| Abd paracentesis w/imaging (49083) |
$2,358 |
$2,358 |
3.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,024.85 |
$1,024.85 |
1.3× |
| Acne Surgery (10040) |
$316.50 |
$316.50 |
1.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$3,072.25 |
$3,072.25 |
1.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,354.75 |
$3,354.75 |
1.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,868.50 |
$4,868.50 |
2.7× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$3,229.50 |
$3,229.50 |
1.8× |
| Amputation Finger/Thumb (26951) |
$5,191.20 |
$5,191.20 |
1.8× |
| Amputation metatarsal with toe single (28810) |
$4,609.95 |
$4,609.95 |
1.6× |
| Amputation thigh through femur any level (27590) |
$2,858.90 |
$2,858.90 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,744.50 |
$4,744.50 |
1.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,121.10 |
$3,121.10 |
1.1× |
| Amputation, foot; transmetatarsal (28805) |
$5,415.52 |
$5,415.52 |
1.9× |
| Ankle arthroscopy/surgery (29894) |
$4,985.42 |
$4,985.42 |
1.8× |
| Anoscopy Ablation Lesion (46615) |
$300 |
$300 |
0.1× |
| Anoscopy diagnostic (46600) |
$193 |
$193 |
1.7× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$1,500 |
$1,500 |
0.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$12,815 |
$12,815 |
3.0× |
| Appendectomy (44950) |
$5,267.75 |
$5,267.75 |
0.9× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$28.75 |
$28.75 |
0.2× |
| Application cast elbow finger short arm (29075) |
$157 |
$157 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$211.60 |
$211.60 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$173.50 |
$173.50 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$174.80 |
$174.80 |
3.4× |
| Application finger splint static (29130) |
$168.48 |
$168.48 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$211.28 |
$211.28 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$191.48 |
$191.48 |
1.4× |
| Application of long leg cast (29345) |
$246 |
$246 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$242.65 |
$242.65 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$191.48 |
$191.48 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$154 |
$154 |
1.3× |
| Application short leg splint calf foot (29515) |
$111.55 |
$111.55 |
0.8× |
| Application, cast; figure-of-eight (29049) |
$212.75 |
$212.75 |
0.9× |
| Apply short leg cast (29405) |
$415.72 |
$415.72 |
1.7× |
| Arterial puncture (36600) |
$163.25 |
$163.25 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$138 |
$138 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$183 |
$183 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$67.90 |
$67.90 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$8,212.50 |
$8,212.50 |
2.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,493.85 |
$1,493.85 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,401.85 |
$1,401.85 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,212.10 |
$1,212.10 |
0.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,702 |
$1,702 |
0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,038.32 |
$5,038.32 |
1.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,289.15 |
$1,289.15 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,574.35 |
$1,574.35 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,083.80 |
$2,083.80 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$10,745.72 |
$10,745.72 |
1.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,415.65 |
$1,415.65 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$5,176.35 |
$5,176.35 |
1.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,524.90 |
$1,524.90 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,336.80 |
$2,336.80 |
0.4× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
likely a partial charge, not the full procedure |
$1,859.55 |
$1,859.55 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,439.15 |
$2,439.15 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$5,234.80 |
$5,234.80 |
1.9× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$10,362.78 |
$10,362.78 |
1.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$785.50 |
$785.50 |
3.0× |
| Av fusion/forearm vein (36820) |
$7,570 |
$7,570 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$198 |
$198 |
1.1× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$14,500 |
$14,500 |
2.8× |
| Axillary lymphadenectomy; complete (38745) |
$8,720.85 |
$8,720.85 |
1.7× |
| Biopsy Bone Open Deep (20245) |
$3,828.50 |
$3,828.50 |
1.5× |
| Biopsy Breast Open Incisional (19101) |
$756.70 |
$756.70 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$327.50 |
$327.50 |
0.4× |
| Biopsy external ear (69100) |
$178.60 |
$178.60 |
0.9× |
| Biopsy finger joint lining (26110) |
$1,035 |
$1,035 |
0.7× |
| Biopsy of nail unit (11755) |
$1,037.50 |
$1,037.50 |
1.7× |
| Biopsy of uterus lining (58100) |
$132 |
$132 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$605 |
$605 |
0.2× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$1,212.10 |
$1,212.10 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$975.20 |
$975.20 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$960.25 |
$960.25 |
0.3× |
| Bladder Irrigation Simple (51700) |
$103.50 |
$103.50 |
0.5× |
| Blepharoplasty lower eyelid (15820) |
$1,160.35 |
$1,160.35 |
0.7× |
| Blepharoplasty upper eyelid (15822) |
$879.75 |
$879.75 |
0.5× |
| Blood patch (62273) |
$261.05 |
$261.05 |
0.4× |
| Blood transfusion service (36430) |
$74.75 |
$74.75 |
0.2× |
| Bone marrow aspiration only (38220) |
$4,118 |
$4,118 |
2.9× |
| Bone Marrow Biopsy (38221) |
$4,118 |
$4,118 |
2.9× |
| Bx breast 1st lesion us imag (19083) |
$378 |
$378 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$1,276 |
$1,276 |
1.6× |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
$1,185.65 |
$1,185.65 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$552 |
$552 |
2.9× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$288 |
$288 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$117.30 |
$117.30 |
0.5× |
| Chemical Cautery Tissue (17250) |
$147 |
$147 |
0.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$468.25 |
$468.25 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$408.25 |
$408.25 |
1.5× |
| Chemodenerv Musc Neck Dyston (64616) |
$530.62 |
$530.62 |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$433.26 |
$433.26 |
0.7× |
| Chemodenerv trunk musc 6/> (64647) |
$495.36 |
$495.36 |
0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$366.25 |
$366.25 |
1.4× |
| Chest tube placement (32551) |
$2,644.55 |
$2,644.55 |
1.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$250 |
$250 |
2.2× |
| Circum 28 days or older (54161) |
$2,845.50 |
$2,845.50 |
1.6× |
| Circumcision Neonate (54160) |
$2,900.88 |
$2,900.88 |
4.8× |
| Claviculectomy; partial (23120) |
$4,993.60 |
$4,993.60 |
1.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$3,083.35 |
$3,083.35 |
2.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$2,208 |
$2,208 |
10.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$464.02 |
$464.02 |
2.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,224.80 |
$3,224.80 |
2.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$811.32 |
$811.32 |
3.8× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,607.12 |
$1,607.12 |
1.2× |
| Closed Rx Med Malleolus Fx (27760) |
$519.22 |
$519.22 |
2.4× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,807.15 |
$2,807.15 |
2.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$3,215.02 |
$3,215.02 |
2.3× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,730.75 |
$1,730.75 |
1.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$3,291.75 |
$3,291.75 |
2.4× |
| Closed Rx Radial Shaft Fx (25500) |
$704.38 |
$704.38 |
3.3× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,264.15 |
$3,264.15 |
2.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$877.45 |
$877.45 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$451.38 |
$451.38 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$533.02 |
$533.02 |
2.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$497.95 |
$497.95 |
2.3× |
| Closed Rx Trimalleolar Fx (27816) |
$497.95 |
$497.95 |
2.3× |
| Closed Treat Vert Body Fract (22310) |
$929.78 |
$929.78 |
4.4× |
| Closed treat wrist dislocation (25660) |
$886.08 |
$886.08 |
4.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$386.98 |
$386.98 |
1.8× |
| Closed treatment of broken top of shin bone at knee (27538) |
$674.48 |
$674.48 |
3.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$876.88 |
$876.88 |
4.1× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$765.90 |
$765.90 |
3.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$746.92 |
$746.92 |
3.5× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$5,982.72 |
$5,982.72 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$413.42 |
$413.42 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$390.42 |
$390.42 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$936.10 |
$936.10 |
4.4× |
| Closed Treatment Sesamoid Fracture (28530) |
$294.98 |
$294.98 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$589.95 |
$589.95 |
2.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$762.45 |
$762.45 |
3.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$591.68 |
$591.68 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,159.02 |
$1,159.02 |
0.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$504.85 |
$504.85 |
2.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,147.42 |
$3,147.42 |
2.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,128.15 |
$1,128.15 |
5.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,568.52 |
$2,568.52 |
1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$695.75 |
$695.75 |
3.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,202.62 |
$3,202.62 |
2.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$394.45 |
$394.45 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,328.30 |
$3,328.30 |
2.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,872.72 |
$2,872.72 |
2.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,377.05 |
$2,377.05 |
11.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$569.25 |
$569.25 |
2.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$507.15 |
$507.15 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,039.50 |
$3,039.50 |
2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$694.02 |
$694.02 |
3.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,278.12 |
$3,278.12 |
2.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$443.90 |
$443.90 |
2.1× |
| Closed tx septal&nose fx (21337) |
$2,374.75 |
$2,374.75 |
0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$999.92 |
$999.92 |
4.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$340.40 |
$340.40 |
1.6× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$2,676.62 |
$2,676.62 |
0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$962.68 |
$962.68 |
0.7× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$498.52 |
$498.52 |
2.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$166.18 |
$166.18 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,135.35 |
$3,135.35 |
2.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$719.90 |
$719.90 |
3.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$827.42 |
$827.42 |
3.9× |
| Closure of gastrostomy surgical (43870) |
$1,335 |
$1,335 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$564.65 |
$564.65 |
2.8× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,157.48 |
$1,157.48 |
2.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$954.50 |
$954.50 |
4.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$431.25 |
$431.25 |
2.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$3,075.88 |
$3,075.88 |
2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$675.05 |
$675.05 |
3.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,150.62 |
$3,150.62 |
2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$745.78 |
$745.78 |
3.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$2,966.05 |
$2,966.05 |
2.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$769.35 |
$769.35 |
3.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,399.48 |
$2,399.48 |
1.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$667 |
$667 |
3.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$800.40 |
$800.40 |
3.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$765.90 |
$765.90 |
3.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$709.55 |
$709.55 |
3.3× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,445.38 |
$1,445.38 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$614.68 |
$614.68 |
2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$498.52 |
$498.52 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$485.88 |
$485.88 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$383.52 |
$383.52 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$760.72 |
$760.72 |
3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,165 |
$3,165 |
2.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,460.32 |
$1,460.32 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$710.70 |
$710.70 |
3.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$707.25 |
$707.25 |
3.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,192.98 |
$3,192.98 |
2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$350.75 |
$350.75 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$319.70 |
$319.70 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$339.82 |
$339.82 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$313.95 |
$313.95 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,848.55 |
$2,848.55 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$518.08 |
$518.08 |
2.4× |
| Cltx greater trochanteric fx w/o manj (27246) |
$1,046.50 |
$1,046.50 |
4.9× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$2,704.80 |
$2,704.80 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$403.65 |
$403.65 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,190.65 |
$1,190.65 |
0.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$2,017.10 |
$2,017.10 |
8.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$281.75 |
$281.75 |
1.3× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,164.30 |
$2,164.30 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$461.72 |
$461.72 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$754.98 |
$754.98 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$732.55 |
$732.55 |
3.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$764.18 |
$764.18 |
3.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,021.12 |
$2,021.12 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$305.90 |
$305.90 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$662.18 |
$662.18 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$633.08 |
$633.08 |
3.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$701.30 |
$701.30 |
3.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,754.82 |
$2,754.82 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$488.18 |
$488.18 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,628.75 |
$4,628.75 |
3.3× |
| Cltx prox tibfib jt dislc req anes (27831) |
$2,755.40 |
$2,755.40 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$569.82 |
$569.82 |
2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$534.75 |
$534.75 |
2.5× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$825.70 |
$825.70 |
0.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,244.92 |
$3,244.92 |
2.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,345.55 |
$3,345.55 |
2.4× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,579.92 |
$1,579.92 |
1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$715.88 |
$715.88 |
3.4× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$3,443.10 |
$3,443.10 |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$388.12 |
$388.12 |
1.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,848.55 |
$2,848.55 |
2.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$960.25 |
$960.25 |
4.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,167.98 |
$1,167.98 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,938.38 |
$1,938.38 |
1.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$3,012 |
$3,012 |
2.9× |
| Colonoscopy for bleeding (44391) |
$2,117 |
$2,117 |
2.1× |
| Colonoscopy stoma w/biopsy (44389) |
$728 |
$728 |
0.7× |
| Colonoscopy stoma w/snare (44394) |
$1,946.45 |
$1,946.45 |
1.9× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$1,581.82 |
$1,581.82 |
2.0× |
| Colonoscopy thru stoma (44388) |
$384.10 |
$384.10 |
0.5× |
| Colonoscopy w/fb removal (45379) |
$783 |
$783 |
0.8× |
| Colporrhaphy suture injury vagina (57200) |
$7,494.50 |
$7,494.50 |
2.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$295 |
$295 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$498.50 |
$498.50 |
2.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$812.50 |
$812.50 |
3.1× |
| Colposcopy vulva (56820) |
$498 |
$498 |
2.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$765.90 |
$765.90 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$771 |
$771 |
0.7× |
| Complex Drainage, Wound (10180) |
$427.60 |
$427.60 |
0.2× |
| Conization of cervix (57522) |
$633 |
$633 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$399.62 |
$399.62 |
2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$222.52 |
$222.52 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$290.55 |
$290.55 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$367.88 |
$367.88 |
3.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$282.90 |
$282.90 |
1.4× |
| Curettage postpartum (59160) |
$7,494.50 |
$7,494.50 |
2.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,910.50 |
$2,910.50 |
1.6× |
| Cystoscopy w/biopsy (52204) |
$3,811.40 |
$3,811.40 |
2.1× |
| Cystourethroscopy (52000) |
$382 |
$382 |
0.6× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$776 |
$776 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,230.02 |
$4,230.02 |
1.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$939.12 |
$939.12 |
1.5× |
| Debride nail 1-5 (11720) |
$46.75 |
$46.75 |
0.9× |
| Debride nail 6 or more (11721) |
$75.82 |
$75.82 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$246.50 |
$246.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$403 |
$403 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,600 |
$3,600 |
2.5× |
| Declot vascular device (36593) |
$66.20 |
$66.20 |
0.2× |
| Decompress fingers/hand (26037) |
$6,117.28 |
$6,117.28 |
2.2× |
| Delivery placenta separate procedure (59414) |
$3,558.68 |
$3,558.68 |
1.3× |
| Destroy internal hemorrhoids (46930) |
$499.10 |
$499.10 |
0.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$374.58 |
$374.58 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$215 |
$215 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$273 |
$273 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$600 |
$600 |
0.3× |
| Destruction of multiple growths of penis (54065) |
$3,430.75 |
$3,430.75 |
1.9× |
| Destruction of skin lesions (17106) |
$953.50 |
$953.50 |
2.7× |
| Destruction premalignant lesion 1st (17000) |
$129.75 |
$129.75 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$315 |
$315 |
0.4× |
| Dil urethra,female,subsequent (53661) |
$128 |
$128 |
1.1× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$441.60 |
$441.60 |
0.4× |
| Dilate urethra stricture (53620) |
$275 |
$275 |
0.5× |
| Dilate urethra stricture (53621) |
$256 |
$256 |
1.2× |
| Dilate Urethra Stricture (53600) |
$148.35 |
$148.35 |
0.7× |
| Dilation & curettage cervical stump (57558) |
$7,494.50 |
$7,494.50 |
2.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$7,494.50 |
$7,494.50 |
2.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$310 |
$310 |
0.4× |
| Dilation Esophagus Guide Wire (43453) |
$1,559 |
$1,559 |
0.9× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$130 |
$130 |
1.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$150 |
$150 |
1.3× |
| Division of fallopian tube (58600) |
$7,494.50 |
$7,494.50 |
2.7× |
| Drain lower leg bursa (27604) |
$4,543.68 |
$4,543.68 |
1.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$319.70 |
$319.70 |
0.5× |
| Drain outer ear canal lesion (69020) |
$489.45 |
$489.45 |
0.8× |
| Drain shoulder lesion (23030) |
$4,924.68 |
$4,924.68 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$461.85 |
$461.85 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$3,137.25 |
$3,137.25 |
2.2× |
| Drainage Finger Abscess Simple (26010) |
$305.90 |
$305.90 |
1.8× |
| Drainage of eyelid abscess (67700) |
$736.58 |
$736.58 |
2.7× |
| Drainage of gum lesion (41800) |
$334.08 |
$334.08 |
2.9× |
| Drainage of hematoma/fluid (10140) |
$370 |
$370 |
0.3× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$3,256.22 |
$3,256.22 |
2.3× |
| Drainage of scrotal wall abscess (55100) |
$381.80 |
$381.80 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$816.50 |
$816.50 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$477.08 |
$477.08 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$185 |
$185 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$141.85 |
$141.85 |
5.7× |
| Dstrj lesion anus simple surg excision (46922) |
$530 |
$530 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$470 |
$470 |
0.3× |
| Dx gastr intub w/asp spec (43754) |
$541 |
$541 |
2.9× |
| Dx gastr intub w/asp specs (43755) |
$179.40 |
$179.40 |
1.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,762.08 |
$2,762.08 |
1.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,305 |
$3,305 |
2.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,059.50 |
$1,059.50 |
0.6× |
| Egd flexible foreign body removal (43247) |
$2,228 |
$2,228 |
2.8× |
| Egd guide wire insertion (43248) |
$707 |
$707 |
0.9× |
| Egd injection varices (43243) |
$619.85 |
$619.85 |
0.4× |
| Egd place gastrostomy tube (43246) |
$2,627.78 |
$2,627.78 |
1.6× |
| Egd rem tumr/polyp forcep (43250) |
$783.50 |
$783.50 |
0.5× |
| Egd remove lesion snare (43251) |
$865.50 |
$865.50 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,182 |
$1,182 |
0.7× |
| Egd tube/cath insertion (43241) |
$361.10 |
$361.10 |
0.2× |
| Egd Varices Ligation (43244) |
$684.25 |
$684.25 |
0.4× |
| Endoscopy of bowel pouch (44385) |
$1,375.98 |
$1,375.98 |
1.7× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$2,605.60 |
$2,605.60 |
1.6× |
| Enterorrhaphy single perforation (44602) |
$2,440.50 |
$2,440.50 |
0.7× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,690.85 |
$2,690.85 |
1.6× |
| Episiotomy or vaginal repair (59300) |
$5,350.95 |
$5,350.95 |
1.9× |
| Esoph endoscopy dilation (43226) |
$645 |
$645 |
0.4× |
| Esoph scope w/submucous inj (43201) |
$438 |
$438 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$676.50 |
$676.50 |
0.9× |
| Esophagoscopy flex biopsy (43202) |
$608 |
$608 |
0.4× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$728 |
$728 |
0.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$693.50 |
$693.50 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$435 |
$435 |
0.6× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,115 |
$1,115 |
0.7× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$509.45 |
$509.45 |
0.3× |
| Esophagus endoscopy/ligation (43205) |
$520.95 |
$520.95 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$294.40 |
$294.40 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$72.50 |
$72.50 |
0.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,445.50 |
$2,445.50 |
1.7× |
| Exc abd les sc 3 cm/> (22903) |
$3,886.50 |
$3,886.50 |
1.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$4,168.50 |
$4,168.50 |
1.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,621.92 |
$2,621.92 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$300 |
$300 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$431 |
$431 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$899 |
$899 |
0.6× |
| Exc excessive skin &subq tissue forearm/hand (15837) |
$1,605.40 |
$1,605.40 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$2,657 |
$2,657 |
1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$191 |
$191 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$341.50 |
$341.50 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$777.50 |
$777.50 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$1,068.35 |
$1,068.35 |
0.8× |
| Exc frenum labial/buccal (40819) |
$4,058.50 |
$4,058.50 |
3.0× |
| Exc hand les sc < 1.5 cm (26115) |
$756.70 |
$756.70 |
0.5× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$292.10 |
$292.10 |
0.1× |
| Exc rect tum transanal part (45171) |
$4,262.02 |
$4,262.02 |
1.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$3,716.22 |
$3,716.22 |
2.6× |
| Exc skin abd (15830) |
$9,246.35 |
$9,246.35 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$204.50 |
$204.50 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$193 |
$193 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,645 |
$1,645 |
2.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,013.50 |
$2,013.50 |
3.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$471 |
$471 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,600 |
$3,600 |
2.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$794 |
$794 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$509 |
$509 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,655 |
$4,655 |
3.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$589 |
$589 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$907.35 |
$907.35 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$750.50 |
$750.50 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$721.05 |
$721.05 |
0.5× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$779.70 |
$779.70 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,974.72 |
$3,974.72 |
1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,072.22 |
$3,072.22 |
3.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$150 |
$150 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$6,343.60 |
$6,343.60 |
2.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$6,956.75 |
$6,956.75 |
2.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,899.72 |
$2,899.72 |
2.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,893.38 |
$3,893.38 |
1.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,582.82 |
$2,582.82 |
1.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,059 |
$4,059 |
1.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,519 |
$2,519 |
1.8× |
| Excise excess skin & tissue (15839) |
$2,043 |
$2,043 |
0.8× |
| Excise/repair mouth lesion (40812) |
$717.60 |
$717.60 |
0.5× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$1,081 |
$1,081 |
0.4× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$625.60 |
$625.60 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$721.05 |
$721.05 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$718 |
$718 |
0.3× |
| Excision lesion mouth roof (42104) |
$4,128 |
$4,128 |
1.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$360 |
$360 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$357.48 |
$357.48 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$452 |
$452 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$452 |
$452 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$486.45 |
$486.45 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$282.90 |
$282.90 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$356.50 |
$356.50 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$594.50 |
$594.50 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$750.50 |
$750.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$271.40 |
$271.40 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$420 |
$420 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$389.85 |
$389.85 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$481.85 |
$481.85 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,369.90 |
$2,369.90 |
1.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$537 |
$537 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$242 |
$242 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$327.75 |
$327.75 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$3,478.75 |
$3,478.75 |
2.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$8,212.35 |
$8,212.35 |
2.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,640 |
$2,640 |
1.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$151.80 |
$151.80 |
0.1× |
| Excision of nail fold toe (11765) |
$310 |
$310 |
0.9× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$1,026.95 |
$1,026.95 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$410.55 |
$410.55 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$414 |
$414 |
0.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$726.80 |
$726.80 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$738 |
$738 |
0.3× |
| Excision of Umbilicus (49250) |
$3,949.10 |
$3,949.10 |
1.3× |
| Excision olecranon bursa (24105) |
$4,696.78 |
$4,696.78 |
1.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,576 |
$1,576 |
0.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$856.75 |
$856.75 |
0.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$896 |
$896 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,620.35 |
$1,620.35 |
1.1× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,117.80 |
$4,117.80 |
2.9× |
| Excision, graft, extremity (35903) |
$9,821 |
$9,821 |
3.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,118 |
$4,118 |
2.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,186.75 |
$4,186.75 |
1.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,914.50 |
$3,914.50 |
1.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$912 |
$912 |
0.6× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$14,551.75 |
$14,551.75 |
2.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,807.72 |
$2,807.72 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$3,307.98 |
$3,307.98 |
2.3× |
| Exploration penetrating wound spx chest (20101) |
$2,927.32 |
$2,927.32 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,748.87 |
$1,748.87 |
1.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$4,640.42 |
$4,640.42 |
1.6× |
| Explore/treat hand joint (26070) |
$3,058.62 |
$3,058.62 |
2.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,816.35 |
$2,816.35 |
2.0× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$600 |
$600 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$4,902.62 |
$4,902.62 |
1.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,882 |
$4,882 |
1.7× |
| Filleted finger/toe flap (14350) |
$3,153.30 |
$3,153.30 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$233.50 |
$233.50 |
0.4× |
| Fixation of knee joint (27570) |
$2,289.45 |
$2,289.45 |
1.7× |
| Fixation of shoulder (23700) |
$669.30 |
$669.30 |
0.5× |
| Fluid pressure muscle (20950) |
$1,454.50 |
$1,454.50 |
2.4× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,291.75 |
$3,291.75 |
1.9× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,995 |
$1,995 |
1.1× |
| Fusion Finger Joint (26860) |
$4,635.18 |
$4,635.18 |
1.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$271.08 |
$271.08 |
1.5× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,504.70 |
$2,504.70 |
1.5× |
| Guide Cathet Fluid Drainage (10030) |
$1,742 |
$1,742 |
2.9× |
| Hemorrhoidectomy (46255) |
$4,103.90 |
$4,103.90 |
1.7× |
| Hemorrhoidectomy external complete (46250) |
$4,033.75 |
$4,033.75 |
1.7× |
| I&D Abscess Peritonsillar (42700) |
$534.18 |
$534.18 |
2.6× |
| I&d abscess simple (10060) |
$244 |
$244 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,046.92 |
$3,046.92 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,096.38 |
$3,096.38 |
1.7× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$3,364.90 |
$3,364.90 |
1.2× |
| I&d perianal abscess superficial (46050) |
$1,343.25 |
$1,343.25 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$400 |
$400 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$4,861 |
$4,861 |
3.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,953.98 |
$2,953.98 |
1.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,458.90 |
$1,458.90 |
1.9× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,434.62 |
$1,434.62 |
1.8× |
| Incise finger tendon sheath (26055) |
$684.25 |
$684.25 |
0.5× |
| Incise/drain eyelid lining (68020) |
$248.40 |
$248.40 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$380 |
$380 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,967 |
$3,967 |
1.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,413.20 |
$1,413.20 |
2.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$419.75 |
$419.75 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$295.65 |
$295.65 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$210.45 |
$210.45 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$250 |
$250 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$3,214.82 |
$3,214.82 |
2.3× |
| Incision of lingual frenum (41010) |
$2,763.25 |
$2,763.25 |
2.1× |
| Incision of rectal abscess (46040) |
$3,447.70 |
$3,447.70 |
3.3× |
| Incision thrombosed hemorrhoid external (46083) |
$392.88 |
$392.88 |
1.8× |
| Incision&drainage bursa foot (28001) |
$520.40 |
$520.40 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$402.90 |
$402.90 |
2.3× |
| Inj tendon sheath/ligament (20550) |
$126.75 |
$126.75 |
0.5× |
| Inject scleros soln in hemorrhoids (46500) |
$1,377.15 |
$1,377.15 |
1.7× |
| Inject Tendon Origin/Insert (20551) |
$149 |
$149 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$785 |
$785 |
3.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$136 |
$136 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$154 |
$154 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$618.95 |
$618.95 |
2.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$146.49 |
$146.49 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$244.30 |
$244.30 |
2.2× |
| Insert Drug Implant Device (11981) |
$358 |
$358 |
3.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,664 |
$1,664 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,480.62 |
$1,480.62 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,481.78 |
$1,481.78 |
0.5× |
| Insert pessary/other device (57160) |
$195 |
$195 |
1.1× |
| Insert picc cath (36569) |
$2,875 |
$2,875 |
2.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,035.50 |
$1,035.50 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$209.50 |
$209.50 |
1.8× |
| Insert tunneled cv cath (36561) |
$4,827.42 |
$4,827.42 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$124 |
$124 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,350 |
$1,350 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,527.62 |
$4,527.62 |
1.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$8,313.50 |
$8,313.50 |
3.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,540.52 |
$4,540.52 |
1.7× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$663.55 |
$663.55 |
3.2× |
| Intro Gastrointestinal Tube (44500) |
$778.55 |
$778.55 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$702.65 |
$702.65 |
3.4× |
| Knee arthroscopy/surgery (29883) |
$1,899.80 |
$1,899.80 |
0.7× |
| Knee arthroscopy/surgery (29876) |
$2,263.20 |
$2,263.20 |
0.8× |
| Lap ing hernia repair init (49650) |
$7,965.88 |
$7,965.88 |
1.5× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$25,239.50 |
$25,239.50 |
2.8× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,347.80 |
$1,347.80 |
0.3× |
| Laparoscopy Remove Adnexa (58661) |
$14,501.25 |
$14,501.25 |
2.8× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$25,239.50 |
$25,239.50 |
2.8× |
| Laparoscopy tubal block (58671) |
$14,501.25 |
$14,501.25 |
2.8× |
| Laparoscopy w/lysis of adhesions (58660) |
$8,411.55 |
$8,411.55 |
1.6× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$882.05 |
$882.05 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,606 |
$2,606 |
0.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$2,762 |
$2,762 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$5,391.75 |
$5,391.75 |
1.6× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$3,094.50 |
$3,094.50 |
0.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$25,239.50 |
$25,239.50 |
2.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,258 |
$8,258 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$8,295.50 |
$8,295.50 |
0.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$8,183.22 |
$8,183.22 |
1.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,910.62 |
$7,910.62 |
1.5× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$7,688.50 |
$7,688.50 |
1.5× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$25,239.50 |
$25,239.50 |
2.8× |
| Laryngoscopy Direct Aspiration (31515) |
$2,705.95 |
$2,705.95 |
8.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$470 |
$470 |
2.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$186.30 |
$186.30 |
1.1× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$375.48 |
$375.48 |
2.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$546.25 |
$546.25 |
0.4× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,585.72 |
$3,585.72 |
2.3× |
| Ligation of hemorrhoid(s) (46221) |
$501 |
$501 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$479.55 |
$479.55 |
0.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$953.35 |
$953.35 |
0.4× |
| Liver Biopsy (47000) |
$560 |
$560 |
0.4× |
| Marsup Bartholin Gland Cyst (56440) |
$4,061.20 |
$4,061.20 |
1.5× |
| Mast mod rad (19307) |
$7,615.88 |
$7,615.88 |
1.3× |
| Mastectomy partial (19301) |
$4,165.30 |
$4,165.30 |
1.2× |
| Mastectomy simple complete (19303) |
$5,717.22 |
$5,717.22 |
1.0× |
Mastopexy (19316)
unusually low: confirm this is the full procedure |
$1,815.85 |
$1,815.85 |
0.3× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$5,996.50 |
$5,996.50 |
2.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$234.08 |
$234.08 |
0.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,412.78 |
$1,412.78 |
1.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,145.40 |
$1,145.40 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$141.85 |
$141.85 |
5.7× |
| Neuroplasty digital 1/both same digit (64702) |
$1,695.10 |
$1,695.10 |
1.0× |
| Neuroplasty; nerve of hand or foot (64704) |
$3,106.40 |
$3,106.40 |
1.8× |
| Nipple/areola reconstruction (19350) |
$1,437.50 |
$1,437.50 |
0.4× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$3,699.55 |
$3,699.55 |
0.7× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,625.38 |
$3,625.38 |
1.3× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519)
unusually low: confirm this is the full procedure |
$2,030.90 |
$2,030.90 |
0.3× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$6,369.28 |
$6,369.28 |
1.0× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$2,273.55 |
$2,273.55 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,569.42 |
$4,569.42 |
1.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,638.68 |
$4,638.68 |
1.6× |
| Open tx nose fx uncomplicatd (21325) |
$3,543.15 |
$3,543.15 |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,657.18 |
$4,657.18 |
1.7× |
| Open tx septal fx w/wo stabj (21336) |
$3,899.08 |
$3,899.08 |
1.4× |
| Ovarian cystectomy (58925) |
$7,716.65 |
$7,716.65 |
1.8× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$1,630 |
$1,630 |
0.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,785.30 |
$2,785.30 |
2.0× |
| Partial removal of thyroid (60220) |
$8,514.42 |
$8,514.42 |
1.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$4,549.18 |
$4,549.18 |
1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$613.50 |
$613.50 |
0.2× |
| Peritoneal Lavage (49084) |
$1,356.10 |
$1,356.10 |
1.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,778 |
$2,778 |
2.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$551.90 |
$551.90 |
2.6× |
| Pin finger fracture each (26756) |
$4,494.68 |
$4,494.68 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$263.35 |
$263.35 |
0.7× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$1,953.95 |
$1,953.95 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$282.90 |
$282.90 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$800 |
$800 |
2.3× |
| Puncture Aspiration (10160) |
$331 |
$331 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,830 |
$1,830 |
3.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,040.10 |
$2,040.10 |
0.7× |
| Radial styloidectomy (25230) |
$969.45 |
$969.45 |
0.3× |
| Reconstruction of nail bed with graft (11762) |
$3,456.18 |
$3,456.18 |
1.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$7,817.70 |
$7,817.70 |
1.2× |
| Release i-p jt contracture (26525) |
$3,206.78 |
$3,206.78 |
2.3× |
| Removal fb intranasal (30300) |
$221.38 |
$221.38 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,026 |
$4,026 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$589 |
$589 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,938 |
$2,938 |
2.1× |
| Removal foreign body pharynx (42809) |
$339.88 |
$339.88 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$139 |
$139 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$119 |
$119 |
2.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$7,494.50 |
$7,494.50 |
2.7× |
| Removal Implant Deep (20680) |
$960.25 |
$960.25 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,497.12 |
$2,497.12 |
1.8× |
| Removal of anal fissure (46200) |
$840 |
$840 |
0.4× |
| Removal of arm foreign body (24200) |
$2,901.08 |
$2,901.08 |
2.0× |
| Removal of cervix (57530) |
$12,815 |
$12,815 |
3.0× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,155.75 |
$1,155.75 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$126 |
$126 |
0.5× |
| Removal of nail bed (11750) |
$416.50 |
$416.50 |
1.2× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$334.65 |
$334.65 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$152.38 |
$152.38 |
0.9× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$2,671.88 |
$2,671.88 |
1.6× |
| Removal of sperm cord lesion (55520) |
$5,300.30 |
$5,300.30 |
1.7× |
| Removal of wrist bone (25210) |
$1,658.30 |
$1,658.30 |
0.6× |
| Removal or relocation of corneal conjunctiva (65420) |
$831.45 |
$831.45 |
0.4× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$1,064.90 |
$1,064.90 |
0.5× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,776.28 |
$4,776.28 |
1.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$189.75 |
$189.75 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$78.20 |
$78.20 |
0.3× |
| Remove anal fist subq (46270) |
$3,995.25 |
$3,995.25 |
1.7× |
| Remove by ligat int hem grp (46945) |
$1,236.28 |
$1,236.28 |
0.5× |
| Remove by ligat int hem grps (46946) |
$700 |
$700 |
0.3× |
| Remove digit nerve lesion (64776) |
$885.50 |
$885.50 |
0.5× |
| Remove drug implant device (11982) |
$408 |
$408 |
1.1× |
| Remove Eyelid Foreign Body (67938) |
$374.90 |
$374.90 |
1.4× |
| Remove foreign body from eye (65210) |
$248.45 |
$248.45 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$5,362.18 |
$5,362.18 |
2.2× |
| Remove Peritoneal Foreign Body (49402) |
$9,328 |
$9,328 |
3.0× |
| Remove Pilonidal Cyst Exten (11771) |
$4,201.85 |
$4,201.85 |
1.7× |
| Remove shoulder foreign body (23330) |
$1,390.78 |
$1,390.78 |
1.0× |
| Remove skin nerve lesion (64774) |
$3,126.28 |
$3,126.28 |
1.9× |
| Remove wrist tendon lesion (25111) |
$713 |
$713 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$157.55 |
$157.55 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$253 |
$253 |
2.2× |
| Remv/revisn shldr/hip spica cast (29710) |
$399.62 |
$399.62 |
1.7× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$6,946.58 |
$6,946.58 |
2.6× |
| Repair brow defect (67900) |
$1,513.40 |
$1,513.40 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,354.52 |
$1,354.52 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,477 |
$1,477 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$994.50 |
$994.50 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,202 |
$1,202 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$645.75 |
$645.75 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$787.50 |
$787.50 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,303 |
$1,303 |
2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,462.02 |
$1,462.02 |
2.3× |
| Repair dislocated jaw (21490) |
$6,512.45 |
$6,512.45 |
2.3× |
| Repair elbow deb/attch open (24359) |
$5,576.35 |
$5,576.35 |
2.0× |
| Repair elbow perc (24357) |
$1,501.90 |
$1,501.90 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,347.28 |
$3,347.28 |
2.4× |
| Repair eyelid defect (67916) |
$976.35 |
$976.35 |
0.5× |
| Repair hand tendon (26410) |
$3,335.20 |
$3,335.20 |
2.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,286.85 |
$1,286.85 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,293.75 |
$1,293.75 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,320.20 |
$1,320.20 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$827.30 |
$827.30 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$580 |
$580 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,751.12 |
$1,751.12 |
5.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,150.25 |
$1,150.25 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$804.25 |
$804.25 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$821.75 |
$821.75 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,182.50 |
$1,182.50 |
3.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,360.50 |
$1,360.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$398 |
$398 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$538 |
$538 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,263.50 |
$1,263.50 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$3,723.50 |
$3,723.50 |
2.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$990.50 |
$990.50 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$550 |
$550 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$550.50 |
$550.50 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,388.50 |
$1,388.50 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$580 |
$580 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,616.45 |
$3,616.45 |
2.0× |
| Repair of nail bed (11760) |
$1,171.50 |
$1,171.50 |
1.8× |
| Repair of nasal septum (30520) |
$7,858 |
$7,858 |
2.7× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure |
$2,941.70 |
$2,941.70 |
0.5× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,187.30 |
$2,187.30 |
0.3× |
| Repair of thigh musc (27385) |
$10,517.50 |
$10,517.50 |
1.7× |
| Repair rectum & vagina (57250) |
$12,815 |
$12,815 |
3.0× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,600 |
$1,600 |
0.3× |
| Repair Spica/Body/Jacket Cast (29720) |
$185.72 |
$185.72 |
1.3× |
| Repair Tongue Laceration (41250) |
$301.88 |
$301.88 |
0.8× |
| Rerepair fem hernia blocked (49557) |
$1,627.25 |
$1,627.25 |
0.5× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,345 |
$1,345 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,183 |
$1,183 |
0.4× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$5,339.45 |
$5,339.45 |
1.9× |
| Revise external ear (69300) |
$1,361.60 |
$1,361.60 |
0.5× |
| Revise eye muscle (67311) |
$1,348.95 |
$1,348.95 |
0.7× |
| Revise eye muscle (67314) |
$1,518 |
$1,518 |
0.7× |
| Revise eye muscle(s) (67318) |
$1,529.50 |
$1,529.50 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$952.20 |
$952.20 |
0.6× |
| Revise two eye muscles (67316) |
$1,834.25 |
$1,834.25 |
0.9× |
| Revise ulnar nerve at elbow (64718) |
$2,026.30 |
$2,026.30 |
1.2× |
| Revision of iris (66761) |
$800.40 |
$800.40 |
1.7× |
| Revision of lower eyelid (15821) |
$1,233.95 |
$1,233.95 |
0.7× |
| Revision of upper eyelid (15823) |
$1,251.20 |
$1,251.20 |
0.7× |
| Rhytidectomy forehead (15824) |
$4,868.50 |
$4,868.50 |
2.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,089.30 |
$1,089.30 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$235.80 |
$235.80 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$193.78 |
$193.78 |
1.7× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,121.18 |
$2,121.18 |
2.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,068.50 |
$5,068.50 |
2.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,326.82 |
$1,326.82 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,711.20 |
$1,711.20 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,186.35 |
$1,186.35 |
2.2× |
| Rmvl vitreous ant appr partial removal (67005) |
$1,026.95 |
$1,026.95 |
0.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$909 |
$909 |
2.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,723.68 |
$4,723.68 |
1.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,074.50 |
$1,074.50 |
1.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,145.40 |
$1,145.40 |
5.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,308.12 |
$1,308.12 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,238.55 |
$1,238.55 |
2.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,390.35 |
$1,390.35 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$791.78 |
$791.78 |
1.5× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$244 |
$244 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$476 |
$476 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$504 |
$504 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$210 |
$210 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$257 |
$257 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$249 |
$249 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$307 |
$307 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$170 |
$170 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$240 |
$240 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$180 |
$180 |
0.5× |
| Shldr arthroscop,lyse adhesns (29825) |
$8,495.62 |
$8,495.62 |
3.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$167 |
$167 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$289 |
$289 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$220.50 |
$220.50 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$190 |
$190 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$356 |
$356 |
2.1× |
| Sigmoidoscopy & decompress (45337) |
$328.90 |
$328.90 |
0.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$944 |
$944 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$492.50 |
$492.50 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$562 |
$562 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$479 |
$479 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$830.50 |
$830.50 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$404.50 |
$404.50 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327 |
$327 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$782.25 |
$782.25 |
2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$475 |
$475 |
2.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$375.75 |
$375.75 |
2.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$566.78 |
$566.78 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$212 |
$212 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$555.50 |
$555.50 |
3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$293.40 |
$293.40 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$341.55 |
$341.55 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$4,868.50 |
$4,868.50 |
7.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$8,932 |
$8,932 |
5.0× |
| Skin tissue rearrangement (14040) |
$2,159.70 |
$2,159.70 |
1.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$5,252 |
$5,252 |
1.7× |
| Skn sub grft f/n/hf/g child (15277) |
$4,868.50 |
$4,868.50 |
2.7× |
| Small bowel endoscopy (44366) |
$2,779.98 |
$2,779.98 |
1.7× |
| Small bowel endoscopy (44364) |
$2,712.70 |
$2,712.70 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,789.75 |
$2,789.75 |
1.7× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,631.05 |
$2,631.05 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$259 |
$259 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$383 |
$383 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$818 |
$818 |
2.3× |
| Sphincterotomy (46080) |
$3,789.38 |
$3,789.38 |
1.6× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$1,630.70 |
$1,630.70 |
0.5× |
| Strapping ankle (29540) |
$166.18 |
$166.18 |
1.2× |
| Strapping elbow/wrist (29260) |
$178.25 |
$178.25 |
3.5× |
| Strapping hand/finger (29280) |
$177.10 |
$177.10 |
3.5× |
| Strapping Hip (29520) |
$213 |
$213 |
1.9× |
| Strapping knee (29530) |
$178.82 |
$178.82 |
1.6× |
| Strapping shoulder (29240) |
$185.15 |
$185.15 |
1.6× |
| Strapping thorax (29200) |
$215.85 |
$215.85 |
1.5× |
| Strapping toes (29550) |
$158.70 |
$158.70 |
3.1× |
| Strapping unna boot (29580) |
$325.82 |
$325.82 |
2.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$325 |
$325 |
0.8× |
| Suction assisted lipectomy head & neck (15876) |
$8,932 |
$8,932 |
2.9× |
| Suction assisted lipectomy lower extremity (15879) |
$8,932 |
$8,932 |
2.9× |
| Suction assisted lipectomy; trunk (15877) |
$8,932 |
$8,932 |
2.9× |
| Tendon excision palm/finger (26145) |
$3,003.22 |
$3,003.22 |
2.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$4,813.90 |
$4,813.90 |
1.7× |
| Tenotomy shoulder area single tendon (23405) |
$12,671 |
$12,671 |
2.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$3,735.60 |
$3,735.60 |
6.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,124.50 |
$1,124.50 |
2.1× |
| Thrombolytic Therapy, Stroke (37195) |
$934.95 |
$934.95 |
3.3× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,500.10 |
$2,500.10 |
0.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,716.95 |
$1,716.95 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$422.05 |
$422.05 |
2.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,159.20 |
$1,159.20 |
0.9× |
| Transfer Any Pedicle Flap Any Location (15650) |
$3,257.38 |
$3,257.38 |
1.8× |
| Treat clavicle dislocation (23530) |
$6,661.38 |
$6,661.38 |
1.1× |
| Treat elbow dislocation (24615) |
$12,763.82 |
$12,763.82 |
2.0× |
| Treat finger dislocation (26775) |
$1,115.50 |
$1,115.50 |
4.6× |
| Treat Finger Fracture Each (26727) |
$4,543.68 |
$4,543.68 |
1.6× |
| Treat Fracture Radius & Ulna (25560) |
$703.80 |
$703.80 |
3.3× |
| Treat fx distal radial (25606) |
$5,247.05 |
$5,247.05 |
1.9× |
| Treat humerus fracture (24500) |
$788.90 |
$788.90 |
3.7× |
| Treat humerus fracture (24577) |
$3,244.35 |
$3,244.35 |
2.3× |
| Treat humerus fracture (23600) |
$515.78 |
$515.78 |
2.4× |
| Treat knee fracture (27532) |
$2,961.82 |
$2,961.82 |
1.0× |
| Treat knuckle dislocation (26715) |
$6,114.40 |
$6,114.40 |
2.2× |
| Treat Metatarsal Fracture (28475) |
$441.60 |
$441.60 |
2.1× |
| Treat sesamoid bone fracture (28531) |
$3,377.55 |
$3,377.55 |
0.5× |
| Treat thumb fracture (26650) |
$4,547.42 |
$4,547.42 |
1.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$3,101.42 |
$3,101.42 |
2.2× |
| Treat toe fracture (28525) |
$3,614.45 |
$3,614.45 |
1.3× |
| Treat wrist bone fracture (25635) |
$3,123.85 |
$3,123.85 |
2.3× |
| Treat wrist bone fracture (25622) |
$735.42 |
$735.42 |
3.5× |
| Treat Wrist Bone Fracture (25630) |
$2,980.10 |
$2,980.10 |
14.0× |
| Treatment closed elbow dislocation req anes (24605) |
$865.50 |
$865.50 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$802.12 |
$802.12 |
3.8× |
| Treatment of fibula fracture (27784) |
$6,833.88 |
$6,833.88 |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$396.18 |
$396.18 |
1.9× |
| Trim skin lesion (11055) |
$500 |
$500 |
2.9× |
| Trim skin lesions 2 to 4 (11056) |
$265 |
$265 |
1.5× |
| Trim skin lesions over 4 (11057) |
$345 |
$345 |
2.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$76 |
$76 |
1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$7,494.50 |
$7,494.50 |
2.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$4,414.50 |
$4,414.50 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$537 |
$537 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$360 |
$360 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$971.32 |
$971.32 |
0.7× |
| Unlisted laparoscopy procedure, stomach (43659) |
$14,499 |
$14,499 |
2.8× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$7,809.48 |
$7,809.48 |
1.5× |
| Unlisted procedure anus (46999) |
$1,329.42 |
$1,329.42 |
1.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$575 |
$575 |
4.1× |
| Unlisted procedure foot or toes (28899) |
$647 |
$647 |
3.0× |
| Unlisted procedure shoulder (23929) |
$4,618.98 |
$4,618.98 |
21.7× |
| Unlisted procedure, stomach (43999) |
$965 |
$965 |
1.2× |
| Vaginal delivery only (59409) |
$4,986.40 |
$4,986.40 |
1.8× |
| Vaginal hysterectomy (58260) |
$12,814.75 |
$12,814.75 |
3.0× |
| Vasectomy (55250) |
$430.50 |
$430.50 |
0.2× |
| Vbac delivery only (59612) |
$4,986.40 |
$4,986.40 |
1.8× |
| Venipuncture (36415) |
$19 |
$19 |
2.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$78.78 |
$78.78 |
0.2× |
| Wedging of cast (29740) |
$210.45 |
$210.45 |
0.9× |
| Wedging of clubfoot cast (29750) |
$223.68 |
$223.68 |
0.9× |
| Windowing of cast (29730) |
$187.45 |
$187.45 |
1.3× |
| Wound Prep F/N/Hf/G (15004) |
$619.85 |
$619.85 |
1.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$517.50 |
$517.50 |
0.8× |
| Wrist arthroscop,excis triang cart (29846) |
$1,176.45 |
$1,176.45 |
0.4× |
| Wrist arthroscopy/surgery (29845) |
$1,297.20 |
$1,297.20 |
0.5× |