| Abd paracentesis w/imaging (49083) |
$99 |
$247.50 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$410.80 |
$1,027 |
0.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,463.20 |
$3,658 |
0.8× |
| Amniocentesis diagnostic (59000) |
$93 |
$232.50 |
0.1× |
| Amputate Thigh,Re-Amputatn (27596) |
$374.80 |
$937 |
0.1× |
| Amputation Finger/Thumb (26951) |
$946 |
$2,365 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$1,521.54 |
$3,803.85 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,520 |
$3,800 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,467.20 |
$6,168 |
0.9× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,400 |
$3,500 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$996.20 |
$2,490.50 |
0.4× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$878.80 |
$2,197 |
0.2× |
| Application cast shoulder hand long arm (29065) |
$193.60 |
$484 |
0.8× |
| Application finger splint static (29130) |
$107.80 |
$269.50 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$120.20 |
$300.50 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$120.20 |
$300.50 |
0.9× |
| Application of long leg cast (29345) |
$97.80 |
$244.50 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$120.20 |
$300.50 |
1.0× |
| Application short leg splint calf foot (29515) |
$120.20 |
$300.50 |
0.9× |
| Apply short leg cast (29405) |
$105.20 |
$263 |
0.4× |
| Arterial puncture (36600) |
$29.60 |
$74 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$137.60 |
$344 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$182.80 |
$457 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$137.70 |
$344.25 |
0.5× |
| Aspir/inj thyroid cyst (60300) |
$359.20 |
$898 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$116.40 |
$291 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$304.80 |
$762 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$144.80 |
$362 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$84.40 |
$211 |
0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$56.40 |
$141 |
0.0× |
| Biopsy Breast Open Incisional (19101) |
$812.80 |
$2,032 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$783.80 |
$1,959.50 |
1.0× |
| Biopsy external ear (69100) |
$166.40 |
$416 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$754.80 |
$1,887 |
0.5× |
| Biopsy of nail unit (11755) |
$28.40 |
$71 |
0.0× |
| Biopsy of tongue (41100) |
$407.20 |
$1,018 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$818.20 |
$2,045.50 |
0.2× |
| Biopsy Oropharynx (42800) |
$1,260.80 |
$3,152 |
0.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$459.20 |
$1,148 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$268.50 |
$671.25 |
0.2× |
| Biopsy Salivary Gland Incisional (42405) |
$1,275.60 |
$3,189 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$116.80 |
$292 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$2,580 |
$6,450 |
0.8× |
| Blood patch (62273) |
$291.60 |
$729 |
0.5× |
| Blood transfusion service (36430) |
$199.80 |
$499.50 |
0.5× |
| Bone Marrow Biopsy (38221) |
$171.60 |
$429 |
0.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$112.80 |
$282 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$668 |
$1,670 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$252.80 |
$632 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$256.40 |
$641 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$404.80 |
$1,012 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$102 |
$255 |
0.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,139.20 |
$2,848 |
0.4× |
| Chest tube placement (32551) |
$386.80 |
$967 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$38 |
$95 |
0.3× |
| Circum 28 days or older (54161) |
$943.20 |
$2,358 |
0.5× |
| Circumcision (54150) |
$1,638.80 |
$4,097 |
0.9× |
| Circumcision Neonate (54160) |
$627.80 |
$1,569.50 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,355.20 |
$3,388 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$760 |
$1,900 |
0.5× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$106.80 |
$267 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$208.20 |
$520.50 |
0.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$771.60 |
$1,929 |
0.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$208.20 |
$520.50 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$538.80 |
$1,347 |
0.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$171 |
$427.50 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$208 |
$520 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$786.16 |
$1,965.39 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$541.60 |
$1,354 |
2.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$154 |
$385 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$134.60 |
$336.50 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$654.20 |
$1,635.50 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$538.80 |
$1,347 |
2.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$148 |
$370 |
0.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$171.20 |
$428 |
0.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,225.20 |
$3,063 |
0.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$225.09 |
$562.73 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$160 |
$400 |
0.8× |
| Closure of gastrostomy surgical (43870) |
$919 |
$2,297.50 |
0.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$538.60 |
$1,346.50 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,385.20 |
$3,463 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$208.20 |
$520.50 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$208.20 |
$520.50 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$208.20 |
$520.50 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$101.80 |
$254.50 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$134.60 |
$336.50 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$522.60 |
$1,306.50 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,225.20 |
$3,063 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$952.60 |
$2,381.50 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$225.10 |
$562.75 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,147.60 |
$2,869 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$152.20 |
$380.50 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$111 |
$277.50 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$97 |
$242.50 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$208.20 |
$520.50 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$208.20 |
$520.50 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$148.40 |
$371 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$168.40 |
$421 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$208 |
$520 |
1.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,313.34 |
$3,283.35 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$208 |
$520 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,280 |
$3,200 |
0.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,502.40 |
$3,756 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$570.80 |
$1,427 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$470.60 |
$1,176.50 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$927.20 |
$2,318 |
0.9× |
| Colonoscopy thru stoma (44388) |
$324.20 |
$810.50 |
0.4× |
| Colonoscopy w/resection (45390) |
$2,140 |
$5,350 |
0.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$847.20 |
$2,118 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$686.40 |
$1,716 |
0.7× |
| Complete replacement picc rs&i (36584) |
$88 |
$220 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$120.60 |
$301.50 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$101 |
$252.50 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$101 |
$252.50 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$101.60 |
$254 |
0.9× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$800 |
$2,000 |
0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$489.60 |
$1,224 |
1.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$208.20 |
$520.50 |
0.1× |
| Debride nail 1-5 (11720) |
$97.20 |
$243 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$154.40 |
$386 |
0.4× |
| Declot vascular device (36593) |
$167.20 |
$418 |
0.6× |
| Delivery placenta separate procedure (59414) |
$1,848.40 |
$4,621 |
0.7× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$74.40 |
$186 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$112.60 |
$281.50 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$70.40 |
$176 |
0.4× |
| Destruction Lesions Vulva Simple (56501) |
$1,142.40 |
$2,856 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$158.80 |
$397 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$25.60 |
$64 |
0.1× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$10.80 |
$27 |
0.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$90 |
$225 |
0.1× |
| Destruction of skin lesions (17106) |
$10.80 |
$27 |
0.0× |
| Destruction premalignant lesion 1st (17000) |
$146.72 |
$366.80 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$310.60 |
$776.50 |
0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$826.80 |
$2,067 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$177.80 |
$444.50 |
0.2× |
| Dilation of anal sphincter (45905) |
$1,111.60 |
$2,779 |
1.1× |
| Division of fallopian tube (58600) |
$1,615.20 |
$4,038 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$182.80 |
$457 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,236 |
$3,090 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$123.60 |
$309 |
0.7× |
| Drainage of eyelid abscess (67700) |
$182.20 |
$455.50 |
0.7× |
| Drainage of gum lesion (41800) |
$130.20 |
$325.50 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$813.20 |
$2,033 |
0.6× |
| Drainage of hydrocele (55000) |
$214.40 |
$536 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$753.60 |
$1,884 |
0.5× |
| Draw blood off venous device (36591) |
$38 |
$95 |
0.3× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$419.60 |
$1,049 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$176.80 |
$442 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$253.20 |
$633 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$176.80 |
$442 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,269.09 |
$5,672.72 |
0.9× |
| Dstrj lesion penis simple surg excision (54060) |
$742.80 |
$1,857 |
0.4× |
| Dx gastr intub w/asp spec (43754) |
$220.20 |
$550.50 |
1.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,517.60 |
$3,794 |
0.9× |
| Egd flexible foreign body removal (43247) |
$560 |
$1,400 |
0.7× |
| Egd guide wire insertion (43248) |
$750 |
$1,875 |
1.0× |
| Egd place gastrostomy tube (43246) |
$677.50 |
$1,693.75 |
0.4× |
| Egd remove lesion snare (43251) |
$578.30 |
$1,445.75 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,327.20 |
$3,318 |
0.8× |
| Enterorrhaphy single perforation (44602) |
$473.60 |
$1,184 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$785.92 |
$1,964.80 |
1.0× |
| Esophagoscopy flex biopsy (43202) |
$1,517.60 |
$3,794 |
0.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$708.40 |
$1,771 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$60.90 |
$152.25 |
0.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,302 |
$3,255 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$1,131.60 |
$2,829 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,166 |
$5,415 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,199.60 |
$2,999 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$990 |
$2,475 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,199.60 |
$2,999 |
0.8× |
| Exc face les sbq 2 cm/> (21012) |
$1,236 |
$3,090 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$742.80 |
$1,857 |
0.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,200 |
$3,000 |
0.8× |
| Exc forearm les sc < 3 cm (25075) |
$1,149.60 |
$2,874 |
0.8× |
| Exc hand les sc < 1.5 cm (26115) |
$1,296 |
$3,240 |
0.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,338 |
$5,845 |
0.8× |
| Exc neck tum deep < 5 cm (21556) |
$2,289.64 |
$5,724.10 |
0.9× |
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415)
likely a partial charge, not the full procedure |
$1,270.20 |
$3,175.50 |
0.2× |
| Exc rect tum transanal part (45171) |
$509.60 |
$1,274 |
0.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,236 |
$3,090 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$536.40 |
$1,341 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$314 |
$785 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$319.40 |
$798.50 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$463.20 |
$1,158 |
0.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,200 |
$3,000 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$797.80 |
$1,994.50 |
0.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,289.60 |
$5,724 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,719.20 |
$4,298 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$634 |
$1,585 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$782 |
$1,955 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,937.20 |
$4,843 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,719.20 |
$4,298 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$951.60 |
$2,379 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,459.60 |
$3,649 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,139.10 |
$2,847.75 |
1.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$610.01 |
$1,525.03 |
1.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,066.80 |
$5,167 |
0.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$641.40 |
$1,603.50 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,236 |
$3,090 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,166 |
$5,415 |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,289.60 |
$5,724 |
0.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,920.40 |
$4,801 |
1.4× |
| Excise excess skin & tissue (15839) |
$2,066.80 |
$5,167 |
0.8× |
Excise parotid gland/lesion (42410)
likely a partial charge, not the full procedure |
$1,320 |
$3,300 |
0.3× |
| Excise/repair mouth lesion (40812) |
$730.80 |
$1,827 |
0.5× |
| Excision Breast Lesion (19125) |
$1,410 |
$3,525 |
0.4× |
| Excision external ear partial simple repair (69110) |
$2,066.80 |
$5,167 |
0.8× |
| Excision hidradenitis axillary complex repair (11451) |
$1,422 |
$3,555 |
0.6× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,289.60 |
$5,724 |
0.9× |
| Excision hydrocele bilateral (55041) |
$2,560 |
$6,400 |
0.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$536.40 |
$1,341 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$562.80 |
$1,407 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$707.40 |
$1,768.50 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$332.40 |
$831 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$332 |
$830 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$431.20 |
$1,078 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$562.80 |
$1,407 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$742.80 |
$1,857 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,154.80 |
$2,887 |
0.8× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$610 |
$1,525 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$508.40 |
$1,271 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,149.60 |
$2,874 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$782 |
$1,955 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,047.20 |
$2,618 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$248.20 |
$620.50 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$508.40 |
$1,271 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$906 |
$2,265 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$2,560 |
$6,400 |
0.8× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$848 |
$2,120 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$782 |
$1,955 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$782 |
$1,955 |
0.5× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$2,454 |
$6,135 |
0.9× |
| Excision of local lesion of epididymis (54830) |
$880 |
$2,200 |
0.3× |
| Excision of nail fold toe (11765) |
$96.20 |
$240.50 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$638.40 |
$1,596 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$1,036.80 |
$2,592 |
1.0× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$1,007.40 |
$2,518.50 |
0.6× |
| Excision of vaginal septum (57130) |
$633.60 |
$1,584 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,289.60 |
$5,724 |
0.9× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,527 |
$3,817.50 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,199.60 |
$2,999 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,200 |
$3,000 |
0.8× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,148 |
$2,870 |
0.8× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$782 |
$1,955 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,459.60 |
$3,649 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,289.60 |
$5,724 |
0.9× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,289.64 |
$5,724.10 |
0.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,240.40 |
$3,101 |
0.7× |
| Exploration penetrating wound spx chest (20101) |
$1,009.80 |
$2,524.50 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$596 |
$1,490 |
0.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$304.20 |
$760.50 |
0.7× |
Explore parathyroid glands (60500)
likely a partial charge, not the full procedure |
$1,210.40 |
$3,026 |
0.2× |
| Explore/treat hand joint (26070) |
$650.80 |
$1,627 |
0.5× |
| Eye surgery procedure (66999) |
$1,617.60 |
$4,044 |
0.8× |
| Fetal Contraction Stress Test (59020) |
$133.20 |
$333 |
0.8× |
| Fetal non-stress test (59025) |
$119.20 |
$298 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$322.40 |
$806 |
0.5× |
| Fluoro exam of g/colon tube (49465) |
$133.48 |
$333.70 |
0.6× |
| Forehead flap w/vasc pedicle (15731) |
$2,734.80 |
$6,837 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,400 |
$3,500 |
0.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$936.40 |
$2,341 |
0.5× |
| Fusion of knuckle with graft (26852) |
$5,714.80 |
$14,287 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$129.45 |
$323.62 |
0.7× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$637.10 |
$1,592.75 |
0.2× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$948.80 |
$2,372 |
0.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$373.80 |
$934.50 |
0.1× |
| Hemorrhoidectomy external complete (46250) |
$1,993.80 |
$4,984.50 |
0.8× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$964.80 |
$2,412 |
0.4× |
| Hysteroscopy ablation (58563) |
$975.60 |
$2,439 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$207 |
$517.50 |
1.0× |
| I&d abscess simple (10060) |
$191.60 |
$479 |
1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,134.80 |
$2,837 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,205.20 |
$3,013 |
0.7× |
| I&d perianal abscess superficial (46050) |
$534 |
$1,335 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$115.80 |
$289.50 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,407 |
$3,517.50 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$200.50 |
$501.25 |
0.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,348.40 |
$3,371 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$508.40 |
$1,271 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$247.60 |
$619 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$156.20 |
$390.50 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$155.60 |
$389 |
0.6× |
| Incision of lingual frenum (41010) |
$361 |
$902.50 |
0.3× |
| Incision of rectal abscess (46040) |
$1,292.60 |
$3,231.50 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$165.40 |
$413.50 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$428 |
$1,070 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$110.20 |
$275.50 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$41.20 |
$103 |
0.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$554 |
$1,385 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$142 |
$355 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$212 |
$530 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$50 |
$125 |
0.2× |
| Ins endovas vena cava filtr (37191) |
$2,474.40 |
$6,186 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$50 |
$125 |
0.5× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$482.80 |
$1,207 |
0.5× |
| Insert Drug Implant Device (11981) |
$80 |
$200 |
0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,327.20 |
$3,318 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$711 |
$1,777.50 |
0.3× |
| Insert picc cath (36569) |
$590 |
$1,475 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$590 |
$1,475 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$117.90 |
$294.75 |
1.0× |
| Insert tunneled cv cath (36561) |
$1,525.73 |
$3,814.32 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$43.90 |
$109.75 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$834.26 |
$2,085.65 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$590 |
$1,475 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$191.60 |
$479 |
0.9× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,099.30 |
$2,748.25 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,375.40 |
$3,438.50 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$718 |
$1,795 |
0.1× |
Laparoscopy gastrostomy (43653)
unusually low: confirm this is the full procedure |
$2,220.60 |
$5,551.50 |
0.4× |
| Laparoscopy Remove Adnexa (58661) |
$2,636.40 |
$6,591 |
0.5× |
Laparoscopy tubal block (58671)
unusually low: confirm this is the full procedure |
$2,220.40 |
$5,551 |
0.4× |
| Laparoscopy Tubal Cautery (58670) |
$2,687.20 |
$6,718 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,014.60 |
$2,536.50 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,174.40 |
$2,936 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,437.60 |
$3,594 |
0.2× |
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure |
$1,285 |
$3,212.50 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,526 |
$6,315 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,246.80 |
$15,617 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$3,036 |
$7,590 |
0.6× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$993.90 |
$2,484.75 |
0.2× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$3,351.80 |
$8,379.50 |
0.6× |
| Late closure of wound (13160) |
$1,243.60 |
$3,109 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$725.40 |
$1,813.50 |
0.5× |
| Liver Biopsy (47000) |
$223.80 |
$559.50 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$403.20 |
$1,008 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$1,668.40 |
$4,171 |
0.6× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$1,823.20 |
$4,558 |
0.3× |
| Mastectomy gynecomastia (19300) |
$2,580 |
$6,450 |
0.8× |
| Mastectomy partial (19301) |
$1,219.80 |
$3,049.50 |
0.4× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$909 |
$2,272.50 |
0.2× |
| Musculoskeletal surgery (20999) |
$192 |
$480 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$149.78 |
$374.45 |
0.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,580 |
$6,450 |
0.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,595.60 |
$6,489 |
0.9× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,464.40 |
$3,661 |
0.5× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$630.60 |
$1,576.50 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,138 |
$2,845 |
0.8× |
| Partial removal of thyroid (60220) |
$3,320 |
$8,300 |
0.6× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure |
$2,262.80 |
$5,657 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$866 |
$2,165 |
0.3× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$2,381.20 |
$5,953 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$118 |
$295 |
0.2× |
| Perq device breast 1st imag (19281) |
$118 |
$295 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,326.80 |
$3,317 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$559.80 |
$1,399.50 |
2.6× |
| Pin knuckle dislocation (26706) |
$2,830.40 |
$7,076 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$319.20 |
$798 |
0.8× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$1,816.20 |
$4,540.50 |
0.3× |
| Proctosigmoidoscopy w/bx (45305) |
$1,004.40 |
$2,511 |
1.0× |
Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212)
unusually low: confirm this is the full procedure |
$2,262.80 |
$5,657 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$298.40 |
$746 |
0.9× |
| Puncture Aspiration (10160) |
$185.80 |
$464.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$231.08 |
$577.70 |
0.4× |
| Reduce testis torsion (54600) |
$797 |
$1,992.50 |
0.3× |
| Reduction of rectal prolapse (45900) |
$568 |
$1,420 |
0.7× |
| Removal fb intranasal (30300) |
$117.90 |
$294.75 |
1.0× |
| Removal foreign body foot deep (28192) |
$650.80 |
$1,627 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$248.20 |
$620.50 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$990 |
$2,475 |
0.7× |
| Removal foreign body pharynx (42809) |
$92 |
$230 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$44.80 |
$112 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$64.20 |
$160.50 |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$621 |
$1,552.50 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$85.60 |
$214 |
0.1× |
| Removal of growth of chest wall and rib (21601) |
$1,937.20 |
$4,843 |
0.8× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$462.80 |
$1,157 |
0.9× |
| Removal of intranasal lesion (30118) |
$2,276 |
$5,690 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$205.60 |
$514 |
0.8× |
| Removal of kneecap (27350) |
$5,714.80 |
$14,287 |
0.9× |
| Removal of nail bed (11750) |
$271.90 |
$679.75 |
0.8× |
| Removal Of Peritoneal-Venous Shunt (49429) |
$1,060.80 |
$2,652 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$229.20 |
$573 |
1.3× |
| Removal of sperm cord lesion (55520) |
$1,320 |
$3,300 |
0.4× |
| Removal of testis (54520) |
$732.40 |
$1,831 |
0.2× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$1,607.60 |
$4,019 |
0.6× |
| Remove anal fist subq (46270) |
$830 |
$2,075 |
0.3× |
| Remove drug implant device (11982) |
$303.60 |
$759 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$116 |
$290 |
0.4× |
| Remove foreign body from eye (65210) |
$163.80 |
$409.50 |
0.4× |
| Remove thyroid duct lesion (60280) |
$4,398 |
$10,995 |
0.8× |
| Remove wrist tendon lesion (25111) |
$1,147.60 |
$2,869 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,406.80 |
$3,517 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$88.40 |
$221 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$163.80 |
$409.50 |
1.4× |
| Repair blood vessel direct neck (35201) |
$389.60 |
$974 |
0.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,237.60 |
$3,094 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$491.20 |
$1,228 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$491.20 |
$1,228 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$444.20 |
$1,110.50 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$504.80 |
$1,262 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$238.80 |
$597 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$491.20 |
$1,228 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$491.20 |
$1,228 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$376.60 |
$941.50 |
0.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$878.60 |
$2,196.50 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,823.20 |
$7,058 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$238.80 |
$597 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$238.80 |
$597 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$238.80 |
$597 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$238.80 |
$597 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$238.80 |
$597 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$238.80 |
$597 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$238.80 |
$597 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$238.80 |
$597 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$238.80 |
$597 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$238.80 |
$597 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$238.80 |
$597 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$491.20 |
$1,228 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$491.20 |
$1,228 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$238.80 |
$597 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$238.80 |
$597 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$491.20 |
$1,228 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$436.20 |
$1,090.50 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$491.20 |
$1,228 |
0.3× |
| Repair of anal sphincter (46750) |
$1,116.70 |
$2,791.75 |
0.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,992 |
$12,480 |
0.9× |
| Repair of nail bed (11760) |
$104 |
$260 |
0.2× |
| Repair Tongue Laceration (41250) |
$119.20 |
$298 |
0.3× |
| Reposition gastrostomy tube (43761) |
$414.80 |
$1,037 |
1.9× |
| Rerepair ing hernia blocked (49521) |
$5,766.80 |
$14,417 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$956 |
$2,390 |
0.3× |
| Revise abdomen-venous shunt (49426) |
$1,122.20 |
$2,805.50 |
0.4× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,164.80 |
$2,912 |
0.4× |
| Revision of scrotum (55180) |
$2,780 |
$6,950 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$163.80 |
$409.50 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$163.80 |
$409.50 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$760 |
$1,900 |
0.7× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$1,621.30 |
$4,053.25 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$359.60 |
$899 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$405.10 |
$1,012.75 |
0.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$120 |
$300 |
0.3× |
| Rplc gtube revj gstrst trc (43763) |
$194.40 |
$486 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,169.60 |
$10,424 |
0.8× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$2,833.60 |
$7,084 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,169.60 |
$10,424 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,833.60 |
$7,084 |
0.9× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$2,833.60 |
$7,084 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,398 |
$10,995 |
0.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,833.60 |
$7,084 |
0.9× |
| Rpr blood vessel direct lower extremity (35226) |
$769 |
$1,922.50 |
1.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$590 |
$1,475 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$238.80 |
$597 |
0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$220.60 |
$551.50 |
1.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$203.60 |
$509 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$654 |
$1,635 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$654 |
$1,635 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$534 |
$1,335 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,036.80 |
$2,592 |
1.0× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,194 |
$5,485 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$158.80 |
$397 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$58 |
$145 |
0.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$313.20 |
$783 |
0.4× |
| Simple destruction of growth of penis using electric current (54055) |
$1,399.20 |
$3,498 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$100.40 |
$251 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$163.60 |
$409 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$151 |
$377.50 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$100.40 |
$251 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$151 |
$377.50 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$151 |
$377.50 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$151 |
$377.50 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$100.40 |
$251 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$151 |
$377.50 |
0.9× |
| Skin Tissue Procedure (17999) |
$811.20 |
$2,028 |
4.7× |
| Slitting of prepuce (54001) |
$952.20 |
$2,380.50 |
0.5× |
| Small bowel endoscopy (44376) |
$561.20 |
$1,403 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$151 |
$377.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$114.20 |
$285.50 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$238.80 |
$597 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$305.50 |
$763.75 |
0.5× |
| Strapping ankle (29540) |
$82.60 |
$206.50 |
0.6× |
| Strapping elbow/wrist (29260) |
$107.80 |
$269.50 |
2.1× |
| Strapping knee (29530) |
$67.60 |
$169 |
0.6× |
| Strapping shoulder (29240) |
$107.80 |
$269.50 |
0.9× |
| Strapping thorax (29200) |
$107.80 |
$269.50 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$144.40 |
$361 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$630.40 |
$1,576 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$210.80 |
$527 |
0.7× |
| Thyroid biopsy (60100) |
$100.40 |
$251 |
0.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$641.40 |
$1,603.50 |
0.4× |
| Total thyroid lobectomy unilateral (60225) |
$4,667.60 |
$11,669 |
0.9× |
| Trach Tube Change (31502) |
$125.90 |
$314.75 |
0.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$654.20 |
$1,635.50 |
0.5× |
| Transfer Any Pedicle Flap Any Location (15650) |
$1,390 |
$3,475 |
0.8× |
| Treat finger dislocation (26775) |
$240 |
$600 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$208.20 |
$520.50 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$208.20 |
$520.50 |
1.0× |
| Treatment of bone cyst (20615) |
$42 |
$105 |
0.1× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,098.40 |
$5,246 |
0.8× |
| Trim skin lesion (11055) |
$98 |
$245 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$548.20 |
$1,370.50 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,369.60 |
$3,424 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$800 |
$2,000 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$433.40 |
$1,083.50 |
0.7× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$530.80 |
$1,327 |
0.1× |
Unlisted laparoscopy procedure, biliary tract (47579)
unusually low: confirm this is the full procedure |
$2,129.60 |
$5,324 |
0.4× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,243.40 |
$3,108.50 |
0.2× |
Unlisted laparoscopy procedure, stomach (43659)
unusually low: confirm this is the full procedure |
$1,816.20 |
$4,540.50 |
0.3× |
| Unlisted procedure anus (46999) |
$729.20 |
$1,823 |
0.9× |
| Unlisted procedure leg/ankle (27899) |
$89.20 |
$223 |
0.4× |
| Unlisted procedure maternity care & delivery (59899) |
$622 |
$1,555 |
3.6× |
| Unlisted procedure neck or thorax (21899) |
$120 |
$300 |
0.6× |
| Unlisted Procedure Rectum (45999) |
$180.60 |
$451.50 |
0.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$502.40 |
$1,256 |
0.9× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$180 |
$450 |
0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$878.80 |
$2,197 |
1.1× |
| Unlisted procedure, male genital system (55899) |
$90.40 |
$226 |
0.4× |
| Unlisted procedure, salivary glands or ducts (42699) |
$185.60 |
$464 |
0.9× |
| Unlisted procedure, stomach (43999) |
$256.60 |
$641.50 |
0.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$450.80 |
$1,127 |
2.6× |
| Vaginal delivery only (59409) |
$2,383.20 |
$5,958 |
0.9× |
| Vasectomy (55250) |
$360 |
$900 |
0.2× |
| Venipuncture (36415) |
$4 |
$10 |
0.4× |