$1,359.76 |
$1,510.84 |
6.7× |
| Chest tube placement (32551) |
$1,381.65 |
$1,535.16 |
0.9× |
| Circum 28 days or older (54161) |
$3,139.15 |
$3,487.94 |
1.5× |
| Circumcision (54150) |
$3,139.15 |
$3,487.94 |
1.5× |
| Circumcision Neonate (54160) |
$3,139.15 |
$3,487.94 |
4.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$412.04 |
$457.82 |
0.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$839.49 |
$932.76 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,192.90 |
$1,325.44 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$412.04 |
$457.82 |
1.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,192.90 |
$1,325.44 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$412.04 |
$457.82 |
1.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$673.56 |
$748.39 |
2.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$412.04 |
$457.82 |
1.7× |
| Closed treatment nasal fracture w/stabilization (21320) |
$7,020.16 |
$7,800.17 |
2.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$361.88 |
$402.08 |
1.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$412.04 |
$457.82 |
1.7× |
| Closed Treatment Sesamoid Fracture (28530) |
$412.04 |
$457.82 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,192.90 |
$1,325.44 |
4.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,192.90 |
$1,325.44 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$412.04 |
$457.82 |
1.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$412.04 |
$457.82 |
1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$412.04 |
$457.82 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$412.04 |
$457.82 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,964.64 |
$5,516.26 |
3.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$4,276.89 |
$4,752.09 |
2.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,661.36 |
$1,845.95 |
6.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$412.04 |
$457.82 |
1.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$412.04 |
$457.82 |
1.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$412.04 |
$457.82 |
1.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$412.04 |
$457.82 |
1.7× |
| Closed tx septal&nose fx (21337) |
$7,020.16 |
$7,800.17 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$286.20 |
$317.99 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$412.04 |
$457.82 |
1.7× |
| Closure of gastrostomy surgical (43870) |
$9,920.06 |
$11,022.28 |
2.6× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,896.05 |
$2,106.72 |
3.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,192.90 |
$1,325.44 |
4.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$412.04 |
$457.82 |
1.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$4,577.88 |
$5,086.53 |
2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$412.04 |
$457.82 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,805.67 |
$4,228.52 |
2.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$412.04 |
$457.82 |
1.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$412.04 |
$457.82 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$412.04 |
$457.82 |
1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$412.04 |
$457.82 |
1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$387.82 |
$430.91 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$412.04 |
$457.82 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$309.14 |
$343.48 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$412.04 |
$457.82 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,722.02 |
$3,024.46 |
1.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$412.04 |
$457.82 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$412.04 |
$457.82 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$412.04 |
$457.82 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$412.04 |
$457.82 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$412.04 |
$457.82 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$412.04 |
$457.82 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$697 |
$774.44 |
2.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$412.04 |
$457.82 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$368.02 |
$408.91 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$412.04 |
$457.82 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$364.04 |
$404.49 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$732.77 |
$814.18 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$412.04 |
$457.82 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$412.04 |
$457.82 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$412.04 |
$457.82 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$315.82 |
$350.92 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$277.54 |
$308.37 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$412.04 |
$457.82 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$290.17 |
$322.41 |
1.2× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$4,581.15 |
$5,090.16 |
2.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$592.14 |
$657.93 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,192.90 |
$1,325.44 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$2,953.70 |
$3,281.88 |
2.5× |
| Colonoscopy w/ablation (45388) |
$3,284.92 |
$3,649.91 |
2.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,797.13 |
$3,107.92 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$347.33 |
$385.92 |
1.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$347.33 |
$385.92 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$303.92 |
$337.68 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$752.28 |
$835.86 |
0.8× |
| Complex Drainage, Wound (10180) |
$6,125.66 |
$6,806.29 |
2.1× |
| Conization of cervix (57520) |
$7,255.46 |
$8,061.62 |
2.2× |
| Conization of cervix (57522) |
$7,140.21 |
$7,933.56 |
2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$501.18 |
$556.86 |
3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$286.20 |
$317.99 |
2.1× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$286.20 |
$317.99 |
1.2× |
| Correction hammertoe (28285) |
$2,695.52 |
$2,995.02 |
0.8× |
| Correction of astigmatism (65772) |
$2,580.59 |
$2,867.32 |
2.6× |
| Correction of astigmatism (65775) |
$5,782.45 |
$6,424.94 |
2.4× |
| Correction of bunion (28292) |
$2,496.80 |
$2,774.22 |
0.8× |
| Correction of bunion (28299) |
$9,851.56 |
$10,946.17 |
1.4× |
| Correction of bunion (28297) |
$17,552.56 |
$19,502.84 |
1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$9,851.56 |
$10,946.17 |
3.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$9,851.56 |
$10,946.17 |
3.0× |
| Create eardrum opening (69436) |
$3,633.47 |
$4,037.18 |
2.3× |
| Cryotherapy of skin (17340) |
$61.11 |
$67.90 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$356.51 |
$396.12 |
2.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$286.20 |
$317.99 |
1.2× |
| Curettage postpartum (59160) |
$5,905.84 |
$6,562.04 |
1.8× |
| Cysto w/removal of tumors small (52234) |
$2,419.81 |
$2,688.67 |
0.7× |
| Cystoscopy,insert ureteral stent (52332) |
$8,608.98 |
$9,565.53 |
2.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$5,413.18 |
$6,014.64 |
2.6× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$5,413.18 |
$6,014.64 |
2.6× |
| Cystourethroscopy (52000) |
$1,805.59 |
$2,006.21 |
2.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,212.04 |
$1,346.70 |
3.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$7,421.78 |
$8,246.42 |
2.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,912.84 |
$2,125.37 |
2.7× |
| Debride nail 1-5 (11720) |
$128.28 |
$142.52 |
2.2× |
| Debride nail 6 or more (11721) |
$175.50 |
$195 |
3.0× |
| Debride skin musc at fx site (11011) |
$2,777.34 |
$3,085.93 |
3.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$695.76 |
$773.06 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,356.13 |
$1,506.80 |
1.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,479.73 |
$1,644.14 |
0.9× |
| Declot vascular device (36593) |
$410.76 |
$456.40 |
1.2× |
| Delivery placenta separate procedure (59414) |
$4,988.68 |
$5,542.97 |
1.5× |
| Destroy internal hemorrhoids (46930) |
$1,529.05 |
$1,698.94 |
1.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$210.06 |
$233.40 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$237.58 |
$263.97 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$186.80 |
$207.55 |
0.9× |
| Destruction Lesions Vulva Extensive (56515) |
$229.50 |
$255 |
0.1× |
| Destruction Lesions Vulva Simple (56501) |
$166.14 |
$184.60 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$208.16 |
$231.28 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$241.57 |
$268.41 |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$162.32 |
$180.35 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$85.50 |
$95 |
0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$149.93 |
$166.58 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$173.01 |
$192.23 |
0.9× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$160.41 |
$178.23 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$92.62 |
$102.91 |
0.5× |
| Destruction vaginal lesions simple (57061) |
$190.01 |
$211.12 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$442.46 |
$491.62 |
0.5× |
| Dil urethra,female,subsequent (53661) |
$95.97 |
$106.63 |
0.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$7,255.46 |
$8,061.62 |
2.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$99.30 |
$110.33 |
0.8× |
| Division of fallopian tube (58600) |
$7,255.46 |
$8,061.62 |
2.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$449.37 |
$499.29 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$297.36 |
$330.40 |
0.4× |
| Drain outer ear canal lesion (69020) |
$362.70 |
$402.99 |
0.5× |
| Drain shoulder lesion (23030) |
$4,829.55 |
$5,366.16 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$362.70 |
$402.99 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$326.46 |
$362.74 |
1.6× |
| Drainage mouth roof lesion (42000) |
$495.09 |
$550.10 |
2.1× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$852.40 |
$947.11 |
1.6× |
| Drainage of eyelid abscess (67700) |
$464.09 |
$515.66 |
1.5× |
| Drainage of gum lesion (41800) |
$362.70 |
$402.99 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$1,494.57 |
$1,660.63 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$4,729.28 |
$5,254.75 |
2.9× |
| Dressing change under anesthesia (15852) |
$1,713.17 |
$1,903.52 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$220.48 |
$244.96 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$383.66 |
$426.28 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$318.42 |
$353.79 |
1.6× |
| Dry Needling 3+ Muscles (20561) |
$54 |
$60 |
1.9× |
| Dstrj lesion anus simple chemical (46900) |
$516.85 |
$574.27 |
1.3× |
| Dstrj lesion anus simple cryosurgery (46916) |
$320.84 |
$356.48 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$7,392.28 |
$8,213.64 |
2.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$3,782.93 |
$4,203.25 |
1.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$5,160.43 |
$5,733.81 |
2.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$920.79 |
$1,023.09 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$4,537.67 |
$5,041.85 |
2.4× |
| Egd Endo Mucosal Resection (43254) |
$4,537.67 |
$5,041.85 |
2.4× |
| Egd flexible foreign body removal (43247) |
$2,793.79 |
$3,104.21 |
3.1× |
| Egd guide wire insertion (43248) |
$848.04 |
$942.26 |
0.9× |
| Egd place gastrostomy tube (43246) |
$5,315.26 |
$5,905.84 |
2.8× |
| Egd remove lesion snare (43251) |
$683.28 |
$759.19 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$4,818.15 |
$5,353.50 |
2.5× |
| Egd Varices Ligation (43244) |
$5,160.43 |
$5,733.81 |
2.7× |
| Endocervical Curettage (57505) |
$282.01 |
$313.34 |
0.3× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$8,826.66 |
$9,807.39 |
1.8× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,601.29 |
$2,890.32 |
0.8× |
| Epididymectomy bilateral (54861) |
$8,608.98 |
$9,565.53 |
2.4× |
| Epididymectomy unilateral (54860) |
$5,282.91 |
$5,869.90 |
1.5× |
| Esophagoscopy flex biopsy (43202) |
$5,160.43 |
$5,733.81 |
2.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,688.19 |
$2,986.87 |
3.0× |
| Ethmoidectomy Intranasal Anterior (31200) |
$9,390.80 |
$10,434.22 |
1.6× |
| Ethmoidectomy; extranasal total (31205) |
$6,650.73 |
$7,389.69 |
2.0× |
| Ethmoidectomy; intranasal total (31201) |
$6,650.73 |
$7,389.69 |
4.3× |
| Evacuation of subungual hematoma (11740) |
$76.20 |
$84.67 |
0.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,881.09 |
$5,423.43 |
2.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,303.38 |
$4,781.53 |
2.6× |
| Exc abd les sc 3 cm/> (22903) |
$7,421.78 |
$8,246.42 |
2.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$5,134.35 |
$5,704.83 |
1.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,846.52 |
$3,162.79 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$273.47 |
$303.85 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,288.23 |
$2,542.48 |
1.4× |
| Exc back les sc < 3 cm (21930) |
$2,650.20 |
$2,944.67 |
1.6× |
| Exc back tum deep < 5 cm (21932) |
$7,421.78 |
$8,246.42 |
2.5× |
| Exc coccygeal pressure ulcer (15920) |
$9,863.27 |
$10,959.18 |
3.4× |
| Exc face les sbq 2 cm/> (21012) |
$1,832.46 |
$2,036.06 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$488.12 |
$542.36 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,424.77 |
$1,583.07 |
0.9× |
| Exc forearm les sc 3 cm/> (25071) |
$5,020.49 |
$5,578.32 |
3.0× |
| Exc forearm les sc < 3 cm (25075) |
$5,020.49 |
$5,578.32 |
3.0× |
| Exc frenum labial/buccal (40819) |
$393.74 |
$437.48 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$4,303.38 |
$4,781.53 |
2.6× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$8,145.80 |
$9,050.88 |
3.9× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$9,863.27 |
$10,959.18 |
3.4× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$10,614.53 |
$11,793.92 |
3.0× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$4,127.70 |
$4,586.33 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$4,739.31 |
$5,265.90 |
2.9× |
| Exc neck tum deep < 5 cm (21556) |
$7,421.78 |
$8,246.42 |
2.5× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$5,490.83 |
$6,100.92 |
2.6× |
| Exc Sacr Press Ulc Bone & Suture (15933) |
$9,863.27 |
$10,959.18 |
3.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$4,303.38 |
$4,781.53 |
2.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$7,614.35 |
$8,460.38 |
2.6× |
| Exc skin abd (15830) |
$13,887.16 |
$15,430.17 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$180.46 |
$200.51 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$255.22 |
$283.57 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$188.10 |
$209 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$217.71 |
$241.89 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,318.30 |
$2,575.89 |
1.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$774.09 |
$860.09 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,236.98 |
$3,596.64 |
1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,909.02 |
$4,343.34 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$353.28 |
$392.53 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$193.50 |
$215 |
0.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,777.62 |
$4,197.35 |
1.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$7,421.78 |
$8,246.42 |
2.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,407.10 |
$2,674.56 |
1.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$8,658.69 |
$9,620.76 |
3.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$634.19 |
$704.65 |
0.5× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$6,069.58 |
$6,743.97 |
1.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$493.45 |
$548.27 |
0.7× |
| Exc troc pres ulc & bone flap clos (15953) |
$10,614.53 |
$11,793.92 |
3.0× |
| Exc troc pres ulc & bone prim clo (15951) |
$9,863.27 |
$10,959.18 |
3.4× |
| Exc trochanteric pr ulcer w/skin flap closure (15952) |
$8,145.80 |
$9,050.88 |
3.9× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$6,943.35 |
$7,714.83 |
4.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,303.38 |
$4,781.53 |
2.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$7,421.78 |
$8,246.42 |
2.5× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$5,020.49 |
$5,578.32 |
3.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,926.32 |
$3,251.46 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$9,829.66 |
$10,921.84 |
3.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,303.38 |
$4,781.53 |
2.6× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$8,128.54 |
$9,031.71 |
2.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,545.18 |
$1,716.87 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,147.34 |
$6,830.37 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$6,784.56 |
$7,538.40 |
2.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,020.49 |
$5,578.32 |
3.0× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$8,608.98 |
$9,565.53 |
2.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$6,569.84 |
$7,299.82 |
2.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$4,309.48 |
$4,788.31 |
2.7× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$656.10 |
$729 |
0.4× |
| Excise excess skin & tissue (15839) |
$1,043.61 |
$1,159.56 |
0.4× |
| Excise Inferior Turbinate (30130) |
$7,020.16 |
$7,800.17 |
2.1× |
| Excise/repair mouth lesion (40812) |
$4,415.01 |
$4,905.56 |
2.8× |
| Excision Breast Lesion (19125) |
$8,708.21 |
$9,675.78 |
2.2× |
| Excision Chalazion Single (67800) |
$304.32 |
$338.13 |
1.0× |
| Excision hydrocele bilateral (55041) |
$9,293.40 |
$10,326 |
2.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$495.81 |
$550.89 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$830.82 |
$923.12 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$855.64 |
$950.70 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$990.90 |
$1,101 |
2.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,234.42 |
$1,371.57 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,928.13 |
$2,142.36 |
2.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$960.35 |
$1,067.05 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,225 |
$1,361.11 |
1.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$542.44 |
$602.71 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,304.08 |
$3,671.19 |
2.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,601.76 |
$2,890.84 |
1.6× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,484.90 |
$1,649.88 |
2.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,502.08 |
$1,668.98 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,608.16 |
$1,786.84 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,848.74 |
$2,054.14 |
1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$7,392.28 |
$8,213.64 |
2.7× |
| Excision of bartholin's gland or cyst (56740) |
$7,255.46 |
$8,061.62 |
2.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,058.81 |
$1,176.45 |
1.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$386.86 |
$429.84 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$5,304.60 |
$5,894 |
3.3× |
| Excision of hydrocele; unilateral (55040) |
$9,293.40 |
$10,326 |
2.6× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$6,517.70 |
$7,241.88 |
2.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,615.69 |
$1,795.20 |
1.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$504.55 |
$560.61 |
0.3× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$4,309.48 |
$4,788.31 |
2.7× |
| Excision of nail fold toe (11765) |
$218.35 |
$242.61 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,620.96 |
$7,356.62 |
2.3× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) |
$7,392.28 |
$8,213.64 |
2.7× |
| Excision of single external papilla or tag, anus (46220) |
$3,052.47 |
$3,391.63 |
2.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$7,421.78 |
$8,246.42 |
2.5× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$5,413.18 |
$6,014.64 |
2.6× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$7,020.16 |
$7,800.17 |
2.1× |
| Excision of tongue lesion (41112) |
$3,228.62 |
$3,587.35 |
1.0× |
| Excision of tongue lesion (41114) |
$6,069.58 |
$6,743.97 |
1.8× |
| Excision of vaginal cyst or tumor (57135) |
$5,741.05 |
$6,378.94 |
1.8× |
| Excision or fulguration; urethral caruncle (53265) |
$5,413.18 |
$6,014.64 |
2.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$7,421.78 |
$8,246.42 |
2.5× |
| Excision sacral pressure ulcer w/skin flap clsr (15934) |
$10,614.53 |
$11,793.92 |
3.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,303.38 |
$4,781.53 |
2.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,303.38 |
$4,781.53 |
2.6× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$4,309.48 |
$4,788.31 |
2.7× |
| Excision, nasal polyp(s), simple (30110) |
$790.69 |
$878.54 |
0.5× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$8,145.80 |
$9,050.88 |
2.8× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$7,667.39 |
$8,519.32 |
2.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$5,748.35 |
$6,387.05 |
3.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$8,658.69 |
$9,620.76 |
3.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,730.25 |
$6,366.94 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$7,294.50 |
$8,105 |
2.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$8,161.65 |
$9,068.49 |
2.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,032.73 |
$3,369.70 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,149.67 |
$1,277.41 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$4,303.38 |
$4,781.53 |
2.6× |
| Exploration maxillary sinus (31030) |
$9,390.80 |
$10,434.22 |
1.6× |
| Exploration maxillary sinus (31020) |
$6,650.73 |
$7,389.69 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$3,140.75 |
$3,489.72 |
1.9× |
| Explore sinus remove polyps (31032) |
$9,390.80 |
$10,434.22 |
1.6× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$4,424.31 |
$4,915.89 |
2.7× |
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991)
unusually low: confirm this is the full procedure |
$1,860.63 |
$2,067.36 |
0.3× |
| Eye surgery procedure (66999) |
$6,132.78 |
$6,814.19 |
2.6× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$8,444.48 |
$9,382.75 |
2.6× |
| Fetal Contraction Stress Test (59020) |
$379.96 |
$422.17 |
1.9× |
| Fetal non-stress test (59025) |
$310.26 |
$344.72 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$952.38 |
$1,058.20 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$100.80 |
$112 |
0.2× |
| Fitting of diaphragm/cap (57170) |
$155.70 |
$173 |
0.8× |
| Fix ectropion,entensv lid repair (67917) |
$5,782.45 |
$6,424.94 |
2.4× |
| Fna bx w/fluor gdn 1st les (10007) |
$952.38 |
$1,058.20 |
1.3× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$7,020.16 |
$7,800.17 |
2.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$5,006.97 |
$5,563.29 |
2.4× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$5,006.97 |
$5,563.29 |
2.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$5,006.97 |
$5,563.29 |
2.4× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$5,006.97 |
$5,563.29 |
2.4× |
| Fusion of foot bones (28730) |
$32,315.81 |
$35,906.45 |
2.5× |
| Fusion of foot bones (28740) |
$17,897.61 |
$19,886.23 |
2.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$378.72 |
$420.80 |
1.7× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$4,926.69 |
$5,474.10 |
1.3× |
| Hemorrhoidectomy (46255) |
$7,589.20 |
$8,432.44 |
2.7× |
| Hemorrhoidectomy external complete (46250) |
$8,372.42 |
$9,302.68 |
3.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$7,589.20 |
$8,432.44 |
2.7× |
| Hip arthro w/fb removal (29861) |
$9,851.56 |
$10,946.17 |
1.4× |
| Hysteroscopy ablation (58563) |
$13,126.31 |
$14,584.78 |
2.6× |
| Hysteroscopy biopsy (58558) |
$7,255.46 |
$8,061.62 |
2.2× |
| Hysteroscopy dx sep proc (58555) |
$7,979.11 |
$8,865.67 |
2.5× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$11,428.74 |
$12,698.60 |
2.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,737.50 |
$6,375 |
1.8× |
| Hysteroscopy resect septum (58560) |
$10,215 |
$11,350 |
2.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$10,215 |
$11,350 |
2.0× |
| I&D Abscess Peritonsillar (42700) |
$537.44 |
$597.15 |
2.3× |
| I&d abscess simple (10060) |
$353.62 |
$392.91 |
1.8× |
| I&d below fascia foot 1 bursal space (28002) |
$4,309.48 |
$4,788.31 |
2.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,829.55 |
$5,366.16 |
1.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,376.86 |
$2,640.96 |
1.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,051.90 |
$3,391 |
0.9× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$5,478.40 |
$6,087.11 |
1.7× |
| I&d perianal abscess superficial (46050) |
$2,654.97 |
$2,949.96 |
2.8× |
| I&d pilonidal cyst simple (10080) |
$362.70 |
$402.99 |
0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,829.55 |
$5,366.16 |
1.7× |
| Incise finger tendon sheath (26055) |
$4,527.81 |
$5,030.90 |
2.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$362.70 |
$402.99 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,829.55 |
$5,366.16 |
1.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,848.49 |
$2,053.88 |
2.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,303.38 |
$4,781.53 |
2.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$695.76 |
$773.06 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$269.71 |
$299.67 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$379.96 |
$422.17 |
1.2× |
| Incision bone cortex foot (28005) |
$8,444.48 |
$9,382.75 |
2.6× |
| Incision extensor tendon sheath wrist (25000) |
$4,738.32 |
$5,264.79 |
2.9× |
| Incision of eardrum (69421) |
$511.64 |
$568.48 |
0.2× |
Incision of heel bone (28300)
likely a partial charge, not the full procedure |
$1,119.15 |
$1,243.49 |
0.2× |
| Incision of lingual frenum (41010) |
$1,932.27 |
$2,146.96 |
1.2× |
| Incision of rectal abscess (46045) |
$7,392.28 |
$8,213.64 |
2.7× |
| Incision of rectal abscess (46040) |
$4,476.87 |
$4,974.30 |
3.7× |
| Incision thrombosed hemorrhoid external (46083) |
$353.20 |
$392.44 |
1.4× |
| Incision&drainage bursa foot (28001) |
$1,805.18 |
$2,005.75 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$273.16 |
$303.52 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$151.19 |
$167.98 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$355.04 |
$394.48 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$65.70 |
$73 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$377.77 |
$419.74 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$539.72 |
$599.69 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$350.74 |
$389.70 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$97.04 |
$107.82 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$95.49 |
$106.09 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$530.28 |
$589.19 |
1.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$265.50 |
$295 |
1.3× |
| Inner ear surgery proc unlisted (69949) |
$6,356.19 |
$7,062.43 |
26.7× |
| Insert Bladder Cath Complex (51703) |
$338.94 |
$376.60 |
2.6× |
| Insert cervical dilator (59200) |
$379.96 |
$422.17 |
1.2× |
| Insert Drug Implant Device (11981) |
$188.70 |
$209.66 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$2,778.08 |
$3,086.75 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,778.08 |
$3,086.75 |
0.9× |
| Insert pessary/other device (57160) |
$100.80 |
$112 |
0.5× |
| Insert picc cath (36569) |
$2,778.08 |
$3,086.75 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$275.44 |
$306.04 |
2.1× |
| Insert tunneled cv cath (36561) |
$7,957.69 |
$8,841.87 |
2.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$166.56 |
$185.06 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,423.60 |
$1,581.78 |
0.9× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$6,132.78 |
$6,814.19 |
2.6× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$1,398.46 |
$1,553.84 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$610.64 |
$678.48 |
2.6× |
| Irrigation maxillary sinus (31000) |
$1,454.66 |
$1,616.28 |
6.1× |
| Knee arthroscopy/surgery (29887) |
$20,880.03 |
$23,200.03 |
2.9× |
| Knee arthroscopy/surgery (29883) |
$10,170.80 |
$11,300.88 |
3.1× |
| Knee arthroscopy/surgery (29885) |
$20,880.03 |
$23,200.03 |
2.9× |
| Knee arthroscopy/surgery (29876) |
$10,170.80 |
$11,300.88 |
3.1× |
| Knee arthroscopy/surgery (29886) |
$10,170.80 |
$11,300.88 |
3.1× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,795.97 |
$3,106.63 |
0.5× |
| Laparoscopy Remove Adnexa (58661) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$24,247.17 |
$26,941.30 |
2.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$24,247.17 |
$26,941.30 |
2.3× |
| Laparoscopy tubal block (58671) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laparoscopy Tubal Cautery (58670) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laparoscopy w/lysis of adhesions (58660) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$24,247.17 |
$26,941.30 |
2.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$24,247.17 |
$26,941.30 |
2.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,861.62 |
$5,401.79 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$14,394.43 |
$15,993.81 |
1.3× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,766.94 |
$7,518.82 |
1.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$24,247.17 |
$26,941.30 |
2.3× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$14,329.41 |
$15,921.56 |
2.4× |
| Laser surgery, anal lesion(s) (46917) |
$7,392.28 |
$8,213.64 |
2.7× |
| Late closure of wound (13160) |
$4,941.85 |
$5,490.94 |
1.4× |
| Lavage by cannulation; sphenoid sinus (31002) |
$1,892.71 |
$2,103.01 |
1.2× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$8,444.48 |
$9,382.75 |
2.6× |
| Ligation of hemorrhoid(s) (46221) |
$982.88 |
$1,092.08 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$5,231 |
$5,812.22 |
3.2× |
| Liver Biopsy (47000) |
$4,303.38 |
$4,781.53 |
2.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$328.50 |
$365 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$4,988.68 |
$5,542.97 |
1.5× |
| Mast mod rad (19307) |
$17,924.99 |
$19,916.65 |
2.7× |
| Mastectomy gynecomastia (19300) |
$10,159.10 |
$11,287.88 |
2.6× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$15,361.16 |
$17,067.95 |
2.3× |
| Middle ear surgery proc unlisted (69799) |
$1,982.56 |
$2,202.84 |
8.3× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$662.70 |
$736.33 |
0.9× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$9,800.17 |
$10,889.07 |
2.8× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$7,250.14 |
$8,055.71 |
2.2× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$8,352.99 |
$9,281.09 |
2.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$4,225.70 |
$4,695.22 |
2.4× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$5,809 |
$6,454.44 |
0.8× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$15,528.09 |
$17,253.43 |
2.2× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$15,528.09 |
$17,253.43 |
2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$49.50 |
$55 |
1.7× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$15,528.09 |
$17,253.43 |
2.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$9,575.93 |
$10,639.92 |
2.4× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$20,880.03 |
$23,200.03 |
2.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$818.01 |
$908.89 |
0.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$20,880.03 |
$23,200.03 |
2.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,695.41 |
$2,994.90 |
0.8× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$17,897.61 |
$19,886.23 |
2.5× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$32,088.33 |
$35,653.70 |
2.5× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$10,533.66 |
$11,704.06 |
3.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$8,444.48 |
$9,382.75 |
2.6× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$10,347.44 |
$11,497.15 |
3.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$10,490.03 |
$11,655.58 |
3.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$8,444.48 |
$9,382.75 |
2.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$8,443.74 |
$9,381.93 |
2.6× |
| Ovarian cystectomy (58925) |
$13,126.31 |
$14,584.78 |
2.6× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$13,850.90 |
$15,389.88 |
2.3× |
| Partial excision bone talus/calcaneus (28120) |
$8,444.48 |
$9,382.75 |
2.6× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$8,444.48 |
$9,382.75 |
2.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,942.82 |
$5,492.02 |
1.5× |
| Partial Removal Foot Fascia (28060) |
$8,444.48 |
$9,382.75 |
2.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,161.26 |
$2,401.40 |
0.7× |
| Pelvic exam under anesthesia (57410) |
$5,767.42 |
$6,408.24 |
1.8× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$7,255.46 |
$8,061.62 |
2.2× |
| Peritoneal Lavage (49084) |
$3,314.72 |
$3,683.02 |
3.6× |
| Perq dev breast 1st us imag (19285) |
$1,671.66 |
$1,857.39 |
2.3× |
| Perq device breast 1st imag (19281) |
$1,569.21 |
$1,743.56 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$489.50 |
$543.88 |
2.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,924.09 |
$2,137.87 |
2.7× |
| Placement of needle for intraosseous infusion (36680) |
$376.28 |
$418.08 |
0.8× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$15,757.58 |
$17,508.42 |
2.6× |
| Preputial Stretching (54450) |
$854.49 |
$949.43 |
3.4× |
| Punch biopsy skin single lesion (11104) |
$195.82 |
$217.58 |
0.5× |
| Puncture Aspiration (10160) |
$362.70 |
$402.99 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$640.18 |
$711.31 |
0.9× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$7,421.78 |
$8,246.42 |
2.5× |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
$6,932.70 |
$7,703 |
2.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
$7,421.78 |
$8,246.42 |
2.5× |
Realignment of knee (27455)
unusually low: confirm this is the full procedure |
$3,629.70 |
$4,032.99 |
0.5× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$17,717.49 |
$19,686.10 |
2.4× |
| Relieve inner eye pressure (65820) |
$5,015.15 |
$5,572.38 |
1.2× |
| Removal fb intranasal (30300) |
$173.72 |
$193.01 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$7,667.39 |
$8,519.32 |
2.6× |
| Removal foreign body foot deep (28192) |
$4,354.61 |
$4,838.45 |
2.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,164.04 |
$1,293.36 |
1.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$657.37 |
$730.40 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$5,478.40 |
$6,087.11 |
1.7× |
| Removal foreign body pharynx (42809) |
$166.56 |
$185.06 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$168.20 |
$186.88 |
2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$166.56 |
$185.06 |
2.8× |
| Removal Implant Deep (20680) |
$4,174.15 |
$4,637.94 |
1.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,354.61 |
$4,838.45 |
2.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$185.24 |
$205.82 |
0.3× |
| Removal of adenoids (42831) |
$665.45 |
$739.38 |
0.2× |
| Removal of adenoids (42830) |
$896.19 |
$995.76 |
0.3× |
| Removal of arm foreign body (24200) |
$2,701.10 |
$3,001.22 |
1.6× |
Removal of foot joint lining (28070)
unusually low: confirm this is the full procedure |
$2,479.02 |
$2,754.46 |
0.3× |
| Removal of heel bone (28118) |
$9,851.56 |
$10,946.17 |
3.0× |
| Removal of heel spur (28119) |
$9,851.56 |
$10,946.17 |
3.0× |
| Removal of intrauterine device (iud) (58301) |
$379.96 |
$422.17 |
1.2× |
| Removal of iris (66625) |
$6,132.78 |
$6,814.19 |
2.6× |
| Removal of lens material (66840) |
$6,743.36 |
$7,492.62 |
2.9× |
| Removal of nail bed (11750) |
$378.82 |
$420.91 |
0.9× |
| Removal of nose polyp(s) (30115) |
$7,020.16 |
$7,800.17 |
2.1× |
| Removal of pressure sore (15999) |
$3,059.33 |
$3,399.25 |
4.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$218.35 |
$242.61 |
1.1× |
| Removal of sperm cord lesion (55520) |
$8,608.98 |
$9,565.53 |
2.4× |
| Removal of tail bone ulcer (15922) |
$10,614.53 |
$11,793.92 |
3.0× |
| Removal of testis (54520) |
$9,462.58 |
$10,513.97 |
2.7× |
| Removal of tonsils (42825) |
$13,850.90 |
$15,389.88 |
2.3× |
| Removal of tonsils (42826) |
$7,020.16 |
$7,800.17 |
2.1× |
| Removal or relocation of corneal conjunctiva (65420) |
$5,782.45 |
$6,424.94 |
2.4× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$5,782.45 |
$6,424.94 |
2.4× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$7,848 |
$8,720 |
2.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$169.57 |
$188.40 |
0.6× |
| Remove anal fist subq (46270) |
$7,392.28 |
$8,213.64 |
2.7× |
| Remove by ligat int hem grp (46945) |
$721.73 |
$801.92 |
0.3× |
| Remove drug implant device (11982) |
$301.18 |
$334.64 |
0.7× |
| Remove ear lesion (69540) |
$1,101.78 |
$1,224.19 |
0.7× |
| Remove foreign body from eye (65210) |
$238.09 |
$264.54 |
0.5× |
| Remove hip pressure sore (15941) |
$9,863.27 |
$10,959.18 |
3.4× |
| Remove hip pressure sore (15945) |
$8,145.80 |
$9,050.88 |
3.9× |
| Remove in/ex hem grp w/fistu (46258) |
$7,189.98 |
$7,988.86 |
2.6× |
| Remove Pilonidal Cyst Exten (11771) |
$7,421.78 |
$8,246.42 |
2.5× |
| Remove sacrum pressure sore (15937) |
$5,490.83 |
$6,100.92 |
2.6× |
| Remove sacrum pressure sore (15935) |
$10,614.53 |
$11,793.92 |
3.0× |
| Remove shoulder foreign body (23330) |
$2,041.62 |
$2,268.46 |
1.2× |
| Remove skin nerve lesion (64774) |
$5,141.26 |
$5,712.51 |
2.6× |
| Remove thigh pressure sore (15956) |
$6,943.35 |
$7,714.83 |
3.3× |
| Remove thigh pressure sore (15958) |
$10,614.53 |
$11,793.92 |
3.0× |
| Remove wrist tendon lesion (25111) |
$4,246.87 |
$4,718.74 |
2.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$5,160.96 |
$5,734.40 |
3.1× |
| Remv Ext Canal Foreign Body (69200) |
$319.60 |
$355.11 |
2.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$238.09 |
$264.54 |
1.8× |
| Remv/revisn shldr/hip spica cast (29710) |
$143.23 |
$159.14 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,547.39 |
$1,719.32 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,591 |
$1,767.77 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,220.77 |
$1,356.40 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,394.48 |
$1,549.42 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,171.54 |
$1,301.70 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$784.57 |
$871.74 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,331.30 |
$1,479.21 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,331.30 |
$1,479.21 |
1.8× |
| Repair ectropion suture (67914) |
$5,782.45 |
$6,424.94 |
2.4× |
| Repair entropion excision tarsal wedge (67923) |
$5,198.20 |
$5,775.77 |
2.2× |
| Repair Entropion Suture (67921) |
$4,666.14 |
$5,184.60 |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,461.69 |
$2,735.21 |
1.5× |
| Repair eyelid defect (67924) |
$5,575.96 |
$6,195.51 |
2.3× |
| Repair forearm tendon/muscle (25260) |
$418.50 |
$465 |
0.1× |
| Repair forearm tendon/muscle (25265) |
$112.50 |
$125 |
0.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$9,292.91 |
$10,325.45 |
2.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,367.45 |
$11,519.38 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$941.70 |
$1,046.34 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$336.79 |
$374.21 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,040.80 |
$1,156.44 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,122.09 |
$1,246.76 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$706.18 |
$784.64 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$712 |
$791.11 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,145.35 |
$1,272.61 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$761.48 |
$846.08 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$336.79 |
$374.21 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$341.82 |
$379.80 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$947.65 |
$1,052.94 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$5,006.97 |
$5,563.29 |
2.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$7,165.46 |
$7,961.62 |
17.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$336.79 |
$374.21 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$784.57 |
$871.74 |
1.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,171.54 |
$1,301.70 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$717.82 |
$797.57 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$5,006.97 |
$5,563.29 |
2.4× |
| Repair nonunion radius/ulna w autogrft (25405) |
$17,413.23 |
$19,348.03 |
2.4× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$9,253.91 |
$10,282.12 |
1.4× |
| Repair of entropion; thermocauterization (67922) |
$4,878.97 |
$5,421.07 |
2.0× |
| Repair Of Foot Tendon (28208) |
$9,286.04 |
$10,317.82 |
2.8× |
| Repair of hydrocele (55060) |
$6,130.53 |
$6,811.70 |
1.7× |
| Repair of nail bed (11760) |
$336.79 |
$374.21 |
0.5× |
| Repair of nasal septum (30520) |
$7,020.16 |
$7,800.17 |
2.1× |
| Repair Tongue Laceration (41250) |
$347.28 |
$385.86 |
0.8× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$9,564.63 |
$10,627.36 |
2.9× |
| Replace g/c tube perc (49450) |
$610.03 |
$677.81 |
0.7× |
| Reposition gastrostomy tube (43761) |
$2,176.08 |
$2,417.86 |
8.7× |
| Rerepair ing hernia blocked (49521) |
$10,842.25 |
$12,046.94 |
1.7× |
| Rerepair ing hernia reduce (49520) |
$10,842.25 |
$12,046.94 |
3.0× |
| Resect Inferior Turbinate (30140) |
$7,020.16 |
$7,800.17 |
2.1× |
| Resect leg/ankle tum < 5 cm (27615) |
$8,220.28 |
$9,133.64 |
2.8× |
| Revise knuckle joint (26530) |
$8,444.48 |
$9,382.75 |
1.2× |
| Revise median n/carpal tunnel surg (64721) |
$4,957.70 |
$5,508.55 |
2.5× |
| Revise ulnar nerve at elbow (64718) |
$4,957.70 |
$5,508.55 |
2.5× |
| Revise ulnar nerve at wrist (64719) |
$4,957.70 |
$5,508.55 |
2.5× |
| Revision of cervix (57720) |
$7,978.09 |
$8,864.54 |
2.5× |
| Revision of lower leg tendon (27685) |
$8,444.48 |
$9,382.75 |
2.6× |
| Revision of upper eyelid (15823) |
$5,006.97 |
$5,563.29 |
2.4× |
| Revj clst comp rcnstj in-depth spx (44345) |
$3,445.20 |
$3,828 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$268.30 |
$298.11 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$195.98 |
$217.74 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$638.80 |
$709.77 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$162.96 |
$181.07 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$6,570.82 |
$7,300.90 |
2.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,041.62 |
$2,268.46 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,073.58 |
$2,303.97 |
3.3× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$1,058.66 |
$1,176.28 |
0.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$202.50 |
$225 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$886.50 |
$985 |
3.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$9,157.47 |
$10,174.96 |
1.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$9,157.47 |
$10,174.96 |
1.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$9,157.47 |
$10,174.96 |
1.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,099.60 |
$10,110.66 |
2.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,234.63 |
$10,260.69 |
1.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$888.38 |
$987.08 |
1.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$2,098.66 |
$2,331.84 |
8.8× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$17,413.23 |
$19,348.03 |
2.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$8,329.50 |
$9,255 |
2.5× |
| Scrotal exploration (55110) |
$5,594.76 |
$6,216.39 |
1.6× |
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263)
likely a partial charge, not the full procedure |
$135 |
$150 |
0.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,378.30 |
$3,753.66 |
2.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$99.30 |
$110.33 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$184.28 |
$204.75 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$83.07 |
$92.30 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$114.58 |
$127.31 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$162.32 |
$180.35 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$153.73 |
$170.81 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$79.26 |
$88.06 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$638.33 |
$709.26 |
3.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$147.05 |
$163.38 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$109.80 |
$122 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$207.68 |
$230.75 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$131.76 |
$146.40 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,566.27 |
$2,851.41 |
2.7× |
| Simple biopsy of growth of throat behind nose (42804) |
$8,188.38 |
$9,098.19 |
2.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$754.54 |
$838.37 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$336.79 |
$374.21 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$336.79 |
$374.21 |
1.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$664.48 |
$738.32 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$458.51 |
$509.46 |
2.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$464.32 |
$515.92 |
2.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$824.42 |
$916.02 |
4.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$213.43 |
$237.14 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$627.70 |
$697.44 |
3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$336.79 |
$374.21 |
1.7× |
| Sinus endo w/balloon dil (31296) |
$5,809 |
$6,454.44 |
0.8× |
| Sinus endo w/balloon dil (31297) |
$5,809 |
$6,454.44 |
0.8× |
| Skin splt grft trnk/arm/leg (15100) |
$5,006.97 |
$5,563.29 |
2.4× |
| Skin Tissue Procedure (17999) |
$548.10 |
$608.99 |
2.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213.43 |
$237.14 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$664.48 |
$738.32 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$758.85 |
$843.16 |
1.9× |
| Snip incision lacrimal punctum (68440) |
$408.12 |
$453.46 |
1.3× |
| Sphincterotomy (46080) |
$7,392.28 |
$8,213.64 |
2.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,330.56 |
$1,478.38 |
1.9× |
| Spinal Puncture Therapeutic (62272) |
$926.45 |
$1,029.38 |
1.3× |
| Strapping ankle (29540) |
$36.90 |
$41 |
0.2× |
| Strapping elbow/wrist (29260) |
$39.60 |
$44 |
0.7× |
| Strapping hand/finger (29280) |
$150.72 |
$167.47 |
2.5× |
| Strapping Hip (29520) |
$47.70 |
$53 |
0.4× |
| Strapping knee (29530) |
$31.50 |
$35 |
0.2× |
| Strapping shoulder (29240) |
$148.02 |
$164.47 |
1.1× |
| Strapping thorax (29200) |
$148.48 |
$164.97 |
0.9× |
| Strapping toes (29550) |
$25.20 |
$28 |
0.4× |
| Strapping unna boot (29580) |
$94.68 |
$105.20 |
0.6× |
| Submucosal ablation of the tongue base, radiofrequency, one or more sites, per session (41530) |
$2,725.97 |
$3,028.85 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$173.52 |
$192.80 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$987.98 |
$1,097.75 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,839.92 |
$2,044.35 |
1.1× |
| Ther Apheresis,Platelets (36513) |
$3,157.42 |
$3,508.24 |
7.1× |
| Therapeutic pneumothorax (32960) |
$1,381.65 |
$1,535.16 |
2.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,381.65 |
$1,535.16 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,381.65 |
$1,535.16 |
2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$7,020.16 |
$7,800.17 |
2.1× |
| Trach Tube Change (31502) |
$630.91 |
$701.01 |
2.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$2,017.44 |
$2,241.59 |
8.5× |
| Treat ectopic pregnancy (59151) |
$14,329.41 |
$15,921.56 |
2.4× |
| Treat finger dislocation (26775) |
$3,805.67 |
$4,228.52 |
13.5× |
| Treat Fracture Radius & Ulna (25560) |
$358.80 |
$398.66 |
1.4× |
| Treat fx distal radial (25606) |
$9,851.56 |
$10,946.17 |
3.0× |
| Treat fx rad extra-articul (25607) |
$20,880.03 |
$23,200.03 |
2.9× |
| Treat humerus fracture (24500) |
$408.05 |
$453.38 |
1.6× |
| Treat humerus fracture (23600) |
$412.04 |
$457.82 |
1.7× |
| Treat Metatarsal Fracture (28475) |
$559.98 |
$622.20 |
2.3× |
| Treat radius fracture (24665) |
$17,504.68 |
$19,449.64 |
2.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,418.49 |
$1,576.10 |
0.9× |
| Treat toe fracture (28525) |
$9,851.56 |
$10,946.17 |
3.0× |
| Treat wrist bone fracture (25635) |
$1,192.90 |
$1,325.44 |
0.7× |
| Treat wrist bone fracture (25622) |
$439.12 |
$487.91 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$412.04 |
$457.82 |
1.7× |
| Treatment closed elbow dislocation req anes (24605) |
$2,211.08 |
$2,456.76 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$424.27 |
$471.41 |
1.7× |
| Treatment of ankle fracture (27792) |
$15,553.62 |
$17,281.80 |
2.1× |
| Treatment of foot infection (28003) |
$8,444.48 |
$9,382.75 |
2.6× |
| Trim skin lesion (11055) |
$218.35 |
$242.61 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$514.08 |
$571.20 |
2.6× |
| Trim skin lesions over 4 (11057) |
$162.09 |
$180.10 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$25.78 |
$28.64 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$7,255.46 |
$8,061.62 |
2.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$7,255.46 |
$8,061.62 |
2.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,104.08 |
$1,226.75 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$2,010.47 |
$2,233.85 |
4.9× |
| Tympanostomy (69433) |
$635.22 |
$705.79 |
1.2× |
| Unlisted laparoscopic procedure liver (47379) |
$13,663.01 |
$15,181.12 |
2.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$16,717.23 |
$18,574.69 |
2.8× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$14,329.41 |
$15,921.56 |
2.4× |
| Unlisted procedure anus (46999) |
$2,395.70 |
$2,661.88 |
2.6× |
| Unlisted procedure colon (45399) |
$3,235.50 |
$3,595 |
3.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$340.20 |
$378 |
1.4× |
| Unlisted procedure neck or thorax (21899) |
$687.08 |
$763.42 |
2.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,609.89 |
$2,899.87 |
2.9× |
| Unlisted procedure, male genital system (55899) |
$175.50 |
$195 |
0.7× |
| Urology Surgery Procedure (53899) |
$441.63 |
$490.69 |
1.8× |
| Uvulectomy excision uvula (42140) |
$948.47 |
$1,053.85 |
0.3× |
| Vag hyst w/enterocele repair (58270) |
$11,606.19 |
$12,895.76 |
2.3× |
| Vaginal delivery only (59409) |
$4,988.68 |
$5,542.97 |
1.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$13,126.31 |
$14,584.78 |
2.6× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$13,474.23 |
$14,971.36 |
2.7× |
| Vasectomy (55250) |
$5,413.18 |
$6,014.64 |
2.6× |
| Venipuncture (36415) |
$10.74 |
$11.93 |
1.2× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$57.98 |
$64.42 |
0.4× |
| Venipuncture, cutdown; age 1 or over (36425) |
$57.98 |
$64.42 |
0.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,079.92 |
$4,533.24 |
1.2× |
| Vitrectomy mechanical pars plana (67036) |
$11,526.75 |
$12,807.50 |
2.8× |
| Windowing of cast (29730) |
$262.75 |
$291.94 |
1.6× |
Xcpsl ctrc rmvl cplx insj 1+ (66989)
unusually low: confirm this is the full procedure |
$2,422.32 |
$2,691.46 |
0.5× |