| Abd paracentesis w/imaging (49083) |
$827.10 |
$919 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$523.80 |
$582 |
0.7× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,717.20 |
$1,908 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,970.45 |
$3,300.50 |
1.0× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,385 |
$2,650 |
1.3× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$1,224.90 |
$1,361 |
0.2× |
| Amniocentesis diagnostic (59000) |
$195.98 |
$217.75 |
0.2× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$1,548.45 |
$1,720.50 |
0.5× |
| Amputate metacarpal bone (26910) |
$3,029.06 |
$3,365.62 |
1.1× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,728.90 |
$1,921 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,423.35 |
$1,581.50 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,740.60 |
$1,934 |
0.6× |
| Amputation of finger/thumb (26952) |
$1,836.45 |
$2,040.50 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$2,213.55 |
$2,459.50 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,532.03 |
$1,702.25 |
0.5× |
| Amputation, foot; transmetatarsal (28805) |
$1,989 |
$2,210 |
0.7× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,537.55 |
$2,819.50 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,822.95 |
$2,025.50 |
0.6× |
| Ankle arthroscopy/surgery (29894) |
$4,308.08 |
$4,786.75 |
1.5× |
| Anoscopy Ablation Lesion (46615) |
$492.30 |
$547 |
0.2× |
| Anoscopy control bleeding (46614) |
$462.60 |
$514 |
0.4× |
| Anoscopy diagnostic (46600) |
$146.03 |
$162.25 |
1.3× |
| Anoscopy w/rmvl lesion cautery (46610) |
$1,431 |
$1,590 |
0.6× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,600.20 |
$1,778 |
1.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$772.65 |
$858.50 |
0.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$534.83 |
$594.25 |
0.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,284.35 |
$5,871.50 |
1.2× |
| Appendectomy (44950) |
$3,650.40 |
$4,056 |
0.7× |
| Application cast elbow finger short arm (29075) |
$267.98 |
$297.75 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$267.98 |
$297.75 |
1.1× |
| Application finger splint static (29130) |
$267.98 |
$297.75 |
2.3× |
| Application halo type body cast (29000) |
$873.90 |
$971 |
3.6× |
| Application long arm splint shoulder hand (29105) |
$267.98 |
$297.75 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$267.98 |
$297.75 |
1.9× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$4,369.50 |
$4,855 |
0.7× |
| Application of long leg cast (29345) |
$365.40 |
$406 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$171.68 |
$190.75 |
1.5× |
| Application short leg splint calf foot (29515) |
$191.70 |
$213 |
1.4× |
| Apply short leg cast (29405) |
$232.99 |
$258.88 |
1.0× |
| Aqueous shunt to extraocular reservoir (66180) |
$2,178 |
$2,420 |
0.5× |
| Arterial puncture (36600) |
$47.70 |
$53 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$146.93 |
$163.25 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$237.60 |
$264 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$168.86 |
$187.62 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$271.80 |
$302 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$142.43 |
$158.25 |
0.5× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,487.60 |
$2,764 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,431 |
$1,590 |
0.2× |
Arthrodesis knee any technique (27580)
unusually low: confirm this is the full procedure |
$3,735 |
$4,150 |
0.3× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,144.70 |
$2,383 |
0.3× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$1,891.80 |
$2,102 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$5,087.03 |
$5,652.25 |
0.3× |
Arthroplasty knee tibial plateau (27440)
likely a partial charge, not the full procedure |
$2,201.85 |
$2,446.50 |
0.2× |
Arthroplasty radial head w/implant (24366)
likely a partial charge, not the full procedure |
$1,732.50 |
$1,925 |
0.2× |
Arthroplasty, patella; without prosthesis (27437)
likely a partial charge, not the full procedure |
$1,816.43 |
$2,018.25 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,243.60 |
$3,604 |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$4,308.08 |
$4,786.75 |
1.5× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,910.60 |
$3,234 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,750.20 |
$5,278 |
1.7× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,308.08 |
$4,786.75 |
1.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,428.08 |
$1,586.75 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,488.15 |
$1,653.50 |
0.5× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
unusually low: confirm this is the full procedure |
$3,562.20 |
$3,958 |
0.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,908 |
$2,120 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,434.40 |
$3,816 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,308.08 |
$4,786.75 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,696.50 |
$1,885 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,555.78 |
$2,839.75 |
0.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,523.20 |
$7,248 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,434.40 |
$3,816 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,717.20 |
$1,908 |
0.6× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,003.40 |
$2,226 |
0.7× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,862 |
$3,180 |
0.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,628.55 |
$1,809.50 |
0.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,842.03 |
$7,602.25 |
1.1× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,218.60 |
$1,354 |
0.4× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$1,214.10 |
$1,349 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,185.30 |
$1,317 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$333.34 |
$370.38 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$921.60 |
$1,024 |
5.3× |
| Biopsy Bone Open Deep (20245) |
$876.60 |
$974 |
0.4× |
| Biopsy bone open superficial (20240) |
$358.20 |
$398 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,840.63 |
$3,156.25 |
2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$195.08 |
$216.75 |
0.1× |
| Biopsy intranasal (30100) |
$386.33 |
$429.25 |
0.3× |
| Biopsy muscle deep (20205) |
$724.50 |
$805 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$510.98 |
$567.75 |
0.4× |
| Biopsy of uterus lining (58100) |
$284.40 |
$316 |
1.6× |
| Biopsy pleura percutaneous needle (32400) |
$173.70 |
$193 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$267.98 |
$297.75 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$732.26 |
$813.62 |
0.5× |
| Biopsy tongue posterior one-third (41105) |
$1,336.72 |
$1,485.25 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$1,170.45 |
$1,300.50 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,464.30 |
$1,627 |
0.4× |
| Bladder Scan (51798) |
$105.42 |
$117.12 |
2.1× |
| Blood transfusion service (36430) |
$718.43 |
$798.25 |
1.9× |
Bone graft, any donor area; major or large (20902)
likely a partial charge, not the full procedure |
$742.28 |
$824.75 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$1,029.38 |
$1,143.75 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$677.25 |
$752.50 |
0.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$969.30 |
$1,077 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$746.10 |
$829 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$1,097.10 |
$1,219 |
0.5× |
| Bx breast 1st lesion mr imag (19085) |
$1,901.25 |
$2,112.50 |
1.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,266.75 |
$1,407.50 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,258.20 |
$1,398 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,431 |
$1,590 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$173.70 |
$193 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,346.18 |
$1,495.75 |
0.5× |
| Carpectomy All Bones Proximal Row (25215) |
$1,431 |
$1,590 |
0.5× |
| Cataract surgery complex (66982) |
$1,996.43 |
$2,218.25 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$95.40 |
$106 |
0.5× |
| Chemical Cautery Tissue (17250) |
$238.50 |
$265 |
1.4× |
| Chemodenervation internal anal sphincter (46505) |
$717.75 |
$797.50 |
0.7× |
| Chest tube placement (32551) |
$396 |
$440 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$96.53 |
$107.25 |
0.8× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$836.55 |
$929.50 |
0.4× |
| Claviculectomy; partial (23120) |
$1,717.20 |
$1,908 |
0.6× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,037.93 |
$1,153.25 |
0.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,323.23 |
$1,470.25 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,260 |
$1,400 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,957.40 |
$3,286 |
2.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$784.80 |
$872 |
3.7× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,145.83 |
$2,384.25 |
1.5× |
| Closed Rx Trimalleolar Fx (27816) |
$911.93 |
$1,013.25 |
4.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$493.65 |
$548.50 |
0.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,143 |
$1,270 |
5.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$655.43 |
$728.25 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,303.20 |
$1,448 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$923.40 |
$1,026 |
4.3× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$943.20 |
$1,048 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$263.03 |
$292.25 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,568.48 |
$1,742.75 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$407.25 |
$452.50 |
0.3× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$1,471.28 |
$1,634.75 |
0.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$748.58 |
$831.75 |
3.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,224 |
$1,360 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$858.60 |
$954 |
4.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$368.78 |
$409.75 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,129.50 |
$1,255 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$431.10 |
$479 |
2.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$640.13 |
$711.25 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$858.60 |
$954 |
4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,144.80 |
$1,272 |
5.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,526.40 |
$1,696 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,457.78 |
$1,619.75 |
6.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$247.95 |
$275.50 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$301.05 |
$334.50 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$359.33 |
$399.25 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$611.55 |
$679.50 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$906.30 |
$1,007 |
4.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$895.73 |
$995.25 |
4.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,431 |
$1,590 |
6.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,117.58 |
$1,241.75 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$561.83 |
$624.25 |
2.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,627.43 |
$1,808.25 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,957.40 |
$3,286 |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$288 |
$320 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,523.03 |
$1,692.25 |
1.1× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,385 |
$2,650 |
1.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,486.35 |
$1,651.50 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,120.50 |
$1,245 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,064.93 |
$1,183.25 |
1.0× |
| Colonoscopy thru stoma (44388) |
$873.90 |
$971 |
1.1× |
| Colonoscopy w/ablation (45388) |
$1,686.38 |
$1,873.75 |
1.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,431 |
$1,590 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$406.58 |
$451.75 |
3.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$715.50 |
$795 |
6.2× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$447.53 |
$497.25 |
1.0× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$5,724 |
$6,360 |
0.5× |
| Correction hammertoe (28285) |
$1,459.58 |
$1,621.75 |
0.5× |
| Correction of astigmatism (65772) |
$1,114.20 |
$1,238 |
1.3× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,259 |
$2,510 |
0.4× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,734.20 |
$3,038 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,414.48 |
$2,682.75 |
0.9× |
| Create eardrum opening (69436) |
$431.10 |
$479 |
0.3× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$858.60 |
$954 |
0.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$420.30 |
$467 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,784.93 |
$1,983.25 |
0.7× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$3,092.63 |
$3,436.25 |
1.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,621.80 |
$1,802 |
2.7× |
| Debride nail 1-5 (11720) |
$89.78 |
$99.75 |
1.8× |
| Debride nail 6 or more (11721) |
$111.60 |
$124 |
2.2× |
| Debride skin musc at fx site (11011) |
$1,049.40 |
$1,166 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$431.10 |
$479 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$610.65 |
$678.50 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$761.40 |
$846 |
0.5× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,052 |
$2,280 |
1.5× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$2,186.55 |
$2,429.50 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$2,898 |
$3,220 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$132.98 |
$147.75 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$369 |
$410 |
2.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$434.70 |
$483 |
2.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$250.20 |
$278 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,505.50 |
$3,895 |
2.1× |
| Destruction premalignant lesion 1st (17000) |
$98.33 |
$109.25 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,063.15 |
$3,403.50 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$492.30 |
$547 |
0.6× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$733.05 |
$814.50 |
0.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$603 |
$670 |
0.4× |
| Drain hand tendon sheath (26020) |
$821.48 |
$912.75 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$206.10 |
$229 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$524.70 |
$583 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$727.99 |
$808.88 |
4.2× |
| Drainage of eyelid abscess (67700) |
$769.95 |
$855.50 |
2.8× |
| Drainage of gum lesion (41800) |
$786.15 |
$873.50 |
6.9× |
| Drainage of hematoma/fluid (10140) |
$464.63 |
$516.25 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$576.90 |
$641 |
0.4× |
| Draw blood off venous device (36591) |
$42.75 |
$47.50 |
0.4× |
| Dressing change under anesthesia (15852) |
$131.63 |
$146.25 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$98.33 |
$109.25 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$954 |
$1,060 |
5.5× |
| Dstrj lesion anus simple surg excision (46922) |
$851.85 |
$946.50 |
0.4× |
| Dx bone marrow bx & aspir (38222) |
$476.10 |
$529 |
0.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$639.23 |
$710.25 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,351.80 |
$1,502 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,680.08 |
$1,866.75 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,102.96 |
$1,225.50 |
1.4× |
| Egd place gastrostomy tube (43246) |
$1,208.25 |
$1,342.50 |
0.7× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$4,574.93 |
$5,083.25 |
1.1× |
| Enterorrhaphy single perforation (44602) |
$3,414.60 |
$3,794 |
1.0× |
| Escharotomy initial incision (16035) |
$386.33 |
$429.25 |
1.1× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$2,702.70 |
$3,003 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$117.90 |
$131 |
1.0× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,512 |
$1,680 |
1.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,153.35 |
$1,281.50 |
0.8× |
| Exc abd les sc 3 cm/> (22903) |
$1,228.73 |
$1,365.25 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,131.53 |
$1,257.25 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$629.55 |
$699.50 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$629.55 |
$699.50 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$1,388.03 |
$1,542.25 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$1,854.68 |
$2,060.75 |
0.7× |
| Exc face les sbq 2 cm/> (21012) |
$1,097.10 |
$1,219 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$365.40 |
$406 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$431.55 |
$479.50 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$957.60 |
$1,064 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$1,275.30 |
$1,417 |
0.9× |
| Exc hand les sc < 1.5 cm (26115) |
$1,313.44 |
$1,459.38 |
0.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$406.58 |
$451.75 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,044.90 |
$1,161 |
0.8× |
| Exc neck tum deep < 5 cm (21556) |
$1,479.60 |
$1,644 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,029.60 |
$1,144 |
0.7× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,946.25 |
$2,162.50 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$262.80 |
$292 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$598.50 |
$665 |
1.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$509.62 |
$566.25 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$858.60 |
$954 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$779.40 |
$866 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$583.43 |
$648.25 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$715.50 |
$795 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,144.80 |
$1,272 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$245.70 |
$273 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,391.85 |
$1,546.50 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$757.80 |
$842 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,201.95 |
$1,335.50 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,144.80 |
$1,272 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,103.75 |
$2,337.50 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$577.13 |
$641.25 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$810.90 |
$901 |
1.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$763.20 |
$848 |
0.3× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,431 |
$1,590 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,390.50 |
$1,545 |
0.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,149.30 |
$1,277 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,278.45 |
$1,420.50 |
0.5× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,431 |
$1,590 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,237.84 |
$1,375.38 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,049.40 |
$1,166 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,196.33 |
$1,329.25 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,120.05 |
$1,244.50 |
0.8× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,932.43 |
$3,258.25 |
1.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,526.40 |
$1,696 |
1.1× |
| Excise Inferior Turbinate (30130) |
$3,882.38 |
$4,313.75 |
1.4× |
| Excision Breast Lesion (19125) |
$3,089.70 |
$3,433 |
0.9× |
| Excision Distal Ulna Partial/Complete (25240) |
$1,190.70 |
$1,323 |
0.4× |
| Excision external ear partial simple repair (69110) |
$900.45 |
$1,000.50 |
0.4× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,140.30 |
$1,267 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$667.80 |
$742 |
0.3× |
| Excision lesion mouth roof (42104) |
$425.70 |
$473 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$715.50 |
$795 |
0.5× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$492.75 |
$547.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$763.20 |
$848 |
1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$670.73 |
$745.25 |
1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$245.70 |
$273 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$834.75 |
$927.50 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$515.14 |
$572.38 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$643.95 |
$715.50 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$715.50 |
$795 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$739.35 |
$821.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$368.10 |
$409 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$344.93 |
$383.25 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$594.45 |
$660.50 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$906.30 |
$1,007 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$922.50 |
$1,025 |
0.6× |
| Excision of bartholin's gland or cyst (56740) |
$829.13 |
$921.25 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$451.80 |
$502 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$526.05 |
$584.50 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$972 |
$1,080 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$529.88 |
$588.75 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$539.10 |
$599 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$98.33 |
$109.25 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,003.40 |
$2,226 |
1.4× |
Excision of lingual tonsil (42870)
unusually low: confirm this is the full procedure |
$2,456.55 |
$2,729.50 |
0.5× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$1,345.62 |
$1,495.12 |
0.5× |
| Excision of local lesion of epididymis (54830) |
$629.55 |
$699.50 |
0.2× |
| Excision of nail fold toe (11765) |
$191.92 |
$213.25 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,782.45 |
$1,980.50 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$2,507.18 |
$2,785.75 |
2.4× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,040.18 |
$1,155.75 |
0.4× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$630.45 |
$700.50 |
0.3× |
| Excision of Umbilicus (49250) |
$3,734.10 |
$4,149 |
1.2× |
| Excision olecranon bursa (24105) |
$3,506.40 |
$3,896 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,409.40 |
$1,566 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,932.30 |
$2,147 |
0.8× |
| Excision Prepatellar Bursa (27340) |
$2,533.84 |
$2,815.38 |
0.9× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,344.15 |
$1,493.50 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,279.58 |
$1,421.75 |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,386.23 |
$1,540.25 |
1.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,322.10 |
$1,469 |
1.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$171.90 |
$191 |
0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,008.45 |
$1,120.50 |
0.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,242.22 |
$1,380.25 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,311.75 |
$1,457.50 |
0.5× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$1,484.10 |
$1,649 |
0.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,642.63 |
$2,936.25 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,309.95 |
$1,455.50 |
0.9× |
Exploration of hip joint (27033)
unusually low: confirm this is the full procedure |
$2,466.90 |
$2,741 |
0.4× |
| Exploration of knee joint (27310) |
$2,034.90 |
$2,261 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$954 |
$1,060 |
0.7× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,322.90 |
$2,581 |
0.8× |
| Explore parathyroid glands (60500) |
$3,506.40 |
$3,896 |
0.7× |
| Explore/treat ankle joint (27620) |
$4,170.60 |
$4,634 |
1.5× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,074.15 |
$1,193.50 |
0.8× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$1,841.18 |
$2,045.75 |
0.4× |
| Eye surgery procedure (66999) |
$982.58 |
$1,091.75 |
0.5× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$1,443.60 |
$1,604 |
0.5× |
| Fasciotomy foot and/or toe (28008) |
$1,135.35 |
$1,261.50 |
0.4× |
| Fasciotomy Iliotibial Open (27305) |
$1,194.30 |
$1,327 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$5,032.35 |
$5,591.50 |
1.8× |
| Fasciotomy palmar percutaneous (26040) |
$4,081.28 |
$4,534.75 |
2.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,766.60 |
$3,074 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$371.03 |
$412.25 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$270 |
$300 |
0.8× |
| Fixation of knee joint (27570) |
$416.93 |
$463.25 |
0.3× |
| Fixation of shoulder (23700) |
$2,018.03 |
$2,242.25 |
1.5× |
| Follow-up surgery of eye (66250) |
$1,476.45 |
$1,640.50 |
0.7× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$321.53 |
$357.25 |
0.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,529 |
$2,810 |
1.4× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,862 |
$3,180 |
1.6× |
| Fuse hand bones with graft (25825) |
$4,294.80 |
$4,772 |
0.7× |
| Fusion Finger Joint (26860) |
$1,665.23 |
$1,850.25 |
0.6× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$2,277 |
$2,530 |
0.2× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$1,860.30 |
$2,067 |
0.2× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$2,300.18 |
$2,555.75 |
0.4× |
| Fusion of toes (28280) |
$1,403.33 |
$1,559.25 |
0.5× |
| Fusion/graft of finger joint (26862) |
$1,872.90 |
$2,081 |
0.7× |
| Gastrocnemius Recession (27687) |
$1,110.60 |
$1,234 |
0.4× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,742.75 |
$3,047.50 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,976.63 |
$2,196.25 |
1.2× |
| Glaucoma surgery (66170) |
$2,345.40 |
$2,606 |
1.2× |
Glossectomy; less than one-half tongue (41120)
unusually low: confirm this is the full procedure |
$2,074.50 |
$2,305 |
0.4× |
Graft ear crtlg autogenous nose/ear (21235)
likely a partial charge, not the full procedure |
$1,421.78 |
$1,579.75 |
0.3× |
Hemiarthroplasty Hip Partial (27125)
unusually low: confirm this is the full procedure |
$4,476.60 |
$4,974 |
0.4× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,113.30 |
$1,237 |
0.4× |
| Hemorrhoidectomy (46255) |
$3,650.40 |
$4,056 |
1.5× |
| Hemorrhoidectomy external complete (46250) |
$1,333.80 |
$1,482 |
0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,190.70 |
$1,323 |
0.5× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$1,078.88 |
$1,198.75 |
0.5× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$890.33 |
$989.25 |
0.3× |
| I&d abscess simple (10060) |
$274.50 |
$305 |
1.6× |
| I&d below fascia foot 1 bursal space (28002) |
$618.30 |
$687 |
0.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,876.50 |
$2,085 |
0.7× |
| I&d mouth/tong extra,masticator (41018) |
$1,002.83 |
$1,114.25 |
0.7× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,828.35 |
$2,031.50 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$840.26 |
$933.62 |
1.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,049.40 |
$1,166 |
0.7× |
| Incise finger tendon sheath (26055) |
$2,644.88 |
$2,938.75 |
1.9× |
| Incise inner ear (69801) |
$624.83 |
$694.25 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$535.50 |
$595 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,463.40 |
$1,626 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$620.10 |
$689 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,049.40 |
$1,166 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$406.35 |
$451.50 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$513.23 |
$570.25 |
2.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$347.74 |
$386.38 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,705.84 |
$1,895.38 |
1.2× |
| Incision of heel bone (28300) |
$4,885.43 |
$5,428.25 |
0.8× |
| Incision of lingual frenum (41010) |
$592.43 |
$658.25 |
0.4× |
| Incision of metatarsal (28308) |
$1,481.52 |
$1,646.12 |
0.5× |
| Incision of rectal abscess (46040) |
$489.83 |
$544.25 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$579.83 |
$644.25 |
2.7× |
| Incisional biopsy skin single lesion (11106) |
$906.30 |
$1,007 |
1.4× |
| Initial tx 1st degree burn local tx (16000) |
$131.18 |
$145.75 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,898 |
$3,220 |
3.8× |
| Inj tendon sheath/ligament (20550) |
$148.39 |
$164.88 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,917 |
$2,130 |
2.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$828.90 |
$921 |
1.4× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$185.85 |
$206.50 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,898 |
$3,220 |
3.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,946.70 |
$2,163 |
2.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,373.40 |
$1,526 |
2.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$3,505.50 |
$3,895 |
4.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,373.40 |
$1,526 |
2.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,898 |
$3,220 |
3.8× |
| Inject scleros soln in hemorrhoids (46500) |
$763.20 |
$848 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$145.80 |
$162 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$954 |
$1,060 |
1.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,898 |
$3,220 |
4.8× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,373.40 |
$1,526 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$329.85 |
$366.50 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$865.24 |
$961.38 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,122.30 |
$1,247 |
4.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,373.40 |
$1,526 |
5.2× |
| Insert Bladder Cath Complex (51703) |
$357.08 |
$396.75 |
3.2× |
| Insert non-tunnel cv cath (36556) |
$561.60 |
$624 |
0.2× |
| Insert picc cath (36569) |
$474.53 |
$527.25 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$130.95 |
$145.50 |
1.1× |
| Insert tunneled cv cath (36561) |
$858.60 |
$954 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$111.15 |
$123.50 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,046.70 |
$1,163 |
0.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,431 |
$1,590 |
2.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,816 |
$4,240 |
1.4× |
| Intracapsular cataract extraction (66983) |
$1,380.83 |
$1,534.25 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$399.83 |
$444.25 |
2.0× |
| Lap ing hernia repair init (49650) |
$6,196.95 |
$6,885.50 |
1.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure |
$2,259.23 |
$2,510.25 |
0.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$2,638.58 |
$2,931.75 |
0.3× |
| Laparoscopy appendectomy (44970) |
$5,087.03 |
$5,652.25 |
1.0× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$779.40 |
$866 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,242.45 |
$1,380.50 |
0.2× |
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure |
$1,545.75 |
$1,717.50 |
0.2× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$1,966.28 |
$2,184.75 |
0.2× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,385 |
$2,650 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$833.40 |
$926 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,056.28 |
$2,284.75 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,815.70 |
$7,573 |
1.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$1,863.90 |
$2,071 |
0.4× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,365.08 |
$1,516.75 |
0.3× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$1,866.60 |
$2,074 |
0.2× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$5,897.25 |
$6,552.50 |
1.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,769.18 |
$1,965.75 |
0.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$1,755.68 |
$1,950.75 |
0.3× |
| Laryngoscopy w/biopsy (31535) |
$450.56 |
$500.62 |
0.1× |
| Laryngoscopy w/exc of tumor (31540) |
$471.38 |
$523.75 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,310.65 |
$3,678.50 |
2.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$673.43 |
$748.25 |
0.4× |
| Larynscop w/tumr exc + scope (31541) |
$533.70 |
$593 |
0.2× |
| Laser repair to improve eye fluid flow (65855) |
$466.20 |
$518 |
1.0× |
| Late closure of wound (13160) |
$2,216.25 |
$2,462.50 |
0.7× |
| Lateral retinacular release open (27425) |
$3,148.20 |
$3,498 |
1.1× |
| Ligation of hemorrhoid(s) (46221) |
$3,434.40 |
$3,816 |
4.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$983.48 |
$1,092.75 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,516.05 |
$1,684.50 |
0.5× |
| Liver Biopsy (47000) |
$410.18 |
$455.75 |
0.3× |
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure |
$2,201.18 |
$2,445.75 |
0.2× |
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure |
$1,934.10 |
$2,149 |
0.2× |
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure |
$2,106.45 |
$2,340.50 |
0.2× |
| Lysis of labial adhesions (56441) |
$2,332.35 |
$2,591.50 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,644.88 |
$2,938.75 |
1.5× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$465.30 |
$517 |
0.3× |
| Mast mod rad (19307) |
$3,319.88 |
$3,688.75 |
0.6× |
| Mastectomy gynecomastia (19300) |
$5,724 |
$6,360 |
1.7× |
| Mastectomy partial (19301) |
$2,362.95 |
$2,625.50 |
0.7× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$2,543.40 |
$2,826 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,692.13 |
$2,991.25 |
0.5× |
| Middle ear surgery proc unlisted (69799) |
$982.58 |
$1,091.75 |
4.8× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$407.03 |
$452.25 |
2.4× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$6,372.23 |
$7,080.25 |
1.0× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$6,372.23 |
$7,080.25 |
1.0× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$2,212.76 |
$2,458.62 |
0.7× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$6,372.23 |
$7,080.25 |
1.0× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$1,208.70 |
$1,343 |
0.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$6,372.23 |
$7,080.25 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$631.13 |
$701.25 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$113.40 |
$126 |
0.3× |
| Nipple exploration (19110) |
$1,431 |
$1,590 |
0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,898 |
$3,220 |
3.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,898 |
$3,220 |
4.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,760.40 |
$1,956 |
2.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$836.78 |
$929.75 |
0.2× |
| Open Osteochondral Autograft Talus (28446) |
$5,019.52 |
$5,577.25 |
0.8× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$4,655.48 |
$5,172.75 |
0.7× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,117.93 |
$2,353.25 |
0.3× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,381.50 |
$1,535 |
0.5× |
Open Treatment Lunate Dislocation (25695)
likely a partial charge, not the full procedure |
$1,769.63 |
$1,966.25 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,676.25 |
$1,862.50 |
0.3× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,431 |
$1,590 |
0.2× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$4,179.60 |
$4,644 |
0.7× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
unusually low: confirm this is the full procedure |
$1,908 |
$2,120 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure |
$2,282.96 |
$2,536.62 |
0.4× |
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435)
unusually low: confirm this is the full procedure |
$2,515.28 |
$2,794.75 |
0.5× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$2,766.60 |
$3,074 |
0.3× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,448.90 |
$2,721 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$2,787.53 |
$3,097.25 |
0.3× |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
$3,339 |
$3,710 |
0.5× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$2,237.40 |
$2,486 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
unusually low: confirm this is the full procedure |
$2,070.90 |
$2,301 |
0.3× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$4,369.50 |
$4,855 |
0.7× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670)
likely a partial charge, not the full procedure |
$1,695.15 |
$1,883.50 |
0.3× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$5,247 |
$5,830 |
0.8× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
unusually low: confirm this is the full procedure |
$2,276.10 |
$2,529 |
0.4× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$2,410.65 |
$2,678.50 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,621.80 |
$1,802 |
0.3× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,587.60 |
$1,764 |
0.3× |
Open treatment palatal/maxillary fracture (21422)
likely a partial charge, not the full procedure |
$1,313.10 |
$1,459 |
0.3× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,704.60 |
$1,894 |
0.3× |
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure |
$2,307.83 |
$2,564.25 |
0.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,057.85 |
$2,286.50 |
0.7× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$1,748.70 |
$1,943 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,093.28 |
$1,214.75 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$2,917.35 |
$3,241.50 |
0.5× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,804.95 |
$2,005.50 |
0.6× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,808.10 |
$2,009 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$1,395 |
$1,550 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,093.28 |
$1,214.75 |
0.4× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$6,201 |
$6,890 |
1.0× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
unusually low: confirm this is the full procedure |
$2,220.98 |
$2,467.75 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,782.13 |
$3,091.25 |
1.0× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
unusually low: confirm this is the full procedure |
$5,404.84 |
$6,005.38 |
0.5× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$1,719.90 |
$1,911 |
0.3× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$2,038.73 |
$2,265.25 |
0.2× |
| Open tx septal fx w/wo stabj (21336) |
$1,260.90 |
$1,401 |
0.4× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,763.10 |
$1,959 |
0.3× |
Opn tx orbit fx w/bone grft (21408)
unusually low: confirm this is the full procedure |
$1,771.65 |
$1,968.50 |
0.3× |
Opn tx orbit fx w/implant (21407)
likely a partial charge, not the full procedure |
$1,284.75 |
$1,427.50 |
0.3× |
Opn tx orbit fx w/o implant (21406)
likely a partial charge, not the full procedure |
$1,014.75 |
$1,127.50 |
0.2× |
Optx complicated mndblr fx (21470)
unusually low: confirm this is the full procedure |
$2,398.73 |
$2,665.25 |
0.5× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$3,339 |
$3,710 |
0.5× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$3,213 |
$3,570 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,439.70 |
$4,933 |
1.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,613.25 |
$1,792.50 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,199.70 |
$1,333 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,264.95 |
$1,405.50 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,502.10 |
$1,669 |
0.5× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$4,242.15 |
$4,713.50 |
0.7× |
| Osteotomy Fibula (27707) |
$1,113.30 |
$1,237 |
0.4× |
| Osteotomy Phalanx Finger Each (26567) |
$1,262.70 |
$1,403 |
0.4× |
Osteotomy Radius Distal Third (25350)
likely a partial charge, not the full procedure |
$1,502.55 |
$1,669.50 |
0.2× |
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145)
likely a partial charge, not the full procedure |
$1,403.10 |
$1,559 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,488.95 |
$2,765.50 |
0.9× |
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure |
$2,904.64 |
$3,227.38 |
0.5× |
| Partial Excision Bone Fibula (27641) |
$1,816.43 |
$2,018.25 |
0.6× |
| Partial Excision Bone Olecranon Process (24147) |
$1,742.85 |
$1,936.50 |
0.6× |
| Partial excision bone talus/calcaneus (28120) |
$1,679.40 |
$1,866 |
0.6× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,612.35 |
$1,791.50 |
0.6× |
| Partial Removal Foot Fascia (28060) |
$1,439.55 |
$1,599.50 |
0.5× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,364.40 |
$1,516 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,185.30 |
$1,317 |
0.4× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,038.83 |
$1,154.25 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$173.70 |
$193 |
0.3× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$2,575.80 |
$2,862 |
0.4× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,333.80 |
$1,482 |
0.5× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$1,052.33 |
$1,169.25 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,354.73 |
$1,505.25 |
0.5× |
| Perq device breast 1st imag (19281) |
$465.30 |
$517 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,818 |
$2,020 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$604.02 |
$671.12 |
2.8× |
| Phalangectomy toe each toe (28150) |
$1,131.53 |
$1,257.25 |
0.4× |
| Pin finger fracture each (26756) |
$1,173.38 |
$1,303.75 |
0.4× |
| Pin hand dislocation (26676) |
$4,236.30 |
$4,707 |
1.5× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$1,660.05 |
$1,844.50 |
0.6× |
| PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) |
$2,057.40 |
$2,286 |
0.7× |
| Preputial Stretching (54450) |
$135.90 |
$151 |
0.6× |
| Proctosigmoidoscopy w/bx (45305) |
$1,302.75 |
$1,447.50 |
1.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$318.60 |
$354 |
0.4× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) |
$3,151.58 |
$3,501.75 |
0.5× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$1,188.90 |
$1,321 |
0.4× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
unusually low: confirm this is the full procedure |
$2,005.20 |
$2,228 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$342.45 |
$380.50 |
1.0× |
| Puncture Aspiration (10160) |
$352.13 |
$391.25 |
1.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$4,160.92 |
$4,623.25 |
0.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,431 |
$1,590 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
$2,629.80 |
$2,922 |
1.1× |
| Radical Resection Tumor Metatarsal (28173) |
$2,031.08 |
$2,256.75 |
0.7× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,618.20 |
$1,798 |
0.3× |
| Realignment extensor tendon hand each tendon (26437) |
$1,848.83 |
$2,054.25 |
0.7× |
Reconstruct head of radius (24365)
likely a partial charge, not the full procedure |
$1,631.70 |
$1,813 |
0.1× |
| Reconstruct Shoulder Joint (23470) |
$9,670.16 |
$10,744.62 |
0.9× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$3,938.40 |
$4,376 |
1.4× |
| Release palm contracture (26121) |
$3,339 |
$3,710 |
1.2× |
| Release wrist/forearm tendon (25295) |
$1,425.38 |
$1,583.75 |
0.5× |
| Removal fb intranasal (30300) |
$346.73 |
$385.25 |
3.0× |
| Removal foreign body foot deep (28192) |
$1,251.68 |
$1,390.75 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$582.30 |
$647 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,339 |
$3,710 |
2.3× |
| Removal foreign body pharynx (42809) |
$360 |
$400 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$417.15 |
$463.50 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$40.05 |
$44.50 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$26.78 |
$29.75 |
0.5× |
| Removal Implant Deep (20680) |
$3,211.65 |
$3,568.50 |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$971.10 |
$1,079 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$652.95 |
$725.50 |
1.1× |
| Removal Intact Mammary Implant (19328) |
$4,725 |
$5,250 |
1.4× |
| Removal of adenoids (42835) |
$1,827 |
$2,030 |
0.6× |
| Removal of adenoids (42831) |
$1,827 |
$2,030 |
0.6× |
| Removal of adenoids (42836) |
$1,827 |
$2,030 |
0.6× |
| Removal of anal fissure (46200) |
$954 |
$1,060 |
0.4× |
| Removal of ankle implant (27704) |
$1,586.03 |
$1,762.25 |
0.6× |
Removal of bone lesion (23146)
unusually low: confirm this is the full procedure |
$2,575.80 |
$2,862 |
0.4× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,049.40 |
$1,166 |
0.8× |
| Removal of growth of chest wall and rib (21601) |
$3,275.10 |
$3,639 |
1.3× |
| Removal of heel bone (28118) |
$1,431 |
$1,590 |
0.5× |
| Removal of heel spur (28119) |
$1,431 |
$1,590 |
0.5× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
unusually low: confirm this is the full procedure |
$3,890.70 |
$4,323 |
0.4× |
| Removal of humerus lesion (23150) |
$1,841.18 |
$2,045.75 |
0.7× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
unusually low: confirm this is the full procedure |
$3,334.28 |
$3,704.75 |
0.3× |
Removal of kneecap (27350)
unusually low: confirm this is the full procedure |
$3,093.86 |
$3,437.62 |
0.5× |
| Removal of lens lesion (66830) |
$1,314.68 |
$1,460.75 |
0.7× |
| Removal of lens material (66840) |
$1,330.43 |
$1,478.25 |
0.7× |
| Removal of nail bed (11750) |
$440.78 |
$489.75 |
1.3× |
| Removal of sesamoid bone (28315) |
$1,236.72 |
$1,374.12 |
0.4× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,932.20 |
$3,258 |
1.7× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$739.35 |
$821.50 |
0.1× |
| Removal of tonsils (42826) |
$704.93 |
$783.25 |
0.2× |
| Removal of wrist bone (25210) |
$952.88 |
$1,058.75 |
0.3× |
| Removal or relocation of corneal conjunctiva (65420) |
$999 |
$1,110 |
0.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,763.35 |
$4,181.50 |
1.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$290.93 |
$323.25 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$159.64 |
$177.38 |
0.7× |
| Remove elbow lesion (24120) |
$1,478.70 |
$1,643 |
0.5× |
| Remove eyelid lesion(s) (67808) |
$703.13 |
$781.25 |
0.3× |
| Remove femur lesion/bursa (27062) |
$1,122.30 |
$1,247 |
0.4× |
| Remove foreign body from eye (65210) |
$106.88 |
$118.75 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$3,434.40 |
$3,816 |
1.4× |
| Remove knee cyst (27347) |
$1,336.50 |
$1,485 |
0.5× |
| Remove muti-comp penis pros (54406) |
$1,392.75 |
$1,547.50 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,721.25 |
$1,912.50 |
0.7× |
| Remove prostate regrowth (52630) |
$5,400.68 |
$6,000.75 |
1.2× |
| Remove shoulder foreign body (23330) |
$820.35 |
$911.50 |
0.6× |
| Remove vagina wall partial (57106) |
$2,847.38 |
$3,163.75 |
1.0× |
| Remove wrist tendon lesion (25111) |
$2,827.80 |
$3,142 |
2.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$260.55 |
$289.50 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$218.48 |
$242.75 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$73.80 |
$82 |
0.6× |
| Renal biopsy (50200) |
$65.25 |
$72.50 |
0.0× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,825.88 |
$2,028.75 |
0.3× |
Repair arm tendon/muscle (24341)
unusually low: confirm this is the full procedure |
$1,897.20 |
$2,108 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$677.48 |
$752.75 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,222.54 |
$1,358.38 |
3.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$646.65 |
$718.50 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$954 |
$1,060 |
2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$614.25 |
$682.50 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$803.70 |
$893 |
1.3× |
| Repair ectropion suture (67914) |
$879.98 |
$977.75 |
0.4× |
| Repair elbow deb/attch open (24359) |
$1,640.70 |
$1,823 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,464.43 |
$2,738.25 |
1.8× |
| Repair finger tendon (26432) |
$2,644.88 |
$2,938.75 |
1.9× |
| Repair finger/hand tendon (26370) |
$2,623.50 |
$2,915 |
0.9× |
| Repair forearm tendon/muscle (25270) |
$1,260 |
$1,400 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$2,194.20 |
$2,438 |
0.8× |
| Repair hallux rigidus (28289) |
$2,385 |
$2,650 |
0.8× |
| Repair hand tendon (26410) |
$1,608.53 |
$1,787.25 |
1.2× |
| Repair incomplete circumcision (54163) |
$434.70 |
$483 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,458.90 |
$1,621 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,674.60 |
$5,194 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$992.70 |
$1,103 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$516.15 |
$573.50 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$561.83 |
$624.25 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,188.45 |
$1,320.50 |
3.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$866.48 |
$962.75 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$829.35 |
$921.50 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,292.63 |
$1,436.25 |
3.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$835.65 |
$928.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$489.83 |
$544.25 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$555.53 |
$617.25 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$731.25 |
$812.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,122.53 |
$1,247.25 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$790.43 |
$878.25 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$437.40 |
$486 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$503.33 |
$559.25 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,020.72 |
$1,134.12 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$646.65 |
$718.50 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,077.75 |
$1,197.50 |
0.6× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$1,731.60 |
$1,924 |
0.3× |
Repair nasal vestibular stenosis (30465)
unusually low: confirm this is the full procedure |
$1,927.58 |
$2,141.75 |
0.4× |
| Repair nonunion radius/ulna w autogrft (25405) |
$7,261.54 |
$8,068.38 |
1.2× |
Repair of ankle ligament (27695)
unusually low: confirm this is the full procedure |
$1,908 |
$2,120 |
0.3× |
Repair of defect with autograft; radius OR ulna (25425)
likely a partial charge, not the full procedure |
$1,669.50 |
$1,855 |
0.3× |
| Repair of eye wound (65272) |
$965.03 |
$1,072.25 |
0.5× |
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure |
$2,677.95 |
$2,975.50 |
0.4× |
| Repair of foot bones (28320) |
$6,626.70 |
$7,363 |
0.6× |
| Repair Of Foot Tendon (28208) |
$4,081.28 |
$4,534.75 |
1.4× |
| Repair of hammertoe (28286) |
$1,098.90 |
$1,221 |
0.4× |
Repair of knee cartilage (27403)
likely a partial charge, not the full procedure |
$1,738.13 |
$1,931.25 |
0.3× |
| Repair of nail bed (11760) |
$667.80 |
$742 |
1.0× |
| Repair of nasal septum (30520) |
$1,867.05 |
$2,074.50 |
0.7× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400)
unusually low: confirm this is the full procedure |
$2,230.43 |
$2,478.25 |
0.4× |
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724)
unusually low: confirm this is the full procedure |
$3,070.80 |
$3,412 |
0.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$6,434.55 |
$7,149.50 |
1.0× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,705.63 |
$3,006.25 |
0.4× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,122.53 |
$1,247.25 |
0.2× |
| Repair rotator cuff acute (23410) |
$4,531.50 |
$5,035 |
0.7× |
| Repair wrist joints (25447) |
$2,289.60 |
$2,544 |
0.8× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$1,788.75 |
$1,987.50 |
0.6× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$3,528 |
$3,920 |
0.6× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,200.60 |
$1,334 |
0.4× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$1,719 |
$1,910 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$1,787.85 |
$1,986.50 |
0.6× |
| Resect arm/elbow tum < 5 cm (24077) |
$1,097.10 |
$1,219 |
0.4× |
| Resect Inferior Turbinate (30140) |
$831.72 |
$924.12 |
0.3× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$1,431 |
$1,590 |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$950.40 |
$1,056 |
0.3× |
| Retrobulbar injection alcohol (67505) |
$169.43 |
$188.25 |
0.6× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$4,960.80 |
$5,512 |
0.4× |
Revise hand/finger tendon (26390)
likely a partial charge, not the full procedure |
$1,383.30 |
$1,537 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,017.69 |
$2,241.88 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$1,173.38 |
$1,303.75 |
0.7× |
| Revise ulnar nerve at wrist (64719) |
$2,079.79 |
$2,310.88 |
1.2× |
| Revise vag graft via vagina (57295) |
$944.55 |
$1,049.50 |
0.3× |
Revision of collar bone (23480)
unusually low: confirm this is the full procedure |
$1,908 |
$2,120 |
0.3× |
| Revision of colostomy simple (44340) |
$2,860.43 |
$3,178.25 |
0.9× |
| Revision of iris (66761) |
$3,339 |
$3,710 |
7.0× |
| Revision of lower leg tendon (27685) |
$1,822.05 |
$2,024.50 |
0.6× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
unusually low: confirm this is the full procedure |
$4,050.22 |
$4,500.25 |
0.4× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low: confirm this is the full procedure |
$5,329.58 |
$5,921.75 |
0.5× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138)
unusually low: confirm this is the full procedure |
$4,209.52 |
$4,677.25 |
0.4× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
unusually low: confirm this is the full procedure |
$4,838.74 |
$5,376.38 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure |
$3,813.08 |
$4,236.75 |
0.3× |
| Revision of upper eyelid (15823) |
$2,788.88 |
$3,098.75 |
1.6× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$6,544.13 |
$7,271.25 |
2.2× |
| Revj clst comp rcnstj in-depth spx (44345) |
$4,352.85 |
$4,836.50 |
1.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,431 |
$1,590 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$155.03 |
$172.25 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$159.53 |
$177.25 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$881.10 |
$979 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,226.93 |
$1,363.25 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$595.35 |
$661.50 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$366.30 |
$407 |
0.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$3,229.20 |
$3,588 |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,044.80 |
$2,272 |
0.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$2,646 |
$2,940 |
0.5× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$1,458 |
$1,620 |
0.3× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$1,282.28 |
$1,424.75 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$920.70 |
$1,023 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$973.35 |
$1,081.50 |
1.5× |
Rpr non/malunion metarsal w/wo bone graft (28322)
unusually low: confirm this is the full procedure |
$2,090.25 |
$2,322.50 |
0.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,299.60 |
$1,444 |
2.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,202.75 |
$2,447.50 |
0.8× |
| Scrotal exploration (55110) |
$759.15 |
$843.50 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$791.78 |
$879.75 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$787.05 |
$874.50 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$391.05 |
$434.50 |
2.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$2,862 |
$3,180 |
1.0× |
| Shoulder arthroscopy (29805) |
$1,298.48 |
$1,442.75 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$810.90 |
$901 |
4.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$834.75 |
$927.50 |
2.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$644.96 |
$716.62 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$849.15 |
$943.50 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$404.78 |
$449.75 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$444.15 |
$493.50 |
2.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,044.90 |
$1,161 |
3.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$548.55 |
$609.50 |
3.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$718.43 |
$798.25 |
4.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,260.68 |
$1,400.75 |
7.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$398.48 |
$442.75 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$643.95 |
$715.50 |
3.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$360.68 |
$400.75 |
2.1× |
| Skin splt grft trnk/arm/leg (15100) |
$1,746.34 |
$1,940.38 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$398.70 |
$443 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$243.23 |
$270.25 |
0.4× |
| Skin tissue rearrangement (14040) |
$1,493.55 |
$1,659.50 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,717.20 |
$1,908 |
0.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$441.68 |
$490.75 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$457.54 |
$508.38 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$906.30 |
$1,007 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$829.35 |
$921.50 |
2.4× |
| Spinal puncture lumbar diagnostic (62270) |
$470.03 |
$522.25 |
0.8× |
| Strapping shoulder (29240) |
$267.98 |
$297.75 |
2.3× |
| Submucosal ablation of the tongue base, radiofrequency, one or more sites, per session (41530) |
$2,534.85 |
$2,816.50 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,414.80 |
$1,572 |
0.6× |
| Suture of 1 nerve ulnar motor (64836) |
$2,274.30 |
$2,527 |
0.8× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,144.80 |
$1,272 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$543.26 |
$603.62 |
1.6× |
| Tenodesis long tendon biceps (23430) |
$4,251.38 |
$4,723.75 |
0.7× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,339 |
$3,710 |
1.2× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,521 |
$1,690 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,024.65 |
$1,138.50 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$477 |
$530 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$630.34 |
$700.38 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$789.53 |
$877.25 |
2.8× |
| Thymectomy prtl/tot transcervical appr spx (60520) |
$3,339 |
$3,710 |
0.7× |
| Thyroid biopsy (60100) |
$2,011.50 |
$2,235 |
3.3× |
Tibial arthroscopy/surgery (29855)
unusually low: confirm this is the full procedure |
$2,173.28 |
$2,414.75 |
0.3× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$5,169.60 |
$5,744 |
0.5× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$3,625.20 |
$4,028 |
0.3× |
| Trach Tube Change (31502) |
$98.33 |
$109.25 |
0.5× |
| Tracheostomy planned (31600) |
$3,690.90 |
$4,101 |
1.3× |
| Transluminal dilation of aqueous outflow canal; with retention of device or stent (66175) |
$902.48 |
$1,002.75 |
0.2× |
| Transplant hand tendon (26480) |
$2,175.98 |
$2,417.75 |
0.8× |
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure |
$2,385 |
$2,650 |
0.2× |
| Treat Finger Fracture Each (26727) |
$1,311.75 |
$1,457.50 |
0.5× |
| Treat Fracture Radius & Ulna (25560) |
$3,339 |
$3,710 |
15.7× |
| Treat fx distal radial (25606) |
$1,049.40 |
$1,166 |
0.4× |
Treat fx rad extra-articul (25607)
unusually low: confirm this is the full procedure |
$2,047.28 |
$2,274.75 |
0.3× |
| Treat heel fracture (28415) |
$4,379.06 |
$4,865.62 |
0.7× |
| Treat humerus fracture (23630) |
$4,655.70 |
$5,173 |
0.7× |
Treat humerus fracture (23616)
likely a partial charge, not the full procedure |
$3,434.40 |
$3,816 |
0.2× |
| Treat humerus fracture (23600) |
$1,144.80 |
$1,272 |
5.4× |
| Treat knee fracture (27532) |
$2,644.88 |
$2,938.75 |
0.9× |
| Treat knuckle dislocation (26715) |
$1,585.58 |
$1,761.75 |
0.6× |
| Treat lower leg fracture (27828) |
$6,201 |
$6,890 |
0.6× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$3,111.98 |
$3,457.75 |
0.3× |
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure |
$2,723.63 |
$3,026.25 |
0.4× |
| Treat toe fracture (28525) |
$5,969.93 |
$6,633.25 |
2.1× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,811.70 |
$2,013 |
0.3× |
| Treat Vaginal Bleeding (57180) |
$339.53 |
$377.25 |
1.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,187.10 |
$1,319 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$247.95 |
$275.50 |
1.2× |
| Treatment of anal fissure (46940) |
$722.25 |
$802.50 |
0.3× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$2,098.80 |
$2,332 |
0.3× |
Treatment of ankle fracture (28436)
likely a partial charge, not the full procedure |
$1,367.10 |
$1,519 |
0.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,871.66 |
$2,079.62 |
0.3× |
Treatment of heel fracture (28406)
likely a partial charge, not the full procedure |
$1,558.80 |
$1,732 |
0.2× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$4,655.48 |
$5,172.75 |
0.7× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$3,426.30 |
$3,807 |
0.5× |
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure |
$1,093.50 |
$1,215 |
0.2× |
Treatment of thigh fracture (27513)
likely a partial charge, not the full procedure |
$3,136.50 |
$3,485 |
0.3× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$2,774.25 |
$3,082.50 |
0.3× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$306.68 |
$340.75 |
0.0× |
| Trim skin lesion (11055) |
$186.08 |
$206.75 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$810.90 |
$901 |
4.7× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,764.90 |
$1,961 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,431 |
$1,590 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,144.80 |
$1,272 |
1.8× |
| Unlisted laparoscopic procedure liver (47379) |
$5,331.60 |
$5,924 |
1.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$4,923 |
$5,470 |
24.1× |
| Unlisted procedure foot or toes (28899) |
$834.30 |
$927 |
3.9× |
| Unlisted Procedure Nervous System (64999) |
$5,129.55 |
$5,699.50 |
19.4× |
| Unlisted procedure palate uvula (42299) |
$5,590.35 |
$6,211.50 |
27.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$4,674.60 |
$5,194 |
6.0× |
| Venipuncture (36415) |
$12.83 |
$14.25 |
1.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$682.20 |
$758 |
0.2× |
| Vermilionectomy (lip shave), with mucosal advancement (40500) |
$1,287 |
$1,430 |
0.5× |
| Vulvectomy simple partial (56620) |
$2,847.38 |
$3,163.75 |
1.0× |
| Wedging of cast (29740) |
$163.58 |
$181.75 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$875.25 |
$972.50 |
2.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$930.15 |
$1,033.50 |
1.5× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$2,141.10 |
$2,379 |
0.5× |