| Abd paracentesis (49082) |
$1,001.33 |
$1,251.66 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$1,425.52 |
$1,781.90 |
1.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$5,094.87 |
$6,368.58 |
2.3× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$6,735.73 |
$8,419.66 |
2.0× |
| Amputation of finger/thumb (26952) |
$8,811.55 |
$11,014.43 |
2.6× |
| Amputation of toe (28820) |
$2,809.26 |
$3,511.57 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$2,725.68 |
$3,407.10 |
0.8× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$4,964.40 |
$6,205.49 |
1.4× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$461.04 |
$576.30 |
1.4× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$1,634.90 |
$2,043.62 |
0.6× |
| Anoscopy diagnostic (46600) |
$517.68 |
$647.10 |
3.7× |
| Anterior tibial tubercleplasty (27418) |
$13,132.88 |
$16,416.10 |
1.7× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$991.10 |
$1,238.88 |
1.3× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$2,648.94 |
$3,311.18 |
1.2× |
| Appendectomy (44950) |
$7,034.23 |
$8,792.78 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$311.29 |
$389.11 |
5.0× |
| Application finger splint static (29130) |
$264.39 |
$330.48 |
1.9× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$18,591.06 |
$23,238.82 |
1.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$283.15 |
$353.93 |
1.7× |
| Application of short arm splint (forearm to hand); static (29125) |
$274.62 |
$343.27 |
2.0× |
| Application of short leg splint (calf to foot) (29515) |
$202.98 |
$253.72 |
1.2× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$3,021.12 |
$3,776.39 |
1.4× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$308.85 |
$386.06 |
1.8× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$280 |
$350 |
1.6× |
| Application uniplane external fixation system (20690) |
$9,870.77 |
$12,338.46 |
1.3× |
| Apply hand/wrist cast (29085) |
$503.18 |
$628.97 |
2.9× |
| Apply long arm splint (29105) |
$345.40 |
$431.75 |
2.0× |
| Apply splint short arm dynamic (29126) |
$361.61 |
$452.01 |
2.6× |
| Arthrd ant interbody min dsc crv below c2 (22554) |
$15,486.72 |
$19,358.40 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$960.73 |
$1,200.90 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$605.52 |
$756.90 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$716.39 |
$895.48 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$649.09 |
$811.36 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$474.18 |
$592.72 |
1.5× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$641.30 |
$801.61 |
2.0× |
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551) |
$19,136.53 |
$23,920.66 |
1.4× |
| Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755) |
$3,960.40 |
$4,950.49 |
0.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$7,812.87 |
$9,766.08 |
1.0× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$9,900.62 |
$12,375.77 |
2.9× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850) |
$8,944.67 |
$11,180.83 |
1.2× |
| Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740) |
$7,702.85 |
$9,628.56 |
1.0× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion (22600) |
$15,999.28 |
$19,999.10 |
0.9× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$19,511.28 |
$24,389.09 |
1.1× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279)
unusually low — confirm this is the full procedure |
$9,095.48 |
$11,369.34 |
0.5× |
| Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820) |
$8,005.03 |
$10,006.28 |
1.0× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825) |
$12,882.16 |
$16,102.69 |
1.7× |
| Arthrodesis; subtalar (28725) |
$9,703.62 |
$12,129.52 |
0.7× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$16,317.39 |
$20,396.73 |
0.9× |
| Arthroplasty, metacarpophalangeal joint; each joint Age Under 21 (26530) |
$8,913.04 |
$11,141.29 |
1.2× |
| Arthroplasty, patella; with prosthesis Age Under 21 (27438) |
$13,258.25 |
$16,572.81 |
1.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$23,733.69 |
$29,667.11 |
3.1× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889) |
$11,579.87 |
$14,474.83 |
0.9× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$6,833.61 |
$8,542.01 |
4.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$8,217.12 |
$10,271.39 |
4.8× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$12,436.12 |
$15,545.14 |
0.9× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855) |
$12,982.79 |
$16,228.48 |
1.7× |
| Arthroscopy knee osteochondral allograft (29867) |
$21,172.61 |
$26,465.76 |
1.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$8,053.37 |
$10,066.71 |
2.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$8,349.31 |
$10,436.63 |
2.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$7,767.67 |
$9,709.58 |
2.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$5,501.99 |
$6,877.48 |
1.6× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$8,472.97 |
$10,591.21 |
2.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$5,172.48 |
$6,465.59 |
1.5× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$6,432.98 |
$8,041.22 |
1.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$11,254.93 |
$14,068.66 |
3.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$10,718.50 |
$13,398.12 |
3.1× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Age Under 21 (29886) |
$7,967.24 |
$9,959.04 |
2.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$8,530.11 |
$10,662.63 |
2.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$6,069.67 |
$7,587.08 |
1.8× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$7,216.60 |
$9,020.75 |
27.7× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral (29868) |
$20,932.11 |
$26,165.13 |
2.7× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$13,252.28 |
$16,565.35 |
1.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$11,254.93 |
$14,068.66 |
3.3× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$10,184.62 |
$12,730.77 |
3.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$7,052.99 |
$8,816.23 |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$14,064.19 |
$17,580.23 |
4.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$10,915.50 |
$13,644.37 |
3.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$17,651.24 |
$22,064.04 |
2.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$6,313.58 |
$7,891.97 |
1.8× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$8,594.08 |
$10,742.59 |
2.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$2,231.88 |
$2,789.85 |
0.6× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$12,385.80 |
$15,482.24 |
1.6× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$9,319.84 |
$11,649.79 |
2.7× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$9,743.70 |
$12,179.62 |
2.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$14,101.72 |
$17,627.14 |
1.8× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$7,394.12 |
$9,242.65 |
2.1× |
| Arthroscopy, wrist, surgical; synovectomy, complete Age Under 21 (29845) |
$7,430.80 |
$9,288.49 |
2.2× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) |
$11,864.72 |
$14,830.89 |
3.4× |
| Arthrotomy with meniscus repair, knee Age Under 21 (27403) |
$10,214.47 |
$12,768.08 |
1.3× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$7,439.32 |
$9,299.15 |
2.2× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$9,814.48 |
$12,268.10 |
2.8× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$8,302.40 |
$10,378 |
2.4× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$5,830.94 |
$7,288.67 |
1.7× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$5,573.32 |
$6,966.64 |
1.6× |
| Arthrotomy, with synovectomy, ankle; Age Under 21 (27625) |
$8,771.46 |
$10,964.32 |
2.5× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$4,981.66 |
$6,227.07 |
1.4× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$20,153.47 |
$25,191.83 |
1.5× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$9,660.40 |
$12,075.50 |
2.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,765.76 |
$3,457.20 |
1.6× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$7,985.13 |
$9,981.41 |
2.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$3,530.34 |
$4,412.92 |
2.1× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$5,134.10 |
$6,417.62 |
1.5× |
| Aspirate pleura w/o imaging (32554) |
$1,131.50 |
$1,414.38 |
1.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,658.42 |
$2,073.02 |
0.8× |
| Autochondrocyte implant knee (27412) |
$16,728.46 |
$20,910.57 |
2.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$559.02 |
$698.78 |
2.6× |
| Biopsy bone open superficial (20240) |
$10,191.44 |
$12,739.30 |
3.3× |
| Biopsy liver needle percutaneous (47000) |
$972.85 |
$1,216.06 |
0.6× |
| Biopsy lymph node (38505) |
$1,016.59 |
$1,270.73 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$685.42 |
$856.77 |
0.4× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$4,750.32 |
$5,937.90 |
1.6× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$906.40 |
$1,132.99 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$7,239.76 |
$9,049.70 |
1.8× |
| Biopsy soft tissue neck/thorax (21550) |
$1,894.77 |
$2,368.46 |
1.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$5,685.04 |
$7,106.29 |
3.3× |
| Biopsy thyroid percutaneous core needle (60100) |
$1,290.35 |
$1,612.93 |
1.7× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$5,405.30 |
$6,756.62 |
1.8× |
| Biopsy/removal lymph nodes (38510) |
$4,649.65 |
$5,812.06 |
1.1× |
| Bladder irrigation (51700) |
$534.73 |
$668.41 |
2.0× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$721.51 |
$901.88 |
2.2× |
| Bone graft of pelvic bone with microvascular connection (20956) |
$8,532.67 |
$10,665.83 |
1.1× |
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure |
$1,311.67 |
$1,639.58 |
0.2× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$1,881.37 |
$2,351.71 |
0.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,775.72 |
$2,219.65 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$2,660.87 |
$3,326.08 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,065.20 |
$1,331.50 |
0.6× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$3,845.04 |
$4,806.30 |
14.8× |
| Capsular contracture release (eg, Sever type procedure) Age Under 21 (23020) |
$10,907.83 |
$13,634.78 |
3.2× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$12,023.02 |
$15,028.77 |
1.6× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$16,346.39 |
$20,432.98 |
2.1× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462) |
$16,783.89 |
$20,979.86 |
2.2× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$9,207.26 |
$11,509.08 |
2.7× |
| Cast short arm (29075) |
$171.43 |
$214.28 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$516.83 |
$646.03 |
2.0× |
| Chemical cauterization of granulation tissue (17250) |
$433.48 |
$541.85 |
2.0× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,822.52 |
$2,278.15 |
2.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,663.89 |
$2,079.86 |
2.2× |
| Chemodenerv eccrine glands both axillae (64650) |
$545.82 |
$682.27 |
1.7× |
| Chemodenerv saliv glands (64611) |
$1,391.84 |
$1,739.79 |
4.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,518.06 |
$1,897.57 |
2.0× |
| Chemodenerv trunk musc 6/> (64647) |
$1,773.91 |
$2,217.38 |
2.4× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$1,435.33 |
$1,794.16 |
1.9× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$1,432.77 |
$1,790.96 |
4.4× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Age Under 21 (64653) |
$698.48 |
$873.09 |
2.2× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$1,616.13 |
$2,020.16 |
5.0× |
| Chest tube placement (32551) |
$1,652.08 |
$2,065.09 |
1.0× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$3,079.61 |
$3,849.51 |
1.4× |
| Claviculectomy; partial Age Under 21 (23120) |
$6,829.46 |
$8,536.82 |
2.0× |
| Closed rx acetabular fx (27220) |
$5,635.57 |
$7,044.46 |
21.7× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$3,076.20 |
$3,845.24 |
11.8× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$2,901.36 |
$3,626.70 |
11.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$3,039.52 |
$3,799.40 |
11.7× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$3,765.29 |
$4,706.61 |
14.5× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$3,248.05 |
$4,060.06 |
12.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$2,945.72 |
$3,682.14 |
11.3× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$8,823.48 |
$11,029.35 |
5.2× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$3,042.51 |
$3,803.14 |
11.7× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$863.08 |
$1,078.84 |
3.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$2,752.54 |
$3,440.68 |
10.6× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$8,593.22 |
$10,741.52 |
5.1× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$6,313.58 |
$7,891.97 |
24.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,968.36 |
$2,460.44 |
1.2× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$1,651.10 |
$2,063.87 |
6.3× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$1,909.52 |
$2,386.89 |
7.3× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$5,129.84 |
$6,412.29 |
19.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$6,261.56 |
$7,826.94 |
3.7× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$4,861.62 |
$6,077.02 |
18.7× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$6,172 |
$7,715 |
3.6× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,734.68 |
$2,168.35 |
6.7× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$4,871.84 |
$6,089.80 |
2.9× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$4,083.40 |
$5,104.25 |
15.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$891.22 |
$1,114.02 |
3.4× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$2,157.69 |
$2,697.10 |
8.3× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,554.73 |
$1,943.41 |
0.9× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$3,958.04 |
$4,947.54 |
15.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,438.75 |
$1,798.43 |
5.5× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$2,469.83 |
$3,087.28 |
9.5× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$6,733.51 |
$8,416.88 |
4.0× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,577.33 |
$1,971.66 |
0.9× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$3,580.82 |
$4,476.02 |
13.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$4,769.37 |
$5,961.71 |
2.8× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$4,137.98 |
$5,172.47 |
15.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$3,388.34 |
$4,235.42 |
13.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$3,591.32 |
$4,489.14 |
13.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$1,485.65 |
$1,857.06 |
5.7× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$3,360.20 |
$4,200.24 |
12.9× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$5,092.31 |
$6,365.38 |
3.0× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,616.13 |
$2,020.16 |
6.2× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$4,294.91 |
$5,368.63 |
2.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,574.26 |
$1,967.82 |
6.0× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$3,783.20 |
$4,729 |
14.5× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$3,531.61 |
$4,414.51 |
13.6× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$3,193.89 |
$3,992.36 |
12.3× |
| Closed treatment of ulnar styloid fracture (25650) |
$4,532.42 |
$5,665.52 |
17.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,232.36 |
$1,540.44 |
4.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$2,541.47 |
$3,176.83 |
1.5× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$4,034.79 |
$5,043.48 |
15.5× |
| Closed tx femoral fracture prox head w/manj (27268) |
$6,848.31 |
$8,560.38 |
4.0× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$5,807.84 |
$7,259.80 |
1.7× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$6,380.10 |
$7,975.12 |
24.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$2,573.15 |
$3,216.43 |
9.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,027.68 |
$1,284.59 |
3.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$5,450.44 |
$6,813.05 |
3.2× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$4,225.40 |
$5,281.74 |
2.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$3,194.74 |
$3,993.42 |
12.3× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$4,612.16 |
$5,765.20 |
17.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$2,504.80 |
$3,130.99 |
9.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$1,899.91 |
$2,374.88 |
7.3× |
| Closed tx vert fx w/o manj (22310) |
$3,638.31 |
$4,547.88 |
14.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$2,103.96 |
$2,629.95 |
8.4× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$1,993.94 |
$2,492.42 |
1.2× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$1,013.04 |
$1,266.30 |
0.3× |
| Clsd tx pelvic ring fx (27197) |
$1,698.86 |
$2,123.57 |
6.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,163.66 |
$2,704.57 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$4,102.36 |
$5,127.94 |
2.4× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$452.01 |
$565.01 |
1.7× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$6,388.63 |
$7,985.78 |
24.6× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$2,727.39 |
$3,409.23 |
10.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$4,210.48 |
$5,263.09 |
16.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$5,136.66 |
$6,420.82 |
3.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$6,596.72 |
$8,245.90 |
25.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$439.22 |
$549.02 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$4,051 |
$5,063.74 |
15.6× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$3,430.98 |
$4,288.72 |
13.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$761.59 |
$951.98 |
2.9× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$4,117.52 |
$5,146.89 |
15.8× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$3,897.48 |
$4,871.85 |
15.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$5,875.64 |
$7,344.55 |
3.5× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$1,561.56 |
$1,951.94 |
6.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$4,252.27 |
$5,315.33 |
16.3× |
| Cltx metar fx w/manj (28475) |
$3,383.64 |
$4,229.55 |
13.0× |
| Cltx post ankle fx (27767) |
$3,808.79 |
$4,760.98 |
14.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$7,536.55 |
$9,420.68 |
4.4× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$6,608.66 |
$8,260.82 |
25.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$2,628.04 |
$3,285.04 |
1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,734.68 |
$2,168.35 |
6.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,673.19 |
$4,591.48 |
2.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$3,872.75 |
$4,840.93 |
14.9× |
| Collect blood from catheter venous nos (36592) |
$164.57 |
$205.70 |
1.2× |
| Collect blood from implant venous access device (36591) |
$195.54 |
$244.42 |
1.4× |
| Colonoscopy flexible with decompression (45393) |
$2,894.66 |
$3,618.32 |
2.3× |
| Colonoscopy thru stoma spx (44388) |
$2,111.09 |
$2,638.86 |
2.2× |
| Colonoscopy w/control bleed (45382) |
$3,500.36 |
$4,375.44 |
2.8× |
| Colonoscopy w/resection (45390) |
$4,490.80 |
$5,613.50 |
1.5× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$3,520.13 |
$4,400.16 |
2.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,717.56 |
$3,396.94 |
2.2× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$1,231.51 |
$1,539.38 |
8.8× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$579.93 |
$724.91 |
4.1× |
| Correction of bunion (28292) |
$5,716.50 |
$7,145.62 |
1.7× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299) |
$6,986.84 |
$8,733.54 |
0.9× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$7,121.85 |
$8,902.31 |
0.5× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$7,231.69 |
$9,039.61 |
2.1× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$5,968.74 |
$7,460.92 |
0.8× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$3,875.31 |
$4,844.13 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$835.79 |
$1,044.73 |
6.0× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$1,620.11 |
$2,025.13 |
0.6× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent (46942) |
$1,457.81 |
$1,822.26 |
1.5× |
| Cystoscopy w/biopsy(s) (52204) |
$2,181.57 |
$2,726.96 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy Age Under 21 (52276) |
$4,764.82 |
$5,956.02 |
2.2× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$3,434.29 |
$4,292.86 |
4.6× |
| Deb skin bone at fx site (11012) |
$4,612.16 |
$5,765.20 |
1.5× |
| Debride skin at fx site (11010) |
$3,311.90 |
$4,139.87 |
4.4× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$1,354.32 |
$1,692.88 |
3.2× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$164.85 |
$206.06 |
2.6× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$190.24 |
$237.80 |
3.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$672.16 |
$840.20 |
1.6× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,926.21 |
$3,657.76 |
1.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,630.49 |
$2,038.11 |
2.1× |
| Declot vascular device (36593) |
$835.60 |
$1,044.50 |
2.4× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$6,737.44 |
$8,421.80 |
2.0× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Age Under 21 (27498) |
$8,325.43 |
$10,406.78 |
4.9× |
| Decompressive fasciotomy, hand (excludes 26035) Age Under 21 (26037) |
$4,659.07 |
$5,823.83 |
1.3× |
| Deep muscle biopsy (20205) |
$2,391.36 |
$2,989.20 |
0.8× |
| Delivery of placenta (59414) |
$1,089.08 |
$1,361.35 |
0.3× |
| Destroy nerve face muscle (64612) |
$1,546.20 |
$1,932.75 |
4.8× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$892.92 |
$1,116.15 |
2.8× |
| Destruction benign lesions up to 14 (17110) |
$820.48 |
$1,025.59 |
3.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,318.02 |
$2,897.52 |
2.5× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21 (64605) |
$4,669.30 |
$5,836.62 |
2.3× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$6,377.54 |
$7,971.92 |
3.1× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$3,558.05 |
$4,447.56 |
3.8× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$2,147.45 |
$2,684.31 |
2.3× |
| Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) |
$2,501.38 |
$3,126.72 |
2.7× |
| Destruction internal hemorrhoid thermal energy (46930) |
$2,454.48 |
$3,068.09 |
1.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,947.89 |
$2,434.86 |
0.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$3,002 |
$3,752.50 |
1.0× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$5,082.93 |
$6,353.66 |
1.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,672.80 |
$3,341 |
1.2× |
| Diagnostic bone marrow aspirations (38220) |
$1,081.40 |
$1,351.75 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$690.56 |
$863.20 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$756.44 |
$945.54 |
0.8× |
| Drain lower leg bursa (27604) |
$3,828.25 |
$4,785.31 |
1.1× |
| Drain lower leg lesion (27603) |
$5,827.46 |
$7,284.32 |
1.9× |
| Drainage external auditory canal, abscess (69020) |
$382.08 |
$477.59 |
0.5× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$1,989.68 |
$2,487.09 |
1.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$628.98 |
$786.21 |
0.8× |
| Drainage finger abscess simple (26010) |
$1,801.20 |
$2,251.50 |
8.5× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$1,504.41 |
$1,880.51 |
2.0× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,780.26 |
$3,475.32 |
1.6× |
| Drainage of scrotum (54700) |
$2,877.37 |
$3,596.71 |
1.3× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$4,551.61 |
$5,689.51 |
1.3× |
| Drainage of tonsil abscess (42700) |
$1,785 |
$2,231.24 |
7.1× |
| Dressing change (for other than burns) under anesthesia (other than local) (15852) |
$765.85 |
$957.31 |
1.0× |
| Dry needling (20999) |
$1,154.75 |
$1,443.43 |
4.4× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$3,718.38 |
$4,647.98 |
1.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,667.21 |
$4,584.01 |
1.8× |
| Ed proc insert intraosseous IV (36680) |
$178.24 |
$222.80 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$1,029.10 |
$1,286.37 |
7.6× |
| Ed proc remve fb nasal- hospital (30300) |
$730.04 |
$912.54 |
5.2× |
| Ed prof arthrocentesis sm - hospital (20551) |
$271.20 |
$339 |
0.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$99.79 |
$124.73 |
0.7× |
| Ed prof burn - large - hospital (16030) |
$1,465.78 |
$1,832.22 |
3.4× |
| Ed prof burn medium - hospital (16025) |
$796.21 |
$995.26 |
3.8× |
| Ed prof burn small - hospital (16020) |
$485.72 |
$607.15 |
2.3× |
| Ed prof catheterization/straight (51701) |
$275.96 |
$344.95 |
2.0× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,523.18 |
$1,903.97 |
5.9× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$5,705.50 |
$7,131.87 |
3.4× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$5,305.52 |
$6,631.90 |
3.1× |
| Ed prof drain dental abscess-hospital (41800) |
$336.02 |
$420.02 |
2.4× |
| Ed prof insert foley cath simple (51702) |
$277 |
$346.24 |
2.0× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,855.78 |
$2,319.72 |
0.6× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,365.40 |
$1,706.75 |
3.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$1,950.45 |
$2,438.06 |
4.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$757.32 |
$946.65 |
2.9× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$464.80 |
$581 |
1.0× |
| Egd injection varices (43243) |
$3,200.42 |
$4,000.52 |
1.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,698.60 |
$3,373.25 |
1.3× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$2,649.99 |
$3,312.48 |
1.3× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$6,091.84 |
$7,614.80 |
2.8× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$1,304 |
$1,629.99 |
0.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$674.60 |
$843.24 |
0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,527.73 |
$5,659.66 |
1.1× |
| Ercp remove forgn body duct (43275) |
$3,818.17 |
$4,772.71 |
1.9× |
| Esoph egd dilation <30 mm (43249) |
$2,078.96 |
$2,598.69 |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,872.13 |
$2,340.16 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$2,120.37 |
$2,650.46 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,572.08 |
$3,215.10 |
2.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,904.27 |
$2,380.33 |
0.9× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$883.13 |
$1,103.91 |
0.9× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$928.68 |
$1,160.84 |
1.0× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,193.24 |
$1,491.54 |
0.6× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,322.28 |
$1,652.86 |
0.7× |
| Evac subungual hematoma (11740) |
$302.76 |
$378.45 |
2.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$9,085.31 |
$11,356.63 |
5.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$6,909.72 |
$8,637.14 |
4.0× |
| Exc face les sbq 2 cm/> (21012) |
$2,535.50 |
$3,169.37 |
1.5× |
| Exc forearm les sc 3 cm/> (25071) |
$6,671.77 |
$8,339.71 |
3.8× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,344.08 |
$1,680.09 |
0.8× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$1,372.22 |
$1,715.27 |
1.8× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,702.28 |
$2,127.84 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$3,631.40 |
$4,539.24 |
2.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,267.75 |
$4,084.68 |
1.9× |
| Exc neck tum deep < 5 cm (21556) |
$5,809.55 |
$7,261.93 |
1.9× |
| Exc rect tum transanal part (45171) |
$8,561.36 |
$10,701.70 |
2.9× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$780.36 |
$975.44 |
1.0× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$1,866.33 |
$2,332.90 |
2.5× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$5,994.89 |
$7,493.61 |
3.4× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$4,931.98 |
$6,164.97 |
2.8× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$10,989.70 |
$13,737.12 |
3.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$4,116.92 |
$5,146.14 |
1.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$5,000.20 |
$6,250.25 |
2.9× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$5,766.05 |
$7,207.56 |
1.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,842.05 |
$4,802.56 |
2.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,526.88 |
$5,658.59 |
1.5× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$6,386.07 |
$7,982.58 |
2.1× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$5,179.30 |
$6,474.12 |
3.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$3,405.40 |
$4,256.74 |
1.1× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$3,098.82 |
$3,873.52 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$1,778.62 |
$2,223.27 |
4.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,387.10 |
$2,983.87 |
3.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,628.46 |
$3,285.57 |
3.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,092.88 |
$2,616.09 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,943.54 |
$4,929.42 |
2.3× |
| Excision multiple external papillae/tags anus (46230) |
$2,171.33 |
$2,714.16 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$6,437.24 |
$8,046.55 |
3.8× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$8,769.76 |
$10,962.19 |
2.5× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$7,563.84 |
$9,454.80 |
2.0× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$4,506.41 |
$5,633.01 |
1.3× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$5,398.48 |
$6,748.10 |
3.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$2,155.74 |
$2,694.67 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$3,599.84 |
$4,499.80 |
2.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$2,942.98 |
$3,678.72 |
1.0× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$5,349.02 |
$6,686.27 |
2.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,917.62 |
$2,397.02 |
1.5× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age Under 21 (55540) |
$9,187.65 |
$11,484.56 |
2.4× |
| Excision olecranon bursa (24105) |
$5,848.78 |
$7,310.97 |
1.7× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$4,788.70 |
$5,985.87 |
2.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$4,971.10 |
$6,213.87 |
1.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$7,265.35 |
$9,081.68 |
2.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age Under 21 (27638) |
$7,547.64 |
$9,434.54 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$9,256.73 |
$11,570.91 |
3.0× |
| Excision pilonidal cyst/sinus extensive (11771) |
$5,515.32 |
$6,894.15 |
1.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,025.79 |
$6,282.23 |
2.9× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$5,731.94 |
$7,164.92 |
3.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,340.96 |
$5,426.19 |
2.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,092.88 |
$2,616.09 |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,942.21 |
$6,177.76 |
2.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$2,570.46 |
$3,213.07 |
1.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$4,279.56 |
$5,349.44 |
1.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$3,865.08 |
$4,831.34 |
2.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$1,714.21 |
$2,142.76 |
4.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$2,042.56 |
$2,553.19 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$1,820.22 |
$2,275.26 |
2.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$2,845.93 |
$3,557.41 |
1.6× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$3,222.71 |
$4,028.38 |
1.1× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$1,998.21 |
$2,497.76 |
2.7× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$4,306 |
$5,382.49 |
2.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$1,747.67 |
$2,184.58 |
2.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$2,072.40 |
$2,590.50 |
2.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$2,794.76 |
$3,493.45 |
1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$4,723.88 |
$5,904.85 |
1.5× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$12,283.46 |
$15,354.32 |
4.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$8,661.44 |
$10,826.80 |
2.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$3,444.63 |
$4,305.78 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$4,844.64 |
$6,055.79 |
1.6× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) |
$8,164.52 |
$10,205.64 |
2.7× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$3,306.47 |
$4,133.08 |
1.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$4,637.75 |
$5,797.18 |
2.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,821.96 |
$6,027.45 |
1.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$3,858.25 |
$4,822.81 |
2.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$10,897.60 |
$13,621.99 |
3.6× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$5,273.12 |
$6,591.39 |
1.7× |
| Exploration of spinal fusion (22830) |
$10,166.71 |
$12,708.38 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$4,727.44 |
$5,909.30 |
2.7× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$5,492.72 |
$6,865.90 |
3.2× |
| Explore wound abdomen (20102) |
$2,837.28 |
$3,546.60 |
1.3× |
| Explore/treat ankle joint (27610) |
$8,212 |
$10,265 |
2.4× |
| Extensive removal of growth of thigh or knee bone (27365) |
$34,179.28 |
$42,724.09 |
9.9× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$6,323.81 |
$7,904.76 |
1.8× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$10,505.28 |
$13,131.60 |
3.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,127.84 |
$2,659.79 |
2.8× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$1,421.69 |
$1,777.11 |
1.9× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$456.28 |
$570.34 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$574.82 |
$718.52 |
0.8× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$10,083.13 |
$12,603.91 |
2.9× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$2,628.46 |
$3,285.57 |
1.2× |
| Fusion of thumb (26841) |
$9,955.20 |
$12,444 |
1.3× |
| Fusion of wrist joint (25800) |
$5,173.78 |
$6,467.22 |
0.7× |
| Ganglion impar nerve block (64999) |
$1,096.76 |
$1,370.94 |
3.4× |
| Gastric lavage (43753) |
$565.44 |
$706.79 |
2.5× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$7,203.94 |
$9,004.92 |
2.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,742.94 |
$9,678.67 |
1.0× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$3,193.89 |
$3,992.36 |
3.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,669.30 |
$5,836.62 |
1.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$5,292.73 |
$6,615.91 |
1.8× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$4,232.49 |
$5,290.61 |
1.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$5,455.62 |
$6,819.52 |
1.9× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$4,437.64 |
$5,547.04 |
1.5× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$6,395.36 |
$7,994.20 |
2.2× |
| I&d abscess simple/single (10060) |
$579.51 |
$724.38 |
2.7× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$5,336.22 |
$6,670.27 |
1.7× |
| I&d hematoma/seroma/fluid (10140) |
$2,205.45 |
$2,756.81 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$659.25 |
$824.06 |
0.9× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$767.15 |
$958.93 |
0.8× |
| Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415) |
$10,976.05 |
$13,720.06 |
0.8× |
| Incise external hemorrhoid (46083) |
$700.19 |
$875.23 |
2.7× |
| Incise finger tendon sheath (26055) |
$3,949.51 |
$4,936.88 |
2.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$2,145.46 |
$2,681.82 |
5.0× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$274.62 |
$343.27 |
1.3× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$6,770.77 |
$8,463.46 |
2.3× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$4,672.72 |
$5,840.89 |
1.6× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$227.72 |
$284.64 |
0.3× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$2,700.95 |
$3,376.18 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,485.65 |
$1,857.06 |
4.6× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$2,793.91 |
$3,492.38 |
0.9× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$11,795.64 |
$14,744.54 |
1.5× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$6,710.15 |
$8,387.68 |
1.9× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,759 |
$2,198.75 |
1.8× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$2,054.07 |
$2,567.58 |
1.2× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,702.28 |
$2,127.84 |
1.0× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$1,235.07 |
$1,543.83 |
2.9× |
| Incision extensor tendon sheath wrist (25000) |
$5,505.08 |
$6,881.35 |
3.2× |
| Incision of foot tendon(s) (28230) |
$3,377.76 |
$4,222.20 |
2.0× |
| Incision of rectal abscess (46040) |
$3,907.72 |
$4,884.64 |
3.1× |
| Incision of tibia & fibula (27709) |
$10,970.08 |
$13,712.60 |
0.8× |
| Incision or partial removal of forearm bone on thumb side near hand (25350) |
$7,526.87 |
$9,408.58 |
1.0× |
| Incision or partial removal of middle portion of thigh bone (27448) |
$12,884.71 |
$16,105.88 |
1.7× |
| Incision or partial removal of middle portion of thigh bone with stabilizing device (27450) |
$16,886.24 |
$21,107.79 |
2.2× |
| Incisional biopsy skin single lesion (11106) |
$677.56 |
$846.94 |
0.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$225.16 |
$281.44 |
1.1× |
| Inj epidural blood or clot patch (62273) |
$1,314.16 |
$1,642.70 |
1.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,748.32 |
$2,185.40 |
1.9× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,486.08 |
$1,857.59 |
1.6× |
| Inj tx nerve (64640) |
$1,860.05 |
$2,325.06 |
2.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$898.04 |
$1,122.55 |
1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,159.87 |
$1,449.83 |
1.2× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$876.30 |
$1,095.37 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,354.96 |
$1,693.69 |
1.8× |
| Injection aa&/strd greater occipital nerve (64405) |
$706.16 |
$882.69 |
2.2× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$865.64 |
$1,082.04 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$311.29 |
$389.11 |
0.3× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$973.28 |
$1,216.59 |
1.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,050.70 |
$1,313.37 |
1.4× |
| Injection aa&/strd pudendal nerve (64430) |
$857.11 |
$1,071.38 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$930.45 |
$1,163.06 |
1.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$751.36 |
$939.19 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$678.44 |
$848.04 |
2.1× |
| Injection aa&/strd vagus nerve (64408) |
$573.96 |
$717.45 |
1.8× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,096.76 |
$1,370.94 |
1.2× |
| Injection anes superior hypogastric plexus (64517) |
$1,657.92 |
$2,072.40 |
1.8× |
| Injection enzyme palmar fascial cord (20527) |
$1,019.15 |
$1,273.93 |
3.1× |
| Injection sclerosing solution hemorrhoids (46500) |
$3,014.80 |
$3,768.49 |
3.1× |
| Injection therapeutic carpal tunnel (20526) |
$414.44 |
$518.04 |
1.3× |
| Injection treatment of nerve (64681) |
$3,437.80 |
$4,297.25 |
3.7× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$846.02 |
$1,057.52 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$809.35 |
$1,011.68 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$820.44 |
$1,025.54 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$677.58 |
$846.98 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$781.20 |
$976.50 |
0.8× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,435.33 |
$1,794.16 |
1.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$632.81 |
$791.01 |
2.0× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$534.73 |
$668.41 |
1.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$448.18 |
$560.21 |
1.4× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,477.97 |
$1,847.46 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$1,281.82 |
$1,602.27 |
4.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$400.84 |
$501.04 |
1.9× |
| Insert drug implant device (11981) |
$776.09 |
$970.11 |
5.5× |
| Insert gastrostomy tube percutaneous (49440) |
$2,735.68 |
$3,419.60 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,414.77 |
$4,268.46 |
0.9× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$5,188.68 |
$6,485.85 |
1.6× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,539.76 |
$1,924.70 |
0.9× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,801.20 |
$2,251.50 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,912.92 |
$2,391.15 |
2.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$14,052.26 |
$17,565.32 |
1.6× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$3,800.15 |
$4,750.18 |
0.1× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,000.45 |
$1,250.56 |
1.8× |
| Intubation endotracheal (31500) |
$1,191 |
$1,488.74 |
4.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$778.64 |
$973.30 |
3.0× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365) |
$10,644.30 |
$13,305.37 |
0.8× |
| Knee arthroscopy/surgery (29876) |
$10,333.87 |
$12,917.33 |
3.0× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$16,860.65 |
$21,075.81 |
2.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$15,109.77 |
$18,887.21 |
2.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$15,115.74 |
$18,894.67 |
2.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$18,111.76 |
$22,639.70 |
2.4× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$14,689.32 |
$18,361.65 |
1.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$15,808.24 |
$19,760.30 |
2.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$15,098.68 |
$18,873.35 |
2.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$13,621.56 |
$17,026.95 |
1.8× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$15,945.56 |
$19,931.94 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$12,042.96 |
$15,053.69 |
1.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$16,976.64 |
$21,220.79 |
2.2× |
| Lap jejunostomy (44186) |
$7,017.17 |
$8,771.46 |
1.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$10,971.56 |
$13,714.45 |
1.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,156.19 |
$8,945.23 |
1.1× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$5,137.52 |
$6,421.89 |
0.8× |
| Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659) |
$7,156.19 |
$8,945.23 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$10,387.60 |
$12,984.49 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564) |
$18,539.89 |
$23,174.86 |
1.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321) |
$6,162.63 |
$7,703.28 |
1.0× |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
$8,818.37 |
$11,022.96 |
1.4× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$1,309.08 |
$1,636.34 |
3.2× |
| Laryngoscopy flex diagnostic (31575) |
$324.94 |
$406.17 |
1.5× |
| Laryngoscopy indirect diagnostic (31505) |
$610.64 |
$763.29 |
2.9× |
| Lateral retinacular release open (27425) |
$7,460.65 |
$9,325.81 |
2.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$8,908.77 |
$11,135.96 |
1.2× |
| Ligamentous reconstruction knee intra-articular (27428) |
$13,990.84 |
$17,488.55 |
1.0× |
| Ligation or biopsy, temporal artery (37609) |
$5,128.13 |
$6,410.16 |
2.9× |
| Lip mucosa excision and reapproximation (40799) |
$1,167.13 |
$1,458.91 |
4.7× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$4,161.86 |
$5,202.32 |
16.0× |
| Lumbar puncture (62270) |
$933.01 |
$1,166.26 |
1.3× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$2,891.13 |
$3,613.91 |
1.3× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$2,402.45 |
$3,003.06 |
1.4× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$9,390.63 |
$11,738.28 |
5.5× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$18,510.90 |
$23,138.62 |
2.6× |
| Mastotomy expl drg absc dp (19020) |
$4,507.26 |
$5,634.07 |
2.6× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$156.10 |
$195.12 |
2.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$8,493.44 |
$10,616.79 |
5.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$20.38 |
$25.46 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$39.89 |
$49.86 |
1.3× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$6,917.39 |
$8,646.73 |
3.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$3,418.19 |
$4,272.73 |
1.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) |
$2,021.24 |
$2,526.54 |
1.0× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$8,097.72 |
$10,122.14 |
3.9× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$5,344.76 |
$6,680.94 |
2.6× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,734.68 |
$2,168.35 |
1.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$996.12 |
$1,245.15 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,420.84 |
$1,776.04 |
1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,541.08 |
$1,926.35 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,182.04 |
$1,477.55 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,314.23 |
$1,642.78 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,327.02 |
$1,658.77 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,155.60 |
$1,444.50 |
1.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$9,981.64 |
$12,477.05 |
1.3× |
| Open treatment bimalleolar ankle fracture (27814) |
$12,100.95 |
$15,126.18 |
1.6× |
| Open treatment calcaneal fracture (28415) |
$13,330.12 |
$16,662.65 |
1.7× |
| Open Treatment Distal Fracture (25608) |
$8,192.39 |
$10,240.48 |
1.1× |
| Open treatment fracture distal tibia only (27827) |
$14,088.07 |
$17,610.08 |
1.0× |
| Open treatment medial malleolus fracture (27766) |
$7,659.36 |
$9,574.20 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$8,887.45 |
$11,109.31 |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) |
$7,264.49 |
$9,080.61 |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552) |
$10,369.68 |
$12,962.10 |
1.4× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$7,314.81 |
$9,143.51 |
2.1× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$9,468.24 |
$11,835.29 |
2.7× |
| Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628) |
$7,399.24 |
$9,249.05 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$16,515.25 |
$20,644.06 |
2.2× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$8,568.48 |
$10,710.60 |
1.1× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$11,017.16 |
$13,771.44 |
0.8× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$16,105.04 |
$20,131.29 |
2.1× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$21,004.60 |
$26,255.75 |
2.7× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$21,909.46 |
$27,386.82 |
1.6× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$4,608.75 |
$5,760.93 |
1.3× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630) |
$9,867.36 |
$12,334.20 |
1.3× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) |
$11,584.13 |
$14,480.16 |
0.9× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$15,452.61 |
$19,315.76 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$11,838.72 |
$14,798.39 |
0.9× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$12,854.86 |
$16,068.57 |
1.7× |
| Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635) |
$8,570.20 |
$10,712.74 |
1.1× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$11,902.24 |
$14,877.79 |
1.6× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$19,408.94 |
$24,261.17 |
1.0× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$19,770.54 |
$24,713.17 |
2.6× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574) |
$11,185.85 |
$13,982.31 |
1.5× |
| Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585) |
$12,757.64 |
$15,947.04 |
1.7× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$16,681.98 |
$20,852.48 |
2.2× |
| Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535) |
$12,634.84 |
$15,793.54 |
1.7× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$14,847.09 |
$18,558.86 |
1.1× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$12,498.37 |
$15,622.96 |
1.6× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$10,860.07 |
$13,575.08 |
1.4× |
| Open treatment of ulnar shaft fracture (25545) |
$10,341.54 |
$12,926.92 |
1.4× |
| Open treatment posterior malleolus fracture (27769) |
$11,454.50 |
$14,318.12 |
1.5× |
| Open treatment radial shaft fracture (25515) |
$9,484.44 |
$11,855.54 |
1.2× |
| Open treatment talus fracture (28445) |
$12,266.13 |
$15,332.66 |
1.6× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$13,055.28 |
$16,319.09 |
1.7× |
| Open tx distal fibular fracture lat malleolus (27792) |
$9,570.57 |
$11,963.21 |
1.3× |
| Open tx distal phalangeal fracture each (26765) |
$5,604.01 |
$7,005.01 |
1.6× |
| Open tx metacarpal fracture single ea bone (26615) |
$9,170.60 |
$11,463.24 |
2.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,885.84 |
$8,607.29 |
2.0× |
| Open tx prox humeral fx (23615) |
$13,949.91 |
$17,437.38 |
1.0× |
| Opponensplasty; hypothenar muscle transfer Age Under 21 (26494) |
$9,159.20 |
$11,448.99 |
2.7× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Age Under 21 (26492) |
$10,074.43 |
$12,593.03 |
2.9× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$4,452.68 |
$5,565.85 |
1.3× |
| Osteochondral knee autograft (27416) |
$8,572.75 |
$10,715.93 |
1.1× |
| Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) |
$12,170.03 |
$15,212.53 |
1.6× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar (22214) |
$18,649.06 |
$23,311.32 |
2.4× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$11,263.64 |
$14,079.54 |
0.8× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip (27147) |
$22,935.43 |
$28,669.28 |
3.0× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) |
$15,804.84 |
$19,756.04 |
2.1× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$3,326.93 |
$4,158.66 |
1.0× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$250.87 |
$313.58 |
1.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$325.26 |
$406.57 |
1.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$180.58 |
$225.72 |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Age Under 21 (24140) |
$7,678.79 |
$9,598.48 |
2.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$6,916.68 |
$8,645.84 |
2.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$5,881.12 |
$7,351.39 |
1.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$6,877.31 |
$8,596.63 |
2.0× |
| Partial excision distal phalanx finger (26236) |
$5,420.35 |
$6,775.43 |
3.2× |
| Partical excision bone phalanx toe (28124) |
$5,517.03 |
$6,896.28 |
1.6× |
| Patellectomy or hemipatellectomy Age Under 21 (27350) |
$7,160.45 |
$8,950.56 |
0.9× |
| Pelvis/hip joint surgery unlisted (27299) |
$2,572.10 |
$3,215.12 |
9.9× |
| Penile injection (54235) |
$808.42 |
$1,010.52 |
3.1× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$4,410.89 |
$5,513.61 |
1.3× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$15,135.36 |
$18,919.19 |
2.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$3,901.75 |
$4,877.18 |
1.1× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$7,916.07 |
$9,895.08 |
2.3× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$6,130.22 |
$7,662.77 |
1.8× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$12,257.02 |
$15,321.27 |
1.6× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$4,474.85 |
$5,593.56 |
1.3× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,510.76 |
$3,138.45 |
0.7× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,185.74 |
$5,232.17 |
1.1× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,955.38 |
$2,444.22 |
1.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,631.48 |
$2,039.35 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$811.91 |
$1,014.88 |
3.1× |
| Pf-as amputation leg through tibia & fibula (27880) |
$10,378.24 |
$12,972.79 |
1.4× |
| Pin finger fracture each (26756) |
$4,256.53 |
$5,320.66 |
1.2× |
| Placement of seton (46020) |
$3,783.20 |
$4,729 |
1.3× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$7,810.32 |
$9,762.89 |
2.3× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia Age Under 21 (27745) |
$12,026.76 |
$15,033.44 |
1.6× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle Age Under 21 (23490) |
$13,582.33 |
$16,977.91 |
1.8× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$7,208.20 |
$9,010.25 |
2.1× |
| Punch biopsy skin single lesion (11104) |
$539.33 |
$674.16 |
1.3× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$1,171.64 |
$1,464.54 |
2.7× |
| Puncture aspiration of cyst of breast (19000) |
$893.78 |
$1,117.22 |
1.2× |
| Pvb thoracic cont infusion (64463) |
$1,092.49 |
$1,365.61 |
1.5× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,204.64 |
$1,505.80 |
1.6× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$8,741.83 |
$10,927.28 |
5.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$7,034.07 |
$8,792.58 |
2.0× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$6,889.24 |
$8,611.55 |
2.0× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)… (24149) |
$12,817.60 |
$16,022 |
1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,573.02 |
$3,216.27 |
1.2× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$8,666.56 |
$10,833.20 |
2.5× |
| Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455) |
$15,635.97 |
$19,544.96 |
2.0× |
| Reconstr mcp jnt col ligam w graft (26541) |
$8,495.14 |
$10,618.92 |
2.5× |
| Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238) |
$7,207.36 |
$9,009.19 |
0.9× |
| Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420) |
$12,858.28 |
$16,072.84 |
1.7× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$11,172.64 |
$13,965.79 |
1.5× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Age Under 21 (26500) |
$10,091.66 |
$12,614.57 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$12,889.83 |
$16,112.28 |
1.7× |
| Release i-p jt contracture (26525) |
$8,956.53 |
$11,195.66 |
5.3× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$8,798.76 |
$10,998.44 |
2.5× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$8,364.66 |
$10,455.82 |
1.1× |
| Release palm contracture (26040) |
$4,931.98 |
$6,164.97 |
2.9× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,588.34 |
$1,985.42 |
2.1× |
| Removal foreign body mouth (40804) |
$1,452.39 |
$1,815.48 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$375.25 |
$469.06 |
6.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$465.65 |
$582.06 |
7.5× |
| Removal implant deep (20680) |
$5,823.20 |
$7,278.99 |
1.9× |
| Removal implant from finger/hand (26320) |
$4,225.82 |
$5,282.27 |
2.4× |
| Removal implant superficial (20670) |
$2,115.05 |
$2,643.80 |
1.2× |
| Removal of anal fissure (46200) |
$5,378.87 |
$6,723.58 |
1.8× |
| Removal of anal seton, other marker Age Under 21 (46030) |
$1,074.58 |
$1,343.22 |
0.9× |
| Removal of ankle implant (27704) |
$9,526.23 |
$11,907.78 |
2.8× |
| Removal of appendix using an endoscope (44970) |
$10,392.72 |
$12,990.89 |
1.6× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$8,865.28 |
$11,081.59 |
2.6× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$5,606.57 |
$7,008.21 |
3.3× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$5,309.79 |
$6,637.23 |
1.4× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$6,432.98 |
$8,041.22 |
1.9× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,865.16 |
$2,331.45 |
1.1× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,633.35 |
$2,041.68 |
0.9× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$5,036.54 |
$6,295.67 |
1.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$801.68 |
$1,002.09 |
5.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$801.68 |
$1,002.09 |
1.7× |
| Removal of foreign body, foot; deep (28192) |
$3,615.30 |
$4,519.12 |
2.1× |
| Removal of iud (58301) |
$1,245.15 |
$1,556.43 |
3.9× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$4,166.12 |
$5,207.65 |
1.4× |
| Removal of nail bed (11750) |
$1,344.93 |
$1,681.16 |
3.1× |
| Removal of posterior nonsegmental instrumentation (eg, harrington rod) (22850) |
$9,127.10 |
$11,408.87 |
1.2× |
| Removal of salivary stone (42330) |
$1,974.70 |
$2,468.37 |
0.6× |
| Removal of scar tissue of multiple tendons at top of foot (28226) |
$4,785.09 |
$5,981.36 |
1.4× |
| Removal of scar tissue of tendon on bottom side of foot (28220) |
$3,609.88 |
$4,512.35 |
2.1× |
| Removal of segmental stabilizing device from back of spine (22852) |
$8,772.32 |
$10,965.39 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,145.98 |
$1,432.47 |
5.4× |
| Removal of stabilizing device from front of spine (22855) |
$12,540.74 |
$15,675.92 |
1.6× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$567.14 |
$708.92 |
0.3× |
| Removal of wrist bone (25210) |
$5,443.68 |
$6,804.60 |
1.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$606.84 |
$758.54 |
0.8× |
| Removal tunneled cv cath (36590) |
$1,138.55 |
$1,423.18 |
0.7× |
| Removal, non-biodegradable drug delivery implant (11982) |
$814.82 |
$1,018.52 |
1.7× |
| Remove eyelid foreign body (67938) |
$268.65 |
$335.81 |
0.8× |
| Remove foreign body from eye (65210) |
$323.23 |
$404.03 |
0.7× |
| Remove lung catheter (32552) |
$1,981.15 |
$2,476.43 |
3.0× |
| Remove pharynx foreign body (42809) |
$1,638.31 |
$2,047.88 |
3.5× |
| Repair achilles tendon (27650) |
$10,436.20 |
$13,045.25 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,584.16 |
$1,980.19 |
3.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$4,447.14 |
$5,558.92 |
10.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,680.90 |
$3,351.13 |
6.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$4,193.42 |
$5,241.77 |
5.4× |
| Repair elbow deb/attch open (24359) |
$10,970.08 |
$13,712.60 |
3.2× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,690.72 |
$3,363.39 |
1.6× |
| Repair finger tendon (26418) |
$3,825.42 |
$4,781.76 |
2.3× |
| Repair finger tendon (26433) |
$7,474.29 |
$9,342.86 |
2.2× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$9,025.61 |
$11,282.01 |
2.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$9,178.27 |
$11,472.83 |
2.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$1,548.10 |
$1,935.12 |
3.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$1,200.80 |
$1,501 |
2.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,437.04 |
$1,796.29 |
3.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$3,574.26 |
$4,467.82 |
4.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,169.24 |
$1,461.55 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,214.45 |
$1,518.06 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,261.36 |
$1,576.69 |
1.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$1,333.18 |
$1,666.46 |
3.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$2,065.16 |
$2,581.44 |
4.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$1,345.79 |
$1,682.23 |
3.1× |
| Repair lower leg tendons (27676) |
$9,456.29 |
$11,820.36 |
1.2× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$8,839.67 |
$11,049.58 |
1.3× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614) |
$6,559.21 |
$8,199.01 |
1.0× |
| Repair of biceps tendon at elbow (24340) |
$7,846.99 |
$9,808.73 |
1.0× |
| Repair of digit nerve (64831) |
$7,982.68 |
$9,978.34 |
3.9× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$7,762.56 |
$9,703.19 |
2.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$2,040 |
$2,549.99 |
4.3× |
| Repair of leg tendon each (27658) |
$4,145.66 |
$5,182.07 |
1.2× |
| Repair of nail bed (11760) |
$779.92 |
$974.90 |
1.0× |
| Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430) |
$17,519.04 |
$21,898.80 |
1.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) |
$9,525.37 |
$11,906.71 |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$8,894.28 |
$11,117.85 |
1.2× |
| Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) |
$9,869.92 |
$12,337.40 |
1.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$10,358.60 |
$12,948.24 |
1.4× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412) |
$10,756.88 |
$13,446.09 |
1.4× |
| Repair of shoulder joint capsule and shoulder blade with bone block (23460) |
$12,420.53 |
$15,525.66 |
1.6× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$12,299.66 |
$15,374.57 |
3.6× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$9,228.14 |
$11,535.17 |
2.7× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free… (26358) |
$8,608.57 |
$10,760.71 |
1.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521) |
$9,577.40 |
$11,971.74 |
1.4× |
| Repair wrist joints (25447) |
$13,141.41 |
$16,426.76 |
3.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$3,436.95 |
$4,296.18 |
4.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$4,606.20 |
$5,757.74 |
5.9× |
| Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Age Under… (26412) |
$8,064.51 |
$10,080.63 |
2.3× |
| Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664) |
$4,593.40 |
$5,741.75 |
0.6× |
| Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659) |
$5,886.31 |
$7,357.88 |
0.8× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696) |
$6,083.54 |
$7,604.42 |
0.8× |
| Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) |
$7,875.13 |
$9,843.91 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) |
$11,225.94 |
$14,032.42 |
1.5× |
| Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654) |
$8,986.38 |
$11,232.97 |
1.2× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) |
$11,328.28 |
$14,160.34 |
1.5× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25272) |
$6,155.76 |
$7,694.70 |
1.8× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$8,328.84 |
$10,411.04 |
1.1× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$5,260.32 |
$6,575.40 |
1.5× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28210) |
$5,038.73 |
$6,298.41 |
0.7× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$3,881.56 |
$4,851.94 |
1.1× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28202) |
$5,079.06 |
$6,348.82 |
0.7× |
| Repair/graft achilles tendon (27652) |
$8,007.27 |
$10,009.08 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,748.71 |
$3,435.88 |
2.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$7,897.30 |
$9,871.62 |
2.3× |
| Resection or transplantation of long tendon of biceps Age Under 21 (23440) |
$8,547.44 |
$10,684.29 |
1.1× |
| Reset dislocated jaw (21480) |
$393.16 |
$491.45 |
1.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$29,120.23 |
$36,400.28 |
2.2× |
| Revise thumb tendon (26490) |
$9,123.96 |
$11,404.94 |
2.6× |
| Revise ulnar nerve at elbow (64718) |
$7,974.06 |
$9,967.57 |
3.9× |
| Revise ulnar nerve at wrist (64719) |
$4,886.82 |
$6,108.52 |
2.4× |
| Revision of total knee arthroplasty, with or without allograft; 1 component (27486) |
$15,060.24 |
$18,825.29 |
1.1× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487) |
$27,455.48 |
$34,319.35 |
1.5× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$3,361.88 |
$4,202.34 |
0.9× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,654.89 |
$3,318.61 |
1.6× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$457.98 |
$572.47 |
3.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$991 |
$1,238.75 |
7.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,458.74 |
$3,073.42 |
0.8× |
| Rmvl of access device (36589) |
$1,169.24 |
$1,461.55 |
1.8× |
| Rplc gtube revj gstrst trc (43763) |
$1,205.07 |
$1,506.33 |
4.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,557.04 |
$10,696.30 |
1.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,575.50 |
$8,219.37 |
1.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$5,461.20 |
$6,826.49 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,932.15 |
$4,915.18 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$7,340.27 |
$9,175.33 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,846.24 |
$6,057.80 |
1.3× |
| Rpr non-union mtcrpl/phalanx (26546) |
$11,848.51 |
$14,810.63 |
1.5× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$11,352.16 |
$14,190.19 |
3.0× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$5,469.12 |
$6,836.40 |
1.6× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$12,367.89 |
$15,459.86 |
3.6× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$7,943.66 |
$9,929.56 |
2.1× |
| Sigmoidoscopy & polypectomy (45333) |
$1,085.16 |
$1,356.44 |
1.1× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,588.68 |
$1,985.84 |
1.3× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$1,677.54 |
$2,096.92 |
1.3× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$903.93 |
$1,129.91 |
0.9× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,627.40 |
$2,034.25 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$773.53 |
$966.91 |
3.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$851.99 |
$1,064.98 |
4.0× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$1,051.56 |
$1,314.44 |
5.0× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$1,013.18 |
$1,266.47 |
4.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$719.80 |
$899.75 |
3.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,908.66 |
$2,385.82 |
9.0× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,321.33 |
$1,651.66 |
3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,159.01 |
$1,448.76 |
5.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$948.78 |
$1,185.98 |
4.5× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$1,204.89 |
$1,506.10 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$806.79 |
$1,008.48 |
1.9× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$4,120.08 |
$5,150.09 |
1.4× |
| Strapping of shoulder (29240) |
$248.18 |
$310.22 |
1.8× |
| Strapping unna boot (29580) |
$299.75 |
$374.68 |
1.7× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,106.16 |
$1,382.70 |
1.4× |
| Subconjunctival injection (68200) |
$572.26 |
$715.32 |
1.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$4,855.22 |
$6,069.02 |
1.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) |
$5,346.46 |
$6,683.07 |
1.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$6,350.25 |
$7,937.81 |
2.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$5,322.58 |
$6,653.22 |
1.8× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$5,576.72 |
$6,970.90 |
1.5× |
| Suture of infrapatellar tendon; primary Age Under 21 (27380) |
$8,666.56 |
$10,833.20 |
1.1× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$7,072.60 |
$8,840.75 |
0.9× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386) |
$9,692.24 |
$12,115.29 |
1.3× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$16,210.68 |
$20,263.34 |
4.0× |
| Synovectomy, carpometacarpal joint Age Under 21 (26130) |
$5,198.36 |
$6,497.94 |
1.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$4,878.25 |
$6,097.81 |
2.9× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Age… (26135) |
$9,136.48 |
$11,420.59 |
2.6× |
| Synovectomy, tendon sheath, foot; flexor Age Under 21 (28086) |
$7,751.47 |
$9,689.33 |
2.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$6,204 |
$7,754.99 |
3.7× |
| Tangential biopsy skin single lesion (11102) |
$404.68 |
$505.84 |
0.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$9,856.28 |
$12,320.34 |
2.9× |
| Tenodesis long tendon biceps (23430) |
$8,771.46 |
$10,964.32 |
1.1× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$10,002.96 |
$12,503.70 |
2.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$10,496.76 |
$13,120.94 |
6.2× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$5,313.20 |
$6,641.49 |
1.5× |
| Tenolysis, extensor, foot; single tendon Age Under 21 (28225) |
$4,384.45 |
$5,480.56 |
1.3× |
| Tenolysis, flexor, foot; multiple tendons Age Under 21 (28222) |
$4,308 |
$5,385 |
1.2× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$3,197.66 |
$3,997.07 |
1.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$2,853.52 |
$3,566.89 |
1.7× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$3,338.88 |
$4,173.59 |
1.0× |
| Therapeutic spinal puncture drainage csf (62272) |
$982.03 |
$1,227.53 |
1.3× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,399.90 |
$1,749.87 |
2.1× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$19,986.31 |
$24,982.88 |
1.1× |
| Total knee arthroplasty (27447) |
$20,128.73 |
$25,160.91 |
1.5× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$3,675.32 |
$4,594.14 |
1.8× |
| Transfer of tendon to restore intrinsic function; ring and small finger Age Under 21 (26497) |
$10,952.43 |
$13,690.53 |
3.2× |
| Transfer of tendon to thumb, palm, or wrist (26496) |
$9,830.33 |
$12,287.91 |
2.8× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$9,788.25 |
$12,235.31 |
2.8× |
| Transfusion, blood or blood components (36430) |
$410.26 |
$512.82 |
0.9× |
| Transplant hand tendon (26480) |
$4,802.35 |
$6,002.93 |
1.4× |
| Treat big toe fracture (28495) |
$1,831.85 |
$2,289.81 |
7.0× |
| Treat fx distal radial (25606) |
$4,474.85 |
$5,593.56 |
1.3× |
| Treat fx rad extra-articul (25607) |
$11,703.52 |
$14,629.40 |
1.5× |
| Treat knee fracture (27532) |
$10,222.15 |
$12,777.68 |
3.0× |
| Treat lower leg fracture (27825) |
$6,236.82 |
$7,796.02 |
3.7× |
| Treat radius fracture (24665) |
$10,457.53 |
$13,071.91 |
1.4× |
| Treat thumb fracture (26665) |
$7,966.38 |
$9,957.97 |
2.3× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$5,673.10 |
$7,091.36 |
3.3× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$12,291.99 |
$15,364.98 |
1.6× |
| Treatment of ankle fracture (27822) |
$14,269.72 |
$17,837.15 |
1.9× |
| Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515) |
$14,591.24 |
$18,239.05 |
1.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$2,798.17 |
$3,497.71 |
10.8× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245) |
$20,375.20 |
$25,469 |
2.7× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$2,938.04 |
$3,672.54 |
11.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$4,475.71 |
$5,594.63 |
2.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$2,538.91 |
$3,173.63 |
9.8× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$11,181.59 |
$13,976.98 |
0.8× |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236) |
$12,830.40 |
$16,038 |
1.7× |
| Trimming of nondystrophic nails, any number (11719) |
$85.22 |
$106.52 |
1.4× |
| Tx superficial wound dehiscence simple closure (12020) |
$2,345.58 |
$2,931.96 |
3.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,644.41 |
$2,055.51 |
3.8× |
| Unlisted procedure anus (46999) |
$1,750.16 |
$2,187.70 |
1.8× |
| Unlisted procedure leg/ankle (27899) |
$6,574.95 |
$8,218.68 |
25.3× |
| Unlisted procedure rectum (45999) |
$4,413.45 |
$5,516.81 |
4.5× |
| Unlisted procedure, dentoalveolar structures (41899) |
$7,341.25 |
$9,176.56 |
29.4× |
| Unlisted procedure, hands or fingers (26989) |
$381.71 |
$477.13 |
1.5× |
| Upper arm/elbow surgery unlisted (24999) |
$12,817.60 |
$16,022 |
49.3× |
| Vaginal delivery (59409) |
$3,164.04 |
$3,955.05 |
0.9× |
| Vascular surgery procedure (37799) |
$10,912.95 |
$13,641.18 |
16.5× |
| Vasectomy (55250) |
$2,881.75 |
$3,602.18 |
1.3× |
| Venipuncture (36415) |
$25.93 |
$32.41 |
2.8× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$5,131.54 |
$6,414.42 |
2.1× |