| Abd paracentesis w/imaging (49083) |
$654.50 |
$935 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$270.20 |
$386 |
0.3× |
| Acne Surgery (10040) |
$65.80 |
$94 |
0.4× |
| Adding Walker Previously Applied Cast (29440) |
$84 |
$120 |
0.6× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$577.50 |
$825 |
0.3× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,797.25 |
$2,567.50 |
0.9× |
| Amputation Finger/Thumb (26951) |
$1,015 |
$1,450 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$1,382.50 |
$1,975 |
0.5× |
| Amputation of finger/thumb (26952) |
$591.50 |
$845 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,750 |
$2,500 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$2,105.25 |
$3,007.50 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,227.75 |
$3,182.50 |
0.7× |
Ankle arthroscopy/surgery (29892)
unusually low: confirm this is the full procedure |
$2,026.50 |
$2,895 |
0.3× |
| Ankle arthroscopy/surgery (29894) |
$4,049.50 |
$5,785 |
1.3× |
| Ankle scope,part synovectomy (29895) |
$7,826 |
$11,180 |
2.6× |
| Anoscopy control bleeding (46614) |
$231 |
$330 |
0.2× |
| Anoscopy diagnostic (46600) |
$91 |
$130 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$500.50 |
$715 |
0.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$70 |
$100 |
0.0× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$662.20 |
$946 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$262.50 |
$375 |
1.8× |
| Application cast elbow finger short arm (29075) |
$122.50 |
$175 |
0.5× |
| Application Cast Finger (29086) |
$21 |
$30 |
0.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$122.50 |
$175 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$122.50 |
$175 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$217 |
$310 |
4.0× |
| Application finger splint static (29130) |
$66.50 |
$95 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$66.50 |
$95 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$66.50 |
$95 |
0.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$122.50 |
$175 |
0.5× |
| Application of long leg cast (29345) |
$107.80 |
$154 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$84 |
$120 |
0.3× |
| Application Short Arm Splint Dynamic (29126) |
$115.50 |
$165 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$217 |
$310 |
1.8× |
| Application short leg splint calf foot (29515) |
$147.35 |
$210.50 |
1.0× |
| Apply short leg cast (29405) |
$180.25 |
$257.50 |
0.7× |
| Apply short leg cast (29425) |
$80.50 |
$115 |
0.3× |
| Arterial puncture (36600) |
$66.50 |
$95 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$315 |
$450 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$339.50 |
$485 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$388.15 |
$554.50 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$539.70 |
$771 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$316.75 |
$452.50 |
1.1× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,889 |
$11,270 |
1.2× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$2,148.30 |
$3,069 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$4,676 |
$6,680 |
1.6× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$2,148.30 |
$3,069 |
0.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,179 |
$5,970 |
1.4× |
| Arthroscopy of joint (29999) |
$3,244.50 |
$4,635 |
14.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$4,028.50 |
$5,755 |
1.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$2,148.30 |
$3,069 |
0.7× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860)
unusually low: confirm this is the full procedure |
$2,148.30 |
$3,069 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,087 |
$4,410 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,823.40 |
$5,462 |
1.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,823.40 |
$5,462 |
1.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,148.30 |
$3,069 |
0.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$2,677.50 |
$3,825 |
0.9× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
unusually low: confirm this is the full procedure |
$5,026 |
$7,180 |
0.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,173.50 |
$3,105 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,831.50 |
$4,045 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,823.40 |
$5,462 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,315.50 |
$6,165 |
1.4× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy High Cost/Complex Surgery (29900) |
$2,148.30 |
$3,069 |
0.7× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
$2,148.30 |
$3,069 |
0.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,458.50 |
$10,655 |
1.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,797 |
$9,710 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,433.50 |
$4,905 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,909.50 |
$5,585 |
1.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,227 |
$4,610 |
1.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,753.50 |
$12,505 |
1.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$2,148.30 |
$3,069 |
0.7× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
unusually low: confirm this is the full procedure |
$2,148.30 |
$3,069 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$2,148.30 |
$3,069 |
0.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,458.50 |
$10,655 |
1.1× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$7,017.50 |
$10,025 |
1.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$89.25 |
$127.50 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$968.80 |
$1,384 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$206.50 |
$295 |
1.1× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$948.50 |
$1,355 |
0.2× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$280 |
$400 |
0.3× |
| Biopsy bone open superficial (20240) |
$588 |
$840 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$843.50 |
$1,205 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$423.50 |
$605 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$922.25 |
$1,317.50 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$708.75 |
$1,012.50 |
0.8× |
| Biopsy external ear (69100) |
$38.50 |
$55 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$390.25 |
$557.50 |
0.3× |
| Biopsy of lip (40490) |
$364 |
$520 |
1.7× |
| Biopsy of penis (54100) |
$144.90 |
$207 |
0.1× |
| Biopsy of tongue (41100) |
$647.50 |
$925 |
1.3× |
| Biopsy of uterus lining (58100) |
$105 |
$150 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,359.75 |
$1,942.50 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$280 |
$400 |
0.2× |
| Biopsy soft tissue of back (21920) |
$169.40 |
$242 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$525 |
$750 |
0.6× |
| Biopsy/removal lymph nodes (38525) |
$1,953 |
$2,790 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$2,096.50 |
$2,995 |
0.6× |
| Bladder Irrigation Simple (51700) |
$294 |
$420 |
1.3× |
| Bladder Scan (51798) |
$52.50 |
$75 |
1.0× |
| Blood patch (62273) |
$743.75 |
$1,062.50 |
1.1× |
| Blood transfusion service (36430) |
$661.50 |
$945 |
1.6× |
| Bone marrow aspiration only (38220) |
$70.70 |
$101 |
0.0× |
| Bone Marrow Biopsy (38221) |
$140 |
$200 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$892.50 |
$1,275 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$458.50 |
$655 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$1,001 |
$1,430 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$289.45 |
$413.50 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$69.30 |
$99 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$420 |
$600 |
0.3× |
| Cataract surgery complex (66982) |
$2,471 |
$3,530 |
1.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$318.50 |
$455 |
1.1× |
| Cautery Cervix Electro/Thermal (57510) |
$318.50 |
$455 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$294 |
$420 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$81.90 |
$117 |
0.4× |
| Chemical Cautery Tissue (17250) |
$239.75 |
$342.50 |
1.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$637 |
$910 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$637 |
$910 |
1.0× |
| Chemodenerv Musc Migraine (64615) |
$416.15 |
$594.50 |
1.5× |
| Chest tube placement (32551) |
$546 |
$780 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$105 |
$150 |
0.9× |
| Circum 28 days or older (54161) |
$1,788.50 |
$2,555 |
0.9× |
| Circumcision (54150) |
$1,370.25 |
$1,957.50 |
0.7× |
| Circumcision Neonate (54160) |
$605.85 |
$865.50 |
0.9× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$710.50 |
$1,015 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$409.50 |
$585 |
1.8× |
| Closed Rx Med Malleolus Fx (27760) |
$409.50 |
$585 |
1.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$409.50 |
$585 |
0.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$456.40 |
$652 |
0.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$481.60 |
$688 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$409.50 |
$585 |
1.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$515.20 |
$736 |
0.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$409.50 |
$585 |
1.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$409.50 |
$585 |
1.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$140 |
$200 |
0.1× |
| Closed Treat Vert Body Fract (22310) |
$282.80 |
$404 |
1.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$231 |
$330 |
1.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$409.50 |
$585 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$409.50 |
$585 |
1.8× |
| Closed Treatment Sternum Fracture (21820) |
$137.90 |
$197 |
0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$409.50 |
$585 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$357.70 |
$511 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$409.50 |
$585 |
1.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$228.20 |
$326 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$231 |
$330 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$409.50 |
$585 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$612.50 |
$875 |
0.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$553 |
$790 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$714 |
$1,020 |
3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$338.10 |
$483 |
1.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$409.50 |
$585 |
1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$462.35 |
$660.50 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$231 |
$330 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$231 |
$330 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$38.50 |
$55 |
0.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$409.50 |
$585 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$409.50 |
$585 |
1.8× |
| Closure of vagina (57120) |
$652.40 |
$932 |
0.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$759.50 |
$1,085 |
3.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$330.40 |
$472 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$231 |
$330 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$507.50 |
$725 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$268.10 |
$383 |
1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$231 |
$330 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$328.30 |
$469 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$231 |
$330 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$410.20 |
$586 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$409.50 |
$585 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$269.50 |
$385 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$176.40 |
$252 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$296.10 |
$423 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$587.30 |
$839 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$502.60 |
$718 |
2.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,050 |
$1,500 |
4.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$525 |
$750 |
2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$409.50 |
$585 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$142.80 |
$204 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$122.50 |
$175 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$409.50 |
$585 |
1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$154 |
$220 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$304.50 |
$435 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$262.50 |
$375 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$240.80 |
$344 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$286.30 |
$409 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$221.20 |
$316 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$288.40 |
$412 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$231 |
$330 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$322 |
$460 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$231 |
$330 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$409.50 |
$585 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$784 |
$1,120 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$217.70 |
$311 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$542.50 |
$775 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$911.75 |
$1,302.50 |
0.8× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$442.40 |
$632 |
0.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$842.10 |
$1,203 |
0.8× |
| Colonoscopy stoma w/biopsy (44389) |
$777 |
$1,110 |
0.7× |
| Colonoscopy stoma w/snare (44394) |
$647.50 |
$925 |
0.6× |
| Colonoscopy thru stoma (44388) |
$614.25 |
$877.50 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$890.75 |
$1,272.50 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$374.50 |
$535 |
0.3× |
| Colonoscopy w/resection (45390) |
$806.75 |
$1,152.50 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$241.50 |
$345 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$939.75 |
$1,342.50 |
5.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$434 |
$620 |
1.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$105 |
$150 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,013.25 |
$1,447.50 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,023.75 |
$1,462.50 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$866.25 |
$1,237.50 |
0.8× |
| Complex Drainage, Wound (10180) |
$1,937.25 |
$2,767.50 |
0.7× |
| Conization of cervix (57520) |
$318.50 |
$455 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$168 |
$240 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$140 |
$200 |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$329 |
$470 |
0.2× |
| Create eardrum opening (69436) |
$1,207.50 |
$1,725 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$111.30 |
$159 |
0.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$111.30 |
$159 |
0.5× |
| Curettage postpartum (59160) |
$939.75 |
$1,342.50 |
0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,450 |
$3,500 |
1.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,914.10 |
$4,163 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,550 |
$6,500 |
2.4× |
| Cystoscopy w/biopsy (52204) |
$1,365 |
$1,950 |
0.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,020.25 |
$1,457.50 |
0.5× |
| Cystoscopy,insert ureteral stent (52332) |
$3,633 |
$5,190 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,415 |
$3,450 |
1.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$464.80 |
$664 |
0.2× |
| Cystourethroscopy (52000) |
$668.15 |
$954.50 |
1.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,800 |
$4,000 |
1.5× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,800 |
$4,000 |
1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$215.25 |
$307.50 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$304.50 |
$435 |
0.5× |
| Debride nail 1-5 (11720) |
$68.25 |
$97.50 |
1.3× |
| Debride nail 6 or more (11721) |
$178.50 |
$255 |
3.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$133 |
$190 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$423.50 |
$605 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$658 |
$940 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,057 |
$1,510 |
0.7× |
| Declot vascular device (36593) |
$52.50 |
$75 |
0.2× |
| Delivery placenta separate procedure (59414) |
$700 |
$1,000 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,470 |
$2,100 |
0.8× |
| Destroy internal hemorrhoids (46930) |
$570.50 |
$815 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,470 |
$2,100 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$227.50 |
$325 |
0.6× |
| Destruction anal lesion(s) (46924) |
$221.90 |
$317 |
0.1× |
| Destruction benign lesions 15 or more (17111) |
$507.50 |
$725 |
2.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$514.50 |
$735 |
2.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$915.25 |
$1,307.50 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$672 |
$960 |
0.8× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$831.25 |
$1,187.50 |
2.9× |
| Destruction Lesions Vulva Extensive (56515) |
$161 |
$230 |
0.1× |
| Destruction Lesions Vulva Simple (56501) |
$126 |
$180 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$122.50 |
$175 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$156.10 |
$223 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$305.20 |
$436 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$96.60 |
$138 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$24.50 |
$35 |
0.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$95.20 |
$136 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$103.60 |
$148 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$116.90 |
$167 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$135.10 |
$193 |
0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$73.50 |
$105 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,870 |
$4,100 |
1.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$115.50 |
$165 |
0.6× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$154.70 |
$221 |
0.4× |
| Destruction of multiple growths of penis (54065) |
$283.50 |
$405 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$266 |
$380 |
1.4× |
| Destruction vaginal lesions simple (57061) |
$329 |
$470 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$577.50 |
$825 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$495.25 |
$707.50 |
0.6× |
| Dil urethra,female,subsequent (53661) |
$329 |
$470 |
2.7× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$1,582 |
$2,260 |
0.5× |
| Dilate Urethra Stricture (53600) |
$560 |
$800 |
2.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,165.50 |
$1,665 |
0.4× |
| Dilation of cervical canal (57800) |
$434 |
$620 |
0.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$329 |
$470 |
2.8× |
Dissection, deep jugular node(s) (38542)
likely a partial charge, not the full procedure |
$1,141 |
$1,630 |
0.2× |
| Division of fallopian tube (58600) |
$1,805.30 |
$2,579 |
0.6× |
| Drain outer ear canal lesion (69020) |
$91 |
$130 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$346.50 |
$495 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$105 |
$150 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$649.25 |
$927.50 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$135.10 |
$193 |
0.7× |
| Drainage of eyelid abscess (67700) |
$113.40 |
$162 |
0.4× |
| Drainage of gum lesion (41800) |
$154 |
$220 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$147 |
$210 |
0.1× |
| Drainage of hydrocele (55000) |
$469 |
$670 |
0.7× |
| Drainage of mouth lesion (41017) |
$420 |
$600 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$546 |
$780 |
0.4× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,202.25 |
$1,717.50 |
0.4× |
| Draw blood off venous device (36591) |
$66.50 |
$95 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$243.95 |
$348.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234.50 |
$335 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$227.50 |
$325 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$1,127 |
$1,610 |
0.4× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,177.75 |
$1,682.50 |
0.6× |
| Dstrj lesion penis simple surg excision (54060) |
$193.20 |
$276 |
0.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$624.75 |
$892.50 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$955.50 |
$1,365 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$966 |
$1,380 |
0.5× |
| Egd Endo Mucosal Resection (43254) |
$672 |
$960 |
0.4× |
| Egd flexible foreign body removal (43247) |
$799.75 |
$1,142.50 |
1.0× |
| Egd guide wire insertion (43248) |
$689.50 |
$985 |
0.8× |
| Egd place gastrostomy tube (43246) |
$1,302 |
$1,860 |
0.7× |
| Egd rem tumr/polyp forcep (43250) |
$717.50 |
$1,025 |
0.4× |
| Egd remove lesion snare (43251) |
$826 |
$1,180 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$591.50 |
$845 |
0.3× |
| Egd tube/cath insertion (43241) |
$350 |
$500 |
0.2× |
| Egd Varices Ligation (43244) |
$1,128.75 |
$1,612.50 |
0.6× |
Elbow arthroscopy/surgery (29836)
unusually low: confirm this is the full procedure |
$2,148.30 |
$3,069 |
0.3× |
| Elbow arthroscopy/surgery (29838) |
$2,426.90 |
$3,467 |
0.8× |
| Elbow arthroscopy/surgery (29837) |
$2,148.30 |
$3,069 |
0.7× |
| Elbow arthroscopy/surgery (29835) |
$2,148.30 |
$3,069 |
0.7× |
| Endocervical Curettage (57505) |
$453.25 |
$647.50 |
0.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$3,412.50 |
$4,875 |
0.7× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,981.30 |
$4,259 |
1.0× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$878.50 |
$1,255 |
0.5× |
| Epididymectomy unilateral (54860) |
$705.25 |
$1,007.50 |
0.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,163 |
$3,090 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,924.30 |
$2,749 |
2.3× |
| Esophagoscopy flex biopsy (43202) |
$259 |
$370 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$584.50 |
$835 |
0.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$756 |
$1,080 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$85.75 |
$122.50 |
0.7× |
| Exc abd les sc 3 cm/> (22903) |
$1,438.50 |
$2,055 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,372 |
$1,960 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$785.75 |
$1,122.50 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,001 |
$1,430 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,102.50 |
$1,575 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$913.50 |
$1,305 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$840 |
$1,200 |
0.3× |
| Exc face les sbq 2 cm/> (21012) |
$1,267 |
$1,810 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$477.75 |
$682.50 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$861 |
$1,230 |
0.6× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$287 |
$410 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,092 |
$1,560 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$952 |
$1,360 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,187.50 |
$3,125 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$808.50 |
$1,155 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,716.75 |
$2,452.50 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,226.75 |
$1,752.50 |
0.8× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,282 |
$3,260 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,071 |
$1,530 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$731.50 |
$1,045 |
2.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$777 |
$1,110 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$705.25 |
$1,007.50 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,275 |
$3,250 |
1.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$924 |
$1,320 |
0.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,764 |
$2,520 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,149.75 |
$1,642.50 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,268.75 |
$1,812.50 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,231.30 |
$1,759 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,970.50 |
$2,815 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,883 |
$2,690 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,219.75 |
$1,742.50 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,741.25 |
$2,487.50 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,034.25 |
$1,477.50 |
0.9× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$1,760.50 |
$2,515 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$735 |
$1,050 |
1.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,058 |
$2,940 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$770 |
$1,100 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$472.50 |
$675 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,438.50 |
$2,055 |
0.9× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$774.20 |
$1,106 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$199.50 |
$285 |
0.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,127.25 |
$4,467.50 |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,879.50 |
$2,685 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,286.25 |
$1,837.50 |
0.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$542.50 |
$775 |
0.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$2,735.25 |
$3,907.50 |
0.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,265.25 |
$1,807.50 |
0.9× |
| Excise parotid gland/lesion (42420) |
$2,827.30 |
$4,039 |
0.5× |
| Excise/repair mouth lesion (40812) |
$575.75 |
$822.50 |
0.4× |
| Excision Chalazion Single (67800) |
$231 |
$330 |
0.8× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,883 |
$2,690 |
0.7× |
| Excision hidradenitis axillary complex repair (11451) |
$2,940 |
$4,200 |
1.1× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$840 |
$1,200 |
0.3× |
| Excision hydrocele bilateral (55041) |
$1,597.75 |
$2,282.50 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$353.50 |
$505 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$477.75 |
$682.50 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$220.50 |
$315 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$427 |
$610 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$631.75 |
$902.50 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,025.50 |
$1,465 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$143.50 |
$205 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$404.25 |
$577.50 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$484.75 |
$692.50 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$843.15 |
$1,204.50 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$511 |
$730 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$477.75 |
$682.50 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$477.75 |
$682.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,102.50 |
$1,575 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,102.50 |
$1,575 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$262.50 |
$375 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$633.50 |
$905 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,232 |
$1,760 |
1.9× |
| Excision of hydrocele; unilateral (55040) |
$2,109.10 |
$3,013 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$136.50 |
$195 |
0.1× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$665 |
$950 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,102.50 |
$1,575 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,102.50 |
$1,575 |
0.7× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$808.50 |
$1,155 |
0.5× |
| Excision of local lesion of epididymis (54830) |
$454.30 |
$649 |
0.1× |
| Excision of nail fold toe (11765) |
$651 |
$930 |
1.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,046.50 |
$1,495 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$904.75 |
$1,292.50 |
0.8× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$871.50 |
$1,245 |
0.3× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,803.50 |
$4,005 |
1.5× |
Excision of submandibular (submaxillary) gland (42440)
unusually low: confirm this is the full procedure |
$2,285.50 |
$3,265 |
0.4× |
| Excision of tongue lesion (41112) |
$1,760.50 |
$2,515 |
0.6× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure |
$903 |
$1,290 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$563.50 |
$805 |
0.2× |
| Excision olecranon bursa (24105) |
$1,596 |
$2,280 |
0.5× |
| Excision or fulguration; urethral caruncle (53265) |
$2,803.50 |
$4,005 |
1.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,196.25 |
$3,137.50 |
0.8× |
| Excision Synovial Cyst Popliteal Space (27345) |
$924 |
$1,320 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,515.50 |
$2,165 |
1.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$91 |
$130 |
0.1× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,015 |
$1,450 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$600.25 |
$857.50 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$262.50 |
$375 |
0.1× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$1,113.70 |
$1,591 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$630 |
$900 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,982.75 |
$2,832.50 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$294 |
$420 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$1,079.75 |
$1,542.50 |
0.7× |
| Exploration of knee joint (27310) |
$808.50 |
$1,155 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$448 |
$640 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$537.60 |
$768 |
0.4× |
| Explore/treat hand joint (26070) |
$409.50 |
$585 |
0.3× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$409.50 |
$585 |
0.3× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$2,647.75 |
$3,782.50 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$339.50 |
$485 |
1.8× |
| Fetal non-stress test (59025) |
$222.25 |
$317.50 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$393.75 |
$562.50 |
0.6× |
| Fna bx w/fluor gdn 1st les (10007) |
$605.50 |
$865 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$546 |
$780 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$38.50 |
$55 |
0.2× |
Glossectomy; less than one-half tongue (41120)
likely a partial charge, not the full procedure |
$1,030.75 |
$1,472.50 |
0.2× |
| Hemorrhoidectomy (46255) |
$1,387.75 |
$1,982.50 |
0.5× |
| Hemorrhoidectomy external complete (46250) |
$3,020.50 |
$4,315 |
1.2× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$350 |
$500 |
0.1× |
Hip arthro w/fb removal (29861)
unusually low: confirm this is the full procedure |
$2,148.30 |
$3,069 |
0.3× |
| Hysteroscopy biopsy (58558) |
$966 |
$1,380 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$170.10 |
$243 |
0.8× |
| I&d abscess simple (10060) |
$714 |
$1,020 |
3.9× |
| I&d below fascia foot 1 bursal space (28002) |
$1,365 |
$1,950 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,979.95 |
$2,828.50 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,212.40 |
$1,732 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$476 |
$680 |
0.2× |
| I&d perianal abscess superficial (46050) |
$563.50 |
$805 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$511.35 |
$730.50 |
0.8× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$1,426.25 |
$2,037.50 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$433.30 |
$619 |
0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$865.55 |
$1,236.50 |
0.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$598.50 |
$855 |
0.7× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$213.50 |
$305 |
0.1× |
| Incise finger tendon sheath (26055) |
$908.25 |
$1,297.50 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$784.35 |
$1,120.50 |
2.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$405.30 |
$579 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$273 |
$390 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$809.20 |
$1,156 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$561.75 |
$802.50 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$118.30 |
$169 |
0.4× |
| Incision bone cortex hand/finger (26034) |
$854.70 |
$1,221 |
0.6× |
| Incision labial frenum frenotomy (40806) |
$289.80 |
$414 |
0.6× |
| Incision of lingual frenum (41010) |
$495.60 |
$708 |
0.3× |
| Incision of rectal abscess (46040) |
$1,422.75 |
$2,032.50 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$149.80 |
$214 |
0.7× |
| Incision&drainage bursa foot (28001) |
$1,365 |
$1,950 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$392 |
$560 |
0.6× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure |
$1,317.75 |
$1,882.50 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$110.95 |
$158.50 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,134 |
$1,620 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$225.75 |
$322.50 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$525 |
$750 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$225.75 |
$322.50 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$714 |
$1,020 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$665 |
$950 |
0.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$346.50 |
$495 |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$267.40 |
$382 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$378 |
$540 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$803.25 |
$1,147.50 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$612.50 |
$875 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$777 |
$1,110 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$294 |
$420 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$840 |
$1,200 |
1.0× |
| Inject Nerv Blck,Pudendal (64430) |
$1,237.25 |
$1,767.50 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$225.75 |
$322.50 |
0.8× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$192.50 |
$275 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,463 |
$2,090 |
2.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,079.75 |
$1,542.50 |
1.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$346.50 |
$495 |
0.5× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$225.75 |
$322.50 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$626.50 |
$895 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$339.50 |
$485 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$525 |
$750 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$868 |
$1,240 |
1.1× |
| Injection for identification of sentinel node (38792) |
$1,400 |
$2,000 |
3.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$315 |
$450 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$420 |
$600 |
1.5× |
| Injection therapeutic carpal tunnel (20526) |
$315 |
$450 |
1.1× |
| Injection(s) spider veins (36468) |
$115.50 |
$165 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$773.50 |
$1,105 |
2.7× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$225.75 |
$322.50 |
0.3× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$924 |
$1,320 |
3.3× |
| Injection, anesthetic agent; vagus nerve (64408) |
$192.50 |
$275 |
0.7× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$315 |
$450 |
1.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$175 |
$250 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$113.75 |
$162.50 |
1.0× |
| Insert Drug Implant Device (11981) |
$178.50 |
$255 |
1.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$571.55 |
$816.50 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,627.50 |
$2,325 |
0.6× |
| Insert pessary/other device (57160) |
$56 |
$80 |
0.3× |
| Insert picc cath (36569) |
$673.75 |
$962.50 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$89.25 |
$127.50 |
0.7× |
| Insert tun ip cath perc (49418) |
$2,308.25 |
$3,297.50 |
0.7× |
| Insert tunneled cv cath (36561) |
$1,874.95 |
$2,678.50 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$89.25 |
$127.50 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$955.50 |
$1,365 |
0.7× |
| Insertion picc w/rs&i < 5 yr (36572) |
$62.30 |
$89 |
0.1× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$2,695 |
$3,850 |
1.3× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$4,903.50 |
$7,005 |
0.3× |
Insj penile prosthesis non-inflatable semi-rigid (54400)
likely a partial charge, not the full procedure |
$2,803.50 |
$4,005 |
0.2× |
Insj penile prosthesos inflatable self-contained (54401)
likely a partial charge, not the full procedure |
$3,503.50 |
$5,005 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,081.50 |
$1,545 |
0.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$1,316 |
$1,880 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,016 |
$2,880 |
0.7× |
| Intraoral i&d tongue/floor lingual (41000) |
$136.50 |
$195 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$1,053.50 |
$1,505 |
4.8× |
| Knee arthroscopy/surgery (29887) |
$6,548.50 |
$9,355 |
1.0× |
| Knee arthroscopy/surgery (29883) |
$3,823.40 |
$5,462 |
1.3× |
| Knee arthroscopy/surgery (29885) |
$3,823.40 |
$5,462 |
0.6× |
| Knee arthroscopy/surgery (29876) |
$3,823.40 |
$5,462 |
1.3× |
| Knee arthroscopy/surgery (29851) |
$5,841.50 |
$8,345 |
4.0× |
| Knee arthroscopy/surgery (29886) |
$3,823.40 |
$5,462 |
1.3× |
| Lap ing hernia repair init (49650) |
$4,389 |
$6,270 |
0.8× |
| Laparo sling operation (51992) |
$2,803.50 |
$4,005 |
0.5× |
| Laparoscopy appendectomy (44970) |
$2,864.40 |
$4,092 |
0.5× |
Laparoscopy biopsy (49321)
unusually low: confirm this is the full procedure |
$2,695 |
$3,850 |
0.5× |
| Laparoscopy Remove Adnexa (58661) |
$3,278.80 |
$4,684 |
0.6× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
unusually low: confirm this is the full procedure |
$3,640 |
$5,200 |
0.4× |
Laparoscopy tubal block (58671)
unusually low: confirm this is the full procedure |
$2,588.95 |
$3,698.50 |
0.5× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$1,610 |
$2,300 |
0.3× |
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure |
$2,360.75 |
$3,372.50 |
0.4× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$367.50 |
$525 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,558.50 |
$3,655 |
0.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,100 |
$3,000 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$2,450 |
$3,500 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,599.75 |
$5,142.50 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$7,266 |
$10,380 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,778.50 |
$8,255 |
1.0× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,400 |
$2,000 |
0.3× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,081.50 |
$1,545 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$417.20 |
$596 |
0.1× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$2,215.50 |
$3,165 |
0.4× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$95.90 |
$137 |
0.5× |
| Laryngoscopy w/biopsy (31535) |
$1,172.50 |
$1,675 |
0.3× |
| Late closure of wound (13160) |
$577.50 |
$825 |
0.2× |
Ligation of abdomen artery (37617)
unusually low: confirm this is the full procedure |
$1,753.50 |
$2,505 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$997.50 |
$1,425 |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$528.50 |
$755 |
0.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,848 |
$2,640 |
0.6× |
| Liver Biopsy (47000) |
$600.25 |
$857.50 |
0.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$302.75 |
$432.50 |
0.2× |
| Mast mod rad (19307) |
$5,463.50 |
$7,805 |
0.9× |
| Mastectomy gynecomastia (19300) |
$1,979.25 |
$2,827.50 |
0.5× |
| Mastectomy partial (19301) |
$2,982.35 |
$4,260.50 |
0.8× |
| Mastectomy simple complete (19303) |
$4,418.75 |
$6,312.50 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$49.70 |
$71 |
0.1× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$283.50 |
$405 |
0.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,695 |
$3,850 |
1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$966 |
$1,380 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,050 |
$1,500 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,114.75 |
$1,592.50 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$787.50 |
$1,125 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,074.50 |
$1,535 |
1.7× |
| Occlude fallopian tube(s) (58615) |
$665 |
$950 |
0.2× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$984.90 |
$1,407 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$304.50 |
$435 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,260 |
$1,800 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$609 |
$870 |
0.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,503.50 |
$5,005 |
1.1× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$3,503.50 |
$5,005 |
1.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,317.75 |
$1,882.50 |
0.4× |
| Ovarian cystectomy (58925) |
$472.50 |
$675 |
0.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,255.45 |
$1,793.50 |
0.8× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure |
$2,240 |
$3,200 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,148.30 |
$3,069 |
0.7× |
| Pelvic exam under anesthesia (57410) |
$434 |
$620 |
0.1× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$9,100 |
$13,000 |
1.0× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$305.20 |
$436 |
0.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$210 |
$300 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$283.50 |
$405 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$311.50 |
$445 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$108.50 |
$155 |
0.3× |
| Probe nasolacrimal duct (68810) |
$252 |
$360 |
0.9× |
| Proctosigmoidoscopy w/bx (45305) |
$500.50 |
$715 |
0.5× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$495.25 |
$707.50 |
0.6× |
| Prostatectomy (turp) (52601) |
$4,203.50 |
$6,005 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$362.25 |
$517.50 |
1.0× |
| Puncture Aspiration (10160) |
$500.50 |
$715 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$309.40 |
$442 |
0.5× |
| Pvb thoracic single inj site (64461) |
$654.50 |
$935 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$1,491 |
$2,130 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,566.25 |
$2,237.50 |
0.9× |
| Reduce testis torsion (54600) |
$3,503.50 |
$5,005 |
1.1× |
| Removal fb intranasal (30300) |
$266 |
$380 |
2.2× |
| Removal foreign body foot deep (28192) |
$353.50 |
$505 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,216.25 |
$1,737.50 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$194.60 |
$278 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$521.50 |
$745 |
9.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$332.50 |
$475 |
6.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,532.30 |
$2,189 |
0.5× |
| Removal Implant Deep (20680) |
$2,642.50 |
$3,775 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$143.50 |
$205 |
0.2× |
| Removal of adenoids (42830) |
$3,227 |
$4,610 |
1.1× |
| Removal of arm foreign body (24200) |
$206.50 |
$295 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$139.65 |
$199.50 |
0.5× |
| Removal of kidney stone (50081) |
$6,650 |
$9,500 |
0.8× |
| Removal of nail bed (11750) |
$465.50 |
$665 |
1.2× |
| Removal of nose lesion (30124) |
$1,403.50 |
$2,005 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$772.80 |
$1,104 |
4.2× |
| Removal of testis (54520) |
$399.70 |
$571 |
0.1× |
| Removal of tonsils (42825) |
$3,895.50 |
$5,565 |
0.7× |
| Removal of tonsils (42826) |
$1,701 |
$2,430 |
0.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$644.70 |
$921 |
0.3× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$304.50 |
$435 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$80.50 |
$115 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$262.50 |
$375 |
1.0× |
| Remove anal fist subq (46270) |
$1,410.50 |
$2,015 |
0.6× |
| Remove drug implant device (11982) |
$178.50 |
$255 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$109.90 |
$157 |
0.4× |
| Remove femur lesion (27355) |
$1,073.10 |
$1,533 |
0.4× |
| Remove foreign body from eye (65210) |
$91 |
$130 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$1,751.75 |
$2,502.50 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$1,872.50 |
$2,675 |
0.7× |
| Remove spine infusion device (62365) |
$2,475.90 |
$3,537 |
0.8× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,547 |
$2,210 |
0.3× |
| Remove wrist tendon lesion (25111) |
$1,972.60 |
$2,818 |
1.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$549.50 |
$785 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$78.40 |
$112 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$159.60 |
$228 |
1.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,144.50 |
$1,635 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$371 |
$530 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$525 |
$750 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$483 |
$690 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$736.40 |
$1,052 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$252.35 |
$360.50 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$463.75 |
$662.50 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$217 |
$310 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$436.45 |
$623.50 |
0.6× |
| Repair ectropion suture (67914) |
$1,292.90 |
$1,847 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$850.50 |
$1,215 |
0.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,572.50 |
$3,675 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,166.15 |
$3,094.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$385 |
$550 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,228.50 |
$1,755 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$558.60 |
$798 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$276.50 |
$395 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$301 |
$430 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$308 |
$440 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$341.25 |
$487.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$507.50 |
$725 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$231 |
$330 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$514.50 |
$735 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$899.50 |
$1,285 |
2.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,193.50 |
$1,705 |
3.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$623 |
$890 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,214.50 |
$1,735 |
3.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$735 |
$1,050 |
0.4× |
| Repair of nail bed (11760) |
$105 |
$150 |
0.2× |
| Repair of vagina (57260) |
$70 |
$100 |
0.0× |
| Repair Tongue Laceration (41250) |
$178.50 |
$255 |
0.4× |
| Replace g/c tube perc (49450) |
$350 |
$500 |
0.4× |
| Rerepair fem hernia blocked (49557) |
$1,235.50 |
$1,765 |
0.4× |
| Rerepair ing hernia blocked (49521) |
$5,544 |
$7,920 |
0.9× |
| Rerepair ing hernia reduce (49520) |
$700 |
$1,000 |
0.2× |
| Resect Inferior Turbinate (30140) |
$2,299.50 |
$3,285 |
0.8× |
| Revise hernia & sperm veins (55540) |
$812 |
$1,160 |
0.2× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$1,858.50 |
$2,655 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$992.25 |
$1,417.50 |
0.6× |
| Revision of colostomy simple (44340) |
$528.50 |
$755 |
0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$1,235.50 |
$1,765 |
0.4× |
| Revision of upper eyelid (15823) |
$1,599.50 |
$2,285 |
0.8× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$659.40 |
$942 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$164.50 |
$235 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$154 |
$220 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$147 |
$210 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$241.50 |
$345 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,398.25 |
$1,997.50 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,165.50 |
$1,665 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$273 |
$390 |
0.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$325.50 |
$465 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$283.50 |
$405 |
1.2× |
Rplcmt compl tun ctr vad w/subq pmp (36583)
likely a partial charge, not the full procedure |
$901.25 |
$1,287.50 |
0.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$843.15 |
$1,204.50 |
0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,242.50 |
$1,775 |
0.4× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,574.25 |
$3,677.50 |
0.5× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure |
$2,325.75 |
$3,322.50 |
0.4× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure |
$2,574.25 |
$3,677.50 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,504.25 |
$3,577.50 |
0.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$3,605 |
$5,150 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,260 |
$1,800 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,359.75 |
$1,942.50 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$434 |
$620 |
0.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$761.25 |
$1,087.50 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$567 |
$810 |
1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$614.25 |
$877.50 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$696.50 |
$995 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$70 |
$100 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$105 |
$150 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$63 |
$90 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$73.50 |
$105 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$154 |
$220 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$168 |
$240 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$129.50 |
$185 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,231.90 |
$4,617 |
1.1× |
| Shoulder arthroscopy (29805) |
$3,370.50 |
$4,815 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$140 |
$200 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$171.50 |
$245 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$63 |
$90 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$105 |
$150 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$67.20 |
$96 |
0.4× |
| Sigmoidoscopy & decompress (45337) |
$231 |
$330 |
0.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$371 |
$530 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$495.25 |
$707.50 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$805 |
$1,150 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$231 |
$330 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$136.50 |
$195 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$302.75 |
$432.50 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$434 |
$620 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$152.60 |
$218 |
0.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$231 |
$330 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$234.50 |
$335 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$434 |
$620 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$177.80 |
$254 |
1.0× |
| Skin pinch graft (15050) |
$203.35 |
$290.50 |
0.3× |
| Skin splt grft trnk/arm/leg (15100) |
$1,967 |
$2,810 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$2,294.25 |
$3,277.50 |
3.4× |
| Skin sub graft trnk/arm/leg (15271) |
$1,839.25 |
$2,627.50 |
2.7× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,320.50 |
$3,315 |
1.2× |
| Skin tissue rearrangement (14040) |
$504 |
$720 |
0.3× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$350 |
$500 |
0.1× |
| Skn sub grft f/n/hf/g child (15277) |
$759.50 |
$1,085 |
0.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,050 |
$1,500 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$280 |
$400 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$231 |
$330 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$434 |
$620 |
1.2× |
| Sphincterotomy (46080) |
$350 |
$500 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$409.50 |
$585 |
0.6× |
| Spinal Puncture Therapeutic (62272) |
$409.50 |
$585 |
0.6× |
| Strapping ankle (29540) |
$80.50 |
$115 |
0.5× |
| Strapping elbow/wrist (29260) |
$80.50 |
$115 |
1.5× |
| Strapping hand/finger (29280) |
$171.50 |
$245 |
3.2× |
| Strapping shoulder (29240) |
$171.50 |
$245 |
1.4× |
| Strapping unna boot (29580) |
$171.50 |
$245 |
1.1× |
| Suspension of testis (54640) |
$2,803.50 |
$4,005 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$595 |
$850 |
1.6× |
| Tenolysis flexor foot multiple tendons (28222) |
$2,074.10 |
$2,963 |
0.7× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$824.25 |
$1,177.50 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,277.50 |
$1,825 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$810.25 |
$1,157.50 |
0.5× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$647.50 |
$925 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$789.25 |
$1,127.50 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$453.25 |
$647.50 |
0.8× |
| Thyroid biopsy (60100) |
$535.50 |
$765 |
0.8× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,301.60 |
$3,288 |
0.4× |
Tibial arthroscopy/surgery (29856)
likely a partial charge, not the full procedure |
$2,148.30 |
$3,069 |
0.2× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,802.80 |
$4,004 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,788.50 |
$2,555 |
0.6× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,100 |
$3,000 |
0.2× |
| Tracheostomy planned (31600) |
$564.90 |
$807 |
0.2× |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
$2,800 |
$4,000 |
0.9× |
| Transurethral incision of prostate (52450) |
$3,503.50 |
$5,005 |
1.1× |
| Transurethral resection of bladder neck (52500) |
$5,600 |
$8,000 |
1.7× |
| Treat finger dislocation (26775) |
$338.80 |
$484 |
1.3× |
| Treat Fracture Radius & Ulna (25560) |
$409.50 |
$585 |
1.8× |
| Treat humerus fracture (24500) |
$409.50 |
$585 |
1.8× |
| Treat humerus fracture (23600) |
$409.50 |
$585 |
1.8× |
| Treat Metatarsal Fracture (28475) |
$458.50 |
$655 |
2.0× |
| Treat toe fracture (28525) |
$609 |
$870 |
0.2× |
| Treat wrist bone fracture (25622) |
$409.50 |
$585 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$214.20 |
$306 |
0.9× |
| Treatment closed elbow dislocation req anes (24605) |
$470.40 |
$672 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$328.30 |
$469 |
1.4× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,338.50 |
$9,055 |
2.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$409.50 |
$585 |
1.8× |
| Trim skin lesion (11055) |
$220.50 |
$315 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$206.50 |
$295 |
1.1× |
| Trim skin lesions over 4 (11057) |
$180.60 |
$258 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$47.25 |
$67.50 |
0.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$775.60 |
$1,108 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$812 |
$1,160 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,179.50 |
$1,685 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$203 |
$290 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$381.50 |
$545 |
1.0× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$2,276.75 |
$3,252.50 |
0.4× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,480.50 |
$2,115 |
0.3× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$1,906.10 |
$2,723 |
0.3× |
| Unlisted procedure anus (46999) |
$532 |
$760 |
0.6× |
| Unlisted procedure foot or toes (28899) |
$332.50 |
$475 |
1.5× |
| Unlisted Procedure Nervous System (64999) |
$630 |
$900 |
2.2× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$1,368.50 |
$1,955 |
0.2× |
| Vaginal delivery only (59409) |
$2,103.50 |
$3,005 |
0.7× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,701 |
$2,430 |
0.4× |
| Vasectomy (55250) |
$1,370.25 |
$1,957.50 |
0.7× |
| Vbac delivery only (59612) |
$2,208.50 |
$3,155 |
0.7× |
| Venipuncture (36415) |
$11.20 |
$16 |
1.2× |
| Wrist arthroscop,excis triang cart (29846) |
$2,981.30 |
$4,259 |
1.0× |
| Wrist arthroscop,part synovect (29844) |
$2,148.30 |
$3,069 |
0.7× |
| Wrist arthroscopy (29843) |
$2,148.30 |
$3,069 |
0.7× |
Wrist arthroscopy/surgery (29847)
unusually low: confirm this is the full procedure |
$2,981.30 |
$4,259 |
0.4× |
| Wrist arthroscopy/surgery (29845) |
$2,148.30 |
$3,069 |
0.7× |