| Abd paracentesis w/imaging (49083) |
$1,449.60 |
$1,812 |
1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,091.20 |
$1,364 |
1.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$3,064 |
$3,830 |
1.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$6,296.80 |
$7,871 |
3.2× |
| Amniocentesis diagnostic (59000) |
$1,751.20 |
$2,189 |
2.0× |
| Amputation, leg, through tibia and fibula; (27880) |
$10,955.20 |
$13,694 |
1.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$9,558.40 |
$11,948 |
3.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$10,336 |
$12,920 |
2.1× |
| Appendectomy (44950) |
$5,528.40 |
$6,910.50 |
0.9× |
| Application cast elbow finger short arm (29075) |
$500.80 |
$626 |
1.9× |
| Application cast shoulder hand long arm (29065) |
$500.80 |
$626 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$208.80 |
$261 |
3.7× |
| Application finger splint static (29130) |
$144.80 |
$181 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$297.60 |
$372 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$252 |
$315 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$267.20 |
$334 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$250.40 |
$313 |
2.0× |
| Application short leg splint calf foot (29515) |
$297.60 |
$372 |
1.9× |
| Apply long leg cast brace (29358) |
$973.60 |
$1,217 |
3.6× |
| Apply short leg cast (29405) |
$500.80 |
$626 |
1.9× |
| Arterial puncture (36600) |
$247.20 |
$309 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$3,133.20 |
$3,916.50 |
10.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$649.60 |
$812 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,019.20 |
$1,274 |
3.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$18,273.60 |
$22,842 |
2.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$10,752.80 |
$13,441 |
3.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$10,752.80 |
$13,441 |
3.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$10,752.80 |
$13,441 |
3.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$9,332.80 |
$11,666 |
3.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$12,044 |
$15,055 |
3.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,452 |
$8,065 |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$9,015.20 |
$11,269 |
2.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,444 |
$8,055 |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$10,266.40 |
$12,833 |
1.5× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$17,059.20 |
$21,324 |
2.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,787.20 |
$4,734 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$674.40 |
$843 |
3.5× |
| Biopsy external ear (69100) |
$1,216.80 |
$1,521 |
5.3× |
| Biopsy of mouth lesion (40808) |
$1,952 |
$2,440 |
3.8× |
| Biopsy of nail unit (11755) |
$2,377.60 |
$2,972 |
3.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$9,596.80 |
$11,996 |
2.5× |
| Biopsy soft tissue neck/thorax (21550) |
$2,492 |
$3,115 |
1.6× |
| Biopsy/removal lymph nodes (38525) |
$4,824 |
$6,030 |
1.3× |
| Biopsy/removal lymph nodes (38510) |
$5,789.60 |
$7,237 |
1.5× |
| Bladder Irrigation Simple (51700) |
$452.80 |
$566 |
1.9× |
| Bladder Scan (51798) |
$161.60 |
$202 |
2.8× |
| Blood patch (62273) |
$889.60 |
$1,112 |
1.3× |
| Blood transfusion service (36430) |
$737.60 |
$922 |
1.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,781.20 |
$4,726.50 |
2.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,018 |
$2,522.50 |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,828.80 |
$2,286 |
1.1× |
| Bx vulva/perineum 1 lesion (56605) |
$1,523.20 |
$1,904 |
1.7× |
| Bx/exc lymph node needle superficial (38505) |
$2,646.40 |
$3,308 |
1.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$6,452 |
$8,065 |
2.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$527.20 |
$659 |
2.5× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$598.40 |
$748 |
2.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,848.80 |
$4,811 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$904.80 |
$1,131 |
3.8× |
| Chest tube placement (32551) |
$1,240.80 |
$1,551 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$193.60 |
$242 |
1.5× |
| Circum 28 days or older (54161) |
$5,028 |
$6,285 |
2.5× |
| Circumcision (54150) |
$3,758.40 |
$4,698 |
1.9× |
| Circumcision Neonate (54160) |
$4,794.40 |
$5,993 |
7.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$4,122.40 |
$5,153 |
2.7× |
| Closed Rx Med Malleolus Fx (27760) |
$586.40 |
$733 |
2.5× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,549.60 |
$4,437 |
2.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$977.60 |
$1,222 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$3,572 |
$4,465 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$617.20 |
$771.50 |
2.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$353.60 |
$442 |
1.5× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$353.60 |
$442 |
0.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$707.20 |
$884 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,479.20 |
$1,849 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$488.80 |
$611 |
2.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,126.40 |
$3,908 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$425.60 |
$532 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,055.20 |
$1,319 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$287.20 |
$359 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$930.40 |
$1,163 |
0.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$753.60 |
$942 |
3.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$353.60 |
$442 |
1.5× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$1,055.20 |
$1,319 |
4.4× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$1,055.20 |
$1,319 |
4.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,688.80 |
$2,111 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$472 |
$590 |
2.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$568.80 |
$711 |
2.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,223.20 |
$1,529 |
5.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$466.40 |
$583 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$428.80 |
$536 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$353.60 |
$442 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$618.40 |
$773 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,405.60 |
$1,757 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$396 |
$495 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$443.20 |
$554 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,055.20 |
$1,319 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$353.60 |
$442 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$489.60 |
$612 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,014.40 |
$1,268 |
4.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$487.20 |
$609 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$330.40 |
$413 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$605.96 |
$757.46 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$361.60 |
$452 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,892 |
$3,615 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$396 |
$495 |
1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$545.60 |
$682 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,549.60 |
$4,437 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$443.20 |
$554 |
1.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$997.60 |
$1,247 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,321.60 |
$1,652 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$353.60 |
$442 |
1.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,721.60 |
$3,402 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,181.60 |
$1,477 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$2,340.80 |
$2,926 |
2.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$729.60 |
$912 |
2.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$9,196.80 |
$11,496 |
3.0× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$5,517.60 |
$6,897 |
1.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$589.60 |
$737 |
2.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$1,216 |
$1,520 |
4.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,992 |
$2,490 |
1.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$3,869.60 |
$4,837 |
3.4× |
| Conization of cervix (57520) |
$3,848.80 |
$4,811 |
1.2× |
| Conization of cervix (57522) |
$4,885.60 |
$6,107 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$231.20 |
$289 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$305.60 |
$382 |
2.4× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$4,761.60 |
$5,952 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$468.80 |
$586 |
3.7× |
| Curettage postpartum (59160) |
$4,885.60 |
$6,107 |
1.6× |
| Cystourethroscopy (52000) |
$1,544 |
$1,930 |
2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$9,476.80 |
$11,846 |
3.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$890.40 |
$1,113 |
1.3× |
| Debride skin musc at fx site (11011) |
$890.40 |
$1,113 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$668.80 |
$836 |
1.7× |
| Decompression of tibia nerve (28035) |
$4,261.60 |
$5,327 |
2.3× |
| Delivery placenta separate procedure (59414) |
$4,885.60 |
$6,107 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$292 |
$365 |
1.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,306.40 |
$1,633 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,471.20 |
$6,839 |
1.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,972.80 |
$2,466 |
2.3× |
| Dilation of anal sphincter (45905) |
$3,850.40 |
$4,813 |
3.3× |
| Division of fallopian tube (58600) |
$4,885.60 |
$6,107 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$336 |
$420 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$332 |
$415 |
1.7× |
| Drainage of eyelid abscess (67700) |
$613.60 |
$767 |
2.0× |
| Drainage of gum lesion (41800) |
$332 |
$415 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$3,093.60 |
$3,867 |
1.9× |
| Draw blood off venous device (36591) |
$193.60 |
$242 |
1.5× |
| Dressing change under anesthesia (15852) |
$211.20 |
$264 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$587.20 |
$734 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$316.80 |
$396 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$260 |
$325 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$7,104 |
$8,880 |
2.7× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,818.40 |
$3,523 |
1.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,592 |
$6,990 |
3.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$3,530.40 |
$4,413 |
1.9× |
| Egd flexible foreign body removal (43247) |
$1,452.80 |
$1,816 |
1.7× |
| Egd guide wire insertion (43248) |
$1,732 |
$2,165 |
2.0× |
| Egd rem tumr/polyp forcep (43250) |
$2,878.40 |
$3,598 |
1.6× |
| Egd remove lesion snare (43251) |
$3,156 |
$3,945 |
1.7× |
| Elbow arthroscopy (29830) |
$10,752.80 |
$13,441 |
3.4× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$9,685.60 |
$12,107 |
2.0× |
| Esophagus Surg Procedure Unlisted (43499) |
$1,850.40 |
$2,313 |
2.1× |
| Evacuate mole of uterus (59870) |
$4,885.60 |
$6,107 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$74.40 |
$93 |
0.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,827.20 |
$6,034 |
3.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$5,683.20 |
$7,104 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,271.20 |
$4,089 |
2.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,548.80 |
$4,436 |
2.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,548.80 |
$4,436 |
2.2× |
| Exc back les sc < 3 cm (21930) |
$5,453.60 |
$6,817 |
3.4× |
| Exc back tum deep < 5 cm (21932) |
$5,401.60 |
$6,752 |
1.9× |
| Exc face les sbq 2 cm/> (21012) |
$3,742.40 |
$4,678 |
2.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,001.60 |
$1,252 |
1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,187.20 |
$2,734 |
1.4× |
| Exc forearm les sc 3 cm/> (25071) |
$4,185.60 |
$5,232 |
2.6× |
| Exc forearm les sc < 3 cm (25075) |
$6,108 |
$7,635 |
3.8× |
| Exc neck tum deep < 5 cm (21556) |
$8,641.60 |
$10,802 |
3.1× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$6,894.40 |
$8,618 |
3.7× |
| Exc shoulder les sc 3 cm/> (23071) |
$3,271.20 |
$4,089 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,187.20 |
$2,734 |
3.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,272 |
$1,590 |
3.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$745.60 |
$932 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,714.40 |
$2,143 |
2.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,187.20 |
$2,734 |
1.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,548.80 |
$4,436 |
2.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,054.40 |
$5,068 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,116.80 |
$3,896 |
2.0× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,791.20 |
$3,489 |
1.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$6,365.60 |
$7,957 |
2.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$4,396.80 |
$5,496 |
3.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,272 |
$1,590 |
1.9× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$5,453.60 |
$6,817 |
3.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$6,885.60 |
$8,607 |
2.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,271.20 |
$4,089 |
2.1× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$5,453.60 |
$6,817 |
3.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,685.60 |
$7,107 |
2.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$9,002.40 |
$11,253 |
3.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,742.40 |
$4,678 |
2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$9,506.40 |
$11,883 |
3.4× |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
$13,816 |
$17,270 |
2.0× |
| Exchange nephrostomy cath (50435) |
$2,423.20 |
$3,029 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,249.60 |
$4,062 |
2.1× |
| Excise/repair mouth lesion (40812) |
$4,278.40 |
$5,348 |
2.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,681.60 |
$2,102 |
2.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,104.80 |
$2,631 |
3.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,763.20 |
$2,204 |
2.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$4,164.80 |
$5,206 |
2.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,664.80 |
$4,581 |
2.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,377.60 |
$2,972 |
3.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,449.60 |
$3,062 |
3.6× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$3,850.40 |
$4,813 |
2.5× |
| Excision of hydrocele; unilateral (55040) |
$5,548.80 |
$6,936 |
1.6× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$8,108 |
$10,135 |
2.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,714.40 |
$2,143 |
1.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$4,185.60 |
$5,232 |
2.6× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$10,752.80 |
$13,441 |
7.0× |
| Excision of nail fold toe (11765) |
$294.40 |
$368 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$9,476.80 |
$11,846 |
3.4× |
| Excision of single external papilla or tag, anus (46220) |
$4,396.80 |
$5,496 |
3.8× |
| Excision of tongue lesion (41112) |
$2,627.20 |
$3,284 |
0.8× |
| Excision olecranon bursa (24105) |
$10,215.20 |
$12,769 |
3.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$10,752.80 |
$13,441 |
3.4× |
| Excision Prepatellar Bursa (27340) |
$10,215.20 |
$12,769 |
3.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,648.80 |
$4,561 |
2.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,272 |
$4,090 |
2.1× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$4,077.60 |
$5,097 |
2.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$5,453.60 |
$6,817 |
3.4× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$9,476.80 |
$11,846 |
3.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,996 |
$4,995 |
2.0× |
| Explor ankle jt+tenosynovectomy (27626) |
$10,752.80 |
$13,441 |
3.4× |
| Exploration of knee joint (27310) |
$10,752.80 |
$13,441 |
3.4× |
| Exploration penetrating wound spx extremity (20103) |
$2,791.20 |
$3,489 |
1.8× |
| Explore/treat ankle joint (27620) |
$10,752.80 |
$13,441 |
3.4× |
| Extensive ear canal surgery (69150) |
$11,480 |
$14,350 |
2.0× |
| Fasciotomy foot and/or toe (28008) |
$6,452 |
$8,065 |
2.1× |
| Fasciotomy Iliotibial Open (27305) |
$10,752.80 |
$13,441 |
3.4× |
| Fetal Contraction Stress Test (59020) |
$313.60 |
$392 |
1.6× |
| Fetal non-stress test (59025) |
$378.40 |
$473 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$774.40 |
$968 |
2.0× |
| Fixation of shoulder (23700) |
$5,368.80 |
$6,711 |
3.5× |
| Fluid pressure muscle (20950) |
$422.40 |
$528 |
0.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,724 |
$4,655 |
1.9× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$5,347.20 |
$6,684 |
2.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,733.60 |
$4,667 |
1.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$259.20 |
$324 |
1.2× |
| Hemorrhoidectomy (46255) |
$5,137.60 |
$6,422 |
1.9× |
| Hemorrhoidectomy external complete (46250) |
$9,558.40 |
$11,948 |
3.6× |
| Hysteroscopy ablation (58563) |
$10,528.80 |
$13,161 |
2.2× |
| Hysteroscopy biopsy (58558) |
$5,471.20 |
$6,839 |
1.8× |
| Hysteroscopy dx sep proc (58555) |
$4,885.60 |
$6,107 |
1.6× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,885.60 |
$6,107 |
1.6× |
| I&d abscess simple (10060) |
$376 |
$470 |
1.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,685.60 |
$7,107 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,489.60 |
$5,612 |
2.2× |
| I&d perianal abscess superficial (46050) |
$1,311.20 |
$1,639 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$604 |
$755 |
0.9× |
| Incise finger tendon sheath (26055) |
$6,013.60 |
$7,517 |
3.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$372 |
$465 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,432 |
$3,040 |
3.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$780 |
$975 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$313.60 |
$392 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$709.60 |
$887 |
2.4× |
| Incision bone cortex foot (28005) |
$6,444 |
$8,055 |
2.0× |
| Incision extensor tendon sheath wrist (25000) |
$4,763.20 |
$5,954 |
3.1× |
| Incision of lingual frenum (41010) |
$1,824.80 |
$2,281 |
1.2× |
| Incision of rectal abscess (46040) |
$3,790.40 |
$4,738 |
3.3× |
| Incision thrombosed hemorrhoid external (46083) |
$565.60 |
$707 |
2.4× |
| Incisional biopsy skin single lesion (11106) |
$956 |
$1,195 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$197.60 |
$247 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$1,019.20 |
$1,274 |
3.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$168.80 |
$211 |
0.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$943.20 |
$1,179 |
3.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$179.20 |
$224 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$488.40 |
$610.50 |
1.7× |
| Injection anes other peripheral nerve/branch (64450) |
$864 |
$1,080 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$118.40 |
$148 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$900 |
$1,125 |
3.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$489.60 |
$612 |
0.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$21,776.80 |
$27,221 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$127.36 |
$159.20 |
0.0× |
| Insert picc cath (36569) |
$3,379.20 |
$4,224 |
2.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$168.96 |
$211.20 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$259.20 |
$324 |
2.0× |
| Insert tunneled cv cath (36561) |
$9,890.40 |
$12,363 |
3.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$218.40 |
$273 |
1.7× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$4,091.20 |
$5,114 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,683.20 |
$5,854 |
1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,964.80 |
$12,456 |
1.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,389.60 |
$2,987 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$533.60 |
$667 |
2.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$1,388.80 |
$1,736 |
5.8× |
| Knee arthroscopy/surgery (29876) |
$10,752.80 |
$13,441 |
3.4× |
| Laparoscopy appendectomy (44970) |
$11,857.60 |
$14,822 |
2.0× |
| Laparoscopy Remove Adnexa (58661) |
$10,587.20 |
$13,234 |
1.8× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$11,200.80 |
$14,001 |
1.1× |
| Laparoscopy tubal block (58671) |
$10,587.20 |
$13,234 |
1.8× |
| Laparoscopy Tubal Cautery (58670) |
$7,838.40 |
$9,798 |
1.3× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,378.40 |
$5,473 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$10,424 |
$13,030 |
1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$11,895.20 |
$14,869 |
2.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,838.40 |
$9,798 |
1.3× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$3,356.40 |
$4,195.50 |
0.6× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$29,200 |
$36,500 |
2.9× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$7,838.40 |
$9,798 |
1.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,959.20 |
$4,949 |
2.3× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$14,834.40 |
$18,543 |
2.1× |
| Liver Biopsy (47000) |
$2,453.20 |
$3,066.50 |
1.5× |
| Manipulation Ankle Under General Anesthesia (27860) |
$10,752.80 |
$13,441 |
3.4× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$5,368.80 |
$6,711 |
3.5× |
| Marsup Bartholin Gland Cyst (56440) |
$38,268.80 |
$47,836 |
12.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$338.40 |
$423 |
0.8× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$3,923.20 |
$4,904 |
2.1× |
| Neuroplasty; nerve of hand or foot (64704) |
$6,894.40 |
$8,618 |
3.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$517.60 |
$647 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$266.40 |
$333 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$255.20 |
$319 |
0.3× |
| Occlude fallopian tube(s) (58615) |
$4,104 |
$5,130 |
1.3× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$18,400.80 |
$23,001 |
2.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$16,493.60 |
$20,617 |
2.4× |
| Open treatment metatarsal fracture each (28485) |
$19,106.40 |
$23,883 |
2.7× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$19,152.80 |
$23,941 |
2.7× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$14,936.80 |
$18,671 |
1.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$17,059.20 |
$21,324 |
2.4× |
| Open treatment of ulnar styloid fracture (25652) |
$13,656 |
$17,070 |
2.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,120.80 |
$7,651 |
1.9× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$15,294.40 |
$19,118 |
2.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$10,752.80 |
$13,441 |
3.4× |
| Open tx interphalangeal joint dislocation (26785) |
$8,048.80 |
$10,061 |
2.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$10,752.80 |
$13,441 |
3.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$10,752.80 |
$13,441 |
3.4× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$7,748.80 |
$9,686 |
1.1× |
| Ovarian cystectomy (58925) |
$8,252 |
$10,315 |
1.7× |
| Partial Excision Bone Humerus (24140) |
$10,752.80 |
$13,441 |
3.4× |
| Partial Excision Bone Tibia (27640) |
$8,048.80 |
$10,061 |
2.6× |
| Partial Removal Foot Fascia (28060) |
$6,999.20 |
$8,749 |
2.2× |
| Partial removal of thyroid (60220) |
$10,945.60 |
$13,682 |
1.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$13,022.40 |
$16,278 |
2.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$456.80 |
$571 |
1.9× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$10,528.80 |
$13,161 |
2.2× |
| Proctosigmoidoscopy w/bx (45305) |
$3,869.60 |
$4,837 |
3.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,303.20 |
$1,629 |
1.5× |
| Puncture Aspiration (10160) |
$822.40 |
$1,028 |
2.1× |
| Puncture Aspiration Cyst Breast (19000) |
$1,024 |
$1,280 |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$10,752.80 |
$13,441 |
3.4× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$3,548.80 |
$4,436 |
1.3× |
| Reconstruction of nail bed with graft (11762) |
$6,296.80 |
$7,871 |
3.2× |
| Removal fb intranasal (30300) |
$131.20 |
$164 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$1,714.40 |
$2,143 |
2.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,186.40 |
$3,983 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$170.40 |
$213 |
3.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$147.20 |
$184 |
2.6× |
| Removal Implant Deep (20680) |
$10,482.40 |
$13,103 |
3.8× |
| Removal Implant From Finger/Hand (26320) |
$5,453.60 |
$6,817 |
3.4× |
| Removal of anal fissure (46200) |
$8,236 |
$10,295 |
3.1× |
| Removal of cervix (57530) |
$6,916 |
$8,645 |
1.4× |
| Removal of heel spur (28119) |
$8,527.20 |
$10,659 |
2.7× |
| Removal of intrauterine device (iud) (58301) |
$598.40 |
$748 |
2.0× |
| Removal of nail bed (11750) |
$845.60 |
$1,057 |
2.2× |
| Removal of salivary stone (42330) |
$3,036 |
$3,795 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$194.40 |
$243 |
1.0× |
| Removal of testis (54520) |
$11,212 |
$14,015 |
3.3× |
| Removal of tonsils (42825) |
$9,870.40 |
$12,338 |
1.7× |
| Removal of tonsils (42826) |
$5,150.40 |
$6,438 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$250.40 |
$313 |
0.9× |
| Remove anal fist subq (46270) |
$9,558.40 |
$11,948 |
3.6× |
| Remove by ligat int hem grps (46946) |
$7,045.60 |
$8,807 |
2.6× |
| Remove elbow lesion (24120) |
$7,982.40 |
$9,978 |
2.5× |
| Remove femur lesion/bursa (27062) |
$10,752.80 |
$13,441 |
3.4× |
| Remove in/ex hem groups 2+ (46260) |
$4,509.60 |
$5,637 |
1.7× |
| Remove Pilonidal Cyst Exten (11771) |
$9,476.80 |
$11,846 |
3.4× |
| Remove skin nerve lesion (64774) |
$6,894.40 |
$8,618 |
3.7× |
| Remove wrist tendon lesion (25111) |
$3,858.40 |
$4,823 |
2.5× |
| Remove&replace pm gen singl (33227) |
$22,529.60 |
$28,162 |
2.8× |
| Remv Ext Canal Foreign Body (69200) |
$259.20 |
$324 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$201.60 |
$252 |
1.6× |
| Remv&replc pm gen dual lead (33228) |
$20,412.80 |
$25,516 |
2.0× |
| Repair arm tendon/muscle (24341) |
$23,027.20 |
$28,784 |
3.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,709.60 |
$7,137 |
1.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,040.80 |
$1,301 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$996.80 |
$1,246 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,000 |
$1,250 |
2.6× |
| Repair elbow deb/attch open (24359) |
$10,752.80 |
$13,441 |
3.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$10,752.80 |
$13,441 |
7.0× |
| Repair finger/hand tendon (26350) |
$10,752.80 |
$13,441 |
3.4× |
| Repair forearm tendon sheath (25275) |
$10,752.80 |
$13,441 |
3.4× |
| Repair hand tendon (26410) |
$10,752.80 |
$13,441 |
7.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,214.40 |
$7,768 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$552.80 |
$691 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$577.60 |
$722 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$665.60 |
$832 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$641.60 |
$802 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$433.60 |
$542 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$649.60 |
$812 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$665.60 |
$832 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$892 |
$1,115 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$632.80 |
$791 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$667.20 |
$834 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$665.60 |
$832 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$829.60 |
$1,037 |
0.4× |
| Repair kneecap tendon (27380) |
$23,027.20 |
$28,784 |
3.3× |
| Repair Of Foot Tendon (28208) |
$8,128.80 |
$10,161 |
2.6× |
| Repair of leg tendon each (27658) |
$9,332.80 |
$11,666 |
3.0× |
| Repair of nail bed (11760) |
$553.60 |
$692 |
0.8× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$17,059.20 |
$21,324 |
2.4× |
| Repair rotator cuff acute (23410) |
$16,207.20 |
$20,259 |
2.3× |
| Repair Tongue Laceration (41250) |
$320 |
$400 |
0.7× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$10,752.80 |
$13,441 |
3.4× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$7,839.20 |
$9,799 |
2.5× |
| Rerepair ing hernia blocked (49521) |
$8,484 |
$10,605 |
1.4× |
| Revise arm/leg nerve (64708) |
$6,681.60 |
$8,352 |
3.6× |
| Revise median n/carpal tunnel surg (64721) |
$6,549.60 |
$8,187 |
3.5× |
| Revision of foot (28116) |
$4,190.40 |
$5,238 |
1.3× |
| Revision of penis (54300) |
$8,205.60 |
$10,257 |
2.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$239.20 |
$299 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,092.80 |
$2,616 |
1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,329.60 |
$2,912 |
1.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,132.80 |
$1,416 |
1.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,169.60 |
$5,212 |
0.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$7,628.80 |
$9,536 |
1.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,975.20 |
$3,719 |
0.9× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$10,468.80 |
$13,086 |
3.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,319.20 |
$1,649 |
2.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$88 |
$110 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$514.40 |
$643 |
2.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$1,141.60 |
$1,427 |
2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$711.20 |
$889 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$315.20 |
$394 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$388 |
$485 |
2.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$889.60 |
$1,112 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$380.80 |
$476 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$522.40 |
$653 |
2.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$665.60 |
$832 |
3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$227.20 |
$284 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$599.20 |
$749 |
3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$464.80 |
$581 |
2.4× |
| Skin Tissue Procedure (17999) |
$312 |
$390 |
1.6× |
| Skin tissue rearrangement (14040) |
$3,538.40 |
$4,423 |
1.8× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$5,886.40 |
$7,358 |
3.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$315.20 |
$394 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$452 |
$565 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$511.20 |
$639 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$564.40 |
$705.50 |
0.8× |
| Strapping ankle (29540) |
$198.40 |
$248 |
1.3× |
| Strapping elbow/wrist (29260) |
$198.40 |
$248 |
3.5× |
| Strapping knee (29530) |
$27.33 |
$34.16 |
0.2× |
| Strapping shoulder (29240) |
$198.40 |
$248 |
1.6× |
| Strapping thorax (29200) |
$208.80 |
$261 |
1.3× |
| Strapping toes (29550) |
$208.80 |
$261 |
3.7× |
| Strapping unna boot (29580) |
$280.80 |
$351 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$565.60 |
$707 |
1.4× |
| Tendon excision palm/finger (26145) |
$5,368.80 |
$6,711 |
3.5× |
| Tenodesis long tendon biceps (23430) |
$13,656 |
$17,070 |
2.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,160 |
$1,450 |
1.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,867.20 |
$3,584 |
4.8× |
| Thyroid biopsy (60100) |
$1,289.60 |
$1,612 |
1.9× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,888 |
$3,610 |
1.5× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$3,724 |
$4,655 |
1.9× |
| Tongue and mouth surg unlisted (41599) |
$341.60 |
$427 |
1.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,381.60 |
$1,727 |
6.1× |
| Treat ectopic pregnancy (59151) |
$7,838.40 |
$9,798 |
1.3× |
| Treat finger dislocation (26775) |
$2,864.80 |
$3,581 |
10.6× |
| Treat fx distal radial (25606) |
$8,690.80 |
$10,863.50 |
2.8× |
| Treat humerus fracture (24577) |
$353.60 |
$442 |
0.2× |
| Treat humerus fracture (23600) |
$568.80 |
$711 |
2.4× |
| Treat Metatarsal Fracture (28475) |
$484 |
$605 |
2.0× |
| Treat toe fracture (28525) |
$7,226.40 |
$9,033 |
2.3× |
| Treat ulnar fracture (24685) |
$17,525.60 |
$21,907 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$2,864.80 |
$3,581 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$652.80 |
$816 |
2.8× |
| Treatment of ankle fracture (27792) |
$14,343.20 |
$17,929 |
2.1× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,916 |
$8,645 |
2.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$353.60 |
$442 |
1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,517.60 |
$6,897 |
1.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$7,041.20 |
$8,801.50 |
2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,040.80 |
$1,301 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$665.60 |
$832 |
1.7× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$372 |
$465 |
1.9× |
| Unlisted laparoscopic procedure liver (47379) |
$10,134.40 |
$12,668 |
1.7× |
| Unlisted laparoscopy procedure, appendix (44979) |
$18,517.60 |
$23,147 |
3.2× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$10,587.20 |
$13,234 |
1.8× |
| Unlisted Procedure Nervous System (64999) |
$484 |
$605 |
1.6× |
| Unlisted Procedure Rectum (45999) |
$1,766.40 |
$2,208 |
2.0× |
| Vaginal delivery only (59409) |
$7,185.60 |
$8,982 |
2.3× |
| Vasectomy (55250) |
$4,794.40 |
$5,993 |
2.4× |
| Venipuncture (36415) |
$22.40 |
$28 |
2.4× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$129.60 |
$162 |
1.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$100 |
$125 |
0.2× |
| Wrist arthroscop,excis triang cart (29846) |
$2,378.40 |
$2,973 |
0.8× |
| Wrist arthroscopy/surgery (29845) |
$9,332.80 |
$11,666 |
3.0× |