| Abd paracentesis w/imaging (49083) |
$1,152 |
$1,200 |
1.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$276.48 |
$288 |
0.2× |
| Acne Surgery (10040) |
$59.52 |
$62 |
0.3× |
| Amputation Finger/Thumb (26951) |
$1,572.48 |
$1,638 |
0.5× |
| Anoscopy diagnostic (46600) |
$48.96 |
$51 |
0.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$73.44 |
$76.50 |
0.1× |
| Anoscopy w/rmvl lesion cautery (46610) |
$72 |
$75 |
0.0× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure |
$565.92 |
$589.50 |
0.1× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$215.04 |
$224 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$9.60 |
$10 |
0.1× |
| Application cast elbow finger short arm (29075) |
$104.64 |
$109 |
0.4× |
| Application Cast Finger (29086) |
$87.36 |
$91 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$108.48 |
$113 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$110.40 |
$115 |
0.4× |
| Application finger splint static (29130) |
$31.68 |
$33 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$32.64 |
$34 |
0.2× |
| Application long leg splint thigh ankle/toes (29505) |
$82.56 |
$86 |
0.5× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$826.56 |
$861 |
0.1× |
| Application of long leg cast (29345) |
$144.96 |
$151 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$134.40 |
$140 |
1.0× |
| Application short leg splint calf foot (29515) |
$70.08 |
$73 |
0.4× |
| Apply short leg cast (29405) |
$68.64 |
$71.50 |
0.2× |
| Apply short leg cast (29425) |
$79.68 |
$83 |
0.3× |
| Arterial puncture (36600) |
$137.28 |
$143 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$95.04 |
$99 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$150.72 |
$157 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$87.36 |
$91 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$47.04 |
$49 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$48.96 |
$51 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$226.08 |
$235.50 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$70.56 |
$73.50 |
0.1× |
| Biopsy of bowel (44100) |
$74.40 |
$77.50 |
0.1× |
| Biopsy of floor of mouth (41108) |
$77.76 |
$81 |
0.0× |
| Biopsy of tongue (41100) |
$84.48 |
$88 |
0.2× |
| Biopsy of uterus lining (58100) |
$40.32 |
$42 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$330.24 |
$344 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$251.52 |
$262 |
0.1× |
| Biopsy soft tissue of back (21920) |
$246.72 |
$257 |
0.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$286.08 |
$298 |
0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$203.04 |
$211.50 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$46.08 |
$48 |
0.0× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$266.88 |
$278 |
0.2× |
| Bladder Scan (51798) |
$254.40 |
$265 |
4.2× |
| Blood transfusion service (36430) |
$1,056 |
$1,100 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$2,784 |
$2,900 |
1.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$40.32 |
$42 |
0.0× |
| Bx/exc lymph node needle superficial (38505) |
$2,112 |
$2,200 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$240 |
$250 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$57.60 |
$60 |
0.2× |
| Chemical Cautery Tissue (17250) |
$44.64 |
$46.50 |
0.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$144 |
$150 |
0.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$96 |
$100 |
0.1× |
| Chest tube placement (32551) |
$112.32 |
$117 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$177.60 |
$185 |
1.3× |
| Circumcision (54150) |
$58.56 |
$61 |
0.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,156.80 |
$1,205 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$414.72 |
$432 |
1.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$533.76 |
$556 |
2.1× |
| Closed Rx Med Malleolus Fx (27760) |
$470.88 |
$490.50 |
1.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$819.84 |
$854 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$804.48 |
$838 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$404.64 |
$421.50 |
1.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$554.40 |
$577.50 |
0.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$492 |
$512.50 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$479.04 |
$499 |
1.9× |
| Closed treat wrist dislocation (25660) |
$645.12 |
$672 |
2.5× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$500.64 |
$521.50 |
2.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$616.32 |
$642 |
2.4× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$742.56 |
$773.50 |
0.2× |
| Closed Treatment Sternum Fracture (21820) |
$241.44 |
$251.50 |
0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$621.12 |
$647 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$558.24 |
$581.50 |
0.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$362.40 |
$377.50 |
1.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$588.48 |
$613 |
2.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$780.48 |
$813 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$604.32 |
$629.50 |
2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$327.84 |
$341.50 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,020.48 |
$1,063 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$74.88 |
$78 |
0.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$859.20 |
$895 |
3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$637.44 |
$664 |
2.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$626.88 |
$653 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$402.72 |
$419.50 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$633.60 |
$660 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$275.04 |
$286.50 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$63.36 |
$66 |
0.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$420.48 |
$438 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$401.76 |
$418.50 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$365.76 |
$381 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$265.92 |
$277 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$383.52 |
$399.50 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$287.04 |
$299 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$500.16 |
$521 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$413.28 |
$430.50 |
1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$803.52 |
$837 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$485.76 |
$506 |
1.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$751.68 |
$783 |
2.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$555.84 |
$579 |
2.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$792.96 |
$826 |
0.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$585.60 |
$610 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$384 |
$400 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$309.60 |
$322.50 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$555.84 |
$579 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$903.36 |
$941 |
0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$630.24 |
$656.50 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$288.96 |
$301 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$260.16 |
$271 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$456 |
$475 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$317.76 |
$331 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$480 |
$500 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$618.24 |
$644 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$479.52 |
$499.50 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$574.56 |
$598.50 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$421.92 |
$439.50 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$435.84 |
$454 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$414.72 |
$432 |
1.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$927.36 |
$966 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$708.48 |
$738 |
2.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$600 |
$625 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$583.20 |
$607.50 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$116.16 |
$121 |
0.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,657.92 |
$1,727 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$734.40 |
$765 |
0.4× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$617.28 |
$643 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge, not the full procedure |
$622.08 |
$648 |
0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$69.12 |
$72 |
0.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$80.64 |
$84 |
0.4× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$77.76 |
$81 |
0.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$72 |
$75 |
0.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$87.84 |
$91.50 |
0.1× |
| Complex Drainage, Wound (10180) |
$211.20 |
$220 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$57.60 |
$60 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$45.12 |
$47 |
0.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$545.28 |
$568 |
1.0× |
| Cryotherapy of skin (17340) |
$50.40 |
$52.50 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$94.08 |
$98 |
0.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$95.04 |
$99 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$18.24 |
$19 |
0.0× |
| Debride nail 1-5 (11720) |
$24.48 |
$25.50 |
0.4× |
| Debride nail 6 or more (11721) |
$73.92 |
$77 |
1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$48.96 |
$51 |
0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$54.24 |
$56.50 |
0.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$293.76 |
$306 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$100.80 |
$105 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$5,856 |
$6,100 |
2.9× |
| Destroy lumb/sac facet jnt (64635) |
$5,121.60 |
$5,335 |
2.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$118.08 |
$123 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$115.20 |
$120 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$150.72 |
$157 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$235.68 |
$245.50 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$129.60 |
$135 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$102.24 |
$106.50 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$108.96 |
$113.50 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$119.04 |
$124 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$132 |
$137.50 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$116.16 |
$121 |
0.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$157.92 |
$164.50 |
0.8× |
| Destruction of multiple growths of penis (54065) |
$198.24 |
$206.50 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$107.52 |
$112 |
0.5× |
| Destruction vaginal lesions simple (57061) |
$163.68 |
$170.50 |
0.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$101.76 |
$106 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$261.12 |
$272 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$182.88 |
$190.50 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$169.44 |
$176.50 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$328.32 |
$342 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$265.92 |
$277 |
1.3× |
| Drainage of gum lesion (41800) |
$348.48 |
$363 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$192.96 |
$201 |
0.1× |
| Drainage of hydrocele (55000) |
$73.44 |
$76.50 |
0.1× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$277.92 |
$289.50 |
0.1× |
| Draw blood off venous device (36591) |
$172.80 |
$180 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$159.36 |
$166 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$141.12 |
$147 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$69.60 |
$72.50 |
0.3× |
| Dry Needling 3+ Muscles (20561) |
$49.92 |
$52 |
1.7× |
| Dstrj lesion anus simple chemical (46900) |
$243.36 |
$253.50 |
0.6× |
| Dstrj lesion anus simple cryosurgery (46916) |
$176.64 |
$184 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$156.48 |
$163 |
0.1× |
| Endovenous rf 1st vein (36475) |
$4,992 |
$5,200 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$60.48 |
$63 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$259.20 |
$270 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$278.40 |
$290 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$223.68 |
$233 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$298.56 |
$311 |
0.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$111.36 |
$116 |
0.0× |
| Exc neck tum deep < 5 cm (21556) |
$759.36 |
$791 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$180.48 |
$188 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$190.08 |
$198 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$201.60 |
$210 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$260.16 |
$271 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$343.68 |
$358 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$272.64 |
$284 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$440.64 |
$459 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$366.72 |
$382 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$359.04 |
$374 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$320.64 |
$334 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$483.84 |
$504 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$366.72 |
$382 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$393.60 |
$410 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$123.36 |
$128.50 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$166.08 |
$173 |
0.2× |
| Excision Breast Lesion (19125) |
$614.40 |
$640 |
0.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$197.28 |
$205.50 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$199.68 |
$208 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$232.32 |
$242 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$189.60 |
$197.50 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$286.08 |
$298 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$303.36 |
$316 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$210.24 |
$219 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$242.88 |
$253 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$273.60 |
$285 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$380.16 |
$396 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$200.64 |
$209 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$233.28 |
$243 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$260.16 |
$271 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$301.44 |
$314 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$326.40 |
$340 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$315.36 |
$328.50 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$250.56 |
$261 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$264.96 |
$276 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$239.04 |
$249 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$145.92 |
$152 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$465.60 |
$485 |
0.3× |
| Excision of nail fold toe (11765) |
$158.40 |
$165 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$256.32 |
$267 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$145.44 |
$151.50 |
0.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$300.48 |
$313 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$522.24 |
$544 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$442.56 |
$461 |
0.3× |
| Exploration Penetrating Wound Spx Neck (20100) |
$581.76 |
$606 |
1.0× |
| Fetal non-stress test (59025) |
$384 |
$400 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,344 |
$1,400 |
1.8× |
| I&d abscess simple (10060) |
$186.24 |
$194 |
0.9× |
| I&d perianal abscess superficial (46050) |
$172.80 |
$180 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$190.08 |
$198 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$275.52 |
$287 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$227.04 |
$236.50 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$240 |
$250 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$261.12 |
$272 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$194.88 |
$203 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$139.20 |
$145 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$155.52 |
$162 |
0.5× |
| Incision of eardrum (69420) |
$107.52 |
$112 |
0.4× |
| Incision of lingual frenum (41010) |
$170.88 |
$178 |
0.1× |
| Incision of rectal abscess (46040) |
$523.68 |
$545.50 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$174.72 |
$182 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$45.60 |
$47.50 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$37.44 |
$39 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,240 |
$3,375 |
3.5× |
| Inj tendon sheath/ligament (20550) |
$34.56 |
$36 |
0.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$934.08 |
$973 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,630.40 |
$2,740 |
2.9× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$9.60 |
$10 |
0.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,188.80 |
$2,280 |
2.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$2,412 |
$2,512.50 |
3.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,608 |
$1,675 |
1.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,095.20 |
$2,182.50 |
2.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$3,312 |
$3,450 |
3.6× |
| Inject Tendon Origin/Insert (20551) |
$34.56 |
$36 |
0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,756.80 |
$1,830 |
2.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,728 |
$1,800 |
2.4× |
| Injection anes other peripheral nerve/branch (64450) |
$599.04 |
$624 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$52.32 |
$54.50 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$97.92 |
$102 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$187.20 |
$195 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$34.56 |
$36 |
0.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$39.84 |
$41.50 |
0.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$16.32 |
$17 |
0.1× |
| Insert Drug Implant Device (11981) |
$44.16 |
$46 |
0.3× |
| Insert pessary/other device (57160) |
$18.24 |
$19 |
0.1× |
| Insert picc cath (36569) |
$1,776 |
$1,850 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$20.16 |
$21 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$15.36 |
$16 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$387.36 |
$403.50 |
1.6× |
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 |
$810.24 |
$844 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$54.72 |
$57 |
0.3× |
| Late closure of wound (13160) |
$1,073.28 |
$1,118 |
0.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$222.72 |
$232 |
0.1× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$34.56 |
$36 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$38.40 |
$40 |
1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,657.60 |
$3,810 |
4.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,348 |
$3,487.50 |
3.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,112 |
$2,200 |
2.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,824 |
$1,900 |
2.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,056 |
$1,100 |
2.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$924.48 |
$963 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,023.36 |
$1,066 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$408 |
$425 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$24.96 |
$26 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$51.84 |
$54 |
0.1× |
| Puncture Aspiration (10160) |
$162.24 |
$169 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$34.56 |
$36 |
0.0× |
| Removal fb intranasal (30300) |
$277.44 |
$289 |
2.0× |
| Removal foreign body foot deep (28192) |
$446.40 |
$465 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$192.96 |
$201 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$248.64 |
$259 |
0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$447.36 |
$466 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$38.40 |
$40 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$108 |
$112.50 |
1.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$57.60 |
$60 |
0.1× |
| Removal of Head of Radius (24130) |
$878.40 |
$915 |
0.3× |
| Removal of nail bed (11750) |
$108 |
$112.50 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$113.76 |
$118.50 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$38.40 |
$40 |
0.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$34.56 |
$36 |
0.1× |
| Remove drug implant device (11982) |
$68.16 |
$71 |
0.1× |
| Remove Eyelid Foreign Body (67938) |
$168 |
$175 |
0.5× |
| Remove foreign body from eye (65235) |
$1,319.04 |
$1,374 |
0.6× |
| Remove foreign body from eye (65210) |
$46.08 |
$48 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$59.52 |
$62 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$37.44 |
$39 |
0.3× |
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure |
$544.32 |
$567 |
0.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$507.84 |
$529 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$374.40 |
$390 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$439.68 |
$458 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$332.16 |
$346 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$405.12 |
$422 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$362.88 |
$378 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$353.28 |
$368 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$381.12 |
$397 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,529.28 |
$1,593 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$402.24 |
$419 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$489.60 |
$510 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$301.44 |
$314 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$580.80 |
$605 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$313.92 |
$327 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$278.40 |
$290 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$419.52 |
$437 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$216.96 |
$226 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$300.48 |
$313 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$302.40 |
$315 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$337.92 |
$352 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$251.52 |
$262 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$314.88 |
$328 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$368.64 |
$384 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$303.36 |
$316 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$414.72 |
$432 |
0.2× |
| Repair of nail bed (11760) |
$378.24 |
$394 |
0.5× |
Repair of vagina (57260)
likely a partial charge, not the full procedure |
$669.12 |
$697 |
0.1× |
| Repair Tongue Laceration (41250) |
$513.60 |
$535 |
1.1× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$646.08 |
$673 |
0.1× |
| Revise Eyelashes,Forceps (67820) |
$25.92 |
$27 |
0.2× |
| Revision of colostomy simple (44340) |
$832.32 |
$867 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$213.12 |
$222 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$47.04 |
$49 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$66.24 |
$69 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$356.16 |
$371 |
0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$119.04 |
$124 |
0.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$70.08 |
$73 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$452.16 |
$471 |
0.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$231.36 |
$241 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$51.84 |
$54 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$80.64 |
$84 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$26.88 |
$28 |
0.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$34.08 |
$35.50 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$45.60 |
$47.50 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$41.28 |
$43 |
0.1× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$38.40 |
$40 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$54.24 |
$56.50 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$63.36 |
$66 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$58.56 |
$61 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$18.72 |
$19.50 |
0.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$68.16 |
$71 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$68.16 |
$71 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$41.28 |
$43 |
0.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$186.24 |
$194 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$81.60 |
$85 |
0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$39.36 |
$41 |
0.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$48.96 |
$51 |
0.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$89.28 |
$93 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$37.44 |
$39 |
0.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$94.08 |
$98 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$51.84 |
$54 |
0.2× |
| Skin pinch graft (15050) |
$606.24 |
$631.50 |
0.8× |
| Skin tissue rearrangement (14040) |
$982.08 |
$1,023 |
0.5× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$694.08 |
$723 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$44.16 |
$46 |
0.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$52.80 |
$55 |
0.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$68.16 |
$71 |
0.2× |
| Strapping unna boot (29580) |
$13.92 |
$14.50 |
0.1× |
| Tangential biopsy skin single lesion (11102) |
$44.16 |
$46 |
0.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,315.20 |
$1,370 |
2.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$65.28 |
$68 |
0.1× |
| Tongue and mouth surg unlisted (41599) |
$84.48 |
$88 |
0.3× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$1,646.40 |
$1,715 |
0.1× |
| Treat finger dislocation (26775) |
$697.92 |
$727 |
2.4× |
| Treat Fracture Radius & Ulna (25560) |
$544.32 |
$567 |
2.1× |
| Treat humerus fracture (24500) |
$517.92 |
$539.50 |
2.0× |
| Treat humerus fracture (23600) |
$683.52 |
$712 |
2.7× |
| Treat knuckle dislocation (26715) |
$754.08 |
$785.50 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$293.76 |
$306 |
1.1× |
| Treat toe fracture (28525) |
$649.92 |
$677 |
0.2× |
| Treat wrist bone fracture (25622) |
$605.76 |
$631 |
2.4× |
| Treat Wrist Bone Fracture (25630) |
$431.52 |
$449.50 |
1.7× |
| Treatment closed elbow dislocation req anes (24605) |
$866.88 |
$903 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$583.68 |
$608 |
2.3× |
| Trim skin lesion (11055) |
$26.40 |
$27.50 |
0.1× |
| Trim skin lesions 2 to 4 (11056) |
$37.44 |
$39 |
0.2× |
| Trim skin lesions over 4 (11057) |
$17.28 |
$18 |
0.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$13.44 |
$14 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$210.24 |
$219 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$105.60 |
$110 |
0.3× |
| Tympanostomy (69433) |
$114.24 |
$119 |
0.2× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$909.60 |
$947.50 |
0.1× |
| Vaginal delivery only (59409) |
$480.48 |
$500.50 |
0.1× |
| Vasectomy (55250) |
$252.96 |
$263.50 |
0.1× |
| Venipuncture (36415) |
$33.60 |
$35 |
3.6× |