| Abd paracentesis w/imaging (49083) |
$927 |
$1,236 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$154.11 |
$205.49 |
0.2× |
| Ablate inf turbinate submuc (30802) |
$1,116.84 |
$1,489.12 |
0.8× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$817.69 |
$1,090.26 |
0.5× |
| Adding Walker Previously Applied Cast (29440) |
$231.75 |
$309 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$1,755.41 |
$2,340.54 |
0.6× |
| Amputation thigh through femur any level (27590) |
$1,931.25 |
$2,575 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$2,703.75 |
$3,605 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,525.69 |
$2,034.25 |
0.5× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,216.69 |
$1,622.25 |
0.2× |
| Anoscopy diagnostic (46600) |
$135.19 |
$180.25 |
1.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$809.19 |
$1,078.93 |
0.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$695.25 |
$927 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$386.25 |
$515 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,236 |
$1,648 |
0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$231.75 |
$309 |
1.5× |
| Application cast elbow finger short arm (29075) |
$386.25 |
$515 |
1.4× |
| Application Cast Finger (29086) |
$231.75 |
$309 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$320.59 |
$427.45 |
1.2× |
| Application Cast Shoulder Spica (29055) |
$386.25 |
$515 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$96.56 |
$128.75 |
1.7× |
| Application finger splint static (29130) |
$193.13 |
$257.50 |
1.5× |
| Application Hip Spica Cast 1 Leg (29305) |
$386.25 |
$515 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$231.75 |
$309 |
1.5× |
| Application Long Leg Cast Brace (29358) |
$306 |
$408.01 |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$386.25 |
$515 |
1.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$386.25 |
$515 |
1.4× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$386.25 |
$515 |
1.4× |
| Application of long leg cast (29345) |
$386.25 |
$515 |
1.4× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$386.25 |
$515 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$386.25 |
$515 |
1.4× |
| Application Patellar Tendon Bearing Cast (29435) |
$386.25 |
$515 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$193.13 |
$257.50 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$193.13 |
$257.50 |
1.5× |
| Apply Hand/Wrist Cast (29085) |
$231.75 |
$309 |
1.5× |
| Apply long leg splint (29505) |
$124.47 |
$165.96 |
0.8× |
| Apply short leg cast (29405) |
$386.25 |
$515 |
1.4× |
| Apply short leg cast (29425) |
$386.25 |
$515 |
1.4× |
| Apply short leg splint (29515) |
$152.66 |
$203.56 |
1.0× |
| Arterial puncture (36600) |
$27.52 |
$36.70 |
0.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$892.24 |
$1,189.65 |
0.3× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)
likely a partial charge, not the full procedure |
$1,095.02 |
$1,460.03 |
0.2× |
Artery-vein autograft (36825)
likely a partial charge, not the full procedure |
$973.35 |
$1,297.80 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$138.48 |
$184.63 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$322.64 |
$430.18 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$444.19 |
$592.25 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$230.01 |
$306.68 |
0.8× |
Arthrodesis triple (28715)
unusually low: confirm this is the full procedure |
$5,961.77 |
$7,949.03 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$25,492.50 |
$33,990 |
1.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,476.25 |
$4,635 |
1.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$3,669.38 |
$4,892.50 |
1.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,387.42 |
$4,516.55 |
1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,736.58 |
$3,648.78 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,553.50 |
$4,738 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,862.50 |
$5,150 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,592.12 |
$4,789.50 |
1.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,222.88 |
$9,630.50 |
1.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,975 |
$9,300 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,669.38 |
$4,892.50 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,338.75 |
$9,785 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$13,132.50 |
$17,510 |
1.9× |
| Arthrotomy with biopsy; metatarsophalangeal joint Facility (28052) |
$3,379.69 |
$4,506.25 |
1.1× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$6,300 |
$8,400 |
2.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,454.62 |
$9,939.50 |
1.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,476.25 |
$4,635 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$585 |
$780 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$144.84 |
$193.13 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$527.23 |
$702.98 |
0.3× |
Av Fuse Uppr Arm Basilic (36819)
likely a partial charge, not the full procedure |
$1,378.91 |
$1,838.55 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$149.87 |
$199.82 |
0.8× |
| Biopsy external ear (69100) |
$146 |
$194.67 |
0.6× |
| Biopsy muscle deep (20205) |
$540.75 |
$721 |
0.2× |
| Biopsy of breast; open, incisional (19101) |
$1,967.27 |
$2,623.02 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,989.19 |
$2,652.25 |
0.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,896.88 |
$3,862.50 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$259.56 |
$346.08 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$95.79 |
$127.72 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,158.75 |
$1,545 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$3,823.88 |
$5,098.50 |
1.0× |
| Bladder Irrigation Simple (51700) |
$121.08 |
$161.45 |
0.5× |
| Blepharoplasty lower eyelid (15820) |
$261.30 |
$348.40 |
0.1× |
| Blepharoplasty, Upper Eyelid (15822) |
$261.30 |
$348.40 |
0.1× |
| Blepharotomy drain absc eyelid (67700) |
$213.02 |
$284.02 |
0.7× |
| Blood transfusion service (36430) |
$558.32 |
$744.43 |
1.3× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Breast Reduction (19318)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,660.88 |
$2,214.50 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,896.88 |
$3,862.50 |
1.8× |
| Casting/strapping procedure (29799) |
$85.17 |
$113.56 |
0.5× |
| Cataract surgery complex (66982) |
$3,090 |
$4,120 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$115.88 |
$154.50 |
0.6× |
| Change of cystostomy tube simple (51705) |
$193.13 |
$257.50 |
0.8× |
| Chemical cautery tissue (17250) |
$85.56 |
$114.08 |
0.4× |
| Circum 28 days or older (54161) |
$447.28 |
$596.37 |
0.2× |
| Circumcision (54150) |
$202.78 |
$270.38 |
0.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$268.35 |
$357.80 |
1.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$213.02 |
$284.02 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$181.34 |
$241.79 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$181.34 |
$241.79 |
0.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$181.34 |
$241.79 |
0.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$136.73 |
$182.31 |
0.6× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,001.35 |
$1,335.14 |
0.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$181.34 |
$241.79 |
0.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,409.82 |
$1,879.75 |
0.9× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$193.32 |
$257.76 |
0.8× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$137.31 |
$183.08 |
0.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$181.34 |
$241.79 |
0.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$484.64 |
$646.20 |
0.3× |
| Closed Treatment Sesamoid Fracture (28530) |
$181.34 |
$241.79 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$181.34 |
$241.79 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$363.26 |
$484.36 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$455.68 |
$607.57 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$303.59 |
$404.79 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$181.34 |
$241.79 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$181.34 |
$241.79 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$772.50 |
$1,030 |
3.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$367.52 |
$490.02 |
1.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$181.34 |
$241.79 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$181.34 |
$241.79 |
0.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$181.34 |
$241.79 |
0.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$181.34 |
$241.79 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$213.02 |
$284.02 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$193.32 |
$257.76 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$181.34 |
$241.79 |
0.8× |
| Closure of gastrostomy, surgical (43870) |
$973.35 |
$1,297.80 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$298.19 |
$397.58 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,041.33 |
$1,388.44 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$319.43 |
$425.90 |
1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$181.34 |
$241.79 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$374.56 |
$499.42 |
0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$298.19 |
$397.58 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$181.34 |
$241.79 |
0.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$648.90 |
$865.20 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$596.18 |
$794.90 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$181.34 |
$241.79 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$298.19 |
$397.58 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$204.42 |
$272.56 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$181.34 |
$241.79 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$516.51 |
$688.68 |
0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$193.32 |
$257.76 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$136.73 |
$182.31 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$153.54 |
$204.72 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$276.84 |
$369.12 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$234.26 |
$312.35 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$181.34 |
$241.79 |
0.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$181.34 |
$241.79 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$366.94 |
$489.25 |
1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$270.76 |
$361.02 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$530.80 |
$707.74 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$362.02 |
$482.68 |
1.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$234.26 |
$312.35 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$309.58 |
$412.78 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$181.34 |
$241.79 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$576.48 |
$768.64 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$362.02 |
$482.68 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$196.12 |
$261.49 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$412.71 |
$550.28 |
1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$181.34 |
$241.79 |
0.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$181.34 |
$241.79 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$186.56 |
$248.74 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,000 |
$1,333.34 |
0.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$181.34 |
$241.79 |
0.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$181.34 |
$241.79 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$496.24 |
$661.64 |
0.3× |
| Colonoscopy flex w/blln dilat (45386) |
$1,492.47 |
$1,989.96 |
1.3× |
| Colonoscopy flex w/inj submuc (45381) |
$589.04 |
$785.38 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$1,262.75 |
$1,683.66 |
1.1× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,187.72 |
$1,583.62 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$323.68 |
$431.57 |
0.3× |
| Colonoscopy stoma w/biopsy (44389) |
$796.93 |
$1,062.58 |
0.7× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$323.68 |
$431.57 |
0.4× |
| Colonoscopy thru stoma (44388) |
$713.79 |
$951.72 |
0.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$984.94 |
$1,313.25 |
0.9× |
| Colonoscopy w/ablation (45388) |
$2,781 |
$3,708 |
2.4× |
| Colonoscopy w/band ligation (45398) |
$2,124.38 |
$2,832.50 |
1.9× |
| Colonoscopy w/fb removal (45379) |
$391.85 |
$522.47 |
0.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$846.76 |
$1,129.01 |
0.7× |
| Colpocentesis (57020) |
$744.11 |
$992.15 |
0.2× |
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure |
$5.85 |
$7.80 |
0.0× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Complex Cystometrogram (51726) |
$973.35 |
$1,297.80 |
4.1× |
| Complex cystometrogram urethral press profile (51727) |
$272.69 |
$363.59 |
0.4× |
| Complex Uroflowmetry (51741) |
$243.34 |
$324.45 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$162.52 |
$216.68 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$188.78 |
$251.70 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$184.43 |
$245.91 |
0.4× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$14,291.25 |
$19,055 |
1.2× |
| Correction hammertoe (28285) |
$5,021.25 |
$6,695 |
1.6× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
likely a partial charge, not the full procedure |
$1,216.69 |
$1,622.25 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$183.86 |
$245.14 |
1.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$270.38 |
$360.50 |
0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$724.22 |
$965.62 |
0.4× |
| Cysto w/insert ureteral stent (52332) |
$1,388.38 |
$1,851.17 |
0.4× |
| Cysto w/removal of tumors small (52234) |
$386.06 |
$514.74 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,108.92 |
$2,811.90 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$473.16 |
$630.88 |
0.1× |
| Cysto/uretero w/up stricture (52345) |
$701.04 |
$934.73 |
0.2× |
| Cystometrogram w/vp (51728) |
$152.38 |
$203.17 |
0.2× |
| Cystouretero & or pyeloscope (52351) |
$425.84 |
$567.79 |
0.1× |
| Cystourethroscopy (52000) |
$695.25 |
$927 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$270.38 |
$360.50 |
0.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$270.38 |
$360.50 |
0.1× |
| Cystourethroscopy with biopsy (52204) |
$270.38 |
$360.50 |
0.1× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,911.94 |
$2,549.25 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$109.12 |
$145.49 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,040.94 |
$1,387.93 |
1.5× |
| Debride nail 1-5 (11720) |
$49.34 |
$65.80 |
0.9× |
| Debride tissue/muscle (11043) |
$340.48 |
$453.98 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$122.44 |
$163.26 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,178.06 |
$1,570.75 |
0.7× |
| Declot vascular device (36593) |
$355.83 |
$474.44 |
1.1× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$3,476.25 |
$4,635 |
1.1× |
| Decompression Of Tibia Nerve (28035) |
$2,394.75 |
$3,193 |
1.3× |
| Delivery placenta separate procedure (59414) |
$1,447.86 |
$1,930.48 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$231.75 |
$309 |
0.2× |
| Destruction Benign Lesions 15/> (17111) |
$196.50 |
$262 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$142.91 |
$190.55 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$154.11 |
$205.49 |
0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$193.13 |
$257.50 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$215.91 |
$287.89 |
1.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$233.68 |
$311.58 |
0.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$274.24 |
$365.65 |
0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$126.69 |
$168.92 |
0.7× |
| Destruction of skin lesions (17106) |
$528.97 |
$705.29 |
1.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$109.50 |
$146 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$68.95 |
$91.93 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$954.04 |
$1,272.05 |
1.1× |
| Dilate urethra stricture (53600) |
$255.50 |
$340.67 |
1.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$963.60 |
$1,284.80 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$191.68 |
$255.57 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$213.02 |
$284.02 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$211.56 |
$282.09 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,183.86 |
$1,578.48 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$105.16 |
$140.21 |
0.5× |
| Drainage of gum lesion (41800) |
$218.04 |
$290.72 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$785.06 |
$1,046.74 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$979.43 |
$1,305.91 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$147.55 |
$196.73 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$247.39 |
$329.86 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$127.46 |
$169.95 |
0.7× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$940.91 |
$1,254.54 |
1.3× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$1,307.65 |
$1,743.53 |
0.7× |
| Dstrj lesion anus simple surg excision (46922) |
$1,449.21 |
$1,932.28 |
0.5× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$189.84 |
$253.12 |
0.1× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$162.23 |
$216.30 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$309 |
$412 |
0.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$386.25 |
$515 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$348.78 |
$465.05 |
0.2× |
| Egd band ligation esophgeal/gastric varices (43244) |
$579.95 |
$773.27 |
0.3× |
| Egd control bleeding any (43255) |
$556.59 |
$742.12 |
0.3× |
| Egd dilate stricture (43245) |
$628.62 |
$838.16 |
0.3× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$377.17 |
$502.90 |
0.2× |
| Egd flexible foreign body removal (43247) |
$502.90 |
$670.53 |
0.6× |
| Egd guide wire insertion (43248) |
$264.58 |
$352.78 |
0.3× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$384.51 |
$512.68 |
0.2× |
| Egd place gastrostomy tube (43246) |
$502.90 |
$670.53 |
0.3× |
| Egd remove lesion snare (43251) |
$433.95 |
$578.60 |
0.2× |
| Egd tube/cath insertion (43241) |
$220.74 |
$294.32 |
0.1× |
| Egd us exam duodenum/jejunum (43259) |
$404.79 |
$539.72 |
0.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$243.34 |
$324.45 |
2.0× |
| Endoscopy bowel pouch/biop (44386) |
$656.63 |
$875.50 |
0.7× |
| Endoscopy Upper Small Intestine (44360) |
$1,842.42 |
$2,456.55 |
1.0× |
| Enterorrhaphy single perforation (44602) |
$811.13 |
$1,081.50 |
0.2× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$657.98 |
$877.30 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,275.98 |
$3,034.64 |
0.6× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$1,139.63 |
$1,519.51 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,744.98 |
$2,326.64 |
0.5× |
| Ercp sphincter pressure meas (43263) |
$584.01 |
$778.68 |
0.3× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$1,524.53 |
$2,032.71 |
0.4× |
| Ercp W/Biopsy Single/Multiple (43261) |
$508.69 |
$678.26 |
0.1× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,426.52 |
$3,235.36 |
0.7× |
| Esophagoscopy control bleed (43227) |
$299.34 |
$399.13 |
0.2× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$185.01 |
$246.69 |
0.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$245.08 |
$326.77 |
0.1× |
| Esophagoscopy flexible guide wire dilation (43226) |
$202.01 |
$269.35 |
0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$159.14 |
$212.18 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$173.62 |
$231.49 |
0.1× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$313.25 |
$417.67 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$223.06 |
$297.41 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$207.80 |
$277.07 |
0.1× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$462.92 |
$617.23 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$46.93 |
$62.57 |
0.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,037.50 |
$4,050 |
1.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,950.56 |
$2,600.75 |
1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$366.94 |
$489.25 |
0.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$202.78 |
$270.38 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$287.18 |
$382.90 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$280.03 |
$373.38 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$213.40 |
$284.54 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$2,047.12 |
$2,729.50 |
1.3× |
| Exc back tum deep < 5 cm (21932) |
$3,147.94 |
$4,197.25 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$344.34 |
$459.12 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$576.86 |
$769.15 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$545.96 |
$727.95 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$393.40 |
$524.53 |
0.1× |
| Exc rect tum transanal part (45171) |
$1,989.19 |
$2,652.25 |
0.7× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$309 |
$412 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$190.61 |
$254.15 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$263.62 |
$351.49 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$424.88 |
$566.50 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$486.68 |
$648.90 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$371.48 |
$495.30 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$342.41 |
$456.55 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$657.01 |
$876.02 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$502.13 |
$669.50 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,390.50 |
$1,854 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,660.88 |
$2,214.50 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$733.88 |
$978.50 |
0.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,037.50 |
$4,050 |
1.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,974.12 |
$3,965.50 |
1.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,008.50 |
$2,678 |
0.7× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,236 |
$1,648 |
0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,927.88 |
$2,570.50 |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$919.08 |
$1,225.44 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$730.01 |
$973.35 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$611.05 |
$814.73 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,815.38 |
$2,420.50 |
1.1× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,989.19 |
$2,652.25 |
1.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,625 |
$3,500 |
0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,081.25 |
$2,775 |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,979.54 |
$2,639.38 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$730.01 |
$973.35 |
0.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,366.25 |
$7,155 |
1.9× |
| Exchange intraocular lens (66986) |
$1,660.88 |
$2,214.50 |
0.8× |
| Excise excessive skin arm (15836) |
$261.30 |
$348.40 |
0.1× |
| Excision Breast Lesion (19125) |
$5,310.94 |
$7,081.25 |
1.4× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$3,408.66 |
$4,544.88 |
1.1× |
| Excision external ear partial simple repair (69110) |
$579.38 |
$772.50 |
0.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$228.85 |
$305.14 |
0.1× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,274.63 |
$1,699.50 |
1.3× |
| Excision lesion meniscus/capsule knee (27347) |
$3,437.62 |
$4,583.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$212.63 |
$283.51 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$830.44 |
$1,107.25 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$461.57 |
$615.42 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$695.25 |
$927 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$442.50 |
$590 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$219 |
$292.01 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$275.01 |
$366.68 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$348.40 |
$464.54 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$408.46 |
$544.62 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$524.14 |
$698.86 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$231.75 |
$309 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$248.36 |
$331.15 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,236 |
$1,648 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$346.47 |
$461.96 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$405.56 |
$540.75 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,935.50 |
$3,914 |
1.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$225.57 |
$300.76 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$299.34 |
$399.13 |
0.4× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) |
$5,745.47 |
$7,660.62 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,631.72 |
$2,175.62 |
1.1× |
| Excision of hydrocele unilateral (55040) |
$816.92 |
$1,089.23 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$235.23 |
$313.64 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$222.29 |
$296.38 |
0.1× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,394.75 |
$3,193 |
1.1× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$502.13 |
$669.50 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$436.46 |
$581.95 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$162.23 |
$216.30 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,680.67 |
$2,240.90 |
1.5× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500)
likely a partial charge, not the full procedure |
$952.30 |
$1,269.73 |
0.2× |
| Excision olecranon bursa (24105) |
$5,793.75 |
$7,725 |
1.8× |
Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356)
unusually low: confirm this is the full procedure |
$5,793.75 |
$7,725 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$3,525 |
$4,700 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,747.78 |
$2,330.38 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,120.12 |
$1,493.50 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,584.38 |
$2,112.50 |
1.0× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$313.25 |
$417.67 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,197.38 |
$1,596.50 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$261.30 |
$348.40 |
0.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$261.30 |
$348.40 |
0.1× |
| Excision, ischial pressure ulcer, with primary suture; Facility (15940) |
$973.35 |
$1,297.80 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,943.22 |
$3,924.30 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,255.32 |
$1,673.75 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,854 |
$2,472 |
1.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$3,032.06 |
$4,042.75 |
1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,781 |
$3,708 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,738.12 |
$2,317.50 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,047.12 |
$2,729.50 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,987.50 |
$2,650 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$586.52 |
$782.03 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$901.80 |
$1,202.40 |
0.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,243.53 |
$1,658.04 |
2.4× |
| Explore limb vessels (35860) |
$1,525.69 |
$2,034.25 |
0.5× |
| Explore/treat hand joint (26070) |
$772.50 |
$1,030 |
0.5× |
| Fasciotomy Iliotibial Open (27305) |
$3,379.69 |
$4,506.25 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$3,476.25 |
$4,635 |
1.1× |
| Fasciotomy palmar percutaneous (26040) |
$1,776.75 |
$2,369 |
1.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$2,124.38 |
$2,832.50 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$81.11 |
$108.15 |
0.2× |
| Fit/Insert Intravag Support Device (57160) |
$170.34 |
$227.12 |
0.9× |
| Fixation of shoulder (23700) |
$3,000 |
$4,000 |
1.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$239.67 |
$319.56 |
1.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,896.88 |
$3,862.50 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$950.18 |
$1,266.90 |
0.5× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$261.30 |
$348.40 |
0.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$13,387.50 |
$17,850 |
1.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$3,669.38 |
$4,892.50 |
1.2× |
| Hemorrhoidectomy (46255) |
$3,138.28 |
$4,184.38 |
1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,755.41 |
$3,673.88 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$244.98 |
$326.64 |
1.1× |
| I&d abscess simple (10060) |
$183.47 |
$244.62 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,021.25 |
$6,695 |
1.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,793.75 |
$7,725 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$186.17 |
$248.23 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$1,616.65 |
$2,155.53 |
1.4× |
| I&d vulva/perineal abscess (56405) |
$205.58 |
$274.11 |
0.7× |
| Ileoscopy thru stoma (44380) |
$113.56 |
$151.41 |
0.1× |
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Incise external hemorrhoid (46083) |
$169.18 |
$225.58 |
0.7× |
| Incise finger tendon sheath (26055) |
$2,935.50 |
$3,914 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$255.50 |
$340.67 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,021.25 |
$6,695 |
1.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$618 |
$824 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$936.46 |
$1,248.62 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$140.60 |
$187.46 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$221.71 |
$295.61 |
1.1× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$2,384.71 |
$3,179.61 |
0.9× |
| Incision and drainage perianal abscess superficial (46050) |
$216.40 |
$288.53 |
0.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$5,021.25 |
$6,695 |
1.8× |
| Incision extensor tendon sheath wrist (25000) |
$2,781 |
$3,708 |
1.8× |
| Incision of rectal abscess (46040) |
$1,213.70 |
$1,618.26 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$482.81 |
$643.75 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$114.24 |
$152.31 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$144.84 |
$193.13 |
0.5× |
| Inj therapeutic carpal tunnel (20526) |
$154.50 |
$206 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$96.56 |
$128.75 |
0.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$234.94 |
$257.50 |
0.3× |
| Injection aa&/strd pudendal nerve (64430) |
$293.94 |
$391.92 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$223.06 |
$297.42 |
0.8× |
| Injection into skin lesions (11900) |
$115.88 |
$154.50 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$102.55 |
$136.74 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$150.64 |
$200.85 |
0.5× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$608.92 |
$811.90 |
0.7× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$502.13 |
$669.50 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$105.83 |
$141.11 |
0.9× |
| Insert cath pleura w/o image (32556) |
$975 |
$1,300 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$536.60 |
$715.46 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$656.63 |
$875.50 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$656.63 |
$875.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$178.45 |
$237.94 |
1.4× |
| Insert tunneled cv cath (36561) |
$4,055.62 |
$5,407.50 |
1.3× |
Insert Tunneled Cv Cath With Pump (36563)
likely a partial charge, not the full procedure |
$567.79 |
$757.05 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$123.89 |
$165.19 |
1.0× |
Insert/ replace infusn pump,programmable (62362)
likely a partial charge, not the full procedure |
$421.21 |
$561.61 |
0.0× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815)
likely a partial charge, not the full procedure |
$255.50 |
$340.67 |
0.0× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure |
$733.88 |
$978.50 |
0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$478.56 |
$638.09 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$2,959.64 |
$3,946.19 |
0.4× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,703.36 |
$2,271.15 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$927 |
$1,236 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$270.08 |
$360.12 |
1.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$450 |
$600 |
1.9× |
| Lap ing hernia repair init (49650) |
$3,303.70 |
$4,404.92 |
0.6× |
| Lap insert tunnel ip cath (49324) |
$3,090 |
$4,120 |
0.5× |
| Lap revision perm ip cath (49325) |
$2,916.19 |
$3,888.25 |
0.5× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,896.88 |
$3,862.50 |
0.5× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$713.21 |
$950.95 |
0.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,504.06 |
$7,338.75 |
0.9× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,273.47 |
$1,697.96 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,467.75 |
$1,957 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$753.57 |
$1,004.77 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,448.24 |
$1,930.99 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$482.62 |
$643.49 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$849.75 |
$1,133 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$113.85 |
$151.80 |
0.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$144.84 |
$193.13 |
0.8× |
| Ligate/strip short leg vein (37718) |
$608.34 |
$811.13 |
0.2× |
| Ligation of a-v fistula (37607) |
$648.90 |
$865.20 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$463.50 |
$618 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$1,188.68 |
$1,584.92 |
0.8× |
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Facility (38562)
likely a partial charge, not the full procedure |
$973.35 |
$1,297.80 |
0.1× |
| Lithotripsy (50590) |
$1,158.75 |
$1,545 |
0.3× |
| Liver Biopsy (47000) |
$1,391.08 |
$1,854.78 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$158.21 |
$210.94 |
0.1× |
| Manipulation knee joint under general anesthesia (27570) |
$3,075 |
$4,100 |
2.0× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,482.04 |
$1,976.06 |
0.2× |
| Mastectomy for gynecomastia (19300) |
$3,862.50 |
$5,150 |
1.0× |
| Mastectomy partial (19301) |
$618.19 |
$824.26 |
0.2× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$1,931.25 |
$2,575 |
0.3× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Muscle-skin graft trunk (15734) |
$5,021.25 |
$6,695 |
1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$791.82 |
$1,055.75 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$60.83 |
$81.11 |
0.1× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$3,476.25 |
$4,635 |
1.9× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,201.62 |
$2,935.50 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$2,362.50 |
$3,150 |
1.3× |
| Nipple/areola reconstruction (19350) |
$261.30 |
$348.40 |
0.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$90 |
$120 |
0.1× |
| Occipital Nerve Block (64405) |
$129.40 |
$172.52 |
0.4× |
Omntc epiploectomy rescj omentum spx (49255)
likely a partial charge, not the full procedure |
$1,371.19 |
$1,828.25 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,785.25 |
$5,047 |
1.0× |
Open thrombect av fistula (36831)
likely a partial charge, not the full procedure |
$1,004.25 |
$1,339 |
0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,531.88 |
$10,042.50 |
1.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,725 |
$10,300 |
1.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,197 |
$13,596 |
1.5× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$7,338.75 |
$9,785 |
1.1× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$3,832.57 |
$5,110.09 |
0.6× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$13,402.88 |
$17,870.50 |
1.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$5,756.25 |
$7,675 |
0.8× |
| Open treatment of ulnar styloid fracture (25652) |
$7,184.25 |
$9,579 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$13,125 |
$17,500 |
1.9× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,634.62 |
$18,179.50 |
1.1× |
| Open treatment talus fracture (28445) |
$12,746.25 |
$16,995 |
1.8× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$1,506.38 |
$2,008.50 |
0.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,087.69 |
$9,450.25 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,725 |
$10,300 |
1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,593.48 |
$2,124.64 |
0.5× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,261.50 |
$9,682 |
1.0× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,244.50 |
$4,326 |
1.0× |
Open tx humeral supracondylar fracture w/o xtn (24545)
unusually low: confirm this is the full procedure |
$3,832.57 |
$5,110.09 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,205.88 |
$4,274.50 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,669.38 |
$4,892.50 |
1.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,338.75 |
$9,785 |
1.1× |
| Open tx ulnar fx proximal end (24685) |
$10,428.75 |
$13,905 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$12,939.38 |
$17,252.50 |
1.9× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,145.62 |
$9,527.50 |
1.0× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$6,952.50 |
$9,270 |
1.0× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure |
$2,317.50 |
$3,090 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,008.50 |
$2,678 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,776.75 |
$2,369 |
0.6× |
P-mastectomy w/ln removal (19302)
likely a partial charge, not the full procedure |
$1,216.69 |
$1,622.25 |
0.2× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$5.85 |
$7.80 |
0.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$3,553.50 |
$4,738 |
1.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,931.25 |
$2,575 |
0.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,703.75 |
$3,605 |
0.9× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$7,300.12 |
$9,733.50 |
1.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$3,090 |
$4,120 |
1.0× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$5,793.75 |
$7,725 |
1.8× |
| Peritoneal Lavage (49084) |
$750 |
$1,000 |
0.9× |
| Perq device breast 1st imag (19281) |
$62.57 |
$83.43 |
0.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$149.86 |
$199.82 |
0.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,572.82 |
$4,763.75 |
1.1× |
| Picc line placement (36569) |
$1,216.69 |
$1,622.25 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$146.58 |
$195.44 |
0.3× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,081.50 |
$1,442 |
0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$412.32 |
$463.50 |
0.5× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$76.28 |
$101.71 |
0.0× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$167.25 |
$223 |
0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,035.54 |
$2,714.05 |
0.8× |
| Proctosigmoid w/biopsy (45305) |
$86.91 |
$115.88 |
0.1× |
| Proctosigmoidoscopy dilate (45303) |
$154.11 |
$205.49 |
0.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$138.86 |
$185.14 |
0.1× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$132.29 |
$176.39 |
0.1× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$105.45 |
$140.60 |
0.0× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$124.95 |
$166.60 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$193.13 |
$257.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$69.91 |
$93.22 |
0.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$162.23 |
$216.30 |
0.4× |
| Reconstruct Shoulder Joint (23470) |
$25,492.50 |
$33,990 |
2.1× |
| Relieve pressure on nerve(s) (64722) |
$1,612.60 |
$2,150.12 |
0.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,958.87 |
$2,611.82 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$871.38 |
$1,161.84 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,048.38 |
$1,397.84 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$255.50 |
$340.67 |
0.4× |
| Removal foreign body intranasal (30300) |
$155.47 |
$207.29 |
1.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$316.14 |
$421.53 |
0.2× |
| Removal foreign body pharynx (42809) |
$140.60 |
$187.46 |
0.3× |
| Removal foreign body shoulder subcutaneous (23330) |
$702.78 |
$937.04 |
0.4× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$656.63 |
$875.50 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$328.31 |
$437.75 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$60.83 |
$81.11 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55.43 |
$73.90 |
1.0× |
| Removal implant deep (20680) |
$1,834.69 |
$2,446.25 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,834.69 |
$2,446.25 |
1.2× |
| Removal of arm foreign body (24200) |
$333.72 |
$444.96 |
0.2× |
| Removal of bone lesion (23140) |
$770.57 |
$1,027.43 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$234.07 |
$312.09 |
0.8× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$424.88 |
$566.50 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$152.66 |
$203.56 |
0.4× |
| Removal of iud (58301) |
$242.76 |
$323.68 |
0.8× |
| Removal of nail bed (11750) |
$298.96 |
$398.61 |
0.8× |
| Removal Of Tendon Lesion (27630) |
$730.01 |
$973.35 |
0.2× |
| Removal of testis (54520) |
$534.96 |
$713.28 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,969.88 |
$2,626.50 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$107.57 |
$143.43 |
0.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$90.96 |
$121.28 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$93.86 |
$125.15 |
0.3× |
| Remove drug implant device (11982) |
$424.88 |
$566.50 |
1.0× |
| Remove elbow lesion (24120) |
$3,514.88 |
$4,686.50 |
1.1× |
| Remove ext hem groups 2+ (46250) |
$527.23 |
$702.98 |
0.2× |
| Remove Peritoneal Foreign Body (49402) |
$4,287.38 |
$5,716.50 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$1,622.25 |
$2,163 |
0.6× |
| Remove Tendon Sheath Lesion (26160) |
$2,008.50 |
$2,678 |
1.3× |
| Remove vagina gland lesion (56740) |
$442.06 |
$589.42 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$87.10 |
$116.13 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$142.04 |
$189.39 |
1.1× |
| Remv/revisn shldr/hip spica cast (29710) |
$225.76 |
$301.02 |
0.8× |
| Repair achilles tendon (27650) |
$13,500 |
$18,000 |
1.9× |
| Repair blood vessel direct hand finger (35207) |
$1,149.87 |
$1,533.16 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$311.90 |
$415.86 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$511.01 |
$681.35 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$368.87 |
$491.82 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$638.86 |
$851.81 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$311.90 |
$415.86 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$849.75 |
$1,133 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$511.01 |
$681.35 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$511.01 |
$681.35 |
0.7× |
| Repair Ectropion Extensive (67917) |
$4,094.25 |
$5,459 |
1.8× |
| Repair eyelid wound (67930) |
$1,703.36 |
$2,271.15 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$775.59 |
$1,034.12 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,047.51 |
$1,396.68 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$323.20 |
$430.93 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$255.50 |
$340.67 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$231.75 |
$309 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$378.52 |
$504.70 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$255.02 |
$340.03 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$272.02 |
$362.69 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,009.27 |
$1,345.70 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$405.85 |
$541.14 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$203.36 |
$271.15 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$241.79 |
$322.39 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$203.36 |
$271.15 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$635.28 |
$847.05 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$276.36 |
$368.48 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$353.32 |
$471.10 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$272.69 |
$363.59 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$314.60 |
$419.47 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$283.89 |
$378.53 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$511.01 |
$681.35 |
0.3× |
| Repair Mouth Laceration (40831) |
$1,001.35 |
$1,335.14 |
1.9× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,326 |
$5,768 |
0.7× |
| Repair of nail bed (11760) |
$203.36 |
$271.15 |
0.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$13,425 |
$17,900 |
1.9× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$5,793.75 |
$7,725 |
0.8× |
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure |
$5.85 |
$7.80 |
0.0× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,135.58 |
$1,514.10 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$886.64 |
$1,182.18 |
0.3× |
| Repair rotator cuff acute (23410) |
$14,100 |
$18,800 |
2.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$14,250 |
$19,000 |
2.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$13,132.50 |
$17,510 |
1.9× |
| Repair tongue laceration (41252) |
$1,001.35 |
$1,335.14 |
4.4× |
| Repair Tongue Laceration (41250) |
$258.60 |
$344.79 |
0.6× |
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491)
likely a partial charge, not the full procedure |
$1,010.82 |
$1,347.76 |
0.2× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$10,042.50 |
$13,390 |
1.4× |
| Repair/graft achilles tendon (27652) |
$15,000 |
$20,000 |
2.2× |
| Repeat control of nosebleed (30906) |
$211.47 |
$281.96 |
0.9× |
| Replace tunneled cv cath (36578) |
$405.56 |
$540.75 |
0.1× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$2,124.38 |
$2,832.50 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$3,476.25 |
$4,635 |
1.9× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$2,356.13 |
$3,141.50 |
0.7× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$2,124.38 |
$2,832.50 |
0.6× |
Revision of nose (30430)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Revision of nose (30462)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Revision of nose (30460)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Revision of nose (30435)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Revision of nose (30450)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$17,381.25 |
$23,175 |
1.4× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$11,587.50 |
$15,450 |
0.9× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$14,625 |
$19,500 |
0.9× |
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832)
likely a partial charge, not the full procedure |
$973.35 |
$1,297.80 |
0.2× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$15,450 |
$20,600 |
1.3× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$19,312.50 |
$25,750 |
1.6× |
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Rhinoplasty, primary; including major septal repair Facility (30420)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$140.60 |
$187.46 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$186.96 |
$249.28 |
1.5× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$220.16 |
$293.55 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$772.50 |
$1,030 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,008.50 |
$2,678 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$605.44 |
$807.26 |
1.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,317.50 |
$3,090 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$540.75 |
$721 |
0.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$656.63 |
$875.50 |
0.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,460.03 |
$1,946.70 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,862.50 |
$5,150 |
1.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,180 |
$8,240 |
1.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,862.50 |
$5,150 |
1.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,171.50 |
$5,562 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$5,986.88 |
$7,982.50 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,939.75 |
$5,253 |
1.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,132.88 |
$5,510.50 |
0.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,871 |
$7,828 |
1.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,399 |
$4,532 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$203.36 |
$271.15 |
0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$733.88 |
$978.50 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$3,637.50 |
$4,850 |
1.2× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$5,793.75 |
$7,725 |
1.8× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$5,793.75 |
$7,725 |
0.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,793.75 |
$7,725 |
1.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$5,793.75 |
$7,725 |
1.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$637.32 |
$849.75 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$381.23 |
$508.31 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$115.88 |
$154.50 |
0.6× |
| Shoulder arthroscopy (29805) |
$5,793.75 |
$7,725 |
1.8× |
| Sigmoidoscopy & decompress (45337) |
$193.13 |
$257.50 |
0.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$947.38 |
$1,263.16 |
0.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,429.12 |
$1,905.50 |
1.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$151.02 |
$201.37 |
0.2× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,237.93 |
$1,650.58 |
1.1× |
| Sigmoidoscopy w/biopsy (45331) |
$309 |
$412 |
0.3× |
| Sigmoidoscopy w/fb removal (45332) |
$147.74 |
$196.99 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$276.36 |
$368.48 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$203.36 |
$271.15 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$199.69 |
$266.26 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$314.60 |
$419.47 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$220.94 |
$294.58 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$250.78 |
$334.36 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$357.18 |
$476.25 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$203.36 |
$271.15 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$357.18 |
$476.25 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$265.26 |
$353.68 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,854 |
$2,472 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,873.32 |
$2,497.75 |
2.6× |
| Skin sub grft t/arm/lg child (15273) |
$3,495.56 |
$4,660.75 |
1.8× |
| Skn sub grft f/n/hf/g child (15277) |
$2,047.12 |
$2,729.50 |
1.0× |
| Small bowel endoscopy (44366) |
$527.23 |
$702.98 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$203.36 |
$271.15 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$240.15 |
$320.20 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$383.36 |
$511.14 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,691.52 |
$3,588.70 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$243.34 |
$324.45 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$431.25 |
$575 |
0.6× |
| Strapping ankle (29540) |
$88.06 |
$117.42 |
0.6× |
| Strapping elbow or wrist (29260) |
$90.96 |
$121.28 |
1.6× |
| Strapping hand/finger (29280) |
$90.96 |
$121.28 |
1.6× |
| Strapping Hip (29520) |
$110.85 |
$147.81 |
0.9× |
| Strapping knee (29530) |
$90.96 |
$121.28 |
0.7× |
| Strapping shoulder (29240) |
$145.62 |
$194.16 |
1.1× |
| Strapping thorax (29200) |
$158.46 |
$211.28 |
1.0× |
| Strapping toes (29550) |
$90.96 |
$121.28 |
1.6× |
| Strapping unna boot (29580) |
$85.17 |
$113.56 |
0.5× |
| Suction assisted lipectomy lower extremity (15879) |
$261.30 |
$348.40 |
0.1× |
| Suction Assisted Lipectomy Trunk (15877) |
$261.30 |
$348.40 |
0.1× |
| Suction assisted lipectomy; head and neck (15876) |
$261.30 |
$348.40 |
0.1× |
| Suction assisted lipectomy; upper extremity (15878) |
$261.30 |
$348.40 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,669.38 |
$4,892.50 |
1.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,151.22 |
$4,201.63 |
1.7× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$13,500 |
$18,000 |
1.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,161.88 |
$2,882.50 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$154.50 |
$206 |
0.4× |
| Tenodesis long tendon biceps (23430) |
$13,350 |
$17,800 |
1.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,796.25 |
$2,395 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$153.34 |
$204.46 |
0.3× |
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure |
$1,494.21 |
$1,992.28 |
0.3× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
likely a partial charge, not the full procedure |
$1,216.69 |
$1,622.25 |
0.2× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357)
likely a partial charge, not the full procedure |
$261.30 |
$348.40 |
0.0× |
| Tongue and mouth surg unlisted (41599) |
$213.02 |
$284.02 |
0.9× |
| Total hip arthroplasty (27130) |
$25,492.50 |
$33,990 |
2.1× |
| Total Knee Arthroplasty (27447) |
$24,720 |
$32,960 |
2.0× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure |
$1,309.97 |
$1,746.62 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,116.84 |
$1,489.12 |
4.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$609.02 |
$812.03 |
0.4× |
| Tracheostomy planned (31600) |
$3,128.62 |
$4,171.50 |
1.0× |
| Tracheotomy tube change (31502) |
$197.37 |
$263.17 |
0.9× |
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure |
$675.94 |
$901.25 |
0.1× |
| Treat clavicle dislocation (23540) |
$136.73 |
$182.31 |
0.6× |
| Treat clavicle fracture (23505) |
$193.32 |
$257.76 |
0.1× |
| Treat humerus fracture (24500) |
$181.34 |
$241.79 |
0.8× |
| Treat humerus fracture (23600) |
$193.32 |
$257.76 |
0.8× |
| Treat knee fracture (27532) |
$3,514.88 |
$4,686.50 |
1.1× |
| Treat Knee Fracture (27535) |
$3,785.25 |
$5,047 |
0.5× |
| Treat Knee Fracture(S) (27538) |
$298.19 |
$397.58 |
1.3× |
| Treat Kneecap Fracture (27524) |
$7,126.32 |
$9,501.75 |
1.0× |
| Treat scapula fracture (23585) |
$6,825 |
$9,100 |
1.0× |
| Treat Thigh Fracture (27245) |
$5,793.75 |
$7,725 |
0.8× |
| Treat Thumb Dislocation (26641) |
$255.50 |
$340.67 |
1.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$181.34 |
$241.79 |
0.1× |
| Treat wrist bone fracture (25622) |
$170.34 |
$227.12 |
0.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,064.60 |
$1,419.47 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$346.18 |
$461.57 |
1.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$193.32 |
$257.76 |
0.8× |
| Tube thoracostomy includes water seal (32551) |
$305.24 |
$406.98 |
0.2× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$10,912.50 |
$14,550 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$298.19 |
$397.58 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$579.38 |
$772.50 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$193.32 |
$257.76 |
0.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$23,175 |
$30,900 |
1.9× |
| Unlisted laparoscopy procedure stomach (43659) |
$8,883.75 |
$11,845 |
1.5× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$10,428.75 |
$13,905 |
1.8× |
| Unlisted procedure dentoalveolar structures (41899) |
$1,001.35 |
$1,335.14 |
4.4× |
| Unlisted procedure femur or knee (27599) |
$193.32 |
$257.76 |
0.8× |
| Unlisted procedure, leg or ankle (27899) |
$579.95 |
$773.27 |
2.5× |
| Us urine capacity measure (51798) |
$73.39 |
$97.85 |
1.3× |
| Vaginal delivery only (59409) |
$1,780.13 |
$2,373.51 |
0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$386.25 |
$515 |
0.2× |
| Venipuncture (36415) |
$4.64 |
$6.18 |
0.5× |
| Venipuncture, cutdown; age 1 or over (36425) |
$76.67 |
$102.23 |
0.2× |
| Wedge excision skin nail fold (11765) |
$93.28 |
$124.37 |
0.2× |
| Wedging of cast (29740) |
$110.85 |
$147.81 |
0.4× |
| Windowing of cast (29730) |
$90.96 |
$121.28 |
0.6× |