| Abd paracentesis w/imaging (49083) |
$1,340.30 |
$2,062 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$725.72 |
$1,116.50 |
0.8× |
| Acne Surgery (10040) |
$161.85 |
$249 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,362.75 |
$3,635 |
0.7× |
| Amputation of finger/thumb (26952) |
$2,903.55 |
$4,467 |
0.9× |
| Anoscopy diagnostic (46600) |
$230.75 |
$355 |
1.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$523.25 |
$805 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$181.35 |
$279 |
1.1× |
| Application cast elbow finger short arm (29075) |
$217.10 |
$334 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$243.75 |
$375 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$206.70 |
$318 |
3.5× |
| Application finger splint static (29130) |
$107.90 |
$166 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$232.05 |
$357 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$241.80 |
$372 |
1.5× |
| Application of long leg cast (29345) |
$338 |
$520 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$188.82 |
$290.50 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$178.10 |
$274 |
1.3× |
| Application short leg splint calf foot (29515) |
$243.75 |
$375 |
1.5× |
| Apply multlay comprs arm/hand (29584) |
$202.80 |
$312 |
1.2× |
| Apply short leg cast (29405) |
$246.35 |
$379 |
0.9× |
| Arterial puncture (36600) |
$64.35 |
$99 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$308.42 |
$474.50 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$255.12 |
$392.50 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$252.52 |
$388.50 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$275.60 |
$424 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$139.10 |
$214 |
0.5× |
| Arthroscopy ankle; ext debridem (29898) |
$16,806.73 |
$25,856.51 |
5.1× |
| Arthroscopy of joint (29999) |
$8,651.39 |
$13,309.83 |
35.0× |
| Arthroscopy subtalar joint (29906) |
$12,484.71 |
$19,207.25 |
3.8× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$10,888.27 |
$16,751.18 |
3.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$10,888.27 |
$16,751.18 |
3.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$166.08 |
$255.50 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$637 |
$980 |
0.3× |
| Aspiration bladder needle (51100) |
$215.48 |
$331.50 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$180.05 |
$277 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$1,803.75 |
$275 |
0.5× |
| Biopsy external ear (69100) |
$128.05 |
$197 |
0.5× |
| Biopsy intranasal (30100) |
$1,371.50 |
$1,096 |
0.9× |
| Biopsy of lip (40490) |
$54.60 |
$84 |
0.2× |
| Biopsy of nail unit (11755) |
$340.60 |
$524 |
0.5× |
| Biopsy of penis (54100) |
$777.08 |
$1,195.50 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$1,891.18 |
$2,909.50 |
0.5× |
| Bl exchange/transfuse nb (36450) |
$554.45 |
$853 |
1.3× |
| Bladder Irrigation Simple (51700) |
$244.40 |
$376 |
1.0× |
| Bladder Scan (51798) |
$8,338.08 |
$12,827.82 |
141.1× |
| Blood patch (62273) |
$600.60 |
$924 |
0.8× |
| Blood transfusion service (36430) |
$802.75 |
$1,235 |
1.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,441.05 |
$2,217 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$128.05 |
$197 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$385.12 |
$592.50 |
0.4× |
| Canthotomy Separate Procedure (67715) |
$746.20 |
$1,148 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$138.12 |
$212.50 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$282.10 |
$434 |
1.1× |
| Chemical Cautery Tissue (17250) |
$124.80 |
$192 |
0.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$92.30 |
$142 |
0.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$85.80 |
$132 |
0.1× |
| Chemodenerv Musc Migraine (64615) |
$98.15 |
$151 |
0.3× |
| Chemodenerv Musc Neck Dyston (64616) |
$87.75 |
$135 |
0.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$383.50 |
$590 |
0.5× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$32.50 |
$50 |
0.1× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$90.35 |
$139 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$94.90 |
$146 |
0.3× |
| Chest tube placement (32551) |
$520 |
$800 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$150.48 |
$231.50 |
1.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$728.98 |
$1,121.50 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$624 |
$960 |
2.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$772.20 |
$1,188 |
3.1× |
| Closed Rx Med Malleolus Fx (27760) |
$726.05 |
$1,117 |
2.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,352.65 |
$2,081 |
0.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,240.52 |
$1,908.50 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$971.10 |
$1,494 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$484.58 |
$745.50 |
2.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,038.70 |
$1,598 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$849.55 |
$1,307 |
3.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$901.55 |
$1,387 |
3.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$974.35 |
$1,499 |
3.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,679.60 |
$2,584 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$778.70 |
$1,198 |
3.2× |
| Closed Treat Vert Body Fract (22310) |
$975 |
$1,500 |
3.9× |
| Closed treat wrist dislocation (25660) |
$852.80 |
$1,312 |
3.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$463.45 |
$713 |
1.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$940.55 |
$1,447 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$715 |
$1,100 |
2.9× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$563.22 |
$866.50 |
2.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$757.25 |
$1,165 |
3.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$596.05 |
$917 |
2.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$592.80 |
$912 |
2.4× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$391.95 |
$603 |
0.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$902.85 |
$1,389 |
3.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,179.10 |
$1,814 |
4.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,099.15 |
$1,691 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$762.45 |
$1,173 |
3.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$660.40 |
$1,016 |
2.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,173.58 |
$1,805.50 |
0.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,232.40 |
$1,896 |
5.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$757.90 |
$1,166 |
3.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$436.15 |
$671 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,213.55 |
$1,867 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$649.35 |
$999 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$993.85 |
$1,529 |
4.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$428.02 |
$658.50 |
1.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$762.45 |
$1,173 |
3.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$971.75 |
$1,495 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$552.50 |
$850 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,081.60 |
$1,664 |
0.7× |
| Closed tx septal&nose fx (21337) |
$1,261.65 |
$1,941 |
0.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,088.10 |
$1,674 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$257.40 |
$396 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,149.85 |
$1,769 |
0.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$615.55 |
$947 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$544.05 |
$837 |
2.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$526.50 |
$810 |
2.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$703.95 |
$1,083 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$795.60 |
$1,224 |
3.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$477.10 |
$734 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$567.45 |
$873 |
2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,157 |
$1,780 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$549.25 |
$845 |
2.2× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$705.90 |
$1,086 |
0.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$617.50 |
$950 |
2.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$690.95 |
$1,063 |
2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,110.52 |
$1,708.50 |
4.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$482.30 |
$742 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$410.48 |
$631.50 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$382.20 |
$588 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$624.98 |
$961.50 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,063.72 |
$1,636.50 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,054.30 |
$1,622 |
4.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,090.05 |
$1,677 |
4.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,627.60 |
$2,504 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$331.18 |
$509.50 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$274.62 |
$422.50 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$331.82 |
$510.50 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$239.85 |
$369 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,657.50 |
$2,550 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$661.05 |
$1,017 |
2.7× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,161.55 |
$1,787 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$988 |
$1,520 |
4.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$303.55 |
$467 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$447.20 |
$688 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$715.65 |
$1,101 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$545.35 |
$839 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$877.82 |
$1,350.50 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$410.15 |
$631 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$302.25 |
$465 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$572.65 |
$881 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$397.48 |
$611.50 |
1.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,911 |
$2,940 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$954.85 |
$1,469 |
3.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$856.70 |
$1,318 |
0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,464.45 |
$2,253 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$284.70 |
$438 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,298.05 |
$1,997 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,848.60 |
$2,844 |
1.1× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,026.05 |
$3,117 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,368.58 |
$2,105.50 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,184.95 |
$1,823 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$4,540.45 |
$6,985.31 |
3.8× |
| Colonoscopy thru stoma (44388) |
$6,905.15 |
$10,623.31 |
7.4× |
| Colonoscopy w/ablation (45388) |
$5,014.30 |
$7,714.31 |
4.2× |
| Colonoscopy w/resection (45390) |
$7,065.70 |
$10,870.31 |
2.5× |
| Colporrhaphy suture injury vagina (57200) |
$973.38 |
$1,497.50 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$6,179.75 |
$9,507.31 |
5.2× |
| Complete replacement picc rs&i (36584) |
$411.45 |
$633 |
0.3× |
| Complex Drainage, Wound (10180) |
$686.40 |
$970 |
0.2× |
| Conization of cervix (57522) |
$4,332.95 |
$6,666.07 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$411.45 |
$633 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$253.50 |
$390 |
1.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$382.85 |
$589 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$447.20 |
$688 |
3.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$569.40 |
$876 |
2.4× |
| Cystourethroscopy (52000) |
$474.18 |
$729.50 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$119.60 |
$184 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,699.10 |
$2,614 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,060.80 |
$1,632 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$257.08 |
$395.50 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$552.50 |
$850 |
0.7× |
| Declot vascular device (36593) |
$725.76 |
$1,116.56 |
2.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,526.20 |
$2,348 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,394.25 |
$2,145 |
0.7× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$218.40 |
$336 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$123.18 |
$189.50 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$177.12 |
$272.50 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$141.05 |
$217 |
0.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$722.48 |
$1,111.50 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$226.20 |
$348 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$233.35 |
$359 |
1.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$128.05 |
$197 |
0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$143.65 |
$221 |
0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$152.75 |
$235 |
0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$231.08 |
$355.50 |
0.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$240.18 |
$369.50 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$124.48 |
$191.50 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$138.78 |
$213.50 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$150.80 |
$232 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$233.68 |
$359.50 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$244.72 |
$376.50 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,193.75 |
$3,375 |
1.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$134.55 |
$207 |
0.7× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$221.98 |
$341.50 |
0.5× |
| Destruction of multiple growths of penis (54065) |
$888.22 |
$1,366.50 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$115.05 |
$177 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$3,171.12 |
$4,878.66 |
3.4× |
| Dilate urethra stricture (53620) |
$283.08 |
$435.50 |
0.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$509.60 |
$784 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$290.55 |
$447 |
0.4× |
| Drain outer ear canal lesion (69020) |
$345.80 |
$532 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$208 |
$320 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$379.60 |
$584 |
1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$307.45 |
$473 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$407.55 |
$627 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$870.68 |
$1,339.50 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$433.55 |
$667 |
2.2× |
| Drainage mouth roof lesion (42000) |
$347.42 |
$534.50 |
1.5× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$380.25 |
$585 |
0.7× |
| Drainage of eyelid abscess (67700) |
$391.62 |
$602.50 |
1.2× |
| Drainage of gum lesion (41800) |
$360.75 |
$555 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$309.40 |
$476 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$687.05 |
$1,057 |
0.4× |
| Draw blood off venous device (36591) |
$141.05 |
$217 |
1.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$745.55 |
$1,147 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$321.42 |
$494.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$277.88 |
$427.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$182 |
$280 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$41.60 |
$64 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$523.25 |
$805 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$986.70 |
$1,518 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$6,921.40 |
$10,648.31 |
3.6× |
| Egd flexible foreign body removal (43247) |
$823.22 |
$1,266.50 |
0.9× |
| Egd guide wire insertion (43248) |
$6,393.60 |
$9,836.31 |
7.0× |
| Egd place gastrostomy tube (43246) |
$2,085.20 |
$3,208 |
1.1× |
| Egd rem tumr/polyp forcep (43250) |
$7,313.34 |
$11,251.30 |
3.8× |
| Egd remove lesion snare (43251) |
$6,410.50 |
$9,862.31 |
3.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,929.85 |
$2,969 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$96.20 |
$148 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$790.72 |
$1,216.50 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$317.52 |
$488.50 |
0.4× |
| Exc forearm les sc < 3 cm (25075) |
$1,194.05 |
$1,837 |
0.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$7,654.84 |
$11,776.68 |
3.9× |
| Exc rect tum transanal part (45171) |
$8,395.24 |
$12,915.76 |
3.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$382.20 |
$588 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$284.05 |
$437 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$369.85 |
$569 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$433.55 |
$667 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$131.30 |
$202 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$198.25 |
$305 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$819 |
$1,260 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,393.28 |
$2,143.50 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$851.50 |
$1,310 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$567.45 |
$873 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$261.95 |
$403 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$852.15 |
$1,311 |
0.5× |
| Excise cutaneous neurofibroma (64788) |
$1,431.95 |
$2,203 |
0.7× |
| Excision Breast Lesion (19125) |
$371.15 |
$571 |
0.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,390.35 |
$2,139 |
0.5× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$364.98 |
$561.50 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$375.38 |
$577.50 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$358.80 |
$552 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$392.92 |
$604.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$633.10 |
$974 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$377.98 |
$581.50 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$388.70 |
$598 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$840.45 |
$1,293 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$374.40 |
$576 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$550.55 |
$847 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$707.20 |
$1,088 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$823.22 |
$1,266.50 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$396.82 |
$610.50 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$479.70 |
$738 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$13,000.90 |
$20,001.38 |
3.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$429.32 |
$660.50 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$317.20 |
$451.50 |
0.2× |
| Excision of nail fold toe (11765) |
$219.70 |
$338 |
0.5× |
| Excision or fulguration; Skene's glands (53270) |
$5,132.35 |
$7,895.92 |
1.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$855.72 |
$1,316.50 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$845 |
$1,300 |
0.5× |
| Exploration penetrating wound spx chest (20101) |
$1,437.15 |
$2,211 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,524.25 |
$2,345 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,465.10 |
$2,254 |
2.7× |
| Eye surgery procedure (66999) |
$110.50 |
$170 |
0.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$57.85 |
$89 |
0.1× |
| Fine needle aspiration without imaging guidance (10021) |
$228.80 |
$352 |
0.6× |
| Fluid pressure muscle (20950) |
$774.80 |
$1,192 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$195 |
$300 |
0.8× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,329.60 |
$3,584 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$87.75 |
$135 |
0.4× |
| Hysteroscopy ablation (58563) |
$9,339.69 |
$14,368.75 |
1.9× |
| Hysteroscopy biopsy (58558) |
$4,773.16 |
$7,343.33 |
1.5× |
| I&D Abscess Peritonsillar (42700) |
$380.25 |
$585 |
1.6× |
| I&d abscess simple (10060) |
$239.52 |
$368.50 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$543.40 |
$836 |
0.3× |
| I&d perianal abscess superficial (46050) |
$479.05 |
$737 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$367.58 |
$565.50 |
0.5× |
| I&d submucosal abscess rectum (45005) |
$534.95 |
$823 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$704.60 |
$1,084 |
0.4× |
| Implant neuroelectrodes (63650) |
$5,461.30 |
$8,402 |
0.9× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$4,727.12 |
$7,272.50 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$465.08 |
$715.50 |
1.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$620.10 |
$954 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$573.95 |
$883 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$342.55 |
$527 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$389.35 |
$599 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$473.85 |
$729 |
1.6× |
| Incision of rectal abscess (46040) |
$1,015.95 |
$1,563 |
0.8× |
Incision of urethra (53010)
likely a partial charge, not the full procedure |
$973.05 |
$1,497 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$418.60 |
$644 |
1.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$181.35 |
$279 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$229.45 |
$353 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$148.20 |
$228 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,738.10 |
$2,674 |
2.0× |
| Inj tendon sheath/ligament (20550) |
$170.30 |
$262 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,020.50 |
$1,570 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$654.22 |
$1,006.50 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,379.30 |
$2,122 |
1.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,015.62 |
$1,562.50 |
1.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$496.60 |
$764 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,161.22 |
$1,786.50 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,400.10 |
$2,154 |
2.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$953.55 |
$1,467 |
1.1× |
| Inject Nerv Blck,Pudendal (64430) |
$1,608.10 |
$2,474 |
1.8× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,563.25 |
$2,405 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$170.95 |
$263 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$813.80 |
$1,252 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,004.25 |
$1,545 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,050.40 |
$1,616 |
1.5× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,049.10 |
$1,614 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$370.50 |
$570 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$438.10 |
$674 |
0.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,694.88 |
$2,607.50 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$199.55 |
$307 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$267.80 |
$412 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$44.20 |
$68 |
0.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$296.40 |
$456 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$415.35 |
$639 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$107.58 |
$165.50 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$23.40 |
$36 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$316.55 |
$487 |
2.5× |
| Insert non-tunnel cv cath (36556) |
$593.45 |
$913 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$745.55 |
$1,147 |
0.2× |
| Insert pessary/other device (57160) |
$144.95 |
$223 |
0.7× |
| Insert picc cath (36569) |
$485.55 |
$747 |
0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$496.60 |
$764 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$214.18 |
$329.50 |
1.6× |
| Insert tunneled cv cath (36561) |
$7,315.66 |
$11,254.86 |
2.3× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$1,554.15 |
$2,391 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$146.25 |
$225 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,940.70 |
$10,678 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,269.78 |
$1,953.50 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$793.65 |
$1,221 |
0.1× |
| Intraoral i&d tongue/floor submental space (41007) |
$781.95 |
$1,203 |
0.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$844.35 |
$1,299 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$523.90 |
$806 |
2.2× |
| Irrigate corpora cavernosa for priapism (54220) |
$514.80 |
$792 |
2.1× |
| Lap ing hernia repair init (49650) |
$14,531.57 |
$22,356.26 |
2.4× |
| Laparoscopy appendectomy (44970) |
$10,447.81 |
$16,073.56 |
1.7× |
| Laparoscopy Remove Adnexa (58661) |
$10,071.76 |
$15,495.02 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,069.81 |
$21,645.86 |
2.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,920.91 |
$12,186.02 |
1.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$626.92 |
$964.50 |
1.6× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$154.05 |
$237 |
0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$784.55 |
$1,207 |
0.4× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$710.78 |
$1,093.50 |
0.4× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$386.10 |
$594 |
0.6× |
| Marsup Bartholin Gland Cyst (56440) |
$865.80 |
$1,332 |
0.3× |
| Mastectomy partial (19301) |
$529.10 |
$814 |
0.1× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$767.65 |
$1,181 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$217.10 |
$334 |
0.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$6,573.74 |
$10,113.45 |
4.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$41.60 |
$64 |
1.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$629.85 |
$969 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,413.10 |
$2,174 |
1.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$199.55 |
$307 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,879.15 |
$2,891 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,154.10 |
$3,314 |
3.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,379.30 |
$2,122 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,636.05 |
$2,517 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,592.50 |
$2,450 |
1.8× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,510.62 |
$3,862.50 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,695.85 |
$2,609 |
0.5× |
| Open tx interphalangeal joint dislocation (26785) |
$1,810.90 |
$2,786 |
0.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,517.04 |
$6,949.30 |
1.4× |
| Pelvic exam under anesthesia (57410) |
$325 |
$500 |
0.1× |
| Percutaneous diskectomy (62287) |
$6,316.70 |
$9,718 |
3.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$469.95 |
$723 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$270.40 |
$416 |
0.6× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$7,485.18 |
$11,515.66 |
1.2× |
| Preputial Stretching (54450) |
$209.95 |
$323 |
0.8× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$262.60 |
$404 |
0.3× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$6,964.75 |
$10,715 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$224.90 |
$346 |
0.6× |
| Puncture Aspiration (10160) |
$240.18 |
$369.50 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$33.15 |
$51 |
0.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,035.80 |
$3,132 |
1.0× |
| Removal fb intranasal (30300) |
$244.40 |
$376 |
1.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,101.75 |
$1,695 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$650.65 |
$1,001 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$586.62 |
$902.50 |
0.4× |
| Removal foreign body pharynx (42809) |
$334.75 |
$515 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$129.02 |
$198.50 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$156.65 |
$241 |
2.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$312 |
$480 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$219.70 |
$338 |
0.7× |
| Removal of nail bed (11750) |
$431.28 |
$663.50 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$170.30 |
$262 |
0.8× |
| Removal subq cardiac rhythm monitor (33286) |
$2,018.25 |
$3,105 |
2.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$139.10 |
$214 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$108.22 |
$166.50 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$385.45 |
$593 |
1.2× |
| Remove foreign body from eye (65235) |
$2,565.55 |
$3,947 |
1.1× |
| Remove foreign body from eye (65210) |
$160.22 |
$246.50 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$207.35 |
$319 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$124.80 |
$192 |
0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,730 |
$4,200 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$954.85 |
$1,469 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,166.10 |
$1,794 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$850.85 |
$1,309 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$751.08 |
$1,155.50 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$564.85 |
$869 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$819.65 |
$1,261 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$582.40 |
$896 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$801.78 |
$1,233.50 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,924 |
$2,960 |
1.2× |
| Repair eyelid wound (67930) |
$670.48 |
$1,031.50 |
0.3× |
| Repair forearm tendon/muscle (25270) |
$2,191.15 |
$3,371 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$2,107.95 |
$3,243 |
0.6× |
| Repair hand tendon (26410) |
$2,450.18 |
$3,769.50 |
1.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$13,000.90 |
$20,001.38 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$762.45 |
$1,173 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$358.80 |
$552 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$398.78 |
$613.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$913.90 |
$1,406 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$436.48 |
$671.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$608.40 |
$936 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$939.90 |
$1,446 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$571.35 |
$879 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$374.40 |
$576 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$408.20 |
$628 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$552.50 |
$850 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$924.30 |
$1,422 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$645.45 |
$993 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$365.95 |
$563 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$455 |
$700 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$727.02 |
$1,118.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$555.75 |
$855 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$918.45 |
$1,413 |
0.4× |
| Repair Of Foot Tendon (28208) |
$1,075.42 |
$1,654.50 |
0.3× |
| Repair of nail bed (11760) |
$580.45 |
$893 |
0.8× |
| Repair Tongue Laceration (41250) |
$330.20 |
$508 |
0.7× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Other Surgical Services (20827) |
$5,192.20 |
$7,988 |
3.2× |
| Reposition gastrostomy tube (43761) |
$397.80 |
$612 |
1.6× |
| Revise median n/carpal tunnel surg (64721) |
$5,989.78 |
$9,215.04 |
3.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$731.25 |
$1,125 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$269.75 |
$415 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$204.75 |
$315 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$185.25 |
$285 |
1.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$533.32 |
$820.50 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$499.85 |
$769 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$540.15 |
$831 |
2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,380.92 |
$2,124.50 |
0.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$556.08 |
$855.50 |
0.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,121.25 |
$1,725 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,333.97 |
$15,898.41 |
1.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$10,354.78 |
$15,930.43 |
1.6× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$8,493.43 |
$13,066.81 |
1.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,094.68 |
$13,991.82 |
2.5× |
| Rpr blood vessel direct lower extremity (35226) |
$2,161.25 |
$3,325 |
3.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$596.05 |
$917 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$399.75 |
$615 |
1.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$688.68 |
$1,059.50 |
2.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$899.60 |
$1,384 |
1.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$920.72 |
$1,416.50 |
1.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,244.42 |
$1,914.50 |
0.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,319.55 |
$5,107 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$180.05 |
$277 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$216.45 |
$333 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$115.05 |
$177 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$174.20 |
$268 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$119.28 |
$183.50 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$141.70 |
$218 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$117.98 |
$181.50 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$208.65 |
$321 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$160.55 |
$247 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$209.95 |
$323 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$180.05 |
$277 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$490.10 |
$754 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$369.85 |
$569 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$379.60 |
$584 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$479.70 |
$738 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$450.45 |
$693 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$471.25 |
$725 |
2.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$657.15 |
$1,011 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$202.80 |
$312 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$534.95 |
$823 |
2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$413.40 |
$636 |
2.1× |
| Skin Tissue Procedure (17999) |
$130.65 |
$201 |
0.7× |
| Skin tissue rearrangement (14040) |
$1,791.40 |
$2,756 |
0.9× |
| Slitting of prepuce (54001) |
$400.40 |
$616 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$332.80 |
$512 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$467.35 |
$719 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$533 |
$820 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$538.20 |
$828 |
0.8× |
| Strapping ankle (29540) |
$78.65 |
$121 |
0.5× |
| Strapping elbow/wrist (29260) |
$94.25 |
$145 |
1.6× |
| Strapping hand/finger (29280) |
$104 |
$160 |
1.8× |
| Strapping Hip (29520) |
$88.40 |
$136 |
0.7× |
| Strapping knee (29530) |
$91.65 |
$141 |
0.7× |
| Strapping shoulder (29240) |
$146.58 |
$225.50 |
1.1× |
| Strapping thorax (29200) |
$80.92 |
$124.50 |
0.5× |
| Strapping toes (29550) |
$57.85 |
$89 |
1.0× |
| Strapping unna boot (29580) |
$141.70 |
$218 |
0.9× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,096.25 |
$3,225 |
1.1× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,209.65 |
$1,861 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$190.45 |
$293 |
0.5× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$3,999.45 |
$6,153 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,482.35 |
$3,819 |
1.6× |
| Ther Apheresis,Platelets (36513) |
$2,158.65 |
$3,321 |
4.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,884.05 |
$4,437 |
1.8× |
| Ther Apheresis,White Blood Cells (36511) |
$2,416.70 |
$3,718 |
1.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$777.08 |
$1,195.50 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$523.25 |
$805 |
0.8× |
| Throat Surgery Procedure (42999) |
$306.15 |
$471 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$1,002.95 |
$1,543 |
3.0× |
| Tongue and mouth surg unlisted (41599) |
$386.75 |
$595 |
1.6× |
| Trach Tube Change (31502) |
$217.10 |
$334 |
0.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$666.90 |
$1,026 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$777.72 |
$1,196.50 |
0.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$14,739.19 |
$22,675.68 |
7.5× |
| Transfusion intrauterine fetal (36460) |
$1,004.25 |
$1,545 |
2.3× |
| Treat finger dislocation (26775) |
$827.78 |
$1,273.50 |
3.0× |
| Treat Fracture Radius & Ulna (25560) |
$664.30 |
$1,022 |
2.7× |
| Treat humerus fracture (24500) |
$930.15 |
$1,431 |
3.8× |
| Treat humerus fracture (24577) |
$1,235 |
$1,900 |
0.8× |
| Treat humerus fracture (23600) |
$936.65 |
$1,441 |
3.8× |
| Treat Metatarsal Fracture (28475) |
$633.42 |
$974.50 |
2.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$858.98 |
$1,321.50 |
0.5× |
| Treat Vaginal Bleeding (57180) |
$310.05 |
$477 |
1.5× |
| Treat wrist bone fracture (25622) |
$617.50 |
$950 |
2.5× |
| Treat Wrist Bone Fracture (25630) |
$705.25 |
$1,085 |
2.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,137.82 |
$1,750.50 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$736.78 |
$1,133.50 |
3.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$620.10 |
$954 |
2.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$507 |
$780 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$301.60 |
$464 |
0.7× |
| Unlisted Cardiac Surgery (33999) |
$1,977.95 |
$3,043 |
3.1× |
| Unlisted laparoscopic procedure liver (47379) |
$11,472.80 |
$17,650.46 |
1.9× |
| Unlisted procedure anus (46999) |
$202.15 |
$311 |
0.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$97.50 |
$150 |
0.6× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$282.75 |
$435 |
1.2× |
| Unlisted procedure femur or knee (27599) |
$130.65 |
$201 |
0.5× |
| Unlisted Procedure Nervous System (64999) |
$562.25 |
$865 |
1.8× |
| Unlisted Procedure Small Intestine (44799) |
$572 |
$880 |
0.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$730.60 |
$1,124 |
1.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,096.25 |
$3,225 |
2.3× |
| Unlisted procedure, hands or fingers (26989) |
$349.70 |
$538 |
1.4× |
| Urology Surgery Procedure (53899) |
$228.80 |
$352 |
0.9× |
| Vaginal delivery only (59409) |
$2,079.35 |
$3,199 |
0.6× |
| Vbac delivery only (59612) |
$1,982.50 |
$3,050 |
0.6× |
| Venipuncture (36415) |
$17.55 |
$27 |
1.9× |
| Venipuncture, cutdown; age 1 or over (36425) |
$109.20 |
$168 |
0.2× |
| Wedging of cast (29740) |
$208.65 |
$321 |
0.7× |
| Windowing of cast (29730) |
$120.90 |
$186 |
0.7× |